7 research outputs found
Dealing with change...like a boss
There’s only one thing that can really be guaranteed in life and career: things won’t always go as planned. Regardless of qualifications, experience, sector, responsibility, age or gender, dealing with change is inescapable – but dealing positively and effectively with change is a choice and an important tool in the information professional’s kit. This session offers a professional and personal investment through mindfulness and change theory, plus practical advice from those who have gone before, empowering you to not just cope with change but to be a leader during times of uncertainty. A great way to set the scene for your NLS8 experience
Appendix -Supplemental material for A systematic review and meta-analysis of the prognosis of language outcomes for individuals with autism spectrum disorder
<p>Supplemental material, Appendix for A systematic review and meta-analysis of the prognosis of language outcomes for individuals with autism spectrum disorder by Amanda Brignell, Angela T Morgan, Susan Woolfenden, Felicity Klopper, Tamara May, Vanessa Sarkozy and Katrina Williams in Autism & Developmental Language Impairments</p
Supplementary information files for article Addressing child mental health inequities through parental mental health and preschool attendance
Supplementary information files for article Addressing child mental health inequities through parental mental health and preschool attendance
Background
Prevention is key to reducing socioeconomic inequities in children’s mental health problems, especially given limited availability and accessibility of services supporting treatment. We investigated the potential to reduce these inequities for disadvantaged children by improving parental mental health and preschool attendance in early childhood.
Methods
Data from the nationally representative birth cohort of the Longitudinal Study of Australian Children (N=5107, commencing in 2004) were used to examine the impact of socioeconomic disadvantage (0-1 year) on children’s mental health problems (10-11 years). Using an interventional effects approach, we estimated the extent to which inequities in children’s mental health problems could be reduced by improving disadvantaged children’s parental mental health (4-5 years) and their preschool attendance (4-5 years).
Results
Disadvantaged children had a higher prevalence of elevated mental health symptoms (32.8%) compared with their non-disadvantaged peers (18.7%): confounder-adjusted difference in prevalence=11.6% (95% CI: 7.7%-15.4%). Improving disadvantaged children’s parental mental health and their preschool attendance to the level of their non-disadvantaged peers could reduce 6.5% and 0.3% of socioeconomic differences in child mental health problems, respectively (equivalent to 0.8% and 0.04% absolute reductions). If these interventions were delivered in combination, a 10.8% (95% CI: 6.9% to 14.7%) higher prevalence of elevated symptoms would remain for disadvantaged children.
Conclusions
Targeted policy interventions that improve parent mental health and preschool attendance for disadvantaged children are potential opportunities to reduce socioeconomic inequities in children’s mental health problems. Such interventions should be considered within a broader, sustained, and multipronged approach that includes addressing socioeconomic disadvantage itself.</p
Inequities in children's reading skills: the role of home reading and preschool attendance
ObjectiveChildren from socioeconomically disadvantaged backgrounds have poorer learning outcomes. These inequities are a significant public health issue, tracking forward to adverse health outcomes in adulthood. We examined the potential to reduce socioeconomic gaps in children's reading skills through increasing home reading and preschool attendance among disadvantaged children.MethodsWe drew on data from the nationally representative birth cohort of the Longitudinal Study of Australian Children (N = 5107) to examine the impact of socioeconomic disadvantage (0–1 year) on children's reading skills (8–9 years). An interventional effects approach was applied to estimate the extent to which improving the levels of home reading (2–5 years) and preschool attendance (4–5 years) of socioeconomically disadvantaged children to be commensurate with their advantaged peers, could potentially reduce socioeconomic gaps in children's reading skills.ResultsSocioeconomically disadvantaged children had a higher risk of poor reading outcomes compared to more advantaged peers: absolute risk difference = 20.1% (95% confidence interval [CI]: 16.0%–24.2%). Results suggest that improving disadvantaged children's home reading and preschool attendance to the level of their advantaged peers could eliminate 6.5% and 2.1% of socioeconomic gaps in reading skills, respectively. However, large socioeconomic gaps would remain, with disadvantaged children maintaining an 18.3% (95% CI: 14.0%–22.7%) higher risk of poor reading outcomes in absolute terms.ConclusionThere are clear socioeconomic disparities in children's reading skills by late childhood. Findings suggest that interventions that improve home reading and preschool attendance may contribute to reducing these inequities, but alone are unlikely to be sufficient to close the equity gap.</div
Immediate effects of wearing textured versus smooth insoles on standing balance and spatiotemporal gait patterns when walking over even and uneven surfaces in people with multiple sclerosis
To investigate the immediate effects of wearing novel sensory-stimulating textured insoles on balance and gait in 41 people with multiple sclerosis (pwMS). Assessments of balance (firm/foam surface; eyes open/closed) and walking (when negotiating even/uneven surfaces) were performed wearing textured insoles, smooth insoles, shoes only, and barefoot. Outcome measures were centre of pressure (CoP) movement during standing (elliptical area, sway path velocity) and spatiotemporal gait patterns (stride/step width, stride time, double-limb support time, stride length, velocity). Wearing textured insoles led to reductions in CoP velocity measures when standing on foam with eyes open and closed when compared to barefoot (p values ≤0.02). Textured insoles did not appear to be consistently superior to smooth insoles or shoes only for improving gait. Relative to the insole/shoe conditions, walking barefoot led to poorer gait performance for the even and uneven surface tasks (p values ≤0.03). For pwMS, stimulating the foot with “texture” appears to provide enhanced sensory input with the capacity to improve CoP movement control during standing; offering a potential new treatment option for balance rehabilitation. Further research is needed to identify which individuals may benefit most from textured insoles.Implications for rehabilitationTextured shoe insoles, designed to stimulate plantar mechanoreceptors, are a novel approach to improve standing balance and walking patterns in people with multiple sclerosis (pwMS).Wearing textured insoles for the first time can lead to improvements in centre of pressure movement control when standing on an unstable compliant supporting surface.Textured insoles offer a potential new treatment technique for balance rehabilitation in pwMS who show early signs of diminished foot sensation. Textured shoe insoles, designed to stimulate plantar mechanoreceptors, are a novel approach to improve standing balance and walking patterns in people with multiple sclerosis (pwMS). Wearing textured insoles for the first time can lead to improvements in centre of pressure movement control when standing on an unstable compliant supporting surface. Textured insoles offer a potential new treatment technique for balance rehabilitation in pwMS who show early signs of diminished foot sensation.</p
Additional file 1: of Twin-to-twin transfusion syndrome neurodevelopmental follow-up study (neurodevelopmental outcomes for children whose twin-to-twin transfusion syndrome was treated with placental laser photocoagulation)
(âPsychometric properties of instruments used in the Twin-to-twin Transfusion Syndrome Developmental Follow-Up Studyâ). (DOCX 24Â kb
Household income supplements in early childhood to reduce inequities in children's development
Background: Early childhood interventions have the potential to reduce children's developmental inequities. We aimed to estimate the extent to which household income supplements for lower-income families in early childhood could close the gap in children's developmental outcomes and parental mental health.
Methods: Data were drawn from a nationally representative birth cohort, the Longitudinal Study of Australian Children (N = 5107), which commenced in 2004 and conducted follow-ups every two years. Exposure was annual household income (0–1 year). Outcomes were children's developmental outcomes, specifically social-emotional, physical functioning, and learning (bottom 15% versus top 85%) at 4–5 years, and an intermediate outcome, parental mental health (poor versus good) at 2–3 years. We modelled hypothetical interventions that provided a fixed-income supplement to lower-income families with a child aged 0–1 year. Considering varying eligibility scenarios and amounts motivated by actual policies in the Australian context, we estimated the risk of poor outcomes for eligible families under no intervention and the hypothetical intervention using marginal structural models. The reduction in risk under intervention relative to no intervention was estimated.
Results: A single hypothetical supplement of AU17,350) provided to lower-income families (below AU37,915) per annum) in a child's first year of life demonstrated an absolute reduction of 2.7%, 1.9% and 2.6% in the risk of poor social-emotional, physical functioning and learning outcomes in children, respectively (equivalent to relative reductions of 12%, 10% and 11%, respectively). The absolute reduction in risk of poor mental health in eligible parents was 1.0%, equivalent to a relative reduction of 7%. Benefits were similar across other income thresholds used to assess eligibility (range, AU99,864).
Conclusions: Household income supplements provided to lower-income families may benefit children's development and parental mental health. This intervention should be considered within a social-ecological approach by stacking complementary interventions to eliminate developmental inequities.</p