Medicine and Health Sciences Commons^™

The Experiences Of Parents Diagnosed With Cancer Whilst Parenting Minor-Aged Children, George Prince

Theses

The incidence of cancer in Australia for people in the parenting age range is significant, and as the fertility rate of women aged 35 years and over continues to rise, many cancer patients may be parenting minor-aged children. The aim of this research was therefore to explore the lived experience of parents diagnosed with cancer whilst parenting minor-aged children, and to gain knowledge and understanding as to how parents and their families respond to a parent’s cancer illness. Utilising a qualitative research design, eight participants, receiving treatment for cancer in a private hospital cancer treatment service, and parenting at least …

Safety And Effectiveness Of Stoss Therapy In Children With Vitamin D Deficiency, Paul Tannous

Theses

Objectives: Paediatric vitamin D (25-hydroxyvitamin D - 25OHD) deficiency can lead to nutritional rickets and extra-skeletal complications. Compliance with daily therapy can be difficult, making high dose, short-term vitamin D (stoss) therapy attractive to correct vitamin D deficiency. We compared the effectiveness and safety of standard versus stoss therapy in treating childhood 25OHD deficiency.

Study Design: Children aged 2 - 16 years with 25OHD <50nmol/L were randomized to either standard (5,000IU daily for 80 days) or stoss (100,000 IU weekly for 4 weeks) cholecalciferol. Participants underwent evaluation of effectiveness and safety. 25OHD, random spot calcium: creatinine ratio (Ca:Cr) and compliance were measured at 12 weeks.

Results: 151 children were enrolled in the study (68 standard and 83 stoss), median age 9 years (IQR: 6 - 12 years). Baseline 25OHD levels were 26 nmol/L (IQR: 19 - 35 nmol/L) and 32 nmol/L …

Motor Planning In Children With And Without Developmental Coordination Disorder: Behavioural And Neurological Evidence, Ranila Bhoyroo

Theses

Developmental coordination disorder (DCD) is a neurodevelopmental condition that is characterised by an inability to acquire and execute well-coordinated movements at an age appropriate level (American Psychiatric Association, 2013). Converging evidence suggests that children with DCD experience motor planning difficulties compared to typically developing children; however, these difficulties may be task dependent. To our knowledge, the underlying nature of this deficit as well as the task parameters that might affect motor planning are not well established. Also, while it has been reported that alterations in areas of the frontal and parietal lobe may underlie poor motor planning in this population, …

Epidemiology Of Soccer‐Related Head Injury In Children 5–14 Years In Victoria, Australia, Amy E. Smith, Catherine Krejany, Moyez Jiwa

Medical Papers and Journal Articles

Aim: Our aim was to use epidemiological data to determine the incidence of soccer‐related head injuries in children aged 5–14 years who presented at emergency departments (EDs) or were admitted in hospitals in Victoria, Australia.

Methods: ED presentation and hospital admission de‐identified aggregate data were from the Victorian Injury Surveillance Unit. Soccer participation data were compared with the soccer‐related head injury data to determine the incidence of this injury among these children.

Results: The incidence of ED presentations was 0.17% of children participating in soccer during the study period (financial years 2011–2012 to 2015–2016). The 10–14‐years age group presented with …

A Qualitative Evaluation Of A Young Parents Program (Ypp) - Parent And Facilitator Perspectives, Cecily Strange, Elaine Bennett, Maggie Tait, Yvonne Hauck

Nursing Papers and Journal Articles

Issue addressed: Young parents (<25 years) have lower engagement with health and community services and are more likely to experience negative outcomes in the perinatal period compared to older parents. The aim of this study was to evaluate the short to medium‐term outcomes of the Young Parents Program (YPP), specifically designed to engage and support young parents, using responsive and codesign strategies in a community setting.

Methods: A qualitative case study used data from interviews with participating parents (n = 20) and a focus group with YPP facilitators (n = 5).

Results: The findings report on the following short to medium‐term YPP outcomes for parents and children. Young parents: are engaged in early parenting services that are welcoming, non-judgemental and holistic; build parenting skills, knowledge, confidence and are tuned into their infants’ needs; are empowered to codesign program activities to meet their parenting and non-parenting needs; have developed friendships and a social support network in their local community; and, are linked …

Actual Competence, Rather Than Perceived Competence, Is A Better Predictor Of Physical Activity In Children Aged 6-9 Years, Fleur Mcintyre, Helen Parker, Paola Chivers, Beth Hands

Health Sciences Papers and Journal Articles

There is a limited understanding about the relative importance of perceived and actual competence on emergent physical activity levels in children and whether there is a difference in their development and strength between boys and girls.

This study used a single-cohort, multiple age group design to monitor physical activity, actual motor competence (AMC) and perceived competence (PC) on four occasions over 18 months in 6-to 9-year-old boys and girls (N = 201). Physical activity was measured by 7-day daily step counts (pedometer) and activity diary. AMC was assessed by mastery of skill criteria for 4 motor skills; run, overhand throw, …

The Presence And Predictors Of Complicated Grief Symptoms In Perinatally-Bereaved Mothers From A Bereavement Support Organization, Margaret Mcspedden Mcouns, Barbara Mullan, Louise Sharpe, Lauren J. Breen, Elizabeth Lobb

Medical Papers and Journal Articles

The present study investigated the presence and possible predictors of complicated grief symptoms in perinatally-bereaved mothers (N = 121) up to 5 years post-bereavement. The presence of complicated grief scores in the clinical range was 12.4%, which is higher than in many other bereaved populations, and the presence of other living children may protect against the development of complicated grief symptoms. The majority of the women were able to negotiate a perinatal loss without developing complicated grief; however, there remains an important group of women who up to 5 years later score in the clinical range for complicated grief symptoms.

Assessment Of Fundamental Movement Skills In Australian Children: The Validation Of A Fundamental Motor Skills Quotient (Fmsq), Beth Hands, Fleur Mcintyre

Health Sciences Papers and Journal Articles

Objectives: The development of proficient fundamental movement skills (FMS) in children is important for physical, cognitive and social development, and to establish a foundation for an active lifestyle. Many teachers, coaches and physical activity program deliverers use real time observation of individual skill performances during physical activities to assess proficiency in young children. However, a valid method to quantify these observations to provide an overall motor competence is not available.

Design: A small pilot validation study using the Bland Altman method to compare scores on the McCarron Assessment of Neuromuscular Development (MAND) and a Fundamental Movement Skill Quotient (FMSQ) (M …

How Fundamental Are Fundamental Movement Skills?, Beth P. Hands

Health Sciences Papers and Journal Articles

If you take the time to observe children playing in a playground you will notice some whose movements are fluid and graceful, who clearly experience the joy of successful movement and feel confident in their actions. Look further and you may notice some less confident children who may be hovering on the sidelines, causing fights with their peers, sitting quietly by themselves on the verandah or even hidden away in the library reading a book. These children find participation in playground games and many other physical activities challenging, tiring and even embarrassing. They are worried they will miss a ball …

The Associations Between Physical Activity, Screen Time And Weight From 6 To 14 Years: The Raine Study, Beth P. Hands, Paola Chivers, Helen Parker, Garth Kendall, Lawrence Beilin, Dawne Larkin

Health Sciences Papers and Journal Articles

To examine the strength and direction of the relationship between physical activity level, screen use and BMI in a cohort at ages 6, 8, 10 and 14 yrs as part of a prospective longitudinal cohort study. The sample comprised 1403 males and females who participated in the follow-up survey at 14 yrs of age between 2003 and 2005. Exploratory structural equation modelling was used to examine the interrelationships between physical activity level, BMI and screen time at 6, 8, 10 and 14 yrs. Predictors of BMI at 6, 8, 10 and 14 yrs explained 1.3, 76.1, 80.1 and 73.1 percent …

Evidence For The Validity Of The Children’S Attraction To Physical Activity Questionnaire (Capa) With Young Children, Elizabeth Rose, Dawne Larkin, Beth P. Hands, Barbara Howard, Helen Parker

Health Sciences Papers and Journal Articles

Attraction to physical activity is important to an individual’s intrinsic motivation to engage in play, games and sports. While there are instruments designed to measure attraction to physical activity in middle childhood years, the lack of authentic measures in young children has impeded research in this area.

In this study we sought to address the validity of a scale to tap young children’s attraction to physical activity. Evidence for validity was based on internal consistency, content analysis, and factor structure.

Australian school children (180 boys and 154 girls) from school year two, aged six to eight years, were individually administered …

Physical Activity Measurement Methods For Young Children: A Comparative Study, Beth P. Hands, Helen Parker, Dawne Larkin

Health Sciences Papers and Journal Articles

Many behavior patterns that impact on physical activity experiences are established in early childhood, therefore it is important that valid, reliable, and feasible measures are developed to identify children who are not developing appropriate and healthy activity habits. In this study, measures of physical activity derived by accelerometry and pedometry are compared with direct observation for twenty-four 5- and 6-year-old children. The children were monitored for 30 minutes over five consecutive days during a 30 minute free play session in their pre-primary setting. The results for all measures were significantly correlated. When compared to direct observation, the coefficient of determination …

Physical Fitness Of Children With Motor Learning Difficulties, Beth P. Hands, Dawne Larkin

Health Sciences Papers and Journal Articles

Children with motor learning difficulties (MLD) tend to be less physically active than their coordinated peers and one likely consequence is a reduced level of physical fitness. In this study, 52 children with MLD aged 5 to 8 years, were compared to 52 age- and gender-matched control children across a range of health and skill related fitness components. Analyses of variance revealed significantly lower scores in the group with MLD on the tests for cardiorespiratory endurance, flexibility, abdominal strength, speed, and power than the control group. Furthermore, the group with MLD had a significantly higher Body Mass Index (BMI). These …

Implementing A Fundamental Movement Skill Program In An Early Childhood Setting: The Children’S Perspectives, Beth P. Hands, Marie Martin

Health Sciences Papers and Journal Articles

Ample evidence exists about the importance of physical activity for developing and maintaining an active and healthy lifestyle. As many habits are formed when young, well planned and effective movement programs specifically designed for young children are important. In this paper, the influence of a new teaching resource designed to support teachers in implementing a fundamental movement skill program on the children in the classes is presented using a case study approach. The case studies were constructed with teachers and children in a range of early childhood settings. The impact of the program on the children’s level of confidence, knowledge …

Implementing A Fundamental Movement Skill Program In An Early Childhood Setting: The Teachers’ Perspectives, Marie Martin, Beth P. Hands

Health Sciences Papers and Journal Articles

The place of explicit movement skill development programs in early childhood settings is contentious. However given the growing understanding that movement competence is important for maintaining an active and healthy lifestyle (Hands, Parker, & Larkin, 2001), well planned and effective programs specifically designed for young children are important.

In this paper, the influence of a new teaching resource designed to support teachers in implementing a fundamental movement skill program is presented using a case study approach. The case studies were constructed with teachers working in a range of early childhood settings. The impact of the program on teachers’ level of …

Physical Wellness: The Relationship Between Motor Skill, Fitness And Physical Activity In Young Children, Beth P. Hands, Helen Parker

Health Sciences Conference Papers

The health benefits of adequate physical activity levels for children are well reported. However, we cannot assume that children will choose to be sufficiently active of their own accord. Motor competence and fitness are increasingly highlighted as key co-determinants of physical activity in young children (Hands, Parker, & Larkin, 2001) and where possible strategies to enhance these factors should be included in early childhood settings. However few studies have adopted an integrated view of the collective effects of these three factors on developing healthy children. This presentation explores interrelationships between measures of motor skill competence, fitness, and weekly physical activity …

How Can We Best Measure Fundamental Movement Skills?, Beth P. Hands

Health Sciences Conference Papers

The assessment of movement skill is a critical component of many disciplines and professions. In particular, the effectiveness of movement programs hinges on accurate information about the skill level of participants. This information should be based on assessment that is valid, comprehensive, educative, fair and explicit. The chosen process is matched to the assessment purpose. In this paper, the advantages and disadvantages of quantitative and qualitative strategies will be presented and the areas for future research highlighted.

Developmental Coordination Disorder: A Discrete Disability, Beth P. Hands, Dawne Larkin

Health Sciences Papers and Journal Articles

Children with Developmental Coordination Disorder (DCD) have a motor learning disability that reduces their ability to interact with the environment and compromises their social and emotional development. Accordingly, these children should be given the extra assistance and consideration given to children with other learning difficulties. Even though many countries have well developed policies to support students at educational risk, children with movement difficulties are not widely considered to be members of this category. This paper argues for a change in education policy and practice in order to better support children with DCD or Motor Learning Disability (MLD). Improved teacher education …