None listed
Conditions
Brief summary
The aim of project is to determine whether multi-component intervention in early childhood (i.e. sustained nurse home visiting from pregnancy to age 2, needs-based interventions from age 2 to school entry, early education) improves health, development and transition to school of Aboriginal children. The evaluation will utilise a mixed method design to gather administrative, parent report and standard measures as well as qualitative and audit data. Effectiveness of a program of intervention and support for Aboriginal children will be based on comparisons, adjusted for baseline differences, with an historical cohort of Aboriginal children not receiving structured intervention Population child health, development and early education data from other sources Expected outcomes of the program are to: - Improve health and development outcomes for Aboriginal children, and - ‘Close the Gap’ between outcomes for Aboriginal and non-Aboriginal children.
Interventions
2toSchool is an individualised family-centred care planning approach designed to build a team around the family.
Materials: Materials are provided specific to the needs of the child/ren and/or parents/carers, and could include materials on healthy eating and physical activity, guidance on screen time, smoking cessation materials (such as “Quit for Life”), promotion of child development such as materials on Interactive-shared book reading strategies.
Procedures: Families receive child/ren and pa
2toSchool is an individualised family-centred care planning approach designed to build a team around the family. Materials: Materials are provided specific to the needs of the child/ren and/or parents/carers, and could include materials on healthy eating and physical activity, guidance on screen time, smoking cessation materials (such as “Quit for Life”), promotion of child development such as materials on Interactive-shared book reading strategies. Procedures: Families receive child/ren and parent/carer need assessments conducted in narrative conversational form using the Family Partnership Model approach. When needed, child/ren and/or parent/carers are referred to social work and allied health providers. Who: 2toSchool is delivered by an Aboriginal Health Education Officer with over 5 years’ experience in working with families with pre-school aged Aboriginal children. Mode and location of delivery: In-person visits and/or video or phone engagement. In-person visits could be at the families’ homes or other venue including the health clinic, park or shopping centre. Mode and location of visit is determined by the families and general health recommendations during the global pandemic. Duration and intensity: Families receive a minimum of four 60-minute visits per year (one visit very three months) for a minimum of one year. Additional visits could be scheduled in response to family and/or child need. Visits with social work and/or allied health providers are additional to the minimum four per year.
Sponsors
South Western Sydney Local Health District
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
2 Years to 5 Years
Healthy volunteers
No
Inclusion criteria
Families of Aboriginal children aged two years or older residing in South Western Sydney Local Health District area who are experiencing significant sustained adversity that either: 1) requires a multiservice and/or multiagency response (assessed as the child/ren and/or parent/carers having multiple health, social, emotional and/or developmental needs documented in their clinical records with the service, or as assessed at baseline; and who have 2) a history of poor service engagement assessed as having poor/late attendance for antenatal care for the 2toSchool child and/or at least two recorded instances of unexplained service non-attendance in the previous two years ; and 3) require a minimum of 12 months engagement to address their child's health and/or developmental concern as assessed by the referring clinician based on their clinical experience..
Exclusion criteria
Child will commence school in less than 12 months.
Outcome results
None listed