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A mixed methods implementation evaluation will be completed, with semi-structured interviews to ascertain the acceptability, feasibility and impact of the WMG-E platform and service navigator. Three hundred parents/carers of children aged 6 months to 3 years (recruited from a culturally diverse, or rural/regional site) will be randomly allocated to the 'care-as-usual' or 'intervention' group. Using an RCT we will determine: (1) parental engagement with developmental surveillance (2) access to services for those with mental health and social care needs and (3) uptake of service recommendations. In contrast, the intervention group will receive continuity of care, with additional in-person assessment and 'warm hand over' by a 'service navigator' to ensure their needs are met. Children and families needing additional assessments and supports will be electronically directed to relevant resources in the 'care-as-usual' group.
#WATCHME G ROW TRIAL#
This Randomised Controlled Trial (RCT) aims to expand WMG-E as a digital navigation tool by also incorporating parents' mental health and psychosocial needs. WMG-E was developed to monitor child development and guide parents towards more detailed assessments when risk is identified. Watch Me Grow- Electronic (WMG-E) - developmental surveillance platform- exemplifies one such service. The increased mental health and psychosocial needs were compounded by the closure of in-person preventive and health promotion programs resulting in health organisations embracing technology and online services.
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This has adversely impacted child development and wellbeing, particularly for children from priority populations (culturally and linguistically diverse (CALD) and rural/regional communities) who are at an already increased risk of health inequality. The COVID-19 pandemic and the associated economic recession has increased parental psychosocial stress and mental health challenges. 18 Sydney Local Health District, Camperdown, Australia.17 School of Health Sciences, Western Sydney University, Sydney, Australia.16 TeEACH -Transforming early Education and Child Health Research Centre, Western Sydney University, Sydney, Australia.14 Murrumbidgee Local Health District, Wagga Wagga, Australia.13 Social Policy Research Centre, Faculty of Arts, Design, & Architecture, University of New South Wales, Sydney, Australia.12 Black Dog Institute, Sydney, Australia.11 School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia.10 School of Medicine, Western Sydney University, Campbelltown, Australia.9 WHO Collaborating Centre for eHealth, University of New South Wales, Sydney, Australia.8 Population Child Health Research Group, School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.7 School of Business, Western Sydney University, Sydney, Australia.6 Ingham Institute for Applied Medical Research, Liverpool, Australia.5 South Western Sydney Local Health District, Liverpool, Australia.4 School of Nursing and Midwifery, Western Sydney University, Sydney, Australia.3 Sydney Children's Hospital Randwick, Randwick, Australia. 2 South Western Sydney Local Health District, Liverpool, Australia. 1 School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia.
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