https://mnclhd.intersearch.com.au/mnclhdjspui/handle/123456789/22 2026-05-23T19:47:58Z 2026-05-23T19:47:58Z Ostojic, K. Chiu, S. Takchi, S. Burnett, H. Scott, T. Waugh, M-C. Berg, A. Hodgins, M. Killedar, A. Khan, J. Henry, G. Reed, S. Mimmo, L. Karem, I. Shiva, S. Azmatullah, S. Calderan, J. Mohamed, M. Olaso, A. van Hoek, D. van Hoek, M. Wilkinson, A. Woodbury, M. Strnadova, I. Masi, A. Chambers, G. Zwi, K. Eapen, V. Elliot, E. Sherwood, J. Dale, R. Martin, T. Smithers Sheedy, H. McIntyre, S. Lingham, R. Paget, S. Woolfeden, S. EPIC_ND Group https://mnclhd.intersearch.com.au/mnclhdjspui/handle/123456789/731 2026-04-23T06:45:15Z 2026-02-01T00:00:00Z

Title: EPIC-ND: a multi-site, randomised controlled trial evaluating the effectiveness of social prescribing for the unmet social needs of children with a neurodisability and their parent/carers - a study protocol Authors: Ostojic, K.; Chiu, S.; Takchi, S.; Burnett, H.; Scott, T.; Waugh, M-C.; Berg, A.; Hodgins, M.; Killedar, A.; Khan, J.; Henry, G.; Reed, S.; Mimmo, L.; Karem, I.; Shiva, S.; Azmatullah, S.; Calderan, J.; Mohamed, M.; Olaso, A.; van Hoek, D.; van Hoek, M.; Wilkinson, A.; Woodbury, M.; Strnadova, I.; Masi, A.; Chambers, G.; Zwi, K.; Eapen, V.; Elliot, E.; Sherwood, J.; Dale, R.; Martin, T.; Smithers Sheedy, H.; McIntyre, S.; Lingham, R.; Paget, S.; Woolfeden, S.; EPIC_ND Group Abstract: Background: The social determinants of health contribute to health inequities experienced by children with neurodisability and pose barriers to engaging with healthcare systems. At an individual level, adverse social determinants of health are experienced as unmet social needs (USNs), for example, housing insecurity and financial hardship. Emerging evidence supports social prescribing interventions that systematically identify USNs and refer families to services to address these needs. This study aims to evaluate the effectiveness of a co-designed social prescribing programme to address the USNs of children with neurodisability and their parents/carers, its cost-effectiveness and cost-utility, and implementation and translation across the healthcare system. Methods and analysis: The study will be conducted at the tertiary Paediatric Rehabilitation Services in New South Wales, Australia. A standardised screening tool will identify parents/carers experiencing USNs. Parents/carers who report one or more USN and consent will be eligible to participate in the randomised controlled trial. Participants will be randomised to an active control group or social prescribing intervention group (total sample size=392). The active control group will receive self-navigation via a resource pack containing information about services that can address USNs. The social prescribing intervention group will receive in-person Community Linker support, in addition to the resource pack. The screening tool, resource pack, and social prescribing intervention were co-designed with parents/carers of children with cerebral palsy and their healthcare professionals. The primary outcome is the effectiveness of interventions in reducing USNs. Secondary outcomes include parent/carer referrals to and engagement with support services, out-of-pocket expenses, child/young person and parent/carer health-related quality of life, parent/carer psychological distress, and child/young person hospital service use and emergency department presentations.

2026-02-01T00:00:00Z Montgomery, L. R. C. Swain, M. Dario, A. B. O'Keeffe, M. Yamato, T. P. Hartvigsen, J. French, S. Williams, C. Kamper, S. https://mnclhd.intersearch.com.au/mnclhdjspui/handle/123456789/622 2025-04-01T02:35:58Z 2025-03-01T00:00:00Z

Title: Does sedentary behaviour cause spinal pain in children and adolescents? A systematic review with meta-analysis Authors: Montgomery, L. R. C.; Swain, M.; Dario, A. B.; O'Keeffe, M.; Yamato, T. P.; Hartvigsen, J.; French, S.; Williams, C.; Kamper, S. Abstract: Objective: To evaluate whether sedentary behaviour is a risk or prognostic factor for spinal pain in children and adolescents. Specifically, to estimate the (1) direction and strength of the association; (2) risk of spinal pain onset and (3) effect on spinal pain prognosis. Design: Systematic review with meta-analysis. Data sources: Electronic searches of MEDLINE, Embase, CINAHL and Web of Science up to 23 March 2023. Eligibility criteria for selecting studies: Reports estimating the effect of sedentary behaviour on spinal pain in young people (≤19 years). Results: We included 129 reports, 14 were longitudinal (n = 8 433) and 115 were cross-sectional (n > 697 590). We incorporated 86 studies into meta-analyses. (1) From cross-sectional data, we found low certainty evidence of a small positive association between sedentary behaviour and spinal pain (adjusted odds ratio 1.25 (95% CI 1.17 to 1.33), k = 44, n > 92 617). (2) From longitudinal data, we found low certainty evidence of no increased risk for the onset of spinal pain due to sedentary behaviour (adjusted risk ratio 1.07 (95% CI 0.84 to 1.35), k = 4, n = 1 292). (3) No studies assessed prognosis. Conclusion: Cross-sectional data suggest minimally higher odds of spinal pain for children and adolescents who engage in greater sedentary behaviours. However, longitudinal data do not support a causal relationship, indicating that sedentary behaviour does not increase the risk for onset of spinal pain. Due to the low certainty of evidence, these findings must be interpreted with caution. We found no evidence of the effect sedentary behaviour has on spinal pain prognosis in children and adolescents, highlighting a considerable gap in the literature. Keywords: Adolescent; Back; Child; Neck; Sedentary Behavior.

2025-03-01T00:00:00Z Fleminton, T. Lock, M. Shipp, J. Hartz, D. Lonne, B. Fraser, J. A. https://mnclhd.intersearch.com.au/mnclhdjspui/handle/123456789/615 2025-04-01T00:03:51Z 2021-01-01T00:00:00Z

Title: Cultural Safety and Child Protection Responses in Hospitals: a Scoping Review Authors: Fleminton, T.; Lock, M.; Shipp, J.; Hartz, D.; Lonne, B.; Fraser, J. A. Abstract: The objective of this scoping review was to map the current practice and best evidence for embedding cultural safety in child protection responses for Aboriginal families in hospitals. Electronic databases were searched systematically and the reference lists examined. Efforts to reduce the risk of bias were made including using an inductive approach. Eight research papers were included following the exclusion of 25 papers for the final analysis. Three main themes in relation to what is necessary to embed cultural safety for Aboriginal families when child protection responses are raised in hospital were found. These were (a) relationships, (b) organisational processes and (c) culture. The analysis underscores the need for development of child protection strategies that focus on cultural safety rather than cultural competence alone. This provides some direction for policy and practice development in this field, and has also highlighted the deficiencies in evidence and urgent need for further research.

2021-01-01T00:00:00Z Flemington, T. Fraser, J. Gibbs, C. Shipp, J. Bryant, J. Ryan, A. Wijetilaka, D. Marks, S. Scarcella, M. Tzioumi, D. Ramanathan, S. Clague, L. Hatrz, D. Lonne, B. Ngiyampaa, M. L. https://mnclhd.intersearch.com.au/mnclhdjspui/handle/123456789/614 2026-02-04T04:13:44Z 2022-04-01T00:00:00Z

Title: The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings Authors: Flemington, T.; Fraser, J.; Gibbs, C.; Shipp, J.; Bryant, J.; Ryan, A.; Wijetilaka, D.; Marks, S.; Scarcella, M.; Tzioumi, D.; Ramanathan, S.; Clague, L.; Hatrz, D.; Lonne, B.; Ngiyampaa, M. L. Abstract: The aim of this paper is to describe the development of a model of care to embed cultural safety for Aboriginal children into paediatric hospital settings. The Daalbirrwirr Gamambigu (pronounced "Dahl-beer-weer gum-um-be-goo" in the Gumbaynggirr language means 'safe children') model encompasses child protection responses at clinical, managerial and organisational levels of health services. A review of scholarly articles and grey literature followed by qualitative interviews with Aboriginal health professionals formed the evidence base for the model, which then underwent rounds of consultation for cultural suitability and clinical utility. Culturally appropriate communication with children and their families using clinical yarning and a culturally adapted version of ISBAR (a mnemonic for Identify, Situation, Background, Assessment and Recommendation) for interprofessional communication is recommended. The model guides the development of a critical consciousness about cultural safety in health care settings, and privileges the cultural voices of many diverse Aboriginal peoples. When adapted appropriately for local clinical and cultural contexts, it will contribute to a patient journey experience of respect, dignity and empowerment. Keywords: Australia; aboriginal; child protection; critical consciousness; cultural safety; emergency department; healthcare; hospital; interprofessional collaboration; model of care; paediatric; translational research.

2022-04-01T00:00:00Z