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Cochlear implants are the only successful treatment available for people with severe to profound deafness. Research into these implants at the Institute of Sound and Vibration Research (ISVR) at the University of Southampton has led directly to changes in health policy, including new guidelines by the National Institute for Health and Clinical Excellence (NICE). ISVR researchers have developed patient assessment questionnaires which are used internationally as a means of monitoring children with cochlear implants. ISVR pioneered research and clinical work bilateral cochlear implantations in the UK, yielding benefits for the estimated 9,000 bilateral cochlear implant recipients around the world (around 700 in the UK).
Wood and Plester conducted the first empirical research into the impact of text messaging on children's literacy abilities, the results of which have impacted on:
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.
Cardiff University has established the world's largest single cohort of children and young adults with Down's syndrome in which visual deficits have been characterised. Cardiff research studies over 20 years have informed evidence-based guidelines published by the Department of Health and national practitioner bodies for the recognition and practical management of common visual problems in children with Down's syndrome. Consequently, eye care specialists now recommend bifocals for these children. The Cardiff research has also supported changes to teaching methods and resources for children with Down's syndrome. Collectively these children are now benefiting from better eye care and improved learning and educational opportunities.
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.
Public understanding and debate at the national level have been impacted upon by the research work of psychologists at the University. Furthermore, through bespoke knowledge exchange workshops understanding, intentions and practices of education and care professionals have changed. The impact draws on the work of Burkitt and Greenlees, both chartered psychologists and Readers at the University undertaking applied psychological research in the area of colour. Burkitt has published on the use and meaning of colour in children's drawings and Greenlees on its effect on sporting performance particularly in football.
Research led by Professor Roger Mackett of the Department of Civil, Environmental and Geomatic Engineering at UCL on children's physical activity has been used by central and local government, other public bodies and various advocacy groups to encourage children to be more active. It has been used to support policy documents and proposals aimed at improving children's health and wellbeing. It has led to improvements in the health, welfare and quality of life of many UK communities through, for example, their greater use of walking buses, which also contributes to reduced CO2 emissions.
We have carried out research into children's perception and behaviour around dogs, which has led to the development of an effective safety training programme, as well as improving public understanding of child-dog interactions and risk contexts for dog bite injury in children. The `Blue Dog' (BD — www.thebluedog.org) project has led to changed educational and veterinary practice, public policy change and animal welfare benefits internationally. A key part of the project was the development and validation of an interactive DVD, with training tools that teach children how to be safe around dogs. The results of the research were integrated into the injury prevention messages disseminated by the BD project. The research programme has received publicity worldwide, and over 80,000 copies of the BD DVD have been distributed to 21 different countries, with the accompanying BD booklet translated into 17 different languages. The research was carried out from 2005 onwards, with the impact of the research accruing from 2008 to date.
Research led by Professor Shields and colleagues at Queen's University Belfast has resulted in changes in the treatment of children with cough and wheezing disorders and has been a major contributor to International Asthma and Cough Guideline statements.
Wheezing affects up to one third of children. Research studies that demonstrated that viral induced wheezing (VIW) or isolated cough were not associated with persistent airway inflammation led to a change in recommendations for anti-asthma therapy, such that the use of high dose inhaled corticosteroids (ICS) was no longer recommended in such cases. Furthermore, the dangers of very high dose ICS were better recognized and the upper recommended dose of steroids for use in treatment of classical childhood asthma was reduced accordingly.
Research has produced an Interim impact on Speech and Language Therapists (SLTs) and Specialist Teachers who work with Children with Language difficulties. I-CAN, a major children's communication charity, embraced the research findings and associated resources to support their involvement in a nationwide study on pupils at risk of fixed-term or permanent exclusion.
Key findings from the study revealed that 90% of SLTs would change the way they would work; over 80% of pupils improved their confidence, behaviour and communication skills; 95% of parents reported an improvement in attendance; and fixed-term exclusions decreased by 21%.