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  1. Article ; Online: It's time to eliminate the mismatch between pediatric training and practice.

    Oberklaid, Frank

    Israel journal of health policy research

    2021  Volume 10, Issue 1, Page(s) 70

    Abstract: The quality of pediatric clinical practice is dependent on the training received during residency. It is assumed that the content of the training will adequately prepare pediatricians for the sorts of problems and issues they will be asked to manage in ... ...

    Abstract The quality of pediatric clinical practice is dependent on the training received during residency. It is assumed that the content of the training will adequately prepare pediatricians for the sorts of problems and issues they will be asked to manage in community settings. While over the past several decades there have been major changes in pediatric morbidity, there is evidence that training and service delivery models have not evolved; there is a significant mismatch between training and evidence-based clinical practice. A recent paper published in this journal (1) drew attention to the inadequacy of pediatricians' training in child development. The reality of major gaps in the content and experiences of pediatric training in Israel are widely held, and there have been repeated calls for an increased focus on community child health and developmental and behavioural pediatrics. While it appears that finally there are some small initial steps to this end, it is strongly recommended that there be a long overdue, radical rethink of pediatric training programs.
    MeSH term(s) Child ; Family ; Humans ; Internship and Residency ; Israel ; Pediatricians ; Pediatrics
    Language English
    Publishing date 2021-12-02
    Publishing country England
    Document type Letter
    ZDB-ID 2657655-7
    ISSN 2045-4015 ; 2045-4015
    ISSN (online) 2045-4015
    ISSN 2045-4015
    DOI 10.1186/s13584-021-00504-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A health-education intervention to improve outcomes for children with emotional and behavioural difficulties: protocol for a pilot cluster randomised controlled trial.

    Garvey, William / Schembri, Rachel / Oberklaid, Frank / Hiscock, Harriet

    BMJ open

    2022  Volume 12, Issue 6, Page(s) e060440

    Abstract: Introduction: One in seven (14%) children aged 4-17 years old meet criteria for a mental illness over a 12-month period. The majority of these children have difficulty accessing clinical assessment and treatment despite evidence demonstrating the ... ...

    Abstract Introduction: One in seven (14%) children aged 4-17 years old meet criteria for a mental illness over a 12-month period. The majority of these children have difficulty accessing clinical assessment and treatment despite evidence demonstrating the importance of early intervention. Schools are increasingly recognised as universal platforms where children with mental health concerns could be identified and supported. However, educators have limited training or access to clinical support in this area.
    Methods and analysis: This study is a pilot cluster randomised controlled trial of a co-designed health and education model aiming to improve educator identification and support of children with emotional and behavioural difficulties. Twelve Victorian government primary schools representing a range of socio-educational communities will be recruited from metropolitan and rural regions, with half of the schools being randomly allocated to the intervention. Caregivers and educators of children in grades 1-3 will be invited to participate. The intervention is likely to involved regular case-based discussions and paediatric support.
    Ethics and dissemination: Informed consent will be obtained from each participating school, educator and caregiver. Participants are informed of their voluntary participation and ability to withdrawal at any time. Participant confidentiality will be maintained and data will be secured on a password protected, restricted access database on the Murdoch Children's Research Institute server. Results will be disseminated via peer-reviewed journals and conference presentations. Schools and caregivers will be provided with a report of the study outcomes and implications at the completion of the study.
    Trial registration number: ACTRN12621000652875.
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Emotions ; Health Education ; Humans ; Mental Disorders ; Mental Health ; Randomized Controlled Trials as Topic ; Schools
    Language English
    Publishing date 2022-06-23
    Publishing country England
    Document type Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-060440
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Struggling at school - a practical approach to the child who is not coping.

    Oberklaid, Frank

    Australian family physician

    2014  Volume 43, Issue 4, Page(s) 186–188

    Abstract: Background: Children struggling at school represent a very substantial segment of paediatric morbidity.1 Up to 20% of children have learning or behavioural problems that interfere with school functioning, which suggests this is a significant public ... ...

    Abstract Background: Children struggling at school represent a very substantial segment of paediatric morbidity.1 Up to 20% of children have learning or behavioural problems that interfere with school functioning, which suggests this is a significant public health issue. There is evidence that persistent school problems can have a negative impact on a range of outcomes throughout the life course into adult
    Objective: To provide an approach to the assessment of the child who presents with problems at school.
    Discussion: The reasons for children's school problems are many and varied - there are a number of biological and environmental factors that can have a role. Sometimes the aetiology is clear but often it is obscure. A comprehensive assessment of these children is important and results in a management plan that addresses the child's strengths and weaknesses. The general practitioner can play an important part in the early identification of these children, as well as providing informed, ongoing follow up and advocacy.
    MeSH term(s) Adaptation, Psychological ; Child ; Child Behavior Disorders/diagnosis ; Child Behavior Disorders/prevention & control ; Child Behavior Disorders/psychology ; Child Behavior Disorders/therapy ; General Practice ; Humans ; Learning Disorders/diagnosis ; Learning Disorders/prevention & control ; Learning Disorders/psychology ; Learning Disorders/therapy ; Patient Care Team
    Language English
    Publishing date 2014-04
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 423718-3
    ISSN 0300-8495
    ISSN 0300-8495
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Prevention and early detection in young children: challenges for policy and practice.

    Oberklaid, Frank

    The Medical journal of Australia

    2014  Volume 201, Issue 7, Page(s) 369–370

    MeSH term(s) Australia ; Child ; Child Health Services/legislation & jurisprudence ; Child Health Services/standards ; Humans
    Language English
    Publishing date 2014-05-13
    Publishing country Australia
    Document type Editorial
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja14.01200
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: It's time: a new era for paediatrics and child health in Australia.

    Oberklaid, Frank

    Journal of paediatrics and child health

    2013  Volume 49, Issue 5, Page(s) 361–363

    Abstract: The Australian College of Paediatrics (ACP) was established in 1978; part of the stated rationale was to 'acquire equal status to other colleges in medicine' ... and to become ... 'to which governments, or other organisations dealing with children, could ...

    Abstract The Australian College of Paediatrics (ACP) was established in 1978; part of the stated rationale was to 'acquire equal status to other colleges in medicine' ... and to become ... 'to which governments, or other organisations dealing with children, could officially turn to for advice'. After less than 2 decades, the ACP ceased to exist, and paediatricians became members of the Paediatrics and Child Health Division of the Royal Australasian College of Physicians (RACP). Many would now argue that the decision to dissolve the ACP and instead become a division within the RACP, though not taken lightly and made for what seemed at the time to be good reasons, might have been a mistake. While there have been some benefits, overall the public profile and national influence of paediatricians has been diminished. Paediatricians as a group have had little influence on policy formulation as it pertains to children and families, and the present administrative arrangements within the RACP raise considerable bureaucratic barriers for paediatricians to be able to contribute in a constructive and timely manner. It is suggested that paediatricians cannot be effective advocates for the health and wellbeing of children when they are but a relatively small and powerless group that resides within a large body of professionals whose primary interest is in various aspects of adult medicine. It is time that paediatricians (re)established their own college and controlled their own destiny. While such a step is not without its challenges, many would argue that it is an essential and timely step if we are to address our political and public health responsibilities.
    MeSH term(s) Australia ; Child ; Child Welfare ; History, 20th Century ; Humans ; Patient Advocacy ; Pediatrics/history ; Pediatrics/organization & administration ; Physician's Role ; Societies, Medical/history ; Societies, Medical/organization & administration
    Language English
    Publishing date 2013-05
    Publishing country Australia
    Document type Historical Article ; Journal Article
    ZDB-ID 1024476-1
    ISSN 1440-1754 ; 1034-4810
    ISSN (online) 1440-1754
    ISSN 1034-4810
    DOI 10.1111/j.1440-1754.2012.02550.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Improving preventive and health promotion care for children.

    Inkelas, Moira / Oberklaid, Frank

    Israel journal of health policy research

    2018  Volume 7, Issue 1, Page(s) 62

    Abstract: The emerging science in early childhood development challenges past paradigms of health care. There is consideration within the profession of paediatrics, and health care more broadly, of how to make systems of care more responsive to the developmental ... ...

    Abstract The emerging science in early childhood development challenges past paradigms of health care. There is consideration within the profession of paediatrics, and health care more broadly, of how to make systems of care more responsive to the developmental and social needs of young children and their families. Some countries have physician-centric models, either general physicians or paediatricians, while others rely on nurses. There is increasing recognition that the goal of any model should be parent-professional partnership that puts families at the center, elicits and responds to family needs, anticipates and supports families with developmental transitions, and fits within a seamless system of services and supports.
    MeSH term(s) Child ; Child Development ; Child, Preschool ; Health Promotion ; Humans ; Parents
    Language English
    Publishing date 2018-10-01
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2657655-7
    ISSN 2045-4015 ; 2045-4015
    ISSN (online) 2045-4015
    ISSN 2045-4015
    DOI 10.1186/s13584-018-0259-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Addressing the needs of children and families in Israel: strengthening community pediatrics.

    Oberklaid, Frank

    The Israel Medical Association journal : IMAJ

    2011  Volume 13, Issue 3, Page(s) 178–179

    MeSH term(s) Child ; Child Health Services/organization & administration ; Child Welfare ; Humans ; Israel ; Pediatrics/organization & administration ; Pediatrics/trends
    Language English
    Publishing date 2011-03
    Publishing country Israel
    Document type Comment ; Editorial
    ZDB-ID 2008291-5
    ISSN 1565-1088 ; 0021-2180
    ISSN 1565-1088 ; 0021-2180
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Barriers and enablers faced by regional and rural schools in supporting student mental health: A mixed-methods systematic review.

    Perkins, Alexandra / Clarke, Jessica / Smith, Ashlee / Oberklaid, Frank / Darling, Simone

    The Australian journal of rural health

    2021  Volume 29, Issue 6, Page(s) 835–849

    Abstract: Background: Australian policy reports recommended schools to be leveraged to better support student mental health, with a focus on regional and rural areas where students have poorer mental health outcomes. In designing solutions to address this ... ...

    Abstract Background: Australian policy reports recommended schools to be leveraged to better support student mental health, with a focus on regional and rural areas where students have poorer mental health outcomes. In designing solutions to address this systemic gap, decision-makers require an understanding of the barriers and facilitators experienced by regional and rural schools. However, current literature has focused on metropolitan schools and neglected to explore facilitators.
    Objective: To review the evidence on barriers and facilitators in delivering student mental health support experienced by regional and rural schools in Organisation for Economic Co-operation and Development nations.
    Design: A mixed-methods systematic review of peer-reviewed and grey literature.
    Findings: The search identified 4819 studies. A full-text review by 2 reviewers resulted in 5 papers, which met the inclusion criteria and were assessed using methodological appraisal. One study used qualitative data, 2 studies used quantitative data, and 2 studies were a mixed-methods design.
    Discussion: While there was a paucity of studies, this review draws together the most up-to-date research. The barriers and facilitators were categorised into 3 themes: access to services and resources; mental health literacy of staff and parents; and communication and collaboration between stakeholders.
    Conclusion: This review presents a comprehensive synthesis of the literature and highlights opportunities to leverage rural and regional schools to support student mental health, focusing on the quality of communication and collaboration, and increasing access to services and resources, and mental health literacy. Research should explore the unique advantages of rural and regional areas to inform policy, including a focus on strengths.
    MeSH term(s) Australia ; Humans ; Mental Health ; Schools ; Students
    Language English
    Publishing date 2021-10-23
    Publishing country Australia
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2069573-1
    ISSN 1440-1584 ; 1038-5282
    ISSN (online) 1440-1584
    ISSN 1038-5282
    DOI 10.1111/ajr.12794
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Early Minds: a pilot randomised controlled trial of a mindfulness program in early learning centres.

    Yaari, Maya / Sheehan, Jane / Oberklaid, Frank / Hiscock, Harriet

    Pilot and feasibility studies

    2019  Volume 5, Page(s) 81

    Abstract: Background: Optimal mental health is critical for a child's learning and academic functioning. As a universal service, early education centres play an important role in promoting children's mental health. Social-emotional learning programs are ... ...

    Abstract Background: Optimal mental health is critical for a child's learning and academic functioning. As a universal service, early education centres play an important role in promoting children's mental health. Social-emotional learning programs are efficacious in reducing behavioural difficulties, enhancing competence, and improving learning abilities. Mindfulness practices, known to promote health and wellbeing in adults, have been adapted to education programs for younger populations, including pre-school children. Despite an increasing use of mindfulness-based programs in pre-school settings, there is a limited number of randomised trials and paucity of data on implementation fidelity of these programs. 'Early Minds' is a mindfulness-based program developed by Smiling Mind for 3-5-year-old children. This paper describes a protocol of a pilot randomised control trial, evaluating the implementation of the program in early learning centres (ELCs, i.e. pre-schools) in Melbourne, Australia. The primary aim of this pilot study is to examine the feasibility, acceptability, and fidelity of the program. The secondary aims are to assess the acceptability of the design and measures and to investigate preliminary impacts of the program on child social-emotional outcomes.
    Methods: A convenience sample of six ELCs are recruited. Participants include educators, children, and their parents from 3- and/or 4-year-old ELC rooms. Upon completion of baseline surveys, rooms are randomly allocated to intervention and control arms by an independent statistician. 'Early Minds' is designed in a flexible delivery manner; meditations and activities are completed at least three times a week. Educators are trained in the program and have access to the activities and meditations on an app. Parents are encouraged to practice with their children at least three times a week. Educators document implementation fidelity throughout the 8 weeks of the program. Parents and educators complete follow-up surveys at 3 and 12 months post-randomisation, capturing feasibility and acceptability, child social-emotional behaviour and sleep, and educator, parent, and family wellbeing outcomes.
    Discussion: This pilot study is the first to assess a mindfulness-based program in ELCs in Australia. Data on feasibility and acceptability, implementation fidelity, and potential impact on children's behaviour will inform the design of adequately powered evaluation trials.
    Trial registration number: Australian New Zealand Clinical Trials Registry, ACTRN12618000435280. Date registered 26 March 2018.
    Language English
    Publishing date 2019-06-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2809935-7
    ISSN 2055-5784
    ISSN 2055-5784
    DOI 10.1186/s40814-019-0463-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Commentary: Consent to publication--no absolutes.

    Oberklaid, Frank

    BMJ (Clinical research ed.)

    2008  Volume 337, Page(s) a1233

    MeSH term(s) Attitude to Health ; Child ; Confidentiality/ethics ; Humans ; Informed Consent/ethics ; Pediatrics/ethics ; Publishing/ethics
    Language English
    Publishing date 2008-09-08
    Publishing country England
    Document type Comment ; Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.a1233
    Database MEDical Literature Analysis and Retrieval System OnLINE

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