Child Care Health and Development最新文献

{"title":"The Impact of the COVID-19 on Physical Violence, Sexual Violence and Neglect Against Children: A Systematic Review and Meta-Analysis","authors":"Tomomi Nakaike,&nbsp;Dung Anh Nguyen,&nbsp;Abdelrahman M. Makram,&nbsp;Randa Elsheikh,&nbsp;Mohamed Hassani,&nbsp;Abdelrahman Reda,&nbsp;My Duc Thao Trieu,&nbsp;Nguyen Tien Huy,&nbsp;Kenji Hirayama","doi":"10.1111/cch.70105","DOIUrl":"https://doi.org/10.1111/cch.70105","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>COVID-19 caused the interruption of child protection services and economic/psychological burdens on parents. Therefore, in this systematic review and meta-analysis (SR/MA), we aimed to identify the impact of the worldwide COVID-19 pandemic on physical and sexual violence and neglect against children by investigating the change in the prevalence of these events before and during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The protocol of this study was registered in PROSPERO with the registration number CRD42022377660. We included any studies eligible for meta-analysis comparing physical and sexual violence and neglect against children before and during the COVID-19 pandemic. Eleven electronic databases were systematically searched in March 2022. The meta-analysis was conducted using STATA, pooled odds ratios were calculated and subgroups by countries and sex of children (when possible) were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 11 publications were included in the meta-analysis. Overall, we found no significant evidence to support that the COVID-19 pandemic impacted the prevalence or proportion of the three types of violence against children, even after segregating the data to the country or sex levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Overall, our analysis revealed no significant change in physical and sexual violence, as well as neglect against children before and during the COVID-19 pandemic, with the majority of data sources being hospital records and child protection services. More self-reported studies should be performed, especially in low- and middle-income countries, for a better understanding of child abuse and neglect around the world.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Child Oral Health in Western Australia: A Caregiver's Perspective","authors":"Lesley Andrew,&nbsp;Elizabeth Wenden,&nbsp;Mohamed Estai,&nbsp;Ruth Wallace","doi":"10.1111/cch.70095","DOIUrl":"https://doi.org/10.1111/cch.70095","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Early childhood caries (ECC) is the most common chronic health condition among Australian preschool-aged children. Untreated, ECC can affect children's physical and emotional health and future social opportunities. ECC is largely preventable through primary caregivers' correct understanding of oral health promoting diets, oral hygiene practices and dental service engagement. The study aim is to explore Western Australian (WA) primary caregivers' child oral health knowledge, experience and practices. The Fisher-Owens socioecological model of child oral health was applied across the study to structure and interpret the findings across the complex, interactive sociocultural influences on child oral health.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The mixed-methods convergent research design included a questionnaire and focus group sessions with a purposive sample of primary caregivers of children aged under 5 years across two geographical WA locations (metropolitan and regional areas). Questions sought to understand participant knowledge, practices and experiences across categories of tooth safe diet and feeding practices, oral hygiene and oral health services. Questionnaire data underwent simple descriptive statistical analysis. Focus group data were organised using Nvivo v12 software and analysed using the codebook approach to thematic analysis, in which the coding process is guided by Braun and Clarke's predetermined coding frame. The study explored the social determinants of participants' geographical location, English language status and educational attainment.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Participants (&lt;i&gt;n&lt;/i&gt; = 42) completed the questionnaires and attended one of 10 focus groups. Findings reveal that despite the availability of evidence-based oral health guidelines for health professionals, participants reported they received inconsistent messages on the topic. Widespread confusion is evident from all social backgrounds about child oral health and hygiene, in particular, fluoride use, brushing regimes and dietary sugars. Dental service engagement is suboptimal, influenced by lack of availability, cost and perception of a lack of child-friendly dental services. Cost is a particular factor influencing lower dental service engagement among English as an additional language primary caregivers, whereas lack of availability affects those in regional areas.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Recommendations&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Individual, community and wider structural recommendations are offered to promote equitable, accessible and consistent child oral health promotion and dental servi","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Feeling like you can't do anything because you don't know where to start’—Parents' Perspectives of Barriers and Facilitators to Accessing Early Detection for Children at Risk of Cerebral Palsy","authors":"Sue-Anne Davidson,&nbsp;Ashleigh Thornton,&nbsp;Deborah Hersh,&nbsp;Courtenay Harris,&nbsp;Catherine Elliott,&nbsp;Jane Valentine","doi":"10.1111/cch.70100","DOIUrl":"https://doi.org/10.1111/cch.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early detection of cerebral palsy (CP) risk is possible from 12 weeks corrected gestational age (CGA) using standardised assessments; however, up to half of children at risk are not referred early, missing out on early intervention. We investigated the barriers and facilitators to accessing early intervention from the perspective of parents of children who did not receive services by 6 months CGA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents of children with CP were invited to participate in qualitative semistructured interviews. Reflexive thematic analysis was used to analyse the data and develop themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight mothers of children who did not receive standardised screening participated in interviews, from which three themes, ‘responding to delays’, ‘systemic barriers’ and ‘complexities of diagnosis’, were developed from the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parents require more support to access and engage in early detection services; health system processes are difficult to navigate, and health professionals require education and training to recognise risk factors for CP in all health settings and refer promptly. Improving system processes, education and training and partnering early with parents to improve their experience when interacting with the health system may increase early engagement and optimise long-term outcomes for children at risk of CP and their families.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and Reliability of the Turkish Version of the Shriners Hospital Upper Extremity Evaluation in Children With Hemiplegic Cerebral Palsy","authors":"Gokcen Akyurek,&nbsp;Gonca Bumın,&nbsp;Medine Nur Özata Değerli,&nbsp;Ahmet Metin Özsezen,&nbsp;Cemil Yıldız","doi":"10.1111/cch.70101","DOIUrl":"https://doi.org/10.1111/cch.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Shriners Hospital Upper Extremity Evaluation (SHUEE) is a video-based tool designed to assess spontaneous functional analysis, dynamic positional analysis and grasp and release abilities in children with various diagnoses. The aim of this study is to evaluate the validity and reliability of the Turkish version of SHUEE in children with hemiplegic cerebral palsy (CP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 23 children with hemiplegic CP, aged 6–15 years. The reliability of the scale was assessed using intraclass correlation coefficients (ICCs) for inter-rater reliability and Cronbach's alpha for internal consistency. Hypothesis testing for construct validity was assessed using the Children's Hand-Use Experience Questionnaire (CHEQ) and ABILHAND-Kids, comparing SHUEE scores based on gender and the affected side.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The inter-rater reliability of SHUEE was found to be excellent, with ICC values ranging from 0.927 to 0.981. Cronbach's alpha was 0.759 for the total SHUEE score. Hypothesis testing for construct validity of SHUEE was confirmed through significant correlations with CHEQ and ABILHAND-Kids (<i>p</i> &lt; 0.05). Also, the analyses showed no significant differences in SHUEE scores based on gender or the affected extremity (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Turkish version of SHUEE has been demonstrated to be a valid and reliable assessment tool. This study supports SHUEE's effectiveness as both a clinical and scientific measurement tool.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Psychometric Testing of a Physical Activity Parenting Practices Questionnaire for Chinese Youth","authors":"Youjie Zhang,&nbsp;Ruohong Cao,&nbsp;Yana Ma","doi":"10.1111/cch.70106","DOIUrl":"https://doi.org/10.1111/cch.70106","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Ensuring consistency in both conceptualization and operationalization of physical activity parenting practices is vital for translating insights on parental influences into effective intervention. This study aimed to develop a psychometrically sound measure for comprehensively assessing Chinese parents' parenting practices regarding early adolescents' physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 70 measurement items were developed from translating, adapting and revising the Physical Activity Parenting Practice (PAPP) item bank. Content validity was assessed via consultation with 10 experts and cognitive interviews with six 7th graders. The psychometric properties assessed included structural validity via exploratory factor analysis and confirmatory factor analysis, internal consistency, predictive validity against adolescent-reported physical activity levels and test–retest reliability of construct scores over 2 weeks. The sample comprised 725 adolescents aged 12–15 years, of whom 114 completed the survey twice, 2 weeks apart.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight PAPP constructs from the control, structure and autonomy support domains were identified forming a set of 49 measurement items. The structure within each domain demonstrated good model fit and comparable alignment with the international conceptual framework. The Cronbach's alpha coefficients of each construct ranged from 0.70 to 0.90. Five construct scores had significant positive associations with adolescents' physical activity levels (<i>β</i> ranged from 0.14 to 0.43, <i>p</i> &lt; 0.001). Test–retest construct scores generated moderate to large correlations with coefficients ranging from 0.60 to 0.80.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Psychometric testing supported the reliability and validity of the physical activity parenting practice questionnaire for Chinese youth (CYPAPP). This culturally adapted measure would enable cross-cultural comparisons to better understand parental influences on adolescents' physical activity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of SAFE Early Intervention Approach in the First Months of Life in Infants at Risk: A Randomized Controlled Study","authors":"Ayse Yildiz,&nbsp;Ramazan Yildiz,&nbsp;Umut Apaydin,&nbsp;Pelin Atalan Efkere,&nbsp;Kivilcim Gücüyener,&nbsp;Ibrahim Murat Hirfanoglu,&nbsp;Bulent Elbasan","doi":"10.1111/cch.70107","DOIUrl":"https://doi.org/10.1111/cch.70107","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to examine the effects of the SAFE early intervention approach (Sensory strategies, Activity-based motor training, Family collaboration, and Environmental Enrichment), developed for at-risk infants, on motor, cognitive, language development, and sensory processing skills in the first 3 months of life.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Twenty-six infants with a corrected age of 42 weeks were included in the study, and the infants were randomly distributed to the treatment and control groups. The SAFE early intervention approach was applied to 14 infants in the treatment group, and the Neurodevelopmental Treatment-based home programme was applied to 12 infants in the control group. All infants included in the study were evaluated at the corrected 42nd week before the intervention and at the corrected 12th week after the intervention by an evaluator blinded to the treatment. Bayley Scales of Infant and Toddler Development III (Bayley-III) to evaluate cognitive and motor development; Test of Infant Motor Performance (TIMP) to evaluate neuromotor development; Infant/Toddler Sensory Profile 2 (ITSP 2) to assess sensory processing t was used. The Infant/Toddler HOME Inventory was used to evaluate the home environment.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The interaction effects (time × group) revealed significant advantages for the SAFE early intervention group, evidenced by higher scores in the Bayley-III motor composite, TIMP elicited and HOME total assessments (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). However, the interaction effects (time × group) showed no differences between the groups in the Bayley-III cognitive and language composite scores, as well as the TIMP observed and TIMP total scores (&lt;i&gt;p&lt;/i&gt; &gt; 0.05). The main effect for time was significant in all parameters (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). Similarly, the main impact for groups was substantial in all evaluation parameters except the Bayley-III language composite score and TIMP observed score (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). The interaction effects (time × group) demonstrated significant differences in favour of the SAFE early intervention group for the general processing score, auditory processing score, tactile processing score and total score of the ITSP 2 (&lt;i&gt;p&lt;/i&gt; &lt; 0.05).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The SAFE early intervention approach enhanced motor and sensory outcomes and provided a more enriched home environment than the NDT-based home programme. It was concluded that neurodevelopmental improvement will be achieved ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘COVID-19 Evokes Positive and Negative Memories’: The Experiences of Children in Ghana: A Qualitative Inquiry","authors":"Sylvester Kyei-Gyamfi,&nbsp;Zita Kyei-Gyamfi","doi":"10.1111/cch.70104","DOIUrl":"https://doi.org/10.1111/cch.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The COVID-19 pandemic significantly altered everyday life for children globally, particularly in regions with high infection rates. In Ghana, limited research has documented the lived experiences of children during this public health crisis, especially in hotspot areas like Accra and Tema.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim was to highlight children's experiences of the pandemic as they recount their positive and negative moments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative research design was utilised for this study. In-depth telephone interviews were conducted with 59 children aged 8 to 17 years from Accra and Tema, two of Ghana's COVID-19 hotspots. The interviews were transcribed and thematically analysed to identify key patterns and insights.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children reported mixed experiences during the pandemic. On the positive side, many appreciated spending more time with parents and siblings, which helped strengthen family bonds. However, they also faced challenges such as food insecurity, overcrowding in their homes, the loss of family members to COVID-19, and instances of domestic abuse, as highlighted in the findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Strong family support and psychosocial interventions are recommended to reduce the likelihood of children experiencing harsh punishment. The Ministry of Gender, Children, and Social Protection should take the lead on this initiative, with support from other government agencies and non-governmental organisations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manager Perspectives on Services Addressing Mental Health Needs of Youth in Physical Rehabilitation","authors":"Stephanie M. Tremblay,&nbsp;Shalini Lal,&nbsp;Mark A. Ferro,&nbsp;Dana Anaby","doi":"10.1111/cch.70102","DOIUrl":"https://doi.org/10.1111/cch.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Youth mental health is becoming a priority, but models for organizing services in physical rehabilitation centres to meet the growing needs of youth with chronic physical disabilities and mental health problems are scarce. Initial research revealed barriers faced by youth, families and rehabilitation specialists when accessing or providing mental health services for this population. This study explores managers' perspectives on challenges, strengths and opportunities for mental health service delivery and integration in physical rehabilitation at the organizational level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Two semistructured focus groups were conducted with nine managers across five organizations offering rehabilitation services in a large Canadian city. Data were analysed using inductive and deductive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Barriers and facilitators expressed by managers fell into three categories: (1) available clinical resources for mental health (access to mental health specialists within internal team and internal organizational structures and mandates), (2) clinician workforce capacity (internal mental health knowledge and professional development for staff in physical rehabilitation and external mental health professionals' knowledge in physical disability) and (3) links and partnerships with key players (working in silos, external organizational structures and procedures and actions to improve pathways to access mental health services across external programs and organizations).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Managers' insights can guide the development of policies and advocacy for change at the organizational level to support mental health service delivery within physical rehabilitation. This can be done by building capacity on mental health knowledge and skills of rehabilitation teams and establishing collaborative partnerships and well-coordinated procedures within and outside of their organizations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Developmental Status of Children Aged 0–5 Years and Its Association With Child Gender, Family Background and Geographic Locations in Australian Community-Based Early Learning Centres","authors":"Huahua Yin,&nbsp;Matthew Ankers,&nbsp;Alicia Bell,&nbsp;Yvonne Karen Parry,&nbsp;Eileen Willis","doi":"10.1111/cch.70097","DOIUrl":"https://doi.org/10.1111/cch.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early childhood plays a vital role in long-term outcomes such as health, learning, behaviour and wellbeing. Evidence shows that developmental screening of children aged 0–5 years is currently inadequate and understanding of key factors influencing child development in the years before school remain limited. This study aimed to examine the associations between a child's age, gender, family background, remoteness of residence, community socio-economic level and developmental status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study analysed data from a Paediatric Nurse Practitioners and Registered Nurses-led initiative, which offered Child Health Development Checks and referral support, for children attending Australian early learning centres from August 2022 to August 2023. The Brigance Screen III packages were used to do the child development screening, which assessed three domains for children aged 0–2 and five domains for those aged 2–5. Data from 1002 children (convenience sampling with children who attended the early learning centres) were included; univariable and multivariable logistic regression models and chi-square tests were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After controlling for other explanatory variables, children aged 2–3, were approximately six times more likely to have developmental concerns in language and self-help domains (<i>p</i> &lt; 0.05, <i>p</i> &lt; 0.001), when compared to children aged 5. Boys were around twice as likely to have developmental concern in academic and self-help domains (<i>p</i> &lt; 0.01). Children from culturally and linguistically diverse backgrounds were approximately two to three times more likely to have developmental concerns in language and social–emotional domains (<i>p</i> &lt; 0.01, <i>p</i> &lt; 0.001). Children living in mid-level socio-economic communities were more than twice as likely to have developmental concerns in academic domains, when compared to children living in most advantaged areas (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggests that male children, those from culturally and linguistically diverse backgrounds, or children from mid-level socio-economic communities may be at higher risk of experiencing developmental concerns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between 24-h Movement Behaviours and Health in 3- and 4-Year-Old Children From a Low-Income Country: The SUNRISE Ethiopia Study","authors":"Chalchisa Abdeta,&nbsp;Dylan Cliff,&nbsp;Katharina Kariippanon,&nbsp;Alem Deksisa,&nbsp;Sileshi Garoma,&nbsp;Debrework Tesfaye,&nbsp;Anthony D. Okely","doi":"10.1111/cch.70096","DOIUrl":"https://doi.org/10.1111/cch.70096","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is little evidence on the associations between 24-h movement behaviours and health in children from low-income countries. We examined the associations of physical activity, sedentary behaviour, screen time and sleep with adiposity, motor skills and executive functions among 3- and 4-year-old children in Ethiopia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional study conducted in Adama city and Lume Woreda, Oromia region, Ethiopia. We recruited children from kindergartens and rural Kebeles or villages. Children's time spent in physical activity, sedentary behaviour and sleep were measured using hip worn ActiGraph accelerometers. Children's screen time was parent-reported. Linear mixed models tested associations of 24-h movement behaviours with adiposity (BMI <i>z</i>-score), motor skills (NIH Toolbox) and executive functions (Early Years Toolbox). All models accounted for child sex, age and dietary diversity as fixed effects and clustering of children within kindergarten/villages as a random effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 430 children participated (4.2 ± 0.6 years). Children who slept longer had lower adiposity (−0.12, 95% CI: −0.19, −0.06). Those who had higher levels of total physical activity (TPA) (0.06, 95% CI 0.01, 0.13) and moderate to vigorous-intensity physical activity (MVPA) (0.03, 95% CI 0.01, 0.06) had higher scores on handgrip strength. Children who spent more time in sedentary behaviour had lower handgrip strength (−0.08, 95% CI −0.16, −0.01). There were no significant associations with executive functions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Strategies to improve adiposity and motor skills should focus on promoting healthy levels of 24-h movement behaviours, especially adequate sleep and time spent in physical activity in Ethiopian children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}