Child Care Health and Development最新文献

{"title":"Parental and Educator Perceptions of Implementing Standardized Screenings for Early Detection of Motor Skills in Preschoolers: A Representative Survey","authors":"Barbara Scheiber,&nbsp;Sarah Mildner,&nbsp;Peter Federolf","doi":"10.1111/cch.70124","DOIUrl":"https://doi.org/10.1111/cch.70124","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Motor skill development in early childhood is essential for children's overall growth, including social participation and academic readiness. Despite the importance of motor skills, Austria's preventive health program for preschoolers currently lacks standardized motor screenings. This study explores the perceptions of parents and kindergarten educators regarding the potential implementation of regular, standardized motor skill screenings in kindergartens across Tyrol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In April–May 2024, questionnaires were distributed to 25 kindergartens across Tyrol. Parents and educators responded to structured and open-ended questions on the perceived importance, feasibility and potential impact of mobility screenings. Quantitative data were analysed descriptively, whereas qualitative data underwent thematic analysis to identify key themes regarding attitudes and practical considerations for implementing mobility screenings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 892 parents and 19 educator teams responded. Both strongly supported mobility screenings, with 90.6% of the parents viewing them as important as existing health screenings and 100% of educators valuing their importance regarding children's motor development. Qualitative responses from parents emphasized the role of mobility screenings in promoting general development while highlighting the need for a child-friendly, voluntary approach. Educators not only showed strong support, noting the feasibility and benefit of daily routines, but also identified logistical and communication challenges regarding follow-up. Both groups acknowledged the potential of standardized screenings for early identification, allowing timely developmental support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings underscore the perceived importance of mobility screening in kindergarten to identify motor skill deficits in early childhood, an insight strongly supported by both educators and parents. Stakeholder support is a critical prerequisite for potential policy adaptations towards offering standardized kindergarten mobility screenings. To ensure effective integration, practical factors such as logistics, tool selection and accessibility must be addressed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367174","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":"The Role of Parental Physical Literacy in Family Dynamics: A Systematic Scoping Review of Existing Evidence","authors":"Yuan Fang,&nbsp;Zixin Wang,&nbsp;Siyu Chen,&nbsp;Hanxue Wu,&nbsp;Doug H. Cheung,&nbsp;Borui Zhang,&nbsp;Qianwen Liao,&nbsp;Chen Zheng,&nbsp;Fenghua Sun","doi":"10.1111/cch.70119","DOIUrl":"https://doi.org/10.1111/cch.70119","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Physical literacy (PL) is essential for a person's engagement to physical activity (PA) for life. Previous evidence revealed that parental PL played an important role in child's outcomes related to their PA experience.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; To summarize the existing evidence of parental PL and its dynamics and influence in the family system, an extensive literature search of the EBSCOhost, PubMed, Web of Science and Scopus databases was conducted to identify eligible studies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; Notably, 18 studies were included in the final analysis, which were published between 2012 and 2024. Among these studies, a total of 3739 children (3–16 years old) and 2190 parents were involved. Extracted data showed that parental ethnicity and behavioural control, as well as family socio-economic status (SES) and accessible resources, were associated with parental PL. Furthermore, parental PL demonstrated a significant positive influence on child's PL and fitness level and parent–child co-PA levels. This is consistent in qualitative findings, that is, parents with middle-high SES valued children's sport participation, which could further foster their social skills and psychological capitals. Moreover, reviewed interventions exhibited a significant medium-large effect on increasing parental PL with high acceptability and feasibility.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;&lt;b&gt;Conclusion:&lt;/b&gt; Parental PL positively influences child's PL and fitness level and parent–child co-PA levels. Several existing theories may explain the dynamics and influence of parental PL in the family system. This comprehensive summary may add value for program design of health promotion in a home setting.&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;In the family system, parental physical literacy (PL) plays an important role in child's perception and practice of physical activity (PA).&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;This scoping review systematically summarized the existing evidence of parental PL and its dynamics and influence in the family system.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;This review supports that parental PL had a significant positive influence on child's PL and their fitness level.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Based on this study, research gaps and health messages are identified,","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144323553","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":"Preliminary Psychometric Properties of the Autism Classification System of Functioning: Social Communication (ACSF: SC) in Urdu-Speaking Children","authors":"Gul Afshan,&nbsp;Sonila Ali,&nbsp;Nadia Mazhar,&nbsp;Sadia Parkar,&nbsp;Misbah Jindani,&nbsp;Sidra Kaleem Jafri","doi":"10.1111/cch.70117","DOIUrl":"https://doi.org/10.1111/cch.70117","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;Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication and interaction. The Autism Classification System of Functioning: Social Communication (ACSF: SC) is a promising tool to categorize levels of functioning for social communication skills in children with ASD. However, its psychometric properties in Urdu-speaking populations remain unexplored. This study aims to investigate these properties, addressing a gap and offering insights for clinical practice in the region.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The English version of ACSF: SC was translated into Urdu, followed by cultural adaptation. The Urdu ACSF: SC was approved by the developers of the tool and will be published on their website (Canchild) after final edits. Therapists and parents assessed the reliability of their classifications. For interrater reliability, two speech and language pathologists (SLPs), two occupational therapists (OTs), two behavioural therapists (BTs) and 50 parents participated to classify the communication level of 50 autistic children aged 3–10 years. The test–retest reliability test was performed with a 14-day interval. Only 46 parents were able to complete the retest after 14 days. The measurement of the interrater and test–retest reliability was conducted via weighted kappa coefficients.&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 analyses of typical performance level and best capacity level revealed that the communication levels of children in ACSF: SC were consistent. The weighted kappa interrater reliability varied from fair (0.265) to good (0.687) for the best capacity level and from fair (0.271) to excellent (0.822) for the typical performance level; test–retest reliability ranged from moderate (0.437) to excellent (0.885) for the best capacity level and from moderate (0.575) to good (0.741) for the typical performance level.&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;The adapted ACSF: SC tool successfully estimates the level of communication ability of Urdu-speaking children with ASD and is culturally and linguistically appropriate for describing communication ability in this population.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key Message&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;The study confirms that the Urdu version of the ACSF: SC is a reliable tool for children with ASD and can be effectively used in clinical settings.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;l","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308645","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":"EEG-Guided Adaptive Learning: A New Neuroeducational Approach to the Facilitation of Cognitive Control in ADHD Children","authors":"Yanling Li,&nbsp;Chen Tian,&nbsp;Lei Xu,&nbsp;Lifei Pei,&nbsp;Xuemei Huang,&nbsp;Xia Wang","doi":"10.1111/cch.70113","DOIUrl":"https://doi.org/10.1111/cch.70113","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;Attention deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder that impairs children's attention, impulse control and academic performance. Conventional interventions, such as pharmacotherapy and behavioural therapy, yield inconsistent results. This study explores a novel neuroeducational approach—EEG-guided adaptive learning—as a method to enhance cognitive control and academic outcomes in children with ADHD.&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;A randomized controlled trial was conducted with 60 children aged 8–12 diagnosed with ADHD. Participants were randomly assigned to either an EEG-guided adaptive learning group or a control group receiving standard educational support. The intervention included 8 weeks of EEG-monitored cognitive training. Pre- and post-intervention assessments evaluated EEG parameters (theta/beta ratio, frontal alpha power and P300 amplitude), behavioural outcomes (attention span and impulse control) and academic performance (math, reading comprehension and writing skills).&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 EEG-guided group demonstrated a significant reduction in the theta/beta ratio (&lt;i&gt;p&lt;/i&gt; &lt; 0.001) and an increase in frontal alpha power (&lt;i&gt;p&lt;/i&gt; &lt; 0.01) and P300 amplitudes (&lt;i&gt;p&lt;/i&gt; &lt; 0.001), indicating enhanced attentional control and cognitive engagement. Behavioural scores improved significantly in attention span (&lt;i&gt;p&lt;/i&gt; &lt; 0.001) and impulse control (&lt;i&gt;p&lt;/i&gt; &lt; 0.01), while academic scores showed notable gains in math (&lt;i&gt;p&lt;/i&gt; &lt; 0.001), reading comprehension (&lt;i&gt;p&lt;/i&gt; &lt; 0.002) and writing (&lt;i&gt;p&lt;/i&gt; &lt; 0.001). The control group exhibited no significant changes.&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;EEG-guided adaptive learning is an effective and engaging intervention that improves cognitive functioning and academic performance in children with ADHD. It is important to note that although increases in frontal alpha power were observed, which are typically associated with improved executive functioning, such increases can also be linked to anxiety and depression. This potential confounding factor should be considered when interpreting the findings. The findings support the integration of neurofeedback and adaptive learning into educational practices to support neurodevelopmental disorders.&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;EEG-guided adaptive learning significantly enhances attention s","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308806","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":"Feeding Practices Among Portuguese Parents of 5- to 10-Year-Olds: Psychometric Properties of the Comprehensive Feeding Practices Questionnaire","authors":"Ana Catarina Canário,&nbsp;Marco Silva-Martins,&nbsp;Susana Santos,&nbsp;Lindon Krasniqi,&nbsp;Joana Campos,&nbsp;Isabel Abreu-Lima,&nbsp;Orlanda Cruz","doi":"10.1111/cch.70116","DOIUrl":"https://doi.org/10.1111/cch.70116","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;Parents, as primary caregivers, are responsible for most decisions related to children's lifestyle. One of the key elements in children's lifestyle is parents' feeding practices and given the relevance of these practices for children's weight and health-related outcomes, it is important to have valid and reliable measures available to address them in both research and practice. In the current study, we examined the psychometric properties of the Comprehensive Feeding Practices Questionnaire (CFPQ) in a sample of Portuguese parents of children aged 5-to-10. We evaluated the questionnaire's factor structure, criterion-related validity and test–retest reliability.&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;Primary caregivers (&lt;i&gt;N&lt;/i&gt; = 507) of children aged 5-to-10 completed the CFPQ and the Physical Activity Parenting Practices questionnaire, and a subset of the participants (&lt;i&gt;n&lt;/i&gt; = 125) completed the CFPQ at a second assessment point, 1 month later.&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 49-item 12-factor model originally proposed revealed a poor fit to the data. Following empirically and theoretically driven model modifications, we found a good fit to the data in a model comprising 40 items, organized into seven factors (Monitoring, Emotion regulation, Child control, Pressure to eat, Restriction, Healthy family environment and Promote nutrition autonomy). We combined items into new factors depicting food parenting practices that reflect contents for each of the domains of the map of food parenting practices. Criterion-related validity analyses identified that feeding and physical activity parenting practices were positively associated. Internal consistency reliability and test–retest reliability findings suggest that the CFPQ factors were relatively reliable and stable over time.&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;Findings suggest that the 40-item version of the CFPQ organized into seven factors is an adequate instrument to evaluate parents' feeding practices among Portuguese parents of children aged 5-to-10.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key Messages&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;Parents' feeding practices are important to evaluate children's health-related outcomes&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;The Comprehensive Feeding Practices Questionnaire is a widely used measure&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;The original 12-factor structure was","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144292923","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 and Construct Validity of the Self-Report Version of Strengths and Difficulties Questionnaire in Children and Adolescents With Cerebral Palsy","authors":"Hasan Bingöl,&nbsp;Dilan Demirtaş Karaoba","doi":"10.1111/cch.70114","DOIUrl":"https://doi.org/10.1111/cch.70114","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;Children and adolescents with childhood-onset physical disabilities, including cerebral palsy (CP), face a significantly higher risk of developing mental health disorders due to factors such as reduced physical activity, participation limitations, sleep disturbances, pain, social isolation, rejection, bullying and victimization. Therefore, identifying mental health problems in this population is crucial for promoting their mental health and psychosocial well-being. This study aimed to investigate the reliability and construct validity of the self-report Strengths and Difficulties Questionnaire (SDQ) in children and adolescents with CP.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study included 120 children and adolescents with CP (mean age = 14.13 ± 2.2 years), representing the full spectrum of CP subtypes. Internal consistency was assessed using McDonald's omega (&lt;i&gt;ω&lt;/i&gt;). Test–retest reliability was assessed using intraclass correlation coefficients (ICC) to estimate the level of consistency in scores for 50 children and adolescents who completed the SDQ again after 14 days. Three types of construct validity were assessed: factorial, convergent and known-group validity. Factorial validity was assessed based on the model fit of structural equation model-based confirmatory factor analysis (CFA). For CFA, the following fit indices were considered acceptable: a Root Mean Square Error of Approximation (RMSEA) &lt; 0.08, a Goodness of Fit Index (GFI) ≥ 0.95 and a Standardized Root Mean Square Residual (SRMR) ≤ 0.08. Convergent validity was assessed by estimating correlations between the SDQ and Cerebral Palsy Quality of Life (CP QOL) scores using Pearson correlation coefficient (r).&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;Internal consistency and test–retest reliability of both SDQ Total Difficulties Scale and SDQ Prosocial subscale were found to be acceptable (&lt;i&gt;ω&lt;/i&gt;: 0.73–0.85; ICCs: 0.77–0.96). The SDQ's factor structure showed good fit (Total Difficulties Scale: RMSEA = 0.03, GFI = 0.95 and SRMR = 0.037; SDQ Prosocial: RMSEA = 0.025, GFI = 0.97 and SRMR = 0.066). Acceptable correlations between SDQ and CP-QOL scores (&lt;i&gt;r&lt;/i&gt; = 0.53–0.93) supported convergent validity. Known-groups validity was confirmed, with children with CP showing significantly different SDQ scores compared to their TD peers (&lt;i&gt;p&lt;/i&gt; &lt; 0.05).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Our findings provide evidence of adequate internal consistency reliability, test–retest reliability and construct validity for scores on the SDQ for children and adolescents with CP.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244407","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 Food-Related Moral Experiences of Children (Aged 6–12) With Swallowing Difficulties: A Participatory Hermeneutic Ethnography Study Protocol","authors":"Giulia Ottonello,&nbsp;Franco Carnevale,&nbsp;Milko Zanini,&nbsp;Annamaria Bagnasco","doi":"10.1111/cch.70112","DOIUrl":"https://doi.org/10.1111/cch.70112","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;Food is a vital need for every individual, acting as sustenance and cultural expression. Adequate nutrition is a right for every child, influencing their self-perception and worldview. Children aged 6–12 with swallowing difficulties face unique food experiences influenced by relational and environmental factors. Understanding these experiences and factors that could shape these experiences is essential. Sameroff's transactional model highlights the dynamic interplay between children and their surroundings, especially families and caregivers, shaping children's food-related experiences. This study explores the food-related moral experiences of children with swallowing difficulties and how interactions with families/caregivers influence these experiences.&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;This study employs participatory hermeneutic ethnography to explore the meaningful aspects of children's lives, including local norms and institutional practices. The research will focus on children aged 6 to 12 with swallowing difficulties, involving 10 to 15 participants from homes and schools. The participatory approach emphasizes children and families' active involvement, concentrating on food-related moral experiences. The analysis, guided by a Childhood Ethics framework, will consider family influences and healthcare contexts. Multiple methods, such as participant observation and interviews, will be used simultaneously in data collection, with ongoing involvement of children and families in the research process.&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;This study will enhance understanding of the food-related moral experiences of children with swallowing difficulties and inform targeted interventions to improve mealtime experiences.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key Messages&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;Food experiences in children with swallowing difficulties carry moral meaning (e.g., dignity, inclusion and autonomy).&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;This study centres children's voices using participatory hermeneutic ethnography.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Results will inform mealtime practices that support both nutrition and emotional well-being.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Children and families should be active partners in care, research and policy.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Findings can guide child-specific care strategies, training and policy changes.&lt;/li&gt;\u0000","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244523","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 Delivered by Specialized Professionals in Childcare Settings in Québec, Canada: Strengths and Limitations of Current Service Delivery Models","authors":"Gabrielle Pratte,&nbsp;Mélanie Couture,&nbsp;Chantal Camden,&nbsp;Julie Poissant,&nbsp;Audrée Jeanne Beaudoin","doi":"10.1111/cch.70110","DOIUrl":"https://doi.org/10.1111/cch.70110","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;Specialized professionals, including healthcare professionals and early childhood special educators (ECSEs), wish to offer more in-context interventions in childcare settings. Limited information is available about how these services are and should be organized. The aim of this study was to describe the different service delivery models currently used in a context of publicly funded healthcare and childcare systems (Québec, Canada) and to identify the strengths and limitations of these models.&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;An interpretative descriptive research approach was used. Qualitative data from an online survey (&lt;i&gt;n&lt;/i&gt; = 344) and semi-structured interviews (&lt;i&gt;n&lt;/i&gt; = 18) were used. Questions focused on the description of services (e.g., type of specialized professionals involved, children served, funding) and strengths and limitations of those services. Data were coded using thematic analysis.&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;Data were classified into 10 service delivery models and are presented using a four-quadrant paradigm based on the source of funding (either internal [childcare-led] or external to childcare) and the focus of service (either child-centred or childcare-centred). Services funded by childcare providers (Quadrants 1 and 3) offered flexibility in addressing priority needs identified by childcare providers and facilitated collaboration with early childhood educators. Childcare-centred models (Quadrants 3 and 4) addressed the needs of children not receiving individual healthcare services. Healthcare-funded services (Quadrants 2 and 4) provided free services for childcare providers.&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;Each service delivery model had its own strengths and limitations. To enhance support for childcare providers and the children they serve, stakeholders should consider using a variety of service delivery models covering all four quadrants. Three key actions should be considered to improve current services: (1) incorporate more childcare-centred services to reduce the number of underserved children; (2) offer more childcare-led services to align with priority needs identified by childcare providers; and (3) improve intersectoral collaboration by developing cross-institutional policies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key Messages&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244520","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":"Validating the Depression Anxiety Stress Scales-21 in Community Mothers and Fathers Across the Infant's First Year","authors":"Birgitta Kerstis,&nbsp;Peter Jönsson,&nbsp;Mariette Derwig,&nbsp;Kent W. Nilsson,&nbsp;Inger Kristensson Hallström,&nbsp;Sara Lindeberg","doi":"10.1111/cch.70099","DOIUrl":"https://doi.org/10.1111/cch.70099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To investigate the effects of different types of parental health status on child development and health, valid parental distress measurement instruments are needed. The aim was to assess the psychometric measurement properties of the 21-item Depression Anxiety Stress Scales (DASS-21) used during the postnatal year in community samples of Swedish mothers and fathers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected at postnatal months 1, 6 and 12 from 66 mothers (mean age 31 years) and 58 fathers (mean age 32 years). Psychometric measurement properties were assessed with interitem analysis and intra-individual measurements cross-correlations. As part of assessing construct validity, the hypotheses that the levels of the different types of postnatal distress as measured by the DASS-21 would be higher in mothers than in fathers were tested.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The DASS-21 internal consistencies were good for both parent groups. The DASS-21 depression scale correlated strongly with the Edinburgh Postnatal Depression Scale (EPDS) in mothers and moderately strongly in fathers at each timepoint. Correlations between the DASS-21 anxiety scale and the EPDS ‘anxiety component’ were mostly in the low-to-moderate range. The DASS-21 stress scale significantly distinguished parental distress levels in the expected direction, as did the total DASS-21 scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Similar DASS-21 psychometric properties to those demonstrated for non-perinatal adult populations were indicated. The results suggest the usefulness of the DASS-21 during the early, middle and late postnatal periods for measuring types of as well as general maternal and paternal distress. Further analysis in larger perinatal parental samples for more conclusive results is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220041","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":"Featured Cover","authors":"","doi":"10.1111/cch.70111","DOIUrl":"https://doi.org/10.1111/cch.70111","url":null,"abstract":"<p>The cover image is based on the article “Investigating developmental status of children aged 0–5 years and its association with child gender, family background and geographic locations\u0000in Australian community-based early learning centre” by Yvonne K Parry et al., https://doi.org/10.1111/cch.70097\u0000 \u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206916","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}