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Professor Dieter Wolke has led several research programmes that delineate the long-term health effects of prenatal exposure to stress and moderate/late preterm, very preterm, and extremely preterm birth. His research has had a direct impact on international medical guidelines and educational recommendations for babies born preterm. The research has also informed European political debate (via a White Paper for the European parliament) on healthcare policy related to after care for preterm or sick children; has influenced UK policy regarding the education of children born preterm; and has contributed to public and practitioner understanding through media items issued, for example, by the NHS and the Royal College of Obstetricians and Gynaecologists.
pGALS (paediatric Gait, Arms, Legs, Spine) is a quick, accurate and child-friendly examination technique that identifies children who need to be referred to a paediatric rheumatology specialist. pGALS has been widely disseminated since 2008 and integrated into both undergraduate medical student teaching and the membership examination for the Royal College of Paediatrics and Child Health. pGALS was developed by Newcastle researchers in response to their findings of a self-reported lack of confidence among clinicians when conducting musculoskeletal examinations of children. Research also showed that delays and inappropriate investigations were being conducted before the child was referred to a specialist. pGALS is now taught in at least 15 of the 32 medical schools in the UK and has been described in a number of leading textbooks. It is becoming known and used worldwide, adapted for local cultural and social contexts.
A research programme of randomised controlled trials undertaken at the University of Southampton demonstrating the efficacy of the New Forest Parenting Programme (NFPP) played a crucial role in: (i) influencing the developers of clinical guidelines to recommend parent training in general as a core part of the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) and (ii) establishing the NFPP, in particular, as a widely employed evidence-based treatment for ADHD, a condition estimated to affect up to 400,000 children in the UK alone. As a direct result of the trials, the programme, a novel therapeutic intervention that teaches parents of preschool children with ADHD how to modify their children's behaviour and improve their self-regulation, has been included in the National Institute for Health and Clinical Excellence (NICE) and other clinical guidelines and recommended internationally as an effective alternative to medication, which often brings only short-term benefits and is associated with a range of potentially debilitating side-effects.
EPPSE is a Government-funded, high profile, longitudinal study with a multi-disciplinary design and numerous outputs, almost unprecedented in the UK in terms of its scale and scope. It has become a seminal study of the influence of early education on children's later development. Findings have been used in the UK and internationally for:
The two Principal Investigators at the IOE have taken lead roles in all of the above.
Research conducted at UEL on the protection, participation and welfare of children living in difficult circumstances in the aftermath of conflict and in contexts of urban and rural poverty has had wide-ranging impacts on international policy and practice. Benefits have arisen particularly from its influence on national policies for orphans and vulnerable children in Rwanda; on international professional standards and `best practice'; and on legal asylum in the USA. It has been used directly by governmental policymakers in Rwanda and Bangladesh and aid organisations in Africa and Asia, and has formed the basis for the development of new learning and advocacy resources used to improve the services offered by social work professionals in Africa, Asia and the UK. Through its direct impact on these individuals and organisations, the research has delivered indirect benefits to millions of children and adults around the world.
Improvements in therapy have increased the 5-year survival rate for a number of cancers, leading to a new focus on promoting the health and wellbeing of cancer survivors. In the UK alone, over 500,000 people have physical or psychological consequences associated with cancer or its treatment.
Research at the University of Surrey has led to the development of self-management interventions for cancer survivors, demonstrating that active patient involvement leads to significant health and wellbeing benefits. These studies have driven national and international practice policy in the management of the consequences of cancer and its treatment.
Research conducted by Peter Elfer has shown the significance of attention to babies and under threes' emotional well-being in nursery if early learning is to be effective. Children who are continually anxious or distressed do not learn well. A sensitive, responsive and consistent relationship with mainly one or two members of nursery staff (now known as the child's `key-person') has been shown to promote in young children feelings of safety and security. The research has underpinned the development of the key-person role in nurseries, as the means for enabling individual attention to children. This research has had a significant impact in the following areas:
1) UK Government curriculum guidance and requirements
2) Training of the early years workforce and continuing professional development
3) The evolution of UK Coalition Government policy and public discourse
The reach of the research is extensive, providing the underpinning for attachment practice in English nurseries. The above developments have strengthened the expectation in national standards of greater attention to the emotions of babies and young children in nursery and have provided the detailed guidance on how this can be achieved in practice.
Anxiety disorders are the most common emotional disorders in children, affecting up to 19% of all children and adolescents, and are associated with significant impairment and poor long term outcomes. Research at the University of Reading has highlighted particular parental factors associated with the development and persistence of childhood anxiety disorders. This research led to the development of a brief treatment which has proven effective for a significant sub-group (>70%) of patients. The treatment has been widely implemented in the U.K. and internationally. As a result, the research has increased access to evidence based treatment, which has benefitted affected children, their parents/caregivers and children's mental health services.
For the most part, looked-after children have poorer physical and mental health than other children, and do less well educationally. Their employment prospects are poorer and they are over-represented amongst young offenders. But this is changing for the better in Northern Ireland, where research at Queen's has helped to improve the stability and quality of placements provided to looked-after children, and the support given to them when they leave care. The 2010 Demos report on children in state care in the UK used illustrations of best practice from Northern Ireland.
Young Lives is identifying major influences on children's development, from infancy to adulthood, by carrying out a pioneering longitudinal study across four developing countries over 15 years. Young Lives gathers and analyses data on how childhood is changing in diverse communities, especially through the impact of economic, cultural and policy shifts, by studying two age cohorts in each country. UNICEF, the World Bank, Plan International, and Save the Children International, among others, are using Young Lives research to design childhood poverty-reduction policies in the Post-2015 Development Agenda. The research also underpins the re-visioning of global child protection work by UNICEF, Save the Children Canada, and World Vision UK.