Journal articles on the topic 'Perception in children Victoria Melbourne'
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Land, Nicole, Catherine Hamm, Sherri-Lynn Yazbeck, Miriam Brown, Ildikó Danis, and Narda Nelson. "Doing pedagogical intentions with Facetiming Common Worlds (and Donna Haraway)." Global Studies of Childhood 10, no. 2 (January 27, 2020): 131–44. http://dx.doi.org/10.1177/2043610618817318.
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Working with stories of children’s relationships with place and technologies from an early childhood education pedagogical inquiry research project in Melbourne, Australia and Victoria, Canada, this article takes up the concept of “pedagogical intentions” to consider how educators and researchers might cultivate intentional teaching practices relevant to the complex worlds we inherit with children. We think with a common worlds pedagogies approach to extend conceptualizations of intentional teaching held in dominant Euro-Western early learning frameworks in Melbourne and Victoria. After situating our understanding of pedagogical intentionality as an ongoing, purposeful, answerable practice of shaping and caring with everyday pedagogical relationships, we share three stories of how we activate our Donna Haraway–inspired intentions with children. By questioning how our pedagogical intentions inform our work, we assert that sharing and putting at risk our intentions is a necessary practice for thinking collectively with children, more-than-human others, and technologies within early childhood education.
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Campbell, Lynda. "The Families First Pilot Program in Victoria: Cuckoo or contribution?" Children Australia 19, no. 2 (1994): 4–10. http://dx.doi.org/10.1017/s1035077200003898.
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The Families First Pilot Program in the then Outer East metropolitan region of Melbourne began in mid-1991 as an intensive family preservation and reunification service for children on the verge of state care. The service offered was brief (4-6 week), intensive (up to 20 hours per week), home-based and flexible (24 hour a day, 7 day a week availability) and all members of the household or family were the focus of service even though the goals were clearly grounded in the protection of the child. This paper begins with some of the apprehension expressed both in the field and in Children Australia in 1993, and reports upon the now completed evaluation of the pilot, which covered the first 18 months of operation. The evaluation examined implementation and program development issues and considered the client population of the service against comparative data about those children at risk who were not included. The paper concludes that there is room for Families First in the Victorian system of protective and family services and points to several developmental issues.
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O’Brien, Patricia M. "Coming in From the Margin." Australasian Journal of Special Education 13, no. 2 (January 1990): 52–59. http://dx.doi.org/10.1017/s1030011200022223.
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Des English was a person of great charm, innovation, and inner strength. His early death at the age of 44 in 1977 came as a bitter blow not only for his family but for the many teachers and parents he had influenced and guided in respectively providing and in seeking educational opportunities for children with disabilities. Des grew up in a small town in Victoria called Donnybrook, north of Melbourne. He was educated by the Marist Brothers at Kilmore College, and in the 50’s trained as a primary teacher at Geelong Teachers College, from which he gained an extension of one year to study as a Special Teacher at Melbourne Teachers College. His first appointment was as an Opportunity Grade teacher at North Melbourne State School. His talent for leadership surfaced early and in his second appointment he became Principal of Footscray Special School for children and adolescents with intellectual disability. Throughout the rest of his career he gained one promotion after another to the Principal positions at Ormond, Travencore and St. Alban’s Special schools. I was fortunate to work as a deputy principal with him throughout his last two appointments.
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Turner, J. Neville. "Representing children and young people: A lawyers practice guide Lani Blackman Melbourne, Victoria Law Foundation, 2002." Children Australia 27, no. 2 (2002): 41. http://dx.doi.org/10.1017/s103507720000506x.
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Dowell, Richard C., Elizabeth Winton, Shani J. Dettman, Elizabeth J. Barker, Katie Hill, and Graeme M. Clark. "Speech Perception Outcomes in Older Children Who Use Multichannel Cochlear Implants: Older is Not Always Poorer." Annals of Otology, Rhinology & Laryngology 111, no. 5_suppl (May 2002): 97–101. http://dx.doi.org/10.1177/00034894021110s520.
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Speech perception outcomes for early-deafened children who undergo implantation as teenagers or young adults are generally reported to be poorer than results for young children. It is important to provide appropriate expectations when counseling adolescents and their families to help them make an informed choice regarding cochlear implant surgery. The considerable variation of results in this group makes this process more difficult. This study considered a number of factors in a group of 25 children who underwent implantation in Melbourne between the ages of 8 and 18 years. Each subject completed open-set speech perception testing with Bamford-Kowal-Bench sentences before and after implantation and preoperative language testing with the Peabody Picture Vocabulary Test. Data were collected regarding the type of hearing loss, age at implantation, age at hearing aid fitting, audiometric details, and preoperative and postoperative communication mode. Results were submitted to a stepwise multiple linear regression analysis with postoperative open-set sentence scores as the dependent variables. The analysis suggested that 3 factors have a significant predictive value for speech perception after implantation: preoperative open-set sentence score, duration of profound hearing loss, and equivalent language age. These 3 factors accounted for 66% of the variance in this group. The results of this study suggest that children who have useful speech perception before implantation, and higher age-equivalent scores on language measures, would be expected to do well with a cochlear implant. Consistent with other studies, a shorter duration of profound hearing loss is also advantageous. The mean sentence score for this group, 47%, was not significantly different from the mean result across all children in the Melbourne program.
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Scott, Dorothy. "Inter-Agency Collaboration: Why is it so difficult? Can we do it better?" Children Australia 18, no. 4 (1993): 4–9. http://dx.doi.org/10.1017/s1035077200003643.
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This paper is based on a presentation at the Mission of St James and St John Forum ‘Protecting Our Children: Where Do We Draw the Line?’ in Melbourne on June 18, 1993. It provides an analysis of why inter-agency collaboration has often remained an elusive goal and identifies some of the structural obstacles to collaboration which are particularly relevant to the current context of child welfare in Victoria. While many of the obstacles to inter-agency collaboration are beyond the domain of the individual practitioner and agency, some suggestions are offered for strategies which can be pursued by practitioners and agencies.
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Tuckerman, Jane, Philippa Holland, Jessica Kaufman, Isabella Overmars, and Margie Danchin. "Examining catch‐up immunisation service use for migrant children in the City of Melbourne, Victoria: A quantitative study." Journal of Paediatrics and Child Health 59, no. 1 (January 2023): 197–98. http://dx.doi.org/10.1111/jpc.16284.
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Quigley, Ashley Lindsay, Mallory Trent, Holly Seale, Abrar Ahmad Chughtai, and C. Raina MacIntyre. "Cross-sectional survey of changes in knowledge, attitudes and practice of mask use in Sydney and Melbourne during the 2020 COVID-19 pandemic." BMJ Open 12, no. 6 (June 2022): e057860. http://dx.doi.org/10.1136/bmjopen-2021-057860.
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ObjectivesSince mask uptake and the timing of mask use has the potential to influence the control of the COVID-19 pandemic, this study aimed to assess the changes in knowledge toward mask use in Sydney and Melbourne, Australia, during the 2020 COVID-19 pandemic.DesignAn observational study, using a cross-sectional survey, was distributed to adults in Sydney and Melbourne, Australia, during July–August 2020 (survey 1) and September 2020 (survey 2), during the COVID-19 pandemic in Australia.Setting and participantsParticipants aged 18 years or older and living in either Sydney or Melbourne.Primary and secondary outcome measuresDemographics, risk measures, COVID-19 severity and perception, mask attitude and uptake were determined in this study.ResultsA total of 700 participants completed the survey. In both Sydney and Melbourne, a consistent decrease was reported in almost all risk-mitigation behaviours between March 2020 and July 2020 and again between March 2020 and September 2020. However, mask use and personal protective equipment use increased in both Sydney and Melbourne from March 2020 to September 2020. There was no significant difference in mask use during the pandemic between the two cities across both timepoints (1.24 (95% CI 0.99 to 1.22; p=0.072)). Perceived severity and perceived susceptibility of COVID-19 infection were significantly associated with mask uptake. Trust in information on COVID-19 from both national (1.77 (95% CI 1.29 to 2.44); p<0.000)) and state (1.62 (95% CI 1.19 to 2.22); p=0.003)) government was a predictor of mask use across both surveys.ConclusionSydney and Melbourne both had high levels of reported mask wearing during July 2020 and September 2020, consistent with the second wave and mask mandates in Victoria, and cluster outbreaks in Sydney at the time. High rates of mask compliance may be explained by high trust levels in information from national and state government, mask mandates, risk perceptions, current outbreaks and the perceived level of risk of COVID-19 infection at the time.
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Brown, Ted, and Carolyn Unsworth. "Evaluating Construct Validity of the Slosson Visual-Motor Performance Test Using the Rasch Measurement Model." Perceptual and Motor Skills 108, no. 2 (April 2009): 367–82. http://dx.doi.org/10.2466/pms.108.2.367-382.
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The aim of this study was to evaluate the construct validity of the Slosson Visual-Motor Performance Test by applying the Rasch Measurement Model to evaluate the test's scalability, dimensionality, differential item functioning based on sex, and hierarchical ordering. Participants were 400 children ages 5 to 12 years, recruited from six schools in Melbourne, Victoria, Australia. The Slosson Visual-Motor Performance Test requires a child to copy 14 different geometric designs three times each for a total 42 scale items. Children completed the test under the supervision of an occupational therapist. Overall, 13 of 42 of the test items exhibited poor measurement properties. As nearly one-third of the scale items were problematic, the Slosson Visual-Motor Performance Test in its current form is not recommended for clinical use.
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Rogers, Agatha. "The Tracing Problem: An aspect of outcome studies in Child Welfare." Children Australia 17, no. 1 (1992): 16–19. http://dx.doi.org/10.1017/s1035077200030108.
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Between the years 1960 and 1972, well over one thousand children in all spent a period of residence in the St. Vincent de Paul’s Children’s Homes situated at South Melbourne and Black Rock in Victoria. One wonders about the circumstances which bought these children into care and one also wonders where they are now, 20 or 30 years after leaving St. Vincent’s. How have they coped with the stresses of life during those years? Questions such as this led the author to embark on a research project. Few reports of research of this nature are to be found. The following description of one aspect of that project, the task of tracing the subjects, may go some way toward explaining the scarcity. It shows though, that tenacity can have some rewards.
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Breman, Rachel, Ann MacRae, and Dave Vicary. "‘The Hidden Victims’–Family Violence in Kinship Care in Victoria." Children Australia 43, no. 3 (May 16, 2018): 186–91. http://dx.doi.org/10.1017/cha.2018.15.
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Family violence is endemic. It has a dramatic and negative impact upon the victims and the family systems in which it occurs. While there is a growing evidence base to support our understanding, prevention and treatment of family violence, little is known about some of its “hidden victims” (e.g., kinship carers). In 2017, Baptcare commenced research with 101 kinship carers in Victoria to gain a better understanding of how family violence, perpetrated by the child's close family member once the placement started, was impacting on children and families. In this context, family violence means any act of physical violence, emotional/psychological violence, verbal abuse and property damage. The study utilised a mixed design methodology that specifically targeted kinship carers who had direct experience of family violence. Findings from this study demonstrated that (1) many kinship carers, and the children in their care, experienced family violence early in the placement, (2) that the violence occurred frequently and (3) the incidents of violence did not occur in isolation. Carers sought support from multiple sources to deal with the family violence, however, the study illustrated that the usefulness of these supports varied. Additionally, findings highlighted reasons why many kinship carers felt reluctant to file a report to end the violence. The study described in this paper is the first step in understanding and exposing this multifaceted issue and delineates some of the major issues confronting Victorian kinship carers experiencing family violence – and the support required to ensure the safety of them and the children they care for. This paper will describe the approach that Baptcare is taking to address family violence in kinship care in western metropolitan Melbourne. This is the second paper in a three-part series relating to family violence in kinship care.
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Wong, Nicole X., Nigel W. Crawford, Jane Oliver, Alissa McMinn, Natasha S. Ching, Ciara Baker, Pierre R. Smeesters, Andrew J. Daley, and Andrew C. Steer. "A Cluster of Pediatric Invasive Group A Streptococcus Disease in Melbourne, Australia, Coinciding with a High-Burden Influenza Season." Journal of Pediatric Infectious Diseases 14, no. 04 (March 7, 2019): 213–18. http://dx.doi.org/10.1055/s-0038-1677456.
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Background Invasive group A streptococcal disease (IGAS) carries significant morbidity and mortality in children. Fluctuations in disease incidence are well documented. However, the modulating factors that contribute to these changes remain unclear. Prospective monitoring of IGAS cases in Victoria, Australia, showed an increased number of cases in 2017, coinciding with a peak of influenza illness. Methods Children identified to have IGAS are prospectively monitored in Melbourne through a disease surveillance network. Data on their presentation, investigations, and clinical course are collected. An increased number of cases identified between June 1, 2017, and October 31, 2017, have been retrospectively analyzed. Results We identified 22 cases of pediatric IGAS during the study period. Increased case detection occurred during a period of increased influenza disease. Of 11 children in our cohort who underwent respiratory viral testing, 4 were confirmed to have concurrent respiratory tract illnesses, and 2 were confirmed to have influenza.
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BAVIN, E. L., M. PRIOR, S. REILLY, L. BRETHERTON, J. WILLIAMS, P. EADIE, Y. BARRETT, and O. C. UKOUMUNNE. "The Early Language in Victoria Study: predicting vocabulary at age one and two years from gesture and object use." Journal of Child Language 35, no. 3 (June 27, 2008): 687–701. http://dx.doi.org/10.1017/s0305000908008726.
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ABSTRACTThe Macarthur-Bates Communicative Development Inventories (CDI) have been used widely to document early communicative development. The paper reports on a large community sample of 1,447 children recruited from low, middle and high socioeconomic (SES) areas across metropolitan Melbourne, Australia. Regression analyses were conducted to determine the extent to which communicative behaviours reported at 0 ; 8 and 1 ; 0 predicted vocabulary development at 1 ; 0 and 2 ; 0. In support of previous findings with smaller, often less representative samples, gesture and object use at 1 ; 0 were better predictors of 2 ; 0 vocabulary than were gesture and object use at 0 ; 8. At 1 ; 0, children from the lower SES groups were reported to understand more words than children from the higher SES groups, but there were no SES differences for words produced at 1 ; 0 or 2 ; 0. The findings add to our understanding of the variability in the development of early communicative behaviours.
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Brown, Ted, Erin Mullins, and Karen Stagnitti. "The Reliability of Performance of Healthy Adults on Three Visual Perception Tests." British Journal of Occupational Therapy 71, no. 10 (October 2008): 438–47. http://dx.doi.org/10.1177/030802260807101007.
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Problems with visual perceptual skills have been shown to have a negative impact on the daily living skills of individuals and are, therefore, commonly assessed by occupational therapists. The purpose of this study was to examine two types of reliability (internal consistency and test-retest reliability) of three newly revised or developed adult visual perception tests. The participants were 50 healthy adults, aged 18 to 55 years, from Melbourne, Victoria, Australia. The participants completed the Developmental Test of Visual Perception — Adolescent and Adult (DTVP-A), the Motor-Free Visual Perception Test — Third Edition (MVPT-3) and the Test of Visual Perceptual Skills (non-motor) – Third Edition (TVPS-3). Internal consistency was examined using Cronbach's alpha calculations and test-retest reliability was analysed using Spearman rho non-parametric correlation coefficients. The results indicated that the DTVP-A, the MVPT-3 and the TVPS-3 had total scale internal consistency correlation scores of 0.60 or higher (0.60, 0.69 and 0.63 respectively). The majority of the subscales of each test had lower correlation coefficients than the overall scores (ranging from 0.22 to 0.49). For the DTVP-A, MVPT-3 and TVPS-3 total scale scores, the test-retest reliability correlation coefficients were statistically significant (rho = 0.46, p<0.05; rho = 0.62, p<0.01; and rho = 0.59, p<0.01, respectively). Overall, the three visual perceptual tests exhibited low to moderate levels of internal consistency and test-retest reliability.
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Oster, Kerry A., and Evelyn D. Scannell. "Change in Role Perception, Role Conflict, and Psychological Health of Working Mothers." Psychological Reports 84, no. 1 (February 1999): 221–30. http://dx.doi.org/10.2466/pr0.1999.84.1.221.
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A model of the interrelationship among Change in Role Perception, Role Conflict, and Psychological Health of working mothers is introduced. The model posits that Change in Role Perception after the birth of children influences Psychological Health directly or indirectly through Role Conflict. The model was tested with a sample of 192 employed mothers (aged 26–45 years) with at least one child under 11 years of age and who lived in either Melbourne or Canberra, Australia. As expected, scores on Role Conflict predicted all four measures of Psychological Health (Anxiety, Self-esteem, Uptight, and Worn Out). Change in scores on Role Perception predicted Self-esteem and Worn Out. Geographic location predicted scores for Uptight and Worn Out and Occupational Type predicted scores for Worn Out, perhaps due to perceived social support. There are theoretical reasons for maintaining the model's structure. Refinement of methodology, measurement of Change in Role Perception, and possible adoption of a longitudinal approach is recommended. It is concluded that measuring experienced role conflict and change in role perception should be taken into account in any consideration of women's psychological health.
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Scull, Janet, Jane Page, Megan L. Cock, Cuc Nguyen, Lisa Murray, Patricia Eadie, and Joseph Sparling. "Developing and Validating a Tool to Assess Young Children’s Early Literacy Engagement." Australasian Journal of Early Childhood 46, no. 2 (May 3, 2021): 179–95. http://dx.doi.org/10.1177/18369391211009696.
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There is growing recognition that literacy learning takes place in the years prior to formal schooling and that young children develop literacy-like behaviours through exposure to interactions in shared contexts in which literacy is a component. Despite this, there are few assessments that measure the very early literacy skills that children develop before 36 months of age. This article reports on the design and validation of a new instrument – the Early Literacy Engagement Assessment (ELEA). This tool was developed to provide insights into the impact of Conversational Reading, a key pedagogical strategy implemented at Families as First Teachers playgroups, on young children’s early receptive and expressive vocabulary and literacy skills. The instrument was trialled with 104 children living in locations across Melbourne, Victoria, and 39 Aboriginal children living in remote communities in the Northern Territory. The trial process was undertaken in two phases: (1) a technical assessment to test item consistency, characteristics and placement and (2) concurrent validity testing against items from the Clinical Evaluation of Language Fundamentals Preschool-2 tool. The findings from the trial and validation process indicate that overall the ELEA discriminates well between children of high and low ability, and it is a useful tool in the authentic assessment of expressive and receptive vocabulary skills in young children.
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Abdizadeh, Hadis, Jane Southcott, and Maria Gindidis. "Attitudes of Iranian Community Parents in Australia towards their Children’s Language Maintenance." Heritage Language Journal 17, no. 3 (December 31, 2020): 310–31. http://dx.doi.org/10.46538/hlj.17.3.1.
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Issues of language shift (LS) and language maintenance (LM) are inevitable consequences of globalization and increased mobility of human populations. This qualitative case study investigated attitudes of migrant parents from Iran towards Persian community language maintenance (CLM) for their school-age children in Australia. Ten parents residing in Melbourne, Victoria were interviewed in two groups and demographic data were collected. The participants were seven female and three male parents who had at least one school-age child. In this qualitative case study, data were analyzed thematically. Three major themes concerning Persian CLM were identified: parents’ attitudes, strategies adopted for maintenance, and challenges for their children. The parents believed that CLM supported cultural identity, preserved family cohesion, and fostered bilingualism, all of which were considered valuable future skills for their children. Interviewees adopted diverse strategies including the establishment of family language use policies, sending their children to Iranian community language school, frequent contacts with extended family in Iran, and the use of Persian media and literature. The influential role of siblings and peers in their children’s language shift, and a lack of age-appropriate Persian books and visual materials were the main challenges to CLM mentioned by the parents in this research.
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Thompson, Emma J., Miriam H. Beauchamp, Simone J. Darling, Stephen J. C. Hearps, Amy Brown, George Charalambous, Louise Crossley, et al. "Protocol for a prospective, school-based standardisation study of a digital social skills assessment tool for children: The Paediatric Evaluation of Emotions, Relationships, and Socialisation (PEERS) study." BMJ Open 8, no. 2 (February 2018): e016633. http://dx.doi.org/10.1136/bmjopen-2017-016633.
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BackgroundHumans are by nature a social species, with much of human experience spent in social interaction. Unsurprisingly, social functioning is crucial to well-being and quality of life across the lifespan. While early intervention for social problems appears promising, our ability to identify the specific impairments underlying their social problems (eg, social communication) is restricted by a dearth of accurate, ecologically valid and comprehensive child-direct assessment tools. Current tools are largely limited to parent and teacher ratings scales, which may identify social dysfunction, but not its underlying cause, or adult-based experimental tools, which lack age-appropriate norms. The present study describes the development and standardisation of Paediatric Evaluation of Emotions, Relationships, and Socialisation(PEERS®), an iPad-based social skills assessment tool.MethodsThe PEERS project is a cross-sectional study involving two groups: (1) a normative group, recruited from early childhood, primary and secondary schools across metropolitan and regional Victoria, Australia; and (2) a clinical group, ascertained from outpatient services at The Royal Children’s Hospital Melbourne (RCH). The project aims to establish normative data for PEERS®, a novel and comprehensive app-delivered child-direct measure of social skills for children and youth. The project involves recruiting and assessing 1000 children aged 4.0–17.11 years. Assessments consist of an intellectual screen, PEERS® subtests, and PEERS-Q, a self-report questionnaire of social skills. Parents and teachers also complete questionnaires relating to participants’ social skills. Main analyses will comprise regression-based continuous norming, factor analysis and psychometric analysis of PEERS® and PEERS-Q.Ethics and disseminationEthics approval has been obtained through the RCH Human Research Ethics Committee (34046), the Victorian Government Department of Education and Early Childhood Development (002318), and Catholic Education Melbourne (2166). Findings will be disseminated through international conferences and peer-reviewed journals. Following standardisation of PEERS®, the tool will be made commercially available.
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Whelan, Jillian, Joshua Hayward, Melanie Nichols, Andrew D. Brown, Liliana Orellana, Victoria Brown, Denise Becker, et al. "Reflexive Evidence and Systems interventions to Prevention Obesity and Non-communicable Disease (RESPOND): protocol and baseline outcomes for a stepped-wedge cluster-randomised prevention trial." BMJ Open 12, no. 9 (September 2022): e057187. http://dx.doi.org/10.1136/bmjopen-2021-057187.
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IntroductionSystems science methodologies have been used in attempts to address the complex and dynamic causes of childhood obesity with varied results. This paper presents a protocol for the Reflexive Evidence and Systems interventions to Prevention Obesity and Non-communicable Disease (RESPOND) trial. RESPOND represents a significant advance on previous approaches by identifying and operationalising a clear systems methodology and building skills and knowledge in the design and implementation of this approach among community stakeholders.Methods and analysisRESPOND is a 4-year cluster-randomised stepped-wedge trial in 10 local government areas in Victoria, Australia. The intervention comprises four stages: catalyse and set up, monitoring, community engagement and implementation. The trial will be evaluated for individuals, community settings and context, cost-effectiveness, and systems and implementation processes. Individual-level data including weight status, diet and activity behaviours will be collected every 2 years from school children in grades 2, 4 and 6 using an opt-out consent process. Community-level data will include knowledge and engagement, collaboration networks, economic costs and shifts in mental models aligned with systems training. Baseline prevalence data were collected between March and June 2019 among >3700 children from 91 primary schools.Ethics and disseminationEthics approval: Deakin University Human Research Ethics Committee (HREC 2018-381) or Deakin University’s Faculty of Health Ethics Advisory Committee (HEAG-H_2019-1; HEAG-H 37_2019; HEAG-H 173_2018; HEAG-H 12_2019); Victorian Government Department of Education and Training (2019_003943); Catholic Archdiocese of Melbourne (Catholic Education Melbourne, 2019-0872) and Diocese of Sandhurst (24 May 2019). The results of RESPOND, including primary and secondary outcomes, and emerging studies developed throughout the intervention, will be published in the academic literature, presented at national and international conferences, community newsletters, newspapers, infographics and relevant social media.Trial registration numberACTRN12618001986268p.
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Clyne, Michael. "Bilingual Education—What can We Learn from the Past?" Australian Journal of Education 32, no. 1 (April 1988): 95–114. http://dx.doi.org/10.1177/000494418803200106.
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This paper shows that bilingual education has a long tradition in Australia. In the 19th century, primary and secondary schools operating German-English, French-English or Gaelic-English programs, or ones with a Hebrew component, existed in different parts of Australia. The most common bilingual schools were Lutheran rural day schools but there were also many private schools. They believed in the universal value of bilingualism, and some attracted children from English-speaking backgrounds. Bilingual education was for language maintenance, ethno-religious continuity or second language acquisition. The languages were usually divided according to subject and time of day or teacher. The programs were strongest in Melbourne, Adelaide and rural South Australia and Victoria. In Queensland, attitudes and settlement patterns led to the earlier demise of bilingual education. The education acts led to a decline in bilingual education except in elitist girls or rural primary schools and an increase in part-time language programs. Bilingual education was stopped by wartime legislation. It is intended that bilingualism can flourish unless monolingualism is given special preference.
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James, Christopher, Carmel Delzoppo, James Tibballs, Siva Namachivayam, and Warwick Butt. "Adverse Events Sustained by Children in The Intensive Care Unit: Guiding local quality improvement." Asia Pacific Journal of Health Management 13, no. 3 (December 16, 2018): i20. http://dx.doi.org/10.24083/apjhm.v13i3.113.
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Objective: To determine the frequency, nature and consequence of adverse events sustained by children admitted to a combined general and cardiac paediatric intensive care unit (PICU).
Design: Retrospective analysis of data collected between January 1st 2008 and December 31st 2017 from PICU.
Setting: The Royal Children’s Hospital, a paediatric tertiary referral centre in Melbourne, Victoria, Australia. The PICU has thirty beds.
Results: During the study period, PICU received 15208 admissions, of which 73% sustained at least one adverse event with a frequency of 67 adverse events per 100 PICU-days and 3 per admission. One adverse event was sustained for every 35 hours of care. The risk of an adverse event was highest in children less than a month of age, or if mechanically ventilated, a high Pediatric Index of Mortality (PIM2) score, longer PICU length of stay, had a pre-existing disability or a high risk adjustment for congenital heart surgery (RACHS) score. Those patients who sustained an adverse event, as compared to those who did not, were mechanically ventilated for longer (80 hrs Vs. 7 hrs, p=<0.001), had a longer PICU length of stay (131 hrs Vs. 35 hrs, p=<0.001), had a longer hospital length of stay (484 hrs Vs. 206 hrs, p=<0.001) and had a higher mortality rate (3% vs. 0.1%, p=<0.001).
Conclusion: Whilst admission to PICU is an essential aspect of care for many patients, the risk of adverse events is high and is associated with significant clinical consequences. Monitoring of adverse events as part of quality improvement enables targeted intervention to improve patient safety.
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Connor, Janet. "Children of Parents with Mental Illness: Personal and Clinical Perspectives Edited by Vicki Cowling (2004) ACER Press: Melbourne, Victoria 3124, 242pp ISBN 0 86431 4736: $35." Australian Journal of Guidance and Counselling 14, no. 1 (July 2004): 120–21. http://dx.doi.org/10.1017/s1037291100002788.
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Dawson, Pam W., Peter J. Blamey, Louise C. Rowland, Shani J. Dettman, Graeme M. Clark, Peter A. Busby, Alison M. Brown, Richard C. Dowell, and Field W. Rickards. "Cochlear Implants in Children, Adolescents, and Prelinguistically Deafened Adults." Journal of Speech, Language, and Hearing Research 35, no. 2 (April 1992): 401–17. http://dx.doi.org/10.1044/jshr.3502.401.
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A group of 10 children, adolescents, and prelinguistically deafened adults were implanted with the 22-electrode cochlear implant (Cochlear Pty Ltd) at the University of Melbourne Cochlear Implant Clinic and have used the prosthesis for periods from 12 to 65 months. Postoperative performance on the majority of closed-set speech perception tests was significantly greater than chance, and significantly better than preoperative performance for all of the patients. Five of the children have achieved substantial scores on open-set speech tests using hearing without lipreading. Phoneme scores in monosyllabic words ranged from 30% to 72%; word scores in sentences ranged from 26% to 74%. Four of these 5 children were implanted during preadolescence (aged 5:5 to 10:2 years) and the fifth, who had a progressive loss, was implanted during adolescence (aged 14:8 years). The duration of profound deafness before implantation varied from 2 to 8 years. Improvements were also noted over postoperative data collection times for the younger children. The remaining 5 patients who did not demonstrate open-set recognition were implanted after a longer duration of profound deafness (aged 13:11 to 20:1 years). The results are discussed with reference to variables that may affect implant performance, such as age at onset of loss, duration of profound loss, age at implantation, and duration of implantation. They are compared with results for similar groups of children using hearing aids and cochlear implants.
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Walsh, Adam D., Adrian J. Cameron, David Crawford, Kylie D. Hesketh, and Karen J. Campbell. "Dietary associations of fathers and their children between the ages of 20 months and 5 years." Public Health Nutrition 19, no. 11 (April 18, 2016): 2033–39. http://dx.doi.org/10.1017/s136898001600077x.
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AbstractObjectiveTo examine associations between dietary intakes of fathers and their children at child age 20 months, 3·5 years and 5 years, and to determine if fathers’ intake predicts change in children’s intake between 20 months and 3·5 and 5 years of age.DesignThe diets of fathers and their first-born children participating in the longitudinal Melbourne Infant Feeding Activity and Nutrition Trial (InFANT) Program were assessed using FFQ and three 24 h recalls, respectively.SettingSixty-two pre-existing first-time parent groups were selected from fourteen local government areas within a 60 km radius of Deakin University Burwood, Victoria, Australia.SubjectsFathers and their first-born children at 20 months (n 317), 3·5 years (n 214) and 5 years of age (n 208).ResultsPositive associations were found between fathers’ and children’s intakes of fruit and sweet snacks at 20 months (P=0·001) and 5 years of age (P=0·012). Fathers’ intake at child age 20 months was associated with change in children’s intake for fruit, sweet snacks and sugar-sweetened beverages between child age 20 months and 3·5 years, and for sweet snacks and sugar-sweetened beverages between child age 20 months and 5 years (all P<0·05). After adjustment for maternal intake, fathers’ intake of sweet snacks remained a predictor of change in children’s sweet snack intake between 20 months and 3·5 years of age (P=0·03).ConclusionsAssociations between the dietary intakes of fathers and their children commence at a young age and continue through early childhood. Fathers should be included in future interventions aimed at improving children’s diets.
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Cuthbert, Denise, and Marian Quartly. "Adoption, fostering, permanent care and beyond Re-thinking policy and practice on out-of-home care for children in Australia." Children Australia 35, no. 2 (2010): 2–5. http://dx.doi.org/10.1017/s1035077200000985.
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The papers published in this special issue of Children Australia were originally presented at a two day symposium held in Melbourne on 26 and 27 November 2009. The symposium, Adoption, fostering, permanent care and beyond: Re-thinking policy and practice on out-of-home care for children in Australia, was jointly convened by the Department of Human Services (DHS), Victoria and the School of Political and Social Inquiry at Monash University in conjunction with the History of Adoption in Australia project (Monash University 2009).The event was a partnership between professionals working in this area and university researchers. Each group brought different perspectives and imperatives to the table. For DHS and the sector, the immediate frame of the symposium was the major policy statement Directions for out-of-home care, announced in May 2009 by the Victorian Minister for Community Services after consultation with community service organisations and young people living in care (DHS 2009a). It announces a framework for change which incorporates action on seven fronts or ‘reform directions’. These are to support children to remain at home with their families; to provide a better choice of care placement; to promote wellbeing; to prepare young people who are leaving care to make the transition into adult life; to improve the education of children in care; to develop effective and culturally appropriate responses to the high numbers of Aboriginal children in our care; and to create a child-focused system and processes (DHS 2009a). The driving principle informing the reforms is to ensure that policy and service provision are centred on the needs and interests of children and young people, and to ensure that young people are consulted as to what their needs are (rather than assumptions being made by adults as to their needs).
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Walsh, Adam D., Adrian J. Cameron, Kylie D. Hesketh, David Crawford, and Karen J. Campbell. "Associations between dietary intakes of first-time fathers and their 20-month-old children are moderated by fathers’ BMI, education and age." British Journal of Nutrition 114, no. 6 (August 18, 2015): 988–94. http://dx.doi.org/10.1017/s0007114515002755.
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AbstractChildren’s learning about food is considerable during their formative years, with parental influence being pivotal. Research has focused predominantly on maternal influences, with little known about the relationships between fathers’ and children’s diets. Greater understanding of this relationship is necessary for the design of appropriate interventions. The aim of this study was to investigate the associations between the diets of fathers and their children and the moderating effects of fathers’ BMI, education and age on these associations. The diets of fathers and their first-born children (n 317) in the Melbourne Infant Feeding Activity and Nutrition Trial (InFANT) Program were assessed using an FFQ and 3×24-h recalls, respectively. The InFANT Program is a cluster-randomised controlled trial in the setting of first-time parents groups in Victoria, Australia. Associations between father and child fruit, vegetable, non-core food and non-core drink intakes were assessed using linear regression. The extent to which these associations were mediated by maternal intake was tested. Moderation of associations by paternal BMI, education and age was assessed. Positive associations were found between fathers’ and children’s intake of fruit, sweet snacks and take-away foods. Paternal BMI, education and age moderated the relationships found for the intakes of fruit (BMI), vegetables (age), savoury snacks (BMI and education) and take-away foods (BMI and education). Our findings suggest that associations exist at a young age and are moderated by paternal BMI, education and age. This study highlights the importance of fathers in modelling healthy diets for their children.
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Dobbie, Meredith Frances. "Typing Colonial Perceptions of Carrum Carrum Swamp: The Expected and the Surprising." Land 11, no. 2 (February 18, 2022): 311. http://dx.doi.org/10.3390/land11020311.
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Carrum Carrum Swamp was a vast wetland to the south-east of Melbourne, Victoria, Australia, at the time that it was first sighted by white colonists in 1803. By 1878, the colonists had commenced converting the swamp to dry land for agricultural and horticultural pursuits, and 100 years later it was predominantly residential land. Shifting values in the 1970s led to environmental concerns about water quality in local creeks and Port Phillip Bay and subsequent residential development on the former swamp included the construction of stormwater treatment wetlands. Perceptions of wetlands are now diverse, including positive perceptions that support their presence in urban settings. In contrast, traditionally, wetlands have been perceived negatively, as waste lands, leading to their drainage. Nevertheless, alternative, perhaps positive, perceptions could have existed, only to be overwhelmed by the negative perceptions driving drainage. Understanding the full range of past perceptions is important to ensure that the historical record is correct and to provide historical context to contemporary perceptions of wetlands. It will better equip natural resource managers and designers and managers of constructed wetlands in urban locations to ensure that wetlands are healthy, functioning and appreciated by their local and wider communities. Thus, the perceptions of Carrum Carrum Swamp by colonists from 1803 to 1878 were examined through qualitative content analysis of historical documents, and a typology was developed. Seven different perceptions were identified: scientific, premodern, exploitative, romantic, aesthetic, medico-mythic and ecological. Most could be traced to the colonists’ predominantly British heritage, but one perception arose in the colony in response to the specific environmental conditions that the colonists encountered. This ecological perception valued wetlands as places of predictable water supply in a land of unpredictable rainfall. It recognised wetlands as part of a broader hydrological system, with influences on the local climate. Its proponents promoted the need for a different approach to the management of wetlands than in Britain and Europe. Nevertheless, a dominant exploitative perception prevailed, leading to the drainage of Carrum Carrum Swamp. The typology developed in this study will be useful for exploring perceptions of other wetlands, both colonial and contemporary.
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Innes-Brown, Hamish, Jeremy P. Marozeau, Christine M. Storey, and Peter J. Blamey. "Tone, Rhythm, and Timbre Perception in School-Age Children Using Cochlear Implants and Hearing Aids." Journal of the American Academy of Audiology 24, no. 09 (October 2013): 789–806. http://dx.doi.org/10.3766/jaaa.24.9.4.
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Background: Children with hearing impairments, especially those using hearing devices such as the cochlear implant (CI) or hearing aid (HA), are sometimes not encouraged to attend music classes, as they or their parents and teachers may be unsure whether the child can perform basic musical tasks. Purpose: The objective of the current study was to provide a baseline for the performance of children using CIs and HAs on standardized tests of rhythm and pitch perception as well as an instrument timbre identification task. An additional aim was to determine the effect of structured music training on these measures during the course of a school year. Research Design: The Intermediate Measures of Music Audiation (IMMA) Tonal and Rhythmic subtests were administered four times, with 6 wk between tests. All children in the study were also enrolled in “Music Club” teaching sessions. Measures were compared between groups and across the four testing sessions. Study Sample: Twenty children from a single school in Melbourne, Australia, were recruited. Eleven (four girls) had impaired hearing, including six with a unilateral CI or CI and HA together (two girls) and five with bilateral HAs (two girls). Nine were normally hearing, selected to match the age and gender of the hearing-impaired children. Ages ranged from 9–13 yr. Intervention: All children participated in a weekly Music Club – a 45 min session of musical activities based around vocal play and the integration of aural, visual, and kinesthetic modes of learning. Data Collection and Analysis: Audiological data were collected from clinical files. IMMA scores were converted to percentile ranks using published norms. Between-group differences were tested using repeated-measures analysis of variance, and between-session differences were tested using a linear mixed model. Linear regression was used to model the effect of hearing loss on the test scores. Results: In the first session, normally hearing children had a mean percentile rank of ˜50 in both the Tonal and Rhythmic subtests of the IMMA. Children using CIs showed trends toward lower scores in the Tonal, but not the Rhythmic, subtests. No significant improvements were found between sessions. In the timbre test, children generally made fewer errors within the set of percussive compared to nonpercussive instruments. The hearing loss level partially predicted performance in the Tonal, but not the Rhythmic, task, and predictions were more significant for nonpercussive compared to percussive instruments. Conclusions: The findings highlight the importance of temporal cues in the perception of music, and indicate that temporal cues may be used by children with CIs and HAs in the perception of not only rhythm, but also of some aspects of timbre. We were not able to link participation in the Music Club with increased scores on the Tonal, Rhythmic, and Timbre tests. However, anecdotal evidence from the children and their teachers suggested a wide range of benefits from participation in the Music Club that extended from increased engagement and interest in music classes into the children's social situations.
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Begley, Ryan, Yogesan Kanagasingam, Chun Chan, Chandrashan Perera, Moya Vandeleur, and Paul Paddle. "Demonstration of Accuracy and Feasibility of Remotely Delivered Oximetry: A Blinded, Controlled, Real-World Study of Regional/Rural Children with Obstructive Sleep Apnoea." Healthcare 11, no. 2 (January 16, 2023): 278. http://dx.doi.org/10.3390/healthcare11020278.
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Objectives: Evaluate diagnostic accuracy and feasibility of a mail-out home oximetry kit. Design: Patients were referred for both the tertiary/quaternary-centre hospital-delivered oximetry (HDO) and for the mail-out remotely-delivered oximetry (RDO). Quantitative and qualitative data were collected. The COVID-19 pandemic began during this study; therefore, necessary methodological adjustments were implemented. Setting: Patients were first evaluated in Swan Hill, Victoria. RDO kits were sent to home addresses. For the HDO, patients travelled to the Melbourne city area, received the kit, stayed overnight, and returned the kit the following morning. Participants: All consecutive paediatric patients (aged 2–18), diagnosed by a specialist in Swan Hill with obstructive sleep apnoea (OSA) on history/examination, and booked for tonsillectomy +/− adenoidectomy, were recruited. Main outcome measures: Diagnostic accuracy (i.e., comparison of RDO to HDO results) and test delivery time (i.e., days from consent signature to oximetry delivery) were recorded. Patient travel distances for HDO collection were calculated using home/delivery address postcodes and Google® Maps data. Qualitative data were collected with two digital follow-up surveys. Results: All 32 patients that had both the HDO and RDO had identical oximetry results. The HDO mean delivery time was 87.7 days, while the RDO mean delivery time was 23.6 days (p value: <0.001). Qualitatively, 3/28 preferred the HDO, while 25/28 preferred the RDO (n = 28). Conclusions: The remote option is as accurate as the hospital option, strongly preferred by patients, more rapidly completed, and also an ideal investigation delivery method during certain emergencies, such as the COVID-19 pandemic.
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Carver, Alison, Anna Timperio, and David Crawford. "Perceptions of Neighborhood Safety and Physical Activity Among Youth: The CLAN Study." Journal of Physical Activity and Health 5, no. 3 (May 2008): 430–44. http://dx.doi.org/10.1123/jpah.5.3.430.
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Background:The purpose of this study was to examine associations between perceptions of neighborhood safety and physical activity among youth.Methods:We completed a cross-sectional study of children age 8 to 9 years (n = 188) and adolescents age 13 to 15 years (n = 346) in areas of varying socioeconomic status in Melbourne, Australia. Parents and adolescents completed questionnaires on perceptions of neighborhood safety. Scores were computed for perceptions of road safety, incivilities, and personal safety of the child or adolescent. Moderate-to-vigorous physical activity (MVPA) before or after school, on evenings, and on weekends was recorded using accelerometers.Results:There were no associations between parental perceptions of neighborhood safety and children’s MVPA outside school hours. Parental perception of personal safety was positively associated with adolescent boys’ MVPA after school. Adolescent girls’ concern about road safety was negatively associated with their MVPA during evenings and outside school hours.Conclusion:Perceptions of neighborhood safety might influence physical activity among youth in different ways according to age group and sex.
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Catroppa, Cathy, Nikita Tuli Sood, Elle Morrison, Justin Kenardy, Suncica Lah, Audrey McKinlay, Nicholas Ryan, et al. "The Australian and New Zealand brain injury lifespan cohort protocol: Leveraging common data elements to characterise longitudinal outcome and recovery." BMJ Open 13, no. 1 (January 2023): e067712. http://dx.doi.org/10.1136/bmjopen-2022-067712.
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IntroductionCognitive, behavioural, academic, mental health and social impairments are common following paediatric traumatic brain injury (TBI). However, studies are often reliant on small samples of children drawn from narrow age bands, and employ highly variable methodologies, which make it challenging to generalise existing research findings and understand the lifetime history of TBI.Method and analysisThis study will synthesise common data sets from national (Victoria, New South Wales, Queensland) and international (New Zealand) collaborators, such that common data elements from multiple cohorts recruited from these four sites will be extracted and harmonised. Participant-level harmonised data will then be pooled to create a single integrated data set of participants including common cognitive, social, academic and mental health outcome variables. The large sample size (n=1816), consisting of participants with mild, moderate and severe TBI, will provide statistical power to answer important questions that cannot be addressed by small, individual cohorts. Complex statistical modelling, such as generalised estimation equation, multilevel and latent growth models, will be conducted.Ethics and disseminationEthics approval was granted by the Human Research Ethics Committee (HREC) of the Royal Children’s Hospital (RCH), Melbourne (HREC Reference Number 2019.168). The approved study protocol will be used for all study-related procedures. Findings will be translated into clinical practice, inform policy decisions, guide the appropriate allocation of limited healthcare resources and support the implementation of individualised care.
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Field, Stephanie, Jeff Crane, Patti-Jean Naylor, and Viviene Temple. "A Longitudinal Examination of the Accuracy of Perceived Physical Competence in Middle Childhood." Journal of Motor Learning and Development 8, no. 3 (December 1, 2020): 457–74. http://dx.doi.org/10.1123/jmld.2019-0045.
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Children who underestimate their physical abilities have lower motivation, higher anxiety, and lack of understanding as to why they may be succeeding or struggling in sports settings, which can result in withdrawal from physical activities. Theoretically, middle childhood is a time when perceptions of physical competence (PPC) become more accurate as children develop the cognitive capacity to interpret new sources of feedback and develop a realistic sense of their physical abilities. The purpose of this study was to investigate the extent to which accuracy of PPC changed from grade 2 to grade 4. Participants were 238 boys and girls (Mage = 7.8 yrs) from eight participating elementary schools in Victoria, British Columbia, Canada. The Test of Gross Motor Development–Second Edition was used to assess motor skills. PPC were assessed using the Pictorial Scale of Perceived Competence and Social Acceptance for Young Children (for grade 2) and the Self-Perception Profile for Children (for grades 3 and 4). Results revealed that participants who underestimated or overestimated their physical competence in grade 2 saw an improvement in accuracy, and, by grade 4, had similar accuracy scores to their peers who were considered ‘accurate’ estimators. These results reinforce theory that suggests PPC become more accurate in middle childhood.
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Abdullahi, Ifrah, Estie Kruger, and Marc Tennant. "Service access and perceptions for Somali Australian migrants at risk of autism." International Journal of Migration, Health and Social Care 13, no. 1 (March 6, 2017): 119–25. http://dx.doi.org/10.1108/ijmhsc-09-2015-0031.
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Purpose The purpose of this paper is to examine the service accessibility of Somali Australians suffering Autism Spectrum Disorder (ASD) by using both quantitative and qualitative methods. Design/methodology/approach Using Geographic Information System (GIS) and the 2011 census data a total of 19,178 people reporting Somali ancestry were mapped to SA1 level with most being in the three capital cities of original migration; Sydney, Melbourne and Perth. Findings Access to primary services pertinent to ASD was measured using the GIS software, some 15 per cent of these cities Somali children were within 500 m of a General practice and 89 per cent within 2,000 m. A quarter of children were within 2,000 m of a speech pathology service access point and nearly a third (31 per cent) within 2,000 m of a psychologist. Qualitative analysis found a quite negative perspective on mental illness and ASD within the community with 85 per cent of respondents reporting a “Bad” perception of ASD within the community. Research limitations/implications Clearly, the opportunity these data provide is to develop service models targeting need and changing perspectives of ASD within an at risk community. Originality/value This is the first time in Australia that issues of service access (health) for Autism suffers and their families has been analysed in a detailed geographic manner.
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Forrest, Laura E., Rowan Forbes Shepherd, Erin Tutty, Angela Pearce, Ian Campbell, Lisa Devereux, Alison H. Trainer, Paul A. James, and Mary-Anne Young. "The Clinical and Psychosocial Outcomes for Women Who Received Unexpected Clinically Actionable Germline Information Identified through Research: An Exploratory Sequential Mixed-Methods Comparative Study." Journal of Personalized Medicine 12, no. 7 (July 7, 2022): 1112. http://dx.doi.org/10.3390/jpm12071112.
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Background Research identifying and returning clinically actionable germline variants offer a new avenue of access to genetic information. The psychosocial and clinical outcomes for women who have received this ‘genome-first care’ delivering hereditary breast and ovarian cancer risk information outside of clinical genetics services are unknown. Methods: An exploratory sequential mixed-methods case-control study compared outcomes between women who did (cases; group 1) and did not (controls; group 2) receive clinically actionable genetic information from a research cohort in Victoria, Australia. Participants completed an online survey examining cancer risk perception and worry, and group 1 also completed distress and adaptation measures. Group 1 participants subsequently completed a semi structured interview. Results: Forty-five participants (group 1) and 96 (group 2) completed the online survey, and 31 group 1 participants were interviewed. There were no demographic differences between groups 1 and 2, although more of group 1 participants had children (p = 0.03). Group 1 reported significantly higher breast cancer risk perception (p < 0.001) compared to group 2, and higher cancer worry than group 2 (p < 0.001). Some group 1 participants described how receiving their genetic information heightened their cancer risk perception and exacerbated their cancer worry while waiting for risk-reducing surgery. Group 1 participants reported a MICRA mean score of 27.4 (SD 11.8, range 9–56; possible range 0–95), and an adaptation score of 2.9 (SD = 1.1). Conclusion: There were no adverse psychological outcomes amongst women who received clinically actionable germline information through a model of ‘genome-first’ care compared to those who did not. These findings support the return of clinically actionable research results to research participants.
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Maida, Carl A., Marvin Marcus, Di Xiong, Paula Ortega-Verdugo, Elizabeth Agredano, Yilan Huang, Linyu Zhou, et al. "Investigating Perceptions of Teachers and School Nurses on Child and Adolescent Oral Health in Los Angeles County." International Journal of Environmental Research and Public Health 19, no. 8 (April 14, 2022): 4722. http://dx.doi.org/10.3390/ijerph19084722.
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This study reports the results of focus groups with school nurses and teachers from elementary, middle, and high schools to explore their perceptions of child and adolescent oral health. Participants included 14 school nurses and 15 teachers (83% female; 31% Hispanic; 21% White; 21% Asian; 14% African American; and 13% Others). Respondents were recruited from Los Angeles County schools and scheduled by school level for six one-hour focus groups using Zoom. Audio recordings were transcribed, reviewed, and saved with anonymization of speaker identities. NVivo software (QSR International, Melbourne, Australia) was used to facilitate content analysis and identify key themes. The nurses’ rate of “Oral Health Education” comments statistically exceeded that of teachers, while teachers had higher rates for “Parental Involvement” and “Mutual Perception” comments. “Need for Care” was perceived to be more prevalent in immigrants to the United States based on student behaviors and complaints. “Access to Care” was seen as primarily the nurses’ responsibilities. Strong relationships between community clinics and schools were viewed by some as integral to students achieving good oral health. The results suggest dimensions and questions important to item development for oral health surveys of children and parents to address screening, management, program assessment, and policy planning.
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Fisher, Jane, Tuan Tran, Stanley Luchters, Thach D. Tran, David B. Hipgrave, Sarah Hanieh, Ha Tran, et al. "Addressing multiple modifiable risks through structured community-based Learning Clubs to improve maternal and infant health and infant development in rural Vietnam: protocol for a parallel group cluster randomised controlled trial." BMJ Open 8, no. 7 (July 2018): e023539. http://dx.doi.org/10.1136/bmjopen-2018-023539.
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IntroductionOptimal early childhood development is an international priority. Risks during pregnancy and early childhood have lasting effects because growth is rapid. We will test whether a complex intervention addressing multiple modifiable risks: maternal nutrition, mental health, parenting capabilities, infant health and development and gender-based violence, is effective in reducing deficient cognitive development among children aged two in rural Vietnam.Methods and analysisThe Learning Clubs intervention is a structured programme combining perinatal stage-specific information, learning activities and social support. It comprises 20 modules, in 19 accessible, facilitated groups for women at a community centre and one home visit. Evidence-informed content is from interventions to address each risk tested in randomised controlled trials in other resource-constrained settings. Content has been translated and culturally adapted for Vietnam and acceptability and feasibility established in pilot testing.We will conduct a two-arm parallel-group cluster-randomised controlled trial, with the commune as clustering unit. An independent statistician will select 84/112 communes in Ha Nam Province and randomly assign 42 to the control arm providing usual care and 42 to the intervention arm. In total, 1008 pregnant women (12 per commune) from 84 clusters are needed to detect a difference in the primary outcome (Bayley Scales of Infant and Toddler Development Cognitive Score <1 SD below standardised norm for 2 years of age) of 15% in the control and 8% in the intervention arms, with 80% power, significance 0.05 and intracluster correlation coefficient 0.03.Ethics and disseminationMonash University Human Research Ethics Committee (Certificate Number 20160683), Melbourne, Victoria, Australia and the Institutional Review Board of the Hanoi School of Public Health (Certificate Number 017-377IDD- YTCC), Hanoi, Vietnam have approved the trial. Results will be disseminated through a comprehensive multistranded dissemination strategy including peer-reviewed publications, national and international conference presentations, seminars and technical and lay language reports.Trial registration numberACTRN12617000442303; Pre-results.
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Nguyen, T. M., Y. S. Hsueh, M. V. Morgan, R. J. Mariño, and S. Koshy. "Economic Evaluation of a Pilot School–Based Dental Checkup Program." JDR Clinical & Translational Research 2, no. 3 (May 5, 2017): 214–22. http://dx.doi.org/10.1177/2380084417708549.
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The objectives of this study were to perform an economic evaluation of a targeted school-based dental checkup program in northern metropolitan Melbourne, Victoria. A 12-mo retrospective case-control cohort analysis using the decision tree method evaluated the incremental cost-utility and cost-effectiveness ratio (ICUR/ICER) for passive standard care dental services and an outreach pilot intervention completed in 2013. A societal perspective was adopted. A total of 273 children ( n = 273) aged between 3 and 12 y met the inclusion/exclusion criteria: 128 in the standard care group and 145 in the intervention group. The total society costs included health sector costs, patient/family costs, and productivity losses in 2014 Australian dollars. Outcome measures were evaluated using quality-adjusted tooth years (QATY) and the combined deciduous and permanent decayed, missing, and filled teeth prevented (DMFT-prevented). A generic outcome variable was created to determine the impact of the intervention to reach underserved populations based on government concession eligibility (cardholder status). Uncertainties were incorporated using 95% confidence intervals. The mean total society cost per child is $463 and $291 ( P = 0.002), QATY utility difference is 0.283 and 0.293 ( P = 0.937), effectiveness difference is 0.16 and 0.10 ( P = 0.756), and cardholder status is 50.0% and 66.2% ( P = 0.007), respectively, for the standard care and intervention groups. On average per child, there was a cost saving of $172 and improvement of 0.01 QATY, with an additional proportion of 16.2% of cardholder children reached. The calculated ICER was $3,252 per DMFT-prevented. The intervention dominates standard care for QATY and per 1% cardholder reached outcome measures. Our study found the pilot checkup program was largely less costly and more effective compared with the current standard care. Further research is needed to quantify the value of outreach interventions to prevent dental caries development and progression in populations from low socioeconomic status. Knowledge Transfer Statement: The findings of this research demonstrated that an outreach dental program can be less costly and more effective than standard models of dental care. It showed that a school-based dental checkup program is beneficial despite other opinions that dental screening is ineffective as a method to improve public dental health. There is fiscal economic evidence to support broader expansion of similar programs locally and internationally to reduce dental caries for children from low-income families.
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Turnbull, Alexandra, Dean Sculley, Carles Escalona-Marfil, Lluís Riu-Gispert, Jorge Ruiz-Moreno, Xavier Gironès, and Andrea Coda. "Comparison of a Mobile Health Electronic Visual Analog Scale App With a Traditional Paper Visual Analog Scale for Pain Evaluation: Cross-Sectional Observational Study." Journal of Medical Internet Research 22, no. 9 (September 17, 2020): e18284. http://dx.doi.org/10.2196/18284.
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Background Accurate quantification of pain in a clinical setting is vital. The use of an electronic pain scale enables data to be collected, analyzed, and utilized much faster compared with traditional paper-based scales. The advancement of smart technology in pediatric and adult pain evaluation may offer opportunities to introduce easy-to-use and reliable pain assessment methods within different clinical settings. If promptly introduced within different pediatric and adult pain clinic services, validated and easily accessible mobile health pain apps may lead to early pain detection, promoting improvement in patient’s quality of life and leading to potentially less time off from school or work. Objective This cross-sectional observational study aimed to investigate the interchangeability of an electronic visual analog scale (eVAS) app with a traditional paper visual analog scale (pVAS) among Australian children, adolescents, and adults for pain evaluation. Methods Healthy participants (age range 10-75 years) were recruited from a sporting club and a secondary school in Melbourne (Australia). The data collection process involved application of pressure (8.5 kg/cm2) from a Wagner Force Dial FDK 20 to the midpoint of the thumb. The pressure was applied twice with a 5-minute interval. At each pressure application, participants were asked to randomly record their pain perception using the “eVAS” accessible via the “Interactive Clinics” app and the traditional pVAS. Statistical analysis was conducted to determine intermethod and intramethod reliabilities. Results Overall, 109 healthy participants were recruited. Adults (mean age 42.43 years, SD 14.50 years) had excellent reliability, with an intraclass correlation coefficient (ICC) of 0.94 (95% CI 0.91-0.96). Children and adolescents (mean age 13.91 years, SD 2.89 years) had moderate-to-good intermethod and intramethod reliabilities, with an ICC of 0.80 (95% CI 0.70-0.87) and average ICC of 0.80 (95% CI 0.69-0.87), respectively. Conclusions The eVAS app appears to be interchangeable compared with the traditional pVAS among children, adolescents, and adults. This pain evaluation method may offer new opportunities to introduce user-friendly and validated pain assessment apps for patients, clinicians, and allied health professionals.
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Bennetts, Shannon K., Amanda R. Cooklin, Sharinne Crawford, Fabrizio D’Esposito, Naomi J. Hackworth, Julie Green, Jan Matthews, Lyndall Strazdins, Stephen R. Zubrick, and Jan M. Nicholson. "What Influences Parents’ Fear about Children’s Independent Mobility? Evidence from a State-Wide Survey of Australian Parents." American Journal of Health Promotion 32, no. 3 (November 22, 2017): 667–76. http://dx.doi.org/10.1177/0890117117740442.
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Purpose: To identify factors associated with generalized and stranger-specific parental fear (PF) about children’s independent mobility (CIM), a critical aspect of physical activity. Design: Cross-sectional survey; random sampling frame, minimum quotas of fathers, rural residents. Setting: State of Victoria, Australia. Subjects: Parents of children aged 9 to 15 years (n = 1779), 71% response rate. Measures: Validated measures of PF and fear of strangers (FoS); parent, child, social, and environmental factors. Analysis: Unadjusted and adjusted linear regression stratified by child age (9-10; 11-13; 14-15). Results: Adjusted models explained a substantial proportion of variance across all age groups (PF: 33.6%-36.7%; FoS: 39.1%-44.0%). Perceived disapproval from others was consistently associated with both outcomes (PF: β =.11 to 23, p ≤ .05; FoS: β =.17-.21, p ≤ .001) as was parents’ perception of children’s competence to travel safely (PF: β = −.24 to −.11, p ≤ .05; FoS: β = −.16 to −.13, p ≤ .01). Factors associated with FoS included having a female child (β = −.21 to −.13, p ≤ .001), language other than English (β = .09 to.11, p ≤ .01), and low levels of parent education (β = −.14 to −08, p ≤ .05). Conclusion: The current study suggests that social norms, child competence, and perceptions about the benefits of CIM underpin PF. This evidence informs the development of interventions to reduce PF and promote CIM and children’s physical activity.
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Lawson, Kate. "INDIAN MUTINY/ENGLISH MUTINY: NATIONAL GOVERNANCE IN CHARLOTTE YONGE'S THE CLEVER WOMAN OF THE FAMILY." Victorian Literature and Culture 42, no. 3 (June 6, 2014): 439–55. http://dx.doi.org/10.1017/s1060150314000084.
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In the opening chapter of Charlotte Mary Yonge's The Clever Woman of the Family, six-year-old Francis Temple, on first having “the pebbly beach, bathing machines and fishing boats” of the English seaside pointed out to him, judges it all to be “ugly and cold.” “I shall go home to Melbourne when I am a man,” he declares (53; ch. 1). This early and unfavourable contrast between England and one of its colonies exemplifies the novel's larger project of judging England and English society through values established in colonial locales, a project that reaches its apogee when Francis and his older brother Conrade judge the conduct of a cruel and duplicitous Englishwoman to be “as bad as the Sepoys” and thus hope that she will be “blown from the mouth of a cannon” (340, 342; ch. 18). While the narrator comments that here the children exhibit “some confusion between mutineers and Englishwomen,” the narrative in its entirety suggests that such “confusion” is founded on a reasonably astute appraisal of colonial history and contemporary English society (342; ch. 18). Published in 1865, with memories of the Indian “Mutiny” of 1857–59 fresh in the public's mind, The Clever Woman of the Family is a critique of contemporary England and English values viewed through a colonial and military lens. More particularly, the novel records the after effects of the “Mutiny” – when sepoys were indeed “blown from the mouth of a cannon” – on early 1860s England, as characters shaped by the “Indian war” and bearing scars both physical and emotional flock home to the small English seaside town of Avonmouth (120; ch. 5). These characters, all associated with the British Army, were involved in some of the key events of the “Mutiny,” such as the siege of Delhi, and include in their number a young wounded war hero, Captain Alick Keith, winner of the Victoria Cross. The novel's older hero is Colonel Colin Keith, also recovering from wounds sustained in India. Under his protection is Lady Fanny Temple, widow of General Sir Stephen Temple, with her seven young children born, severally, in the Cape Colony, India and Australia. Together these characters – shaped by their experiences in the empire and the army – confront and then transform the England to which they return.
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Ssali, Agnes, Lucy Pickering, Edith Nalwadda, Lazaaro Mujumbusi, Janet Seeley, and Poppy H. L. Lamberton. "Schistosomiasis messaging in endemic communities: Lessons and implications for interventions from rural Uganda, a rapid ethnographic assessment study." PLOS Neglected Tropical Diseases 15, no. 10 (October 27, 2021): e0009893. http://dx.doi.org/10.1371/journal.pntd.0009893.
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Background Over 240 million people are infected with schistosomiasis, the majority in sub-Saharan Africa. In Uganda, high infection rates exist in communities on the shores of Lake Victoria. Praziquantel mass drug administration (MDA) delivered by village health teams is the mainstay of schistosomiasis control. However, treatment uptake remains suboptimal, with many people unaware of treatment or thinking it is only for children. Furthermore, people are often rapidly reinfected post-treatment due to continued exposure. In three Schistosoma mansoni high endemicity lake-shore communities in Mayuge district, Eastern Uganda, we investigated the sources of schistosomiasis information, remembered content of information, and the perception of information and related practices towards the control of schistosomiasis. Methods and principal findings Data were collected from September 2017 to March 2018 using a rapid ethnographic assessment that included transect walks, observations, individual in-depth interviews and focus group discussions. Data were analysed thematically using iterative categorisation. We found that the main sources of schistosomiasis information included health workers at government facilities, village health teams, teachers, and radio programmes produced by the Ministry of Health. These messages described the symptoms of schistosomiasis, but did not mention the side effects of praziquantel treatment. Despite this messaging, the main cause of the disease and transmission was unclear to most participants. The translation of schistosomiasis on the radio into the local language ‘ekidada’—meaning swollen stomach—increased, rather than reduced, confusion about the cause(s) of schistosomiasis, due to believed links between ekidada and witchcraft, and prompted a reluctance to engage with treatment or preventative efforts. Conclusion and significance This study highlights gaps in schistosomiasis messaging. We recommend MDA is complemented by effective, evidence-based messaging on schistosomiasis transmission, prevention, and treatment, that is sensitive to local language and context issues, resulting in clear, concise, and consistent messages, to increase effectiveness.
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Woollacott, Angela. "Imperial Dis/Connections: Recent Work in Australian History - Creating a Nation. By Patricia Grimshaw, Marilyn Lake, Ann McGrath, and Marian Quartly. Ringwood, Victoria: McPhee Gribble, 1994. Pp. 360. $12.50. - Single Mothers and Their Children: Disposal, Punishment and Survival in Australia. By Shurlee Swain with Renate Howe. Cambridge and Melbourne: Cambridge University Press, 1995. Pp. xxii + 264. $59.95. - Knowing Women: Origins of Women's Education in Nineteenth-Century Australia. By Marjorie Theobald. Cambridge and Melbourne: Cambridge University Press, 1996. Pp. ix + 294. $59.95. - Convict Maids: The Forced Migration of Women to Australia. By Deborah Oxley. Cambridge and Melbourne: Cambridge University Press, 1996. Pp. xi + 339. $64.95. - Australia, Britain, and Migration, 1915–1940: A Study of Desperate Hopes. By Michael Roe. Cambridge and Melbourne: Cambridge University Press, 1995. Pp. x + 310. $59.95." Journal of British Studies 38, no. 1 (January 1999): 119–25. http://dx.doi.org/10.1086/386185.
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Raden Sri Martini Meilanie, Winda Gunarti, and Astari Yaumil Hassan. "Parents' Perceptions of Children's School Readiness During and After the COVID-19 Pandemic." JPUD - Jurnal Pendidikan Usia Dini 16, no. 1 (April 30, 2022): 162–71. http://dx.doi.org/10.21009/jpud.161.11.
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Children's school readiness is important to discuss because learning loss is an obstacle in preparing early childhood to enter elementary school. This study aims to look at parents' perceptions of their children's readiness for school during and after the COVID-19 pandemic. This study uses a quantitative descriptive survey research design to collect measurable data for statistical analysis from a population sample. The results show that preparing children for school during and after the COVID-19 pandemic is very different from the usual practice. Parents are required to provide appropriate stimulation to children at home to replace the role of teachers at school and restore the motivation and willingness of children to enter elementary school. The perception of parents is certainly very influential on the stimulation that will be given to children.
Keywords: early childhood education, parents’ perceptions, school readiness
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Power, Lyndal, George Strong, Brad Freeman, Claire Miran-Khan, Murdoch C. MacKenzie, Catherine Ingram, Peter Churven, and Sarah Calvert. "Independent comment on Audiovisual and Print Materials Feeling is Thinking. [Book I]. Tara Pavlidis and Wendy Bunston. Melbourne, Royal Children's Hospital Mental Health Service & Travancore School, 2004. pp 85. ISBN 0-9578815-7-6.AUS$75.00 plus $5.00 for packing and postage.Feeling is Thinking: Community Group Program. [Book II: The Therapeutic Use of Games in Groupwork]. Naomi Audette and Wendy Bunston. Melbourne, The Royal Children's Hospital Mental Health Service, VIC, 2006. 81pp. ISBN: 0-646-45663-6.AUS $33.00 plus GST; $5.00 for packing and postage. Proceeds from the sale of these manuals goes straight into the Service's Addressing Family Violence Programs. Order from Daniella Tarle, Administration Officer, Community Group Program, 50 Flemington St, Flemington,Victoria 3031. Ph + 61 3 9345 6011; Fax + 61 3 9345 6010; daniella.tarle@rch.org.auKids' Skills: Playful and Practical Solution-Finding With Children. Rev. and transl. by the author, Ben Furman, St. Luke's Innovative Resources, Bendigo, Australia, 2004. Originally published in Finnish as Muksuoppi, Tammi, 2003. Paperback, pp. 131. ISBN 0958018898. AUS$31.95.Pictures Tell You Nothing: Mental Illness and Relationships. Copyright Mallee Root Pictures Pty Ltd, 2005. Duration: 44 minutes. Format: DVD (all regions) or VHS (Pal). Copies of this program are available from Better Health Centre, NSW Department of Health, + 61 2 9816 0452; www.doh.health.nsw.gov.auFrom Being to Doing: The Origins of the Biology of Cognition. Humberto R. Maturana & Bernhard Poerksen. Transl. by Wolfram Karl Koeck & Alison Rosemary Koek. Heidelberg, Carl-Auer Verlag, 2004. Soft Cover. pp. 208. ISBN 3-89670-448-6. US$57.28.From Being to Doing. The Origins of the Biology of Cognition Humberto R. Maturana/Bernhard Poerksen. Transl. W. K. & A. Koeck, 2004 Heidelberg: Carl-Auer Verlag.Peace Begins in the Soul. Bert Hellinger. Carl-Auer Verlag, 2003. Paper. pp. 134. ISBN: 3-89670-425-7. US$33.95.The Schopenhauer Cure. Irvin D. Yalom. Carlton North, Victoria, Scribe Publications, 2005. Originally published NY 2005, by HarperCollins. Paperback. 358 pp. $32.95 (inc. GST). ISBN 1 920769 59 5.Towards Positive Systems of Child and Family Welfare: International Comparisons of Child Protection, Family Service and Community Caring Systems. Ed. Nancy Freymond & Gary Cameron. University of Toronto Press. Toronto. 2006. ISBN 080209371X. £22.50." Australian and New Zealand Journal of Family Therapy 28, no. 01 (March 2007): 55–60. http://dx.doi.org/10.1375/anft.28.1.55.
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Hurlimann, A. "RECYCLED WATER RISK PERCEPTION - A COMPARISON OF TWO CASE STUDIES." Water Practice and Technology 2, no. 4 (December 1, 2007). http://dx.doi.org/10.2166/wpt.2007.068.
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This paper reports results from a study comparing perceived risk associated with various recycled water uses in two Australian locations, both in the state of Victoria: the capital city Melbourne, and Bendigo a regional urban centre. Both locations are experiencing ‘drought’, but Bendigo is experiencing this in a more acute manner. A case study is used in each location. Both case studies involve future use of recycled water in new commercial buildings. An on-line survey was used to measure attitudes to recycled water of the future occupants of both buildings. The study found perceived risk associated with 11 uses of recycled water increased as the use became increasingly personal. Interestingly, no difference in perceived risk associated with 11 uses of recycled water was found between locations. Prior experience (use) of recycled water was found to be a significant and positive factor in reducing risk perception. Various attitudinal variables were found to be significant influences on perceived risk. Results indicate that reducing perceived risk of recycled water use may increase satisfaction with its use.
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"Bilingual education & bilingualism." Language Teaching 40, no. 1 (January 2007): 68–79. http://dx.doi.org/10.1017/s0261444806264115.
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"Joanne Elda Holmes 27 July 1954 — 15 May 2012." Children Australia 37, no. 4 (November 6, 2012): 132–33. http://dx.doi.org/10.1017/cha.2012.33.
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Joanne Holmes was a respected and valued colleague, a champion for her people, a dearly loved wife, mother and grandmother, and a woman who met challenges with style. Joanne was born in Wynyard, Tasmania, a Palawa woman whose father died in the Hobart bushfires and whose mother subsequently moved to Melbourne. Joanne met and married Kevin Holmes in 1974 and, in the 1980s after having her first son, Matthew, decided to train as a teacher. After undertaking a number of teaching roles, Joanne had a second son, Jeremy, but 1992 brought ill health following a dental procedure and Joanne became the first Aboriginal woman to receive a liver transplant. Poor health dogged her footsteps on and off from this time on, but Joanne was unstoppable. She enrolled and completed a Bachelor of Social Work degree graduating with Honours in Social Work from the Institute of Koori Education at Geelong (Deakin University), and until her death maintained her determination to advocate passionately for services to children, young people and their families throughout the northern regions of Victoria and beyond.
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Marnane, Vivienne, Vivienne Marnane, Harvey Dillon, and Mark Seeto. "765The impact of childhood hearing loss on language and psychosocial outcomes: The LOCHI study." International Journal of Epidemiology 50, Supplement_1 (September 1, 2021). http://dx.doi.org/10.1093/ije/dyab168.419.
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Abstract Background The Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study is a prospective study commenced in 2005 that was aimed to examine the effect of age of hearing loss identification and intervention on outcomes for children with hearing loss, such as language and psychosocial development. Permanent childhood hearing loss has a significant impact on child development. Methods 450 children identified with permanent sensorineural hearing loss prior to 3 years of age in New South Wales, Queensland and Victoria completed comprehensive speech, language and audiological assessments at defined age intervals. Multiple regression analysis and structural equation modelling (SEM) were completed to determine factors influencing outcomes at 5 and 9 years of age. Results Regression models indicated outcomes were significantly influenced by age of hearing loss intervention, nonverbal cognitive ability, maternal education level and communication mode. A significant predictive effect of early language skill was seen on later language development. SEM found that the impact of age of hearing loss intervention on language outcomes was mediated by its effect on cognitive development and speech perception. Language ability influenced psychosocial development. Conclusions Early identification and intervention of hearing loss improves language and psychosocial development, via its influence on cognitive development and speech perception. Key messages Early hearing loss identification and intervention improves language and psychosocial development for children with permanent sensorineural hearing loss. Evidence from the LOCHI study has guided clinical management guidelines of children with hearing loss.
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Yazbeck, Sherri-Lynn, Miriam Brown, Ildikó Danis, and Narda Nelson. "Tracing Transit (in)Tensions Between Settler Colonized ECE Contact Zones." Journal of Childhood Studies, October 23, 2019, 69–81. http://dx.doi.org/10.18357/jcs444201919213.
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Tracing the curiosity of children, educators, and researchers at a childcare centre in Melbourne, Australia and Victoria, British Columbia, Canada, we wonder how we might connect digitally across continents while thinking with place-specific encounters and tensions. In this article we share stories and unexpected (in)tensions that arise during a FaceTiming inquiry to invite questions that unsettle sedimented notions of who and what belongs inthe colonized places in which our settler educator practices take place. Provoked by Donna Haraway’s SF string figure method and situating our work within a common worlds framework, we seek new ways of connecting and transiting between our respective contact zones. In this article, we follow and pull at unsettling threads with the giving and receiving of two puppets, Bunjil and Waa, as they travel from their home in the Australian settler contact zone to the hands of those in the Canadian settler contact zone. These practices trace how these woven threads presence transit (in)tensions continue to stretch our thinking and modes of participating in our attempts at becoming accountable within the common worlds and our stories. How might this messy work make visible our accountabilities and inheritances in places of ongoing settler colonialism?
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Armiento, R., M. Hoq, E. Kua, N. Crawford, K. Perrett, S. Elia, and M. Danchin. "Impact of Australian mandatory policies on immunisation services, parental attitudes to vaccination and vaccine uptake in a tertiary paediatric hospital." European Journal of Public Health 30, Supplement_5 (September 1, 2020). http://dx.doi.org/10.1093/eurpub/ckaa165.474.
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Abstract Introduction 'No Jab, No Play' and 'No Jab, No Pay' mandatory immunisation policies were introduced in the state of Victoria and Australia nationally in January 2016. They restrict access to childcare/kindergarten and family assistance payments respectively, for under-vaccinated children. We aimed to describe the proportion of attendees to immunisation services of a tertiary hospital, the Royal Children's Hospital Melbourne (RCH), who were motivated by the policies to discuss or catch up vaccination. We also explored the association between policy motivation, vaccine hesitancy (VH) and intent to seek medical exemption, with vaccine-uptake. Referrals to the Specialist Immunisation Clinic (SIC) were also reviewed. Methods Parents/Guardians and clinicians completed surveys October 2016-May 2017 from the nurse-led immunisation Drop in Centre (DIC) or physician-led SIC. Vaccine-uptake was measured using the Australian Immunisation Register at baseline, 1 and 7 months post-attendance. The association between vaccine-uptake, policy motivation and VH was explored by logistic regression. Results Of 607 children included, 393 (65%) were from the DIC and 214 (35%) SIC. 74 (12%) of parents were motivated by the policies to attend immunisation services and 19% were VH. Only 50% of VH parents planned to catch-up vaccination for enrolment to childcare/kindergarten. Fewer children were fully immunised at 7 months if their parents were VH (difference 18%; OR 0.24, CI 0.1-0.54,p<0.001) or seeking medical exemption (difference 33%, OR 0.08, CI 0.01-0.6, p 0.015). Conclusions The 'No Jab' policies motivated attendance to a tertiary immunisation service but children of vaccine hesitant parents and those seeking medical exemption to immunisation were less likely to be fully immunised post attendance, compared to baseline. These data will be used to inform a comprehensive evaluation of the impact of the policies, particularly the educational impact from loss of early childhood education.