Paediatric Care and Child Development

2016

Neonatal Encephalopathy: Evidence-Based Rapid Review. Prepared for the Accident Compensation Corporation (ACC) New Zealand.

A Rapid Review of the published literature was undertaken to provide a synthesis of the best available research evidence to achieve the strategic goal of reducing the incidence and severity of injury from neonatal encephalopathy, and to improve provision of quality clinical advice. The specific review question was: What interventions are available to either prevent neonatal encephalopathy or reduce the severity of affected cases? The evidence base for this review was limited to “best available evidence” and hence the research evidence was drawn primarily from existing systematic reviews, meta-analyses, and high level primary research (randomised controlled trials, prospective cohort studies). A staged approach to interrogating the literature was undertaken, whereby reviewers examined the best available research evidence, specifically systematic reviews / meta-analyses as they are the most comprehensive source of evidence. In the absence of the best available research evidence, primary research evidence, such as randomised controlled trials, were considered. Finally, where no systematic reviews or randomised controlled trials were located prospective cohort and then any other study designs (excluding commentary /expert opinion) were considered to fill evidence gaps.

2014

Education support for children and young people with chronic mental and physical health issues: A Rapid Review. Prepared for Department of Education and Early Childhood Development, Victoria

This review focuses on ‘educational support for children and young people with chronic mental and physical health issues,’ as specific by the Department of Education and Early Childhood Development, Victoria. It focuses on the one in three children for whom, at any one time, education services could reasonably be required to provide individualised health support to ensure inclusion and avoid discrimination.

The objective of this rapid review was to critically examine the literature regarding educational support for children and young people with chronic mental and physical health issues. Specifically, this review aimed to identify evidence-based and effective policies, programs and service delivery models. Some of the questions in review included:

  1. What policies, programs or service delivery models are currently in place for providing educational support to children and young people with chronic mental and physical health issues?
  2. What is the evidence of effectiveness of these policies, programs or service delivery models in facilitating engagement in education or learning in children and young people with chronic mental and physical health issues?
  3. What are the key features or characteristics of effective policies, programs or service delivery models?

2013

Traumatic Brain Injury Review: A systematic review of the evidence for paediatric traumatic brain injury, and for adults with mild traumatic brain injury. A technical report prepared for New Zealand’s ACC Traumatic Brain Injury Strategy.

This report provides a comprehensive review of the currently available secondary evidence (guidelines and systematic reviews) to inform the ACC Traumatic Brain Injury (TBI) Strategy. This review focuses on two areas identified as gaps in current understanding:

  1. Paediatric TBI (0-15 years)
  2. Adults with mild TBI

 ACC research had provided subsection questions for each of these focus areas, making a total of 20 search questions to be addressed by this evidentiary review.

1. Paediatric TBI (0-15 years): Consider the issues specific to paediatric TBI throughout their developmental milestones and the continuum of care.

  • 1.1 Initial acute care
  • 1.2 In-patient and out-patient rehabilitation
  • 1.3 Transitions of care
  • 1.4 Cognitive, Educational and training issues
  • 1.5 Community integration
  • 1.6 Challenging behaviour
  • 1.7 Growth and developmental issues
  • 1.8 Ongoing follow-up care and monitoring
  • 1.9 Needs of carers

2. Mild TBI: Consider the specific issues relevant to mild TBI in adults

  • 2.1 Screening for and early identification of mild TBI
  • 2.2 Initial acute care of those with a mild TBI
  • 2.3 Initial advice and outpatient rehabilitation
  • 2.4 Employment participation
  • 2.5 Community reintegration
  • 2.6 Substance abuse
  • 2.7 Depression
  • 2.8 Challenging behaviour
  • 2.9 Long-term impact and needs of mild TBI person
  • 2.10 Persistent symptoms and Issues specific to mild TBI: fatigue, headaches, pain
  • 2.11 Aging with mild TBI

Evaluation Kit for the Allied Health in Children Centre’s Program. Prepared for SA Health and the Department of Education and Child Development, Government of South Australia.

SA Health contracted iCAHE (The International Centre for Allied Health Evidence) in July 2011 to assist in the development of evaluation tools for the Allied Health in Children’s Centre Program. Firstly, a review was conducted from July 2011 until mid September 2011, of the existing evaluation methodology of the program, in order to revise existing evaluation tools. As a result of the review, iCAHE recommended taking 6 months to collaboratively work with Allied Health staff and their managers in the Children’s Centres, to establish improved evaluation protocols and tools which appropriately capture the outcomes of the site specific services and the contexts in which these services are delivered.

The Trial Evaluation Kit has been the result of this collaborative planning process and is was presented to the Allied Health staff of the program in January 2012, in preparation of the trial implementation of the evaluation during School Term 1, 2012. The Kit contained the agreed research tools and processes, which have been trailed in School Term 1 (February – April 2012).

Areas of study and research

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