Child Care Health and Development最新文献

{"title":"Longitudinal Measurement Invariance of the Parenting Sense of Competence (PSoC): Evidence to Question Its Use?","authors":"Nicole Gridley, Kate Mooney, Sarah Blower, G J Melendez-Torres, Vashti Berry, Tracey Bywater","doi":"10.1111/cch.70030","DOIUrl":"10.1111/cch.70030","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the factor structure of the parenting sense of competence (PSoC), a measure of parenting self-efficacy, in a sample of parents recruited when their infants were under 2 months old. Due to the lack of longitudinal analysis of the PSoC's factor structure over time, the study sought to establish if the published two-factor structure was consistent over an 18-month period.</p><p><strong>Methods: </strong>Data collected from 536 parents who had participated in a randomised controlled trial of universal proportionate parenting support, delivered in five sites in England, were subject to confirmatory factor analysis (CFA).</p><p><strong>Results: </strong>CFA revealed that a three-factor model was the best fit for the data. Longitudinal measurement invariance testing examined the stability of the three-factor model across an 18-month period. The results suggest that while the PSoC appeared to have configural variance, the metric and scalar variance were not supported. PSoC may be unstable across time and might be unreliable as a measure of parenting competence in parents of infants.</p><p><strong>Conclusion: </strong>These findings are particularly salient for researchers and clinicians who are utilising the PSoC as a measure of change in routine practice or as part of evaluations of interventions. Further investigation of individual items is needed to refine the PSoC and improve its psychometric validity. Additional analyses are also needed to establish the invariance of the measure across different groups (age, sex, ethnicity and socioeconomic status).</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":"e70030"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911183","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":"Awareness, Acceptability and Factors Influencing Malaria Vaccine Uptake Among Caregivers of Children Under 5 in South-Western Nigeria.","authors":"Adeleke Thomas Olumide, Oboh Mary Aigbiremo, Olasinde Yetunde, Akinlosotu Morenike Agnes, Oluwasanya Alarape Naomi, Adeleke Oludamola Victoria, Timothy Kayode Samson","doi":"10.1111/cch.70029","DOIUrl":"https://doi.org/10.1111/cch.70029","url":null,"abstract":"<p><strong>Background: </strong>Malaria remains a major cause of preventable deaths among children worldwide, despite the availability of several interventions for controlling and eliminating the disease. The WHO recommended the first malaria vaccine, RTS, S/AS01 in October 2021 to immunize children in sub-Saharan Africa. In this study, we set out to evaluate the knowledge, awareness and acceptability of the malaria vaccine among mothers of under 5 in south-west Nigeria before the vaccine's rollout in Nigeria.</p><p><strong>Methods: </strong>We employed a hospital-based cross-sectional study for this study. A pretested semistructured, interviewer-administered questionnaire was used to elicit information from the study participants. Data obtained were analysed using the Statistical Package for Social Sciences (SPSS version 20.0).</p><p><strong>Results: </strong>A total of 797 respondents participated in the study. Only 26.0% of the respondents were aware of the new vaccine. However, the majority (90.0%) were willing to accept the malaria vaccination and to pay for it (82.1%). The crude odds ratio reveals that the odds of awareness of the malaria vaccine were more than 5 times higher among those who have tertiary education (OR = 5.470, CI = 1.224-24.444) compared with those with primary education.</p><p><strong>Conclusion: </strong>The level of awareness of the malarial vaccine is low among the caregivers of under 5 children living in south-western Nigeria. However, the willingness to accept the vaccine is high. Recruiting, training and retraining of healthcare providers and other stakeholders with the designated role of providing health education on malaria prevention and vaccines are key in ensuring the success of malaria vaccination.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":"e70029"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923868","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 of a Self-Care Autonomy in Health Scale for Late Adolescents","authors":"Oxana Mikhaylova,&nbsp;Popov Denis,&nbsp;Chepeleva Maria,&nbsp;Bochkor Anastasia,&nbsp;Serebrennaya Ekaterina,&nbsp;Osipova Polina","doi":"10.1111/cch.70027","DOIUrl":"10.1111/cch.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This paper describes the development of the Self-Care Autonomy in Health Scale for Late Adolescents (SAHSLA) for use with general samples. It addresses concerns regarding the nonclinical efficacy of self-care health scales for adolescents, particularly their ability to discriminate between lower levels of self-care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A survey was constructed based on literature review and subsequently evaluated in two studies. Parents (<i>N</i> = 57, 53 parents of girls, 4 of boys, <i>M</i>_age = 15.96) participated in Study 1, which investigated the internal with Cronbach's alpha and coefficient omega (<i>ω</i>), and convergent validity with regard to adolescent age. In Study 2, the SAHSLA scores of adolescents (<i>N</i> = 339, 268 girls, 73 boys, <i>M</i>_age = 15.87) were examined using confirmatory factor and convergent validity analyses in relation to age, gender, smoking and alcohol consumption patterns, and self-compassion assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In Study 1, the scale total and a child's age did not substantially correlate. Both omega and alpha were moderate. Study 2 revealed a two-factor model with physical and psychological components. There were minor yet statistically significant associations found between self-judgement and psychological SAHSLA. Physical SAHSLA was not connected with age, overidentification, isolation or self-judgement, but it was statistically strongly correlated with total self-compassion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The scale and study findings can be applied to health monitoring and interventions in schools and adolescent campaigns aimed at alcohol- and tobacco-use cessation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866510","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":"Longitudinal Associations Between Movement Behaviours and Development Among Infants Using Compositional Data Analysis","authors":"Valerie Carson,&nbsp;Zhiguang Zhang,&nbsp;Madison Boyd,&nbsp;Lesley Pritchard,&nbsp;Kylie D. Hesketh","doi":"10.1111/cch.70025","DOIUrl":"10.1111/cch.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The study examined the longitudinal associations of sleep time, restrained time, back time and tummy time with development in a sample of infants using compositional data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were a subsample of 93 parent–infant dyads from the Early Movers project in Edmonton, Canada. Parents completed a 3-day time-use diary at 2, 4 and 6 months of age. Time spent in four mutually exclusive movement behaviours were calculated representing sleep (i.e., sleep time), sedentary behaviour (i.e., restrained time and back time) and physical activity (i.e., tummy time). Communication, fine motor, gross motor, personal-social, problem solving and total development were measured at 2, 4 and 6 months of age with the Ages and Stages Questionnaire (ASQ-3). Gross motor development was also measured by a physiotherapist using the Alberta Infant Motor Scale (AIMS) at 6 months. The age six major gross motor milestones (i.e., independent sitting, crawling, assisted standing, assisted walking, independent standing, independent walking) were achieved according to World Health Organization criteria, in the first 18 months of life, were calculated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The composition of movement behaviours across time points was significantly associated with: ASQ-3 gross motor, problem solving and total development scores over time, total and percentile AIMS scores at 6 months and independent standing and walking milestones (ilr model <i>p</i>-value: &lt; 0.001–0.045; model <i>R</i>²: 0.02–0.15). More sleep time or tummy time relative to other movement behaviours was associated with more advanced development and earlier achievement of some milestones. The opposite was observed for back time. Associations with restrained time were mixed. The optimal movement behaviour durations (minutes/day) for AIMS and WHO milestone outcomes, were 38–43 of tummy time, 51–54 of back time, 43–96 of restrained time and 845–900 of sleep time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Targeting healthy movement behaviour patterns in infants may be a promising health promotion strategy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866512","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":"Preschool Vision Screening and Policy: Availability, Awareness and Perceptions of Stakeholders in Selected Locations in Harare and Mashonaland East Provinces","authors":"Vanessa Ama Asifuaba Koomson,&nbsp;Claudio Ngoni Mtuwa,&nbsp;Samuel Kyei,&nbsp;Michael Agyemang Kwarteng","doi":"10.1111/cch.70024","DOIUrl":"10.1111/cch.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study aimed to determine the availability, awareness and perceptions of preschool vision screening (PSVS) and policies among stakeholders in Zimbabwe.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive cross-sectional survey was carried out, and a multi-stage sampling was used to select the schools from private and public schools. The study involved stakeholders (parents/guardians, teachers, principals, proprietors/owners and administrators) and data was collected using a validated questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the respondents was 36.68 ± 7.84 years. Out of the 213 stakeholders, 83.1% had not heard of PSVS. Among the 36 (16.9%) who had heard of PSVS, 20 (55.6%) were female. Some (1.9%) of the participants had a policy written in their facilities for PSVS. Awareness of PSVS was significantly associated with the respondents' designation and experience with children (<i>p</i> &lt; 0.05). Support for PSVS was high, with 83.1% in favour, although 13.6% were undecided about implementing it. Support for PSVS was high, with 83.1% in favour, although 13.6% were undecided about implementing it in all schools. Overall, 55.9% of the respondents were prepared to consider PSVS as a mandatory part of the admission process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Few stakeholders are aware of PSVS while majority had a positive perception in Harare and Mashonaland East provinces, and the schools had no written policies on PSVS. The findings of this study should provide a blueprint for stakeholders regarding PSVS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866513","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":"The Role of Timing and Amount of Outdoor Play in Emotional Dysregulation in Preschool Children","authors":"Jane J. Lee,&nbsp;Eirini Flouri,&nbsp;Yo Jackson","doi":"10.1111/cch.70020","DOIUrl":"10.1111/cch.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Currently, the time children spend playing outdoors is at an all-time low. However, the existing literature suggests that outdoor play may have cognitive and emotional benefits for children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The present study carried out a mediation analysis to explore whether amount and timing of outdoor play affects children's emotion regulation and whether working memory mediates these relations among 325 preschool children (<i>M</i>_<i>age</i> = 4.19, <i>SD</i> = 0.85) residing in a large Midwestern city in the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results showed that greater amounts of outdoor play very early (i.e., wake-up to noon) and very late (i.e., 6 PM to bedtime) in the day were related to greater emotional dysregulation. By contrast, greater amount of outdoor play from noon to 6 PM was related to lower emotional dysregulation. Importantly, the effect of amount of outdoor play from noon to 6 PM on emotion regulation was fully mediated by working memory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of the present study suggest that in early childhood outdoor play that supports children's circadian rhythms may have cognitive and, in turn, emotional benefits.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866514","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":"Aquatic Compared With Land-Based Exercises on Gross Motor Function of Children/Adolescents With Cerebral Palsy: A Systematic Review With Meta-Analysis","authors":"Elton Pauluka,&nbsp;Luize Souto Ceolin,&nbsp;Laís Coan Fontanela,&nbsp;Adriana Neves dos Santos","doi":"10.1111/cch.70023","DOIUrl":"10.1111/cch.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to compare gross motor function between aquatic- and land-based exercises in children and adolescents with cerebral palsy (CP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The authors conducted an electronic search of nine databases from their inception to 21 November 2024 (PROSPERO registration: CRD42020194121). Inclusion criteria were randomized controlled trials involving aquatic-based exercises for children and adolescents with CP, assessing gross motor function using standardized scales or tests. Three authors independently extracted data using a predetermined Excel form. The risk of bias was assessed with the PEDro scale. The body of evidence was synthesized using the GRADE approach. Meta-analysis was conducted using the Revman 5.3 program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 369 children aged 2–18 years from 15 studies were included. Most participants were ambulatory and classified as having spastic hemiparetic or diparetic CP. The majority of studies had a high risk of bias and small sample sizes. Aquatic-based exercises were categorized as aquatic physical therapy, Halliwick, swimming exercises, gait training and exercises. Low-quality evidence indicated that aquatic physical therapy resulted in higher gross motor function than land-based exercises (SMD = 0.47, <i>n</i> = 93, 4 trials, <i>I</i>² = 5%, <i>p</i> = 0.03), with a small effect size. No significant differences were found for Halliwick or swimming exercises.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interpretation</h3>\u0000 \u0000 <p>There is low-quality evidence, because of high risk of bias, imprecision and inconsistency, suggesting that aquatic-based exercises are comparable with land-based exercises. Future research should focus on well-designed interventions with adequate sample sizes to compare the combination of aquatic- and land-based therapies with land-based therapy alone.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839977","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":"A Nationwide Cross-Sectional Survey of the Prevalence of and Association of Physical Activity With Suicidal, Psychosocial and Health-Risk Indicators Among Adolescents in Bangladesh","authors":"Mohammad Jobair Khan,&nbsp;Mohammed Usman Ali,&nbsp; Sayma,&nbsp;Balasankar Ganesan,&nbsp;Auwal Abdullahi,&nbsp;S. M. Mahmudul Hasan,&nbsp;Atiqur Rahman Khan,&nbsp;Mohammad Delwer Hossain Hawlader,&nbsp;Stanley John Winser","doi":"10.1111/cch.70021","DOIUrl":"10.1111/cch.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study investigated the associations between physical activity (PA) and suicidal behaviours, psychosocial outcomes and indicators of health risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a secondary analysis of data from the Global School-Based Student Health Survey (GSHS) database. A total of 2058 adolescents aged 11–17 years in Grades 7–10 completed a self-administered questionnaire. Sex-stratified logistic regression was used to evaluate the associations between PA and suicidal behaviours, psychosocial outcomes and indicators of health risks. We used the least absolute shrinkage and selection operator (LASSO) regression to test whether PA-related factors predicted suicidal, psychological and lifestyle-related behaviours. A generalized linear mixed model (GLMM) examined the contributions of PA to these factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Half of the adolescents (18.9% boys and 30.3% girls) indicated satisfactory PA per the World Health Organization guidelines. The most active group in terms of frequency of activity and walking or bicycling to school was positively associated with suicidal behaviour. Isolated adolescents reported anxiety despite frequent PA. Reduced frequency of PA was significantly associated with sexual activity, smoking, tobacco product use (girls), alcohol abuse (boys) and other drug use (boys and girls). The LASSO revealed that different PA-related factors predicted suicidal, psychological and lifestyle-related behaviour among girls and boys. The GLMM showed a significant contribution of PA to selected predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Increased PA may lower suicidal behaviour among adolescents. The most physically active groups were associated with predictors that varied by sex; boys were bullied, whereas girls experienced physical abuse.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803498","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":"Assessment of Affordances in the Home Environment and Neurodevelopment of Children With Congenital Zika Syndrome","authors":"Raíne Borba,&nbsp;Juliane Falcão,&nbsp;Tatiane Freitas,&nbsp;Cláudia Marques,&nbsp;Lucélia Nóbrega,&nbsp;Liana O. Ventura,&nbsp;Juliana Sallum,&nbsp;Camila V. Ventura,&nbsp;Taciana Higino,&nbsp;Camilla Rocha,&nbsp;Anne C. Wheeler","doi":"10.1111/cch.70015","DOIUrl":"10.1111/cch.70015","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;Congenital Zika syndrome (CZS) is characterized by brain abnormalities caused by in utero exposure to the Zika virus (ZIKV), resulting in significant neurodevelopmental, motor and visual impairments in affected children. These impairments hinder their ability to engage in social interactions and explore their surroundings. However, personalized and continuous sensory stimulation, particularly within the home environment, may play a crucial role in supporting motor and visual development in these children. Therefore, this study aimed to explore the relationship between sensory stimulation in the home environment and the motor and visual development of children with CZS.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This cross-sectional study included children with CZS. The Affordances in the Home Environment for Motor Development (AHEMD) instrument was administered to caregivers to assess motor stimulation opportunities at home. All children underwent neurodevelopmental milestone assessments using the Brazilian Portuguese version of the Bayley Scales of Infant Development-Third Edition (BSID-III). Gross motor function was further assessed with the Gross Motor Function Measure (GMFM), and functional vision was evaluated by using the functional vision developmental milestones test (FVDMT).&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;Eighty-five children with a mean age of 39.9 ± 2.3 (24.0–42.0) months were included. Forty-one children (48.2%) lived in homes with ‘very weak’ environmental stimulation. The children showed profound developmental delays in all domains of the BSID-III with an average neurodevelopmental age of 39.9 ± 2.3 (24–42) months. On the GMFM, over 90.0% of children could not initiate or maintain the required movements and postures for sitting, crawling, standing, walking, running and jumping. A significant positive correlation was found between the variety of home sensory stimulation with the AHEMD and the scores at the BSID-III motor scales as well as the GMFM. More fine motor materials in the home context correlated with better gross motor scores on the BSID-III (&lt;i&gt;p&lt;/i&gt; = 0.016), increased likelihood of passing the ‘sitting’ (&lt;i&gt;p&lt;/i&gt; = 0.041) and ‘standing’ (&lt;i&gt;p&lt;/i&gt; = 0.019) items of the GMFM. Children with less visual impairment in parameters of the FVDMT [‘eye contact’ (&lt;i&gt;p&lt;/i&gt; = 0.032), ‘social smile’ (&lt;i&gt;p&lt;/i&gt; = 0.031) and ‘movements to achieve’ (&lt;i&gt;p&lt;/i&gt; = 0.007)] had more stimulating home environment.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nearly half of the children with CZS who exhibited neurodevelopmental delays lived in homes lacking appropriate sen","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803500","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":"Services Addressing Mental Health Needs of Youth in Physical Rehabilitation: Perspectives of Clinicians, Youth and Family Members","authors":"Stephanie M. Tremblay,&nbsp;Shalini Lal,&nbsp;Mark A. Ferro,&nbsp;Dana Anaby","doi":"10.1111/cch.70019","DOIUrl":"https://doi.org/10.1111/cch.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Knowledge about services addressing mental health provided in a rehabilitation setting to youth with physical disabilities is limited. This study aimed to better understand the needs, supports, challenges and potential solutions to optimize rehabilitation services for co-occurring physical and mental health needs, from the perspectives of youth, family members and clinicians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive approach using 22 individual interviews with youth, parents and clinicians from five rehabilitation centres in a large Canadian city was employed. Inductive thematic analysis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes were identified across the three stakeholder groups: (1) available clinical resources for mental health (access to mental health professionals, impact of organizational structures and mandates and continuity of services during transition to adult care); (2) clinician workforce capacity (mental health knowledge, skills and professional development, and therapeutic rapport between clinician and youth); and (3) links and partnerships with key players (improved pathways to access mental health services across programmes and organizations, and family involvement and advocacy).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study provides insights to barriers for mental health care (such as limited mental health knowledge, tools and professional development and access to specialists within the team, restrictive organizational mandates and disruption of services during the transition to adult care), illustrating important aspects to address. Clinicians can be better equipped to address mental health in rehabilitation settings via training opportunities and peer and organizational support in addition to establishing links with external partners. Organizations can also ensure adequate staffing and create pathways within and beyond their institutions to deliver well-coordinated mental health services in a more accessible way.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764035","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}