{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T15:37:47Z","timestamp":1772811467237,"version":"3.50.1"},"reference-count":74,"publisher":"BMJ","issue":"3","funder":[{"name":"Australian Government Research Training Program"},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"100 Women"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,2,2]]},"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>While research highlights the benefits of early diagnosis and intervention for children with fetal alcohol spectrum disorders (FASD), there are limited data documenting effective interventions for Australian children living in remote communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>\n                      This self-controlled cluster randomised trial is evaluating the effectiveness of an 8-week Alert Program school curriculum for improving self-regulation and executive function in children living in remote Australian Aboriginal communities. Children in grades 1\u20136 attending any of the eight participating schools across the Fitzroy Valley in remote North-West Australia (\n                      <jats:italic>N<\/jats:italic>\n                      \u2248 363) were invited to participate. Each school was assigned to one of four clusters with clusters randomly assigned to receive the intervention at one of four time points. Clusters two, three and four had extended control conditions where students received regular schooling before later receiving the intervention. Trained classroom teachers delivered the Alert Program to students in discrete, weekly, 1-hour lessons. Student outcomes were assessed at three time points. For the intervention condition, data collection occurred 2\u2009weeks immediately before and after the intervention, with a follow-up 8\u2009weeks later. For control conditions in clusters two to four, the control data collection matched that of the data collection for the intervention condition in the preceding cluster. The primary outcome is change in self-regulation. FASD diagnoses will be determined via medical record review after the completion of data collection. The results will be analysed using generalised linear mixed modelling and reported in accordance with Consolidated Standards of Reporting Trials (CONSORT) guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval was obtained from the University of Western Australia (WA) (RA\/4\/1\/7234), WA Aboriginal Health Ethics Committee (601) and WA Country Health Service (2015:04). The Kimberley Aboriginal Health Planning Forum Research Sub-Committee and WA Department of Education also provided approval. The results will be disseminated through peer-reviewed journals, conference presentations, the media and at forums.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>ACTRN12615000733572; Pre-results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-021462","type":"journal-article","created":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T02:10:41Z","timestamp":1522030241000},"page":"e021462","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Study protocol for a self-controlled cluster randomised trial of the Alert Program to improve self-regulation and executive function in Australian Aboriginal children with fetal alcohol spectrum disorder"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1202-9172","authenticated-orcid":false,"given":"Bree","family":"Wagner","sequence":"first","affiliation":[{"name":"Alcohol and Pregnancy and FASD Research Team, Telethon Kids Institute, The University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James P","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Alcohol and Pregnancy and FASD Research Team, Telethon Kids Institute, The University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor G","family":"Mazzucchelli","sequence":"additional","affiliation":[{"name":"Child and Family Research Group and Brain, Behaviour and Mental Health Research Group, School of Psychology and Speech Pathology, Curtin University, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martyn","family":"Symons","sequence":"additional","affiliation":[{"name":"FASD Research Australia Centre for Research Excellence, Telethon Kids Institute, The University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Carmichael Olson","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, University of Washington School of Medicine, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Jirikowic","sequence":"additional","affiliation":[{"name":"Division of Occupational Therapy, University of Washington School of Medicine, Children\u2019s Research Institute, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna","family":"Cross","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute, The University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edie","family":"Wright","sequence":"additional","affiliation":[{"name":"Western Australian Department of Education, Kimberley Education Region, Broome, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Adams","sequence":"additional","affiliation":[{"name":"Alcohol and Pregnancy and FASD Research Team, Telethon Kids Institute, The University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"Carter","sequence":"additional","affiliation":[{"name":"Nindilingarri Cultural Health Services, Fitzroy Crossing, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaashifah","family":"Bruce","sequence":"additional","affiliation":[{"name":"Alcohol and Pregnancy and FASD Research Team, Telethon Kids Institute, The University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Latimer","sequence":"additional","affiliation":[{"name":"Musculoskeletal Health Sydney, Sydney School of Public Health, Sydney Medical School, The University of Sydney, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,3,25]]},"reference":[{"key":"2025121508200748000_8.3.e021462.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2012-000968","article-title":"The Lililwan Project: study protocol for a population-based active case ascertainment study of the prevalence of fetal alcohol spectrum disorders (FASD) in remote Australian Aboriginal communities","volume":"2","author":"Fitzpatrick","year":"2012","journal-title":"BMJ Open"},{"key":"2025121508200748000_8.3.e021462.2","doi-asserted-by":"publisher","DOI":"10.1007\/s11065-011-9166-x"},{"key":"2025121508200748000_8.3.e021462.3","doi-asserted-by":"crossref","unstructured":"Astley SJ . 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