Child Care Health and Development最新文献

{"title":"Harsh Parenting, Maternal Depression, and Executive Function in Early Childhood","authors":"Julia O. Davis,&nbsp;W. Benjamin Goodman,&nbsp;Yu Bai,&nbsp;Kenneth A. Dodge","doi":"10.1111/cch.70162","DOIUrl":"https://doi.org/10.1111/cch.70162","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Executive function (EF), a multimodal construct that captures one's control over cognition and behaviour, is associated with academic achievement and social–emotional competence. Prior research suggests that early childhood experiences and the family context shape EF development. Harsh parenting practices—defined through verbal and psychological aggression—and maternal depression are identified as factors that may inhibit early EF development. We examined the relation between these two parenting factors at child age 30 months and two fundamental EF skills, attention and inhibitory control (IC), measured at 42 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a combination of parent self-report (Center for Epidemiological Studies Depression, Childhood Behaviour Questionnaire) and independent observational data (Home Observational Measurement of the Environment) from a random, representative sample of 549 births in Durham County, North Carolina. Linear regression models estimated the effects of harsh parenting and maternal depression on later child EF outcomes, while accounting for child and family characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Harsh parenting behaviours at 30 months predicted lower child IC skills (<i>b</i> = −0.46, <i>p</i> = 0.041) and lower attention skills (<i>b</i> = −0.64, <i>p</i> = 0.007) at 42 months. Greater maternal depression symptoms at 30 months predicted lower IC skills (<i>b</i> = −0.14, <i>p</i> = 0.017) and lower attention skills (<i>b</i> = −0.21, <i>p</i> = 0.001) at 42 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results highlight the importance of parenting behaviours and parental mental health in shaping early EF. Although correlational in design, this work may inform future early childhood interventions aimed at altering parental behaviour and mental health to promote childhood EF.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224379","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":"Play Together? Unveiling Facilitators and Barriers to Inclusive Outdoor Play for Dutch Children With and Without Disabilities: A Qualitative Study","authors":"R. Q. Beekhuizen,&nbsp;E. A. M. Bolster,&nbsp;J. W. Gorter,&nbsp;N. L. Henry,&nbsp;K. Visser,&nbsp;H. Wittink,&nbsp;E. M. W. Kotte,&nbsp;M. E. Sol,&nbsp;M. A. T. Bloemen","doi":"10.1111/cch.70154","DOIUrl":"10.1111/cch.70154","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The ‘Right to Play’ is included in the United Nations Convention on the Rights of the Child. Outdoor play contributes to children's overall development, physical and mental health and quality of life. Unfortunately, children with disabilities often experience restrictions while playing outdoors. Understanding children's perspectives is crucial to effectively support them in participating. Our aim was to explore facilitators and barriers perceived by Dutch children with and without disabilities (6–12 years), in regular and special primary education, for participating in inclusive outdoor play.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted 40 semi-structured interviews in school-aged children (mean age years 8.7, SD 1.9): 22 without disabilities, 10 with disabilities attending regular education and 8 with disabilities attending special education. We transcribed all interviews verbatim, and two independent researchers analysed the data using an inductive thematic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified three main themes: personal factors of children with and without disabilities, interacting factors and environmental factors. Each theme has sub-themes acting as either facilitators or barriers to inclusive outdoor play. Personal factors include being open to playing with each other, coping with disabilities, experiencing autonomy, insufficient knowledge about disabilities and feelings about physical and social limitations. Interacting factors include growing up together, making contact and adapting ways of playing. Environmental factors include parents, play environments, communities and time constraints.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Children with and without disabilities in regular and special primary education identify facilitators and barriers in personal, interacting and environmental factors for inclusive outdoor play. Children with disabilities encounter more barriers than those without disabilities. All children are open to playing together, and paediatric rehabilitation professionals and parents play a crucial role in facilitating positive play experiences early on, providing knowledge about the consequences of disabilities, showcasing the capabilities of children with disabilities and collaborating to adapt playgrounds.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193928","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":"Mapping the Instruments Used to Measure Well-Being on Children With Disabilities: A Scoping Review","authors":"Estrella Torres Cabo,&nbsp;Mats Granlund,&nbsp;Magnus Ivarsson","doi":"10.1111/cch.70142","DOIUrl":"10.1111/cch.70142","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To describe the self-report instruments used to measure well-being in children with disabilities, investigate their psychometric quality, cognitive accessibility and alignment with Keyes's operationalization of well-being, including emotional, psychological and social aspects.&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;MEDLINE, ProQuest, PubMed and CINAHL were searched for articles published from 2011 to March 2023, identifying 724 studies. Synonyms provided by thesaurus on the main constructs: ‘children’, ‘measure’, ‘disability’ and ‘mental health’ were employed in the search strategy. Two reviewers independently screened articles using criteria following the SPIDER framework, resulting in the inclusion of 13 articles. From these, 10 instruments were extracted and critically appraised using the COSMIN checklist, evaluating their psychometric properties. The cognitive accessibility and alignment to Keyes's dual continua model of mental health were analysed.&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 included instruments had fair to excellent psychometric properties. Instruments designed for children with disabilities demonstrated greater cognitive accessibility compared with those for the general child population. Well-being was primarily identified as hedonic, with social aspects of positive functioning underrepresented. Five of the 10 instruments measured quality of life but were used as well-being measures in studies. While most items aligned with the dual continua model, no single instrument encompassed all three aspects of well-being.&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;Although there is a growing effort to include children with disabilities in well-being research, a consensus on a comprehensive well-being self-report measure is lacking. Further research is needed to develop a multidimensional operationalization that includes psychological and social aspects of well-being for children with disabilities.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Summary&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;Well-being measures focus on hedonic aspects—emotional well-being—and often exclude the social aspect of positive functioning within eudaimonia.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;There is a conceptual overlap between quality-of-life measures and well-being measures.&lt;/li&gt;\u0000 ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034660","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":"Support Needs of Parents of Children With Congenital Anomalies Across Europe: A EUROlinkCAT Survey","authors":"Elena Marcus,&nbsp;Anna Latos-Bielenska,&nbsp;Anna Jamry-Dziurla,&nbsp;Ingeborg Barišić,&nbsp;Clara Cavero-Carbonell,&nbsp;Elly Den Hond,&nbsp;Ester Garne,&nbsp;Lucas Genard,&nbsp;Ana João Santos,&nbsp;L. Renée Lutke,&nbsp;Carlos Matias Dias,&nbsp;Lucía Páramo-Rodríguez,&nbsp;Christina Neergaard Pedersen,&nbsp;Amanda J. Neville,&nbsp;Annika Niemann,&nbsp;Ljubica Odak,&nbsp;Anna Pierini,&nbsp;Anke Rissmann,&nbsp;Judith Rankin,&nbsp;Joan K. Morris","doi":"10.1111/cch.70160","DOIUrl":"https://doi.org/10.1111/cch.70160","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parents and carers of children with congenital anomalies can experience stress when managing their child's healthcare needs. It is important that they are well supported. This study explored the support needs of parents/carers of children with a congenital anomaly across Europe.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We developed a cross-sectional online survey to measure parents' experiences of support at diagnosis and in subsequent years. We recruited parents/carers of children (0–10 years) with cleft lip, congenital heart defect requiring surgery, Down syndrome and/or spina bifida, online via relevant organisations in 10 European countries (March–July 2021).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1109 parents/carers were recruited in Poland (<i>n</i> = 476), the United Kingdom (<i>n</i> = 120), Germany (<i>n</i> = 97), Belgium/Netherlands (<i>n</i> = 74), Croatia (<i>n</i> = 68), Italy (<i>n</i> = 59), other European countries (<i>n</i> = 92) and unspecified/non-European countries (<i>n</i> = 84). At diagnosis, only 27% (262/984) of parents/carers reported feeling well supported by HCPs, and 49% (468/959) reported that they would have liked professional psychological support but did not receive it. After diagnosis, satisfaction with support from HCPs differed significantly across countries, whereas satisfaction with support from participants' personal networks was more consistent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest that parents require greater support from HCPs at diagnosis, particularly psychological support. Further research in a European context is needed to understand what the barriers to support might be and how it may be integrated more effectively into existing healthcare systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999015","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":"Comparing Social Needs of Readmitted and Non-Readmitted Paediatric Patients at a Free-Standing Children's Hospital","authors":"Merritt ten Hope,&nbsp;Jennifer Hall,&nbsp;Sandra Gage,&nbsp;M'hamed Temkit,&nbsp;Nehal Thakkar","doi":"10.1111/cch.70158","DOIUrl":"https://doi.org/10.1111/cch.70158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospital readmissions are costly for both patients and hospitals and can be affected by social needs. Little is known about whether social needs differ between paediatric patients who require readmission within 30 days and those who do not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using the results of a social needs screening tool, this retrospective, observational study aimed to compare (1) the average number of social needs per patient and (2) the proportion of patients with specific social needs between paediatric patients readmitted to the hospital and a matched number of randomly selected non-readmitted paediatric patients. The screening tool was administered electronically and completed within 180 days of the studied encounter.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 240 patients studied, 120 had been readmitted within 30 days, and 120 had not. There were no significant differences in demographic parameters between the two groups. Nearly 27% of all patients had one or more needs identified, although there were no significant differences between readmitted and non-readmitted patients in the proportion with social needs in general or with any specific need. Food (14.2%) and childcare (13.8%) needs were identified most frequently. While the average number of needs was higher for readmitted than for non-readmitted patients, the difference was not statistically significant (0.65 vs. 0.38; <i>p</i> = 0.066).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In this study, readmission status was not linked to a higher proportion of any individual social need or average number of needs; however, more than 25% of all patients had one or more needs. This suggests the importance of screening during all admissions, as hospitalization provides an opportunity to address needs for those who may not have consistent access to health care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927322","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":"Identifying Components of a Comprehensive Parent-Mediated Early Intervention for Children With ASD: A Thematic Analysis","authors":"Adel Mohamadzade,&nbsp;Salar Faramarzi","doi":"10.1111/cch.70115","DOIUrl":"https://doi.org/10.1111/cch.70115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parent-mediated early interventions (PMEIs) benefit children with autism spectrum disorder (ASD) by improving social communication skills and enhancing parent–child interactions. However, the characteristics of a comprehensive intervention have not yet been established, and further research is necessary to identify its essential components. Therefore, the current study aimed to identify the pivotal factors of parent-mediated early intervention for children with ASD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study employs thematic analysis method to analyse the data collected from semistructured interviews. The participants included 14 parents and eight educators of children aged 2–7 with ASD, who were interviewed in focus groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, four themes were identified that need to be included in parent-based programmes to improve the communication skills of children with ASD. These themes include child-related factors, parents-related factors, environment-related factors and the use of appropriate communication strategies. These results underscore the importance of adopting a multifaceted approach to early interventions for children with ASD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Effective PMEIs strategies must be tailored to the unique characteristics of the child, the temperament of the parents and the specific characteristics of their living environment. By considering these multiple dimensions, interventions can be optimized to support the developmental needs of children with ASD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910147","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":"Reliability of Static and Dynamic Balance Tests and Their Interrelationships in Children With Cochlear Implants","authors":"Fatma Kübra Çekok,&nbsp;Ayşenur Gökşen,&nbsp;Özgül Akın Şenkal,&nbsp;Turhan Kahraman","doi":"10.1111/cch.70159","DOIUrl":"https://doi.org/10.1111/cch.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with cochlear implants are at increased risk of vestibular dysfunction and balance impairments, yet the reliability of commonly used static and dynamic balance assessments has not been thoroughly evaluated in this population. This study aimed to assess the reliability of static balance tests (single-leg stance test [SLST] and tandem Romberg test [RT], performed with eyes open [EO] and eyes closed [EC]), dynamic balance tests (timed up and go test [TUG] and figure-of-eight walk test [F8WT]) and Paediatric Balance Scale (PBS), which includes both static and dynamic components, and to examine relationships among these tests in children with cochlear implants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty-two children with cochlear implants, aged 7–13 years, performed all the balance tests. Two test sessions were conducted by the same physiotherapist on separate days within the same week.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All balance tests demonstrated excellent intrarater reliability, with ICCs ranging from 0.906 to 0.985. The PBS showed excellent internal consistency (Cronbach's alpha = 0.88). Strong correlations were observed among static balance tests, and moderate correlations were found among dynamic tests. Correlations between static and dynamic tests were weaker. The PBS correlated strongly with static tests and moderately with dynamic tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>All tests demonstrated excellent intrarater reliability, with PBS also showing excellent internal consistency. While these findings confirm the reliability of the assessments, validity was not examined and should be addressed in future research to establish their clinical utility in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144894140","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":"Impact of Smartphone and Device Usage in Children Between 18- and 60-Months Old on the Development of Social Communication: Observational and Cross-Sectional Approaches in Kolkata, West Bengal, India","authors":"Nicola Judith Flynn,&nbsp;Arunima Datta","doi":"10.1111/cch.70157","DOIUrl":"https://doi.org/10.1111/cch.70157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The rapidly increasing use of smartphones/other devices has raised significant concern for parents, clinicians and teachers, especially during and after the global pandemic situation. The study hypothesized that children between the ages of 18 and 60 months might have delayed communication development compared to those in the same age group who did not have any delays because of excessive screen time and the types of content they usually view on their smartphones/other electronic devices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>507 (Group A) children with communication delays and 388 (Group B) children without delays, both boys and girls, aged 18 to 60 months, were included in this observational and cross-sectional study. The developmental milestone of social communication was evaluated using the Bayley scale. Smartphone/other electronic device viewing variables among participants were interviewed. The odds ratio established whether screen time and content typically viewed influence delayed social communication development or not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>In Group A, 71% of children used smartphones or other electronic devices. Group A and Group B had significantly different scores on the Bayley scale, with a <i>p</i>-value of &lt; 0.005. With a <i>p</i>-value of &lt; 0.005, the content that children accessed on their smartphones and other electronic devices was statistically significantly linked to delayed communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our research stated that screen time and content that is typically viewed may be a contributing factor; it is not the sole cause of communication delays because other aspects of a child's environment, including the number of caregivers, the length of time spent with parent–child interaction, the scope of social interaction and the scope of outdoor activities, play a significant role in frequent activities on smartphones/other electronic devices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891627","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":"Health Literacy and Adherence to Age-Appropriate Childcare Recommendations Among Parents in Northeast Thailand","authors":"Kanyanee Wedchakama,&nbsp;Rosawan Areemit","doi":"10.1111/cch.70156","DOIUrl":"https://doi.org/10.1111/cch.70156","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children of parents who have higher health literacy (HL) have better outcomes. Most studies on parents' generic HL focus on the capability to manage their own health, rather than the capability to manage their child's health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents of children 0–5 years at the paediatric outpatient department at a university hospital participated in this cross-sectional study by answering a self-administered questionnaire. We used (1) Generic Health Literacy (GHL) Scale for Thais, (2) parent's management and awareness of their child's health-PMATCH, an instrument, which was developed to explore HL, which pertains to the capability to manage their child's health and (3) parents' health promotive practices on age-appropriate childcare recommendations. Cronbach's alpha was used to analyse the internal consistency of HL scales (HL = 0.97 and PMATCH = 0.94) and confirmatory factor analysis was used to analyse the PMATCH scale. Logistic regressions were used to identify associations between HL, PMATCH and parents' practices including dentist visits, exclusive breastfeeding, sleeping on the back, self-feeding and screen time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 144 parents, 82.8% were female; most parents had fair HL (low 4.9%, fair 56.9% and high 38.2%) and high PMATCH. Confirmatory factor analysis standardized loadings and inter-factor correlations for the PMATCH instrument were highly significant. Parents' HL was found to mediate PMATCH on specific outcomes. Although total HL was not significantly associated with parent outcome behaviours, PMATCH-Practice was significantly positively associated with bringing the child to the dentist regularly (AOR 1.74) and negatively associated with the child sleeping on the back (AOR 0.52). We did not find a significant association between total HL, PMATCH and breast feeding, self-feeding or screentime.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is a complex interplay between parental health promotive practices, HL and PMATCH. Future studies should invest in further understanding the relationship between HL and PMATCH, and the causes of non-adherence to formulate better-targeted preventive interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144885328","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":"Exploring Clinicians' Suggestions for Addressing Discrimination Towards Children and Youth With Disabilities With Multiple Minoritized Identities","authors":"Sally Lindsay,&nbsp;Janice Phonepraseuth,&nbsp;Nicole Thomson,&nbsp;Jennifer N. Stinson,&nbsp;Sharon Smile","doi":"10.1111/cch.70155","DOIUrl":"https://doi.org/10.1111/cch.70155","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clinicians can help address the discrimination that children and youth with disabilities often encounter. However, they commonly report lacking training and experience in addressing multiple forms of discrimination, such as ableism and racism. A lack of knowledge could lead to stigma and inequities within healthcare. This study explores clinicians' suggestions for addressing multiple forms of discrimination among children and youth with disabilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study involved in-depth interviews with a purposive sample of 15 paediatric rehabilitation clinicians and community service providers working with disabled youth who have multiple minoritized identities. We applied an inductive thematic analysis to the interview transcripts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our findings highlighted the following four themes: (1) disability awareness and anti-ableism training and education; (2) enhancing inclusive programming, services and policies; (3) building connections to supports and resources; and (4) advocacy and incorporating lived experience perspectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results underscore the need for clinicians to engage in more training and to facilitate access to resources for multiply minoritized youth with disabilities. Dedicated funding, resources and commitment at organizational, systems and policy levels are needed to address discrimination.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144843393","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}