Child Care Health and Development最新文献

{"title":"The Performance of Ankle- and Waist-Based Accelerometry in Quantifying Physical Activity Intensity Among 6- to 24-Month-Year-Olds: A Semistructured Laboratory Study","authors":"Hannah J. Dorris,&nbsp;Delaina D. Carlson,&nbsp;Grace A. Ballarino,&nbsp;Nanette V. Lopez,&nbsp;Jennifer A. Emond","doi":"10.1111/cch.70035","DOIUrl":"10.1111/cch.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>We aim to quantify the performance of accelerometry in objectively measuring physical activity (PA) intensity among infants and toddlers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty-eight 6- to 24-month-olds participated in a 30-min, semistructured lab visit. Twenty-three (61%) children could walk independently. Children engaged in a variety of activities while wearing accelerometers on each ankle and at the waist. Visits were video recorded, and study team members independently coded the first three 5-s epochs of each minute for PA intensity using a 5-level scale ranging from 1 = <i>completely sedentary</i> to 5 = <i>moderate-to-high intensity</i>. Interrater agreement for PA classifications was excellent (median kappa per child = 0.85). A series of logistic regression models were fit to find the vector magnitude threshold per 5-s epoch that differentiated activity intensity above each PA level with ≥ 80% sensitivity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analyses included 3191 epochs; a median of 88 epochs per child. The classification performance applying all thresholds concurrently for the five PA intensity levels was poor for each wear location (agreement &lt; 50%, kappa &lt; 0.25). Classification improved when concatenating intensity levels, with the best performance comparing sedentary (levels 1–2) to nonsedentary (levels 3–5) and using data from the left ankle device: agreement ≥ 77.6%, kappa ≥ 0.44. Applying those novel thresholds to predict the total time spent in level 3–5 activities over all coded epochs using linear regression performed as well as using the sum of vector magnitude across epochs when using data from the left ankle device. Overall, the performance of the left ankle wear location was similar to the right ankle wear location and superior to the waist location.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Ankle-worn accelerometry had adequate validity to classify in-the-moment nonsedentary behaviours and total time spent nonsedentary over a time interval among this sample of infants and toddlers. While caution is warranted when generalizing these lab-based findings to naturalistic settings, findings provide insight into objective measures of PA for this age range.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980807","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":"Early Years Practitioners' and Public Health Consultants' Perspectives on the Use of Interactive Electronic Devices in Young Children: A Qualitative Study","authors":"Liane B. Azevedo,&nbsp;Megan Downes,&nbsp;Sara Eastburn,&nbsp;Jane Covell,&nbsp;Paul Bissell","doi":"10.1111/cch.70022","DOIUrl":"10.1111/cch.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Interactive electronic devices (IEDs) are ubiquitous in young children's lives. However, research on their impact on learning and development is still limited. The aim of this study was to understand the perspectives of early years practitioners (EYPs) and public health consultants (PHCs) on the use of IEDs in children aged 3–5.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using purposive sampling techniques, we recruited four EYPs and two PHCs from children's nurseries and a government organisation in the northwest of England. Semi-structured interviews were used to collect data, which were audio-recorded, transcribed verbatim and anonymised. Data were analysed using reflective thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>EYPs and PHCs noted that although IEDs could negatively impact child development and behaviour, they could also aid in learning. EYPs expressed concerns about the impact of parents' own IED habits on children's communication and social skills. On the other hand, PHCs stressed that substituting outdoor play with the use of these devices could affect children's social and physical skills and reduce physical activity levels, which are crucial for development. Finally, both EYPs and PHCs agreed that there was a need to improve parents' and EYP's knowledge and to develop interactive interventions to promote an understanding of how IEDs should be used with young children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>EYPs and PHCs acknowledge the potential advantages of using IEDs as a teaching tool for children. However, they have concerns about the long-term effects on communication, social and physical skills and how children are impacted by their parents' use of these devices. To support policy statements, future research should offer further evidence of the benefits and harms of IED use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973401","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":"Impact of Social Disadvantage on Medical and Functional Severity in Children With Cerebral Palsy","authors":"Theresa Sukal-Moulton,&nbsp;Michael E. Msall,&nbsp;Kristen Wroblewski,&nbsp;Sarah Safdar,&nbsp;Deborah J. Gaebler-Spira","doi":"10.1111/cch.70028","DOIUrl":"10.1111/cch.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Those with neurological disorders like cerebral palsy (CP) may experience an altered impact of social determinates of health on child functioning and well-being. We investigated the relationship between relative social advantage and medical and functional outcomes in a large cohort of children, adolescents and young adults with CP (<i>n</i> = 1269, aged 2–84 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We extracted data from the Cerebral Palsy Research Registry and dichotomized a range of independent factors (income, ethnicity and race) into advantaged and disadvantaged/vulnerable and a range of medical and functional outcomes (gross motor, manual ability, behaviour, breathing, nutritional intake, hearing, seizures, language and vision) and computed odds ratios using logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found significantly more gross and fine motor functional limitations for those with disadvantage in income (<i>p</i> = 0.002 and 0.006), marginalized race (<i>p</i> &lt; 0.001 and 0.062) or ethnicity (<i>p</i> = 0.013 and 0.014). Ethnicity was further implicated in gestational age, whereas minority race played a role in more severe impairments in breathing, nutritional intake, language functioning and low birth weight status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We found evidence of more health and functional challenges for children with CP and social disadvantage in our cohort. Additional access to equitable resources may improve these imbalances and should be prioritized.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959338","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":"Patterns of Screen Time From Ages 2 to 6–7 Years in South Brazil: A Prospective Study","authors":"Otávio Amaral de Andrade Leão,&nbsp;Thaynã Ramos Flores,&nbsp;Daniela de Oliveira Nava,&nbsp;Pedro San Martin Soares,&nbsp;Joseph Murray,&nbsp;Marlos Rodrigues Domingues,&nbsp;Pedro Curi Hallal","doi":"10.1111/cch.70033","DOIUrl":"10.1111/cch.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Screen use has become nearly universal, especially in children. Therefore, it is important not only to comprehend its effects on health but also to understand its patterns of use. We aim to describe screen use patterns among children assessed at 2, 4, and 6–7 years, based on device, period of the day, and child/family characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Longitudinal study, with participants of the 2015 Pelotas (Brazil) Birth Cohort, a population-based study including all living newborns in the city of Pelotas between 1 January and 31 December 2015. Child/family characteristics used in the study were sex, skin color, family income, and maternal education. Screen time at 2 years was evaluated by TV time. At age 4, TV time and other screens (computer and videogames) was assesed. At 6–7 years, screen use was collected for each device (TV, smartphone, tablet/iPad, computer, and videogames).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At 2, 4, and 6–7 years, 1420, 3963, and 3857 had valid screen time data, respectively. Mean total screen time ranged from ~ 2.5 h per day at age 2 to ~ 5.5 h per day at age 6–7. At 2 years, no difference in screen time was found according to child/family characteristics. In general, boys presented higher screen time values at 4 and 6–7 years. No differences for ethnicity were observed. For family income and maternal education, the extreme groups presented higher use. Higher values of screen time were also observed during the evening and for children who did not attend school nor had home activities during the Covid-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results suggest that children are exceeding current screen time guidelines, with different patterns of use according to child/family characteristics. The high use of screens and more concentrated use during the evenings raise concern considering its possible negative effects on health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959347","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,&nbsp;Oboh Mary Aigbiremo,&nbsp;Olasinde Yetunde,&nbsp;Akinlosotu Morenike Agnes,&nbsp;Oluwasanya Alarape Naomi,&nbsp;Adeleke Oludamola Victoria,&nbsp;Timothy Kayode Samson","doi":"10.1111/cch.70029","DOIUrl":"10.1111/cch.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-03","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":"Longitudinal Measurement Invariance of the Parenting Sense of Competence (PSoC): Evidence to Question Its Use?","authors":"Nicole Gridley,&nbsp;Kate Mooney,&nbsp;Sarah Blower,&nbsp;G. J. Melendez-Torres,&nbsp;Vashti Berry,&nbsp;Tracey Bywater","doi":"10.1111/cch.70030","DOIUrl":"10.1111/cch.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-30","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":"Implications and Identification of Specific Learning Disability Using Weighted Ensemble Learning Model","authors":"Sultan Alzahrani,&nbsp;Faris Algahtani","doi":"10.1111/cch.70026","DOIUrl":"10.1111/cch.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Learning disabilities, categorized as neurodevelopmental disorders, profoundly impact the cognitive development of young children. These disabilities affect text comprehension, reading, writing and problem-solving abilities. Specific learning disabilities (SLDs), most notably dyslexia and dysgraphia, can significantly hinder students' academic achievement. The timely identification of such students is crucial in providing them with essential assistance and facilitating the development of skills required to overcome their limitations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The proposed model, which utilizes artificial intelligence (AI), plays a crucial role in identifying and diagnosing SLDs. This system allows students suspected of having SLD to engage in personalized exams and unique tasks tailored to their SLDs. The data generated from these activities, including performance scores and completion times, are fed into the proposed weighted ensemble learning (WEL) variation of the XGBoost (XGB) algorithm. The WEL-XGB model is designed to detect learning challenges by analysing these datasets, even when dealing with imbalanced data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The WEL-XGB model has been successfully integrated into a user-friendly application for assessing reading and writing impairments. The proposed model not only identifies SLD but also offers tailored recommendations for effective instructional strategies for parents and educators. Comparative analyses with other machine learning (ML) and deep learning (DL) models demonstrate the superiority of the WEL-XGB model, which achieved an accuracy rate of 98.7% for dyslexia datasets and 99.08% for dysgraphia datasets.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The proposed WEL-XGB model effectively identifies learning disabilities in children, offering a powerful tool for both diagnosis and instructional support. Its high accuracy rates underscore its potential to revolutionize the assessment and intervention process for dyslexia and dysgraphia, benefiting students, parents and educators alike.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883679","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}