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Infant sleep ecology and night-time care (research from Durham Anthropology’s Parent-Infant Sleep Lab)

Summary of the impact

Durham Anthropology's Parent-Infant Sleep (www.dur.ac.uk/sleep.lab) has generated conceptual and instrumental impact affecting infant-health policy, health-care practitioners and parents at home and overseas. Our research has a) identified tensions and conflicts among official guidance, public health agendas, and cultural expectations surrounding infant sleep, and b) exposed how infant sleep is experienced and `managed' in families. The outcomes challenged accepted notions about infant sleep ecology and recommendations derived therefrom. Our research prompted and supported a re-evaluation of guidance to parents, contributed to clinical and public health policy, and is used enthusiastically at international, national, local, and individual levels in changing attitudes and practices surrounding night-time infant care. The impact of this research was recognised by ESRC (May 2013) with an award for Outstanding Impact in Society to Professor Helen Ball (http://www.esrc.ac.uk/news-and-events/events/celebrating-impact-prize/prize-winners-2013.aspx).

Submitting Institution

University of Durham

Unit of Assessment

Anthropology and Development Studies

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Paediatrics and Reproductive Medicine, Public Health and Health Services

Infant crying and sleep research: soothing babies and helping parents

Summary of the impact

Parents, healthcare professionals and policy makers across the globe have benefited from Professor Ian St James-Roberts's research and writing on understanding infant sleep and crying. His findings over 20 years underpin government and third-sector guidance for health staff in the UK, US, Canada and Australia. His research has also informed — and eased the minds of — countless parents in these and many other countries. It features in the practical advice provided by the National Childbirth Trust (NCT), the UK's biggest parenting charity, and is cited on many other authoritative websites for parents around the world.

Submitting Institution

University College London

Unit of Assessment

Education

Summary Impact Type

Societal

Research Subject Area(s)

Medical and Health Sciences: Paediatrics and Reproductive Medicine, Public Health and Health Services

Improving the control of blindness in children in low- and middle-income countries through programmes, policy and legislation

Summary of the impact

Professor Gilbert's research identified retinopathy of prematurity (ROP) to be a major cause of blindness in children in middle-income countries and cities in Asia, and delineated those infants most at risk. Since Gilbert joined LSHTM in 2002, her research and advocacy have led to ROP being prioritised for control by the Pan American Health Organization, with regional guidelines developed for Latin America, and national guidelines in many middle-income counties. Programmes for control are expanding and improving. Six Latin American countries have made eye examination mandatory. Although difficult to quantify, these initiatives are preserving the sight of many thousands of infants.

Submitting Institution

London School of Hygiene & Tropical Medicine

Unit of Assessment

Public Health, Health Services and Primary Care

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

Improving understanding among policy makers, the public and medical professionals of the potential harm that MDMA (Ecstasy) use may have on the neuro-psychological functioning of adults and babies

Summary of the impact

Research conducted by UEL's Drugs and Addictive Behaviours Research Group (DAB) and the UEL Institute for Research in Child Development (IRCD) from 1990-2012 has provided key information about the neuro-psychological risks of the use of the drug MDMA (Ecstasy).This information has been used by the US and UK governments, medical professionals and public information organisations. The research was included in the UK government Advisory Council on the Misuse of Drugs (ACMD, 2009) review of MDMA effects and informed government and public debate on the legal classification of MDMA. It has also supported associated debates around the potential harmful effects of MDMA. Subsequent media and public engagement with those debates has contributed to increased public awareness of the effects and risks of MDMA and engaged new audiences with important social and scientific issues. More recent research has informed parents and medical practitioners about the potential harmful effects of MDMA on specific aspects of infant functioning when taken during pregnancy.

Submitting Institution

University of East London

Unit of Assessment

Psychology, Psychiatry and Neuroscience

Summary Impact Type

Societal

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services
Psychology and Cognitive Sciences: Psychology

Antiepileptic Drug (AED) Safety in Pregnancy - epidemiological surveillance of congenital anomalies (birth defects)

Summary of the impact

(1) Enhancing the awareness of (i) women of childbearing age suffering from epilepsy and prescribed new and/or older generation AEDs, and (ii) their healthcare professionals. Empowering both to make informed decisions through evidence-based practice that will reduce/prevent the risk of harm to unborn children potentially exposed to AEDs in early pregnancy.

(2) A change in the process by which GlaxoSmithKline (GSK) practices post-marketing epidemiological surveillance of the new generation AED `lamotrigine' in pregnancy.

(3) Benefit to the methodological practice of other researchers in Europe involved with AEDs and epidemiological surveillance

(4) Contribution to building European system for reproductive safety evaluation

Submitting Institution

University of Ulster

Unit of Assessment

Allied Health Professions, Dentistry, Nursing and Pharmacy

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

Metal fume and infectious pneumonia

Summary of the impact

In 2011, largely on the strength of evidence assembled by Southampton based researchers, the Department of Health (DH) recommended that employers offer welders vaccination against pneumococcus, a decision with potential to benefit some 80,000 workers, and to prevent an estimated 130 cases of invasive pneumococcal disease over 10 years, a significant proportion of which would be fatal. The advice has received extensive media attention, and more recently has been extended to other workers exposed to metal fume, offering scope for even greater benefits. It has influenced research and safety practice internationally.

Submitting Institution

University of Southampton

Unit of Assessment

Clinical Medicine

Summary Impact Type

Political

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

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