Dr Baidawi holds an ARC DECRA Fellowship (2019-21) for research focusing on children at the nexus of the child protection and youth justice systems, and is also leading a Criminology Research Grant from the Australian Institute of Criminology focusing on 10-13 year old children charged with offending.
In collaboration with the Victorian Children’s court, Susan’s research generated robust Australian evidence of the characteristics of children involved with child protection services due to maltreatment, who are twelve times more likely to enter youth justice supervision.
Despite being among the most vulnerable and disadvantaged youth, such “cross-over’ children were previously absent from the Victorian government’s policy framework, due to a lack of evidence to inform a targeted policy direction.
The impact of Susan’s research is best exemplified by its bearing on policy reform in the Victorian Youth Justice Strategic Plan (2020-30). Specific reforms on crossover children outlined in the Strategy were based on key recommendations from Susan’s study, including: targeted and intensive early intervention in the young persons’ life; strengthened approaches to diversion of young people away from legal processes; and the implementation of a state-wide policy to reduce the criminalisation of children in residential care.
Susan has also been commissioned by Anglicare to conduct policy and legislative analysis to support their National HomeStretch Campaign to extend out-of-home care up to 21 years. Young people leaving state care are among Australia’s most vulnerable youth, and experience disproportionately high rates of homelessness, mental health issues, and justice system involvement. A key concern was the sudden removal of state support for these young people on or before their 18th birthday.
Susan’s analyses and research reports highlighted deficiencies of Australia’s approach, and drew on international policy and legislative analysis to recommend alternative approaches. These viable alternatives were utilised by Anglicare and the HomeStretch Campaign to lobby state and territory governments. This research has now supported the successful introduction of extended care policies and trials across Victoria, Western Australia, South Australia and Tasmania. In November 2020, the Victorian State Government announced $64.7 million in funding to invest in Home Stretch for every Victorian child, guaranteeing ongoing support to this group until 21 years.
Sze-Ee developed a new patient reported outcome measure - the Monash University cardiac PROM (MC-PROM) - to assess recovery of patients following a percutaneous coronary intervention. The MC-PROM was subsequently included in a composite measure for the Victorian Cardiac Outcomes Registry to assess post-intervention outcomes.
Using Rasch analysis, five items were identified in being reliable and valid measures of patient-reported outcomes following percutaneous coronary interventions. It was also established that the MC-PROM has robust measurement properties including good structural validity and acceptable internal consistency. The findings from this study has been published in PLOS One and profiled in the 2018 Medibank Report.
The MC-PROM has been incorporated into the Victorian Cardiac Outcomes Registry (VCOR) to capture the patient’s perspective of their recovery 30 days following their procedure. The methods of this validation study are also novel and Sze-Ee has since been invited to replicate the study in other registry projects including the Victorian Lung Cancer Registry (VLCR) and the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR).
Debbie’s research involved investigating the relationship between the perception of common humanity and compassion in healthcare workers. Common humanity has been proposed as the prerequisite for unbiased universal compassion. There is an absence of empirical research in this area.
There were two aspects to the research. First, a pre/post intervention was conducted to investigate the impact of viewing common humanity scenarios on healthcare workers’ level of compassion. Validated scales were used for perspective taking, common humanity and compassion. There was a statistically significant increase in levels of compassion for healthcare workers. This was the first study in the world to produce empirical evidence that viewing common humanity scenarios can increase healthcare worker compassion.
The second part of the research involved developing, trialling and evaluating a single session compassion training session focusing on common humanity.
The research findings were published in three peer reviewed journals and presented at 5 international conferences (3 in the US, 1 in UK, 1 in Dublin) and 5 Australian conferences between 2017-2020.
The compassion training has been delivered to healthcare workers at Monash Health, Epworth HealthCare, Royal Australasian College of Physicians (RACP), Mercy Health and Perth Children’s hospital. There have also been requests for the compassion training curriculum from NHS Pennine Care Trust (UK), Mount Sinai Health Network (US) and Southern District Health Board (New Zealand).
Common humanity training sessions are being trialled on paramedicine, occupational therapy and physiotherapy students at Monash University. Debbie is also leading a pilot randomised controlled trial investigating the impact of common humanity training on doctor well-being, sense of connection and compassion.
Lisa joined the Research and Evaluation within the National Disability Insurance Agency to set up the Evidence Synthesis team. Lisa’s team has delivered rapid systematic reviews that have been incorporated into service re-design and evidence-informed policy including:
Intermediary services to assist people with disabilities to implement individualised funding plans (including reviews of impact of Local Area Coordinator and Support Coordinator roles)
National Community connectors program (for difficult to reach communities, such as indigenous peoples)
Analyses of Psychometric properties of assessment tools for Independent Functional Assessment pilots
Sexual supports for people with disability
This work has resulted in recognition within NDIS executive of the value of a systematic approach to evidence.
Cylie developed a tool to diagnose a children’s gait condition called Idiopathic Toe Walking (ITW) during her PhD. This condition impacts 1 in 20 children. Toe walking gait can also frequently be present in more serious conditions, like Cerebral Palsy, Muscular Dystrophy or Autism.
Since publication, it has been translated into Turkish, Spanish and German. In the past five years, it has been referenced as the inclusion tool for eight ITW clinical studies. The tool questions, and its exact question wordings are used on the Mayo Clinic ITW assessment information webpage.
Cylie was invited to teach about this tool and associated ITW research at the College of Podiatry Annual Conference Bournemouth (UK), Combined Sections Meeting American Physical Therapy Association (UK), Atlanta Children’s Hospital Orthopedics Grand Round (UK). and Woodruff School of Mechanical Engineering, Georgia Institute of Technology (USA).
Cylie was also the senior author in research developing a standardised assessment proforma, called the Gait And Lower Limb Observation in Paediatrics (GALLOP). The research utilised Delphi methodology to gain consensus and agreement of valid and reliable assessments for children presenting with foot and leg conditions to physiotherapy and podiatry services. This proforma is now embedded in undergraduate podiatry courses at eight of nine Australian universities, and three of 13 UK universities.
The research article has over 18,000 downloads (including a customisable word proforma template), made free to clinicians. It has annually been in the top 10 most downloaded journal articles since 2016.
This research resulted in invitations to run workshops for clinicians and podiatry students. To date, over 6000 podiatrists internationally have participated in ~2 hours of training on the
GALLOP’s clinical applicability and use. In particular, the Cylie and the co-authors have run workshops at the University of Brighton, New Zealand Podiatry Conference Auckland, Glasgow Caledonian University UK, College of Podiatry Annual Conference, Bournemouth UK, and as keynote speaker at the College of Podiatry Annual Conference, Harrogate UK, opening the conference with relevance of the standardising assessment to ensure health professionals all collect similar information.