Child Care Health and Development最新文献

{"title":"Efficacy of Psycho-Educational Interventions on School Bullying in Social Isolation, Loneliness and PTSD Among Schoolchildren: A Systematic Review and Meta-Analysis","authors":"Kouthar Sulaiman Al-Alawi,&nbsp;Rawaa Abubakr Abuelgassim Eltayib,&nbsp;Muna Al Saadoon,&nbsp;Amjad Hassan Alhaj,&nbsp;Said Aldhafri,&nbsp;Samir Al-Adawi,&nbsp;Moon Fai Chan","doi":"10.1111/cch.70062","DOIUrl":"https://doi.org/10.1111/cch.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Various antibullying strategies have emerged in the literature. To date, there is a dearth of the quality of evidence on the effectiveness of current antibullying programmes in reducing the sequelae of bullying. This critical appraisal examines the effectiveness of bullying in alleviating social isolation, loneliness and posttraumatic stress disorder (PTSD) among schoolchildren.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. Several databases were searched, and inclusion and exclusion criteria were applied to the articles selected for inclusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of the 9537 articles initially identified and after assessing the eligibility of the studies, 22 articles were included in this systematic review, and 10 experimental studies were used for the meta-analysis. There was a significant (<i>p</i> = 0.015) and small standardized mean difference (SMD) (SMD = −0.132, 95% CI = −0.026 to −0.238) of the effect of psycho-educational programmes on social isolation among school children. Additionally, there was a significantly small SMD of the effect of psycho-educational programmes on loneliness among school students (SMD = −0.215, <i>p</i> = 0.049, 95% CI = −0.001 to −0.429). There were not enough publications to perform a meta-analysis of the effects of psycho-educational programmes on PTSD symptoms in school children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although psycho-educational interventions exhibit promise in mitigating social isolation and loneliness, additional research is required to comprehend their efficacy and comprehensively determine the optimal implementation strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638773","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":"Weathering the Storm: Climate-Related Weather Event Experiences of Families of Children With Medical Complexity","authors":"Jennifer Baumbusch,&nbsp;Vanessa Fong,&nbsp;Esther Lee,&nbsp;Nilanga Aki Bandara,&nbsp;Koushambhi Basu Khan","doi":"10.1111/cch.70068","DOIUrl":"https://doi.org/10.1111/cch.70068","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Climate change is increasingly an urgent concern because of the catastrophic and irreversible impacts on the planet and society as a whole. In recent years, there have also been more frequent and extreme weather events such as heatwaves, droughts, floods and wildfires across the globe. Although families of children with medical complexity may be particularly vulnerable to the impacts of extreme weather events, few studies exist that address this topic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Drawing upon a subset of data from two qualitative studies, we explored the experiences of families during climate-related weather events in British Columbia, Canada. During the summer and fall of 2021, this area experienced a series of extreme weather events (e.g., heat dome, wildfires and atmospheric rivers causing flooding) in rapid succession. Semistructured interviews were conducted with 30 parents between July 2021 and April 2022. Descriptive content analysis was used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants described their lived experiences during the heat dome, wildfires and flooding of 2021. Across all of the weather events, children with medical complexity experienced social isolation and, for some, increased anxiety. Participants also shared adaptive measures, or strategies, they used during these events. In the absence of government supports, families drew upon their informal peer networks in some situations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The unique needs of children with medical complexity are not accounted for in existing government policies and supports related to climate-related weather events. Families are self-reliant and draw upon their informal peer network for supports. There is an urgent need for inclusive programs and supports across emergency management, health, education and social care to address the needs of this group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645776","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":"Developing and Evaluating the Feasibility of a Behavioural Educational Programme for Transporting Students With Disabilities on School Buses","authors":"Allison Blackburn,&nbsp;Meg Stone-Heaberlin,&nbsp;Leanne Tamm,&nbsp;Jennifer Smith,&nbsp;Nichole Nidey","doi":"10.1111/cch.70064","DOIUrl":"https://doi.org/10.1111/cch.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Prevalence rates of intellectual and developmental disabilities (I/DD) continue to increase in the United States, and a high proportion of these students are estimated to ride buses daily to and from school. There is a need for transportation staff to (1) have a greater understanding of the challenges students with I/DD face during their daily bus journey and (2) learn how to provide behavioural support that is rooted in evidenced-based practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This work aimed to develop and evaluate a behavioural educational programme to address gaps in transportation staff knowledge and skills related to I/DD and examine feasibility of the programme through participant feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Development of the programme was guided by caregiver focus groups, interviews with key stakeholders and field observations. Three training modules, a social narrative and a caregiver input form were developed. Training modules included topics related to the characteristics of I/DD, positive behavioural support, increasing communication with district staff and caregivers, the functions of behaviour and how to safely de-escalate behaviour. Implementation of the programme included training delivery to transportation staff (<i>N</i> = 886) at three school bus locations across the United States. Participants completed posttraining evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Conclusions</h3>\u0000 \u0000 <p>The overwhelming majority of participants reported agreement with statements related to satisfaction with the three trainings, as well as perceived increases in their knowledge and confidence in supporting students with I/DD on the school bus. Acceptability and preliminary effectiveness are established for the programme. Participants' previous experience transporting students with disabilities was positively associated with acceptability and preliminary effectiveness. Caregiver and educator training programmes have demonstrated effectiveness in behavioural interventions for children with I/DD, but this study provides evidence of the feasibility of a behavioural education programme developed specifically for school bus transportation staff. This programme serves as a model for student transportation companies and school districts that are seeking strategies to better serve their students with I/DD in their bus-riding journeys.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638774","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":"Exploring the Long-Lasting Effect of Mindfulness-Based Intervention in Very Preterm Adolescents on Executive and Socio-Emotional Competencies","authors":"Vanessa Siffredi,&nbsp;Maria Chiara Liverani,&nbsp;Natalia B. Fernandez,&nbsp;Petra Susan Hüppi,&nbsp;Cristina Borradori Tolsa,&nbsp;Russia Ha-Vinh Leuchter","doi":"10.1111/cch.70051","DOIUrl":"https://doi.org/10.1111/cch.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Very preterm (VPT) adolescents show executive and socio-emotional difficulties that persist into adulthood. Beneficial effect of mindfulness-based intervention (MBI) has been found in VPT young adolescents immediately after the end of the intervention. This study aims to examine the long-term effects of an 8-week MBI (2 to 5 years after the completion of the 8-week MBI) on executive and socio-emotional competencies in VPT adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The ‘Mindful Preterm Teens – Follow-Up’ study included 21 VPT adolescents, born before 32 weeks of gestation, who had previously completed the MBI, as well as 22 VPT and 28 full-term adolescents (aged 13 to 18) who had never participated in an MBI. Executive and socio-emotional competencies were assessed using self- and parent-reported questionnaires, as well as using neuropsychological testing. Past and current mindfulness practices were collected via self- and parent-questionnaires. Pearson's correlations were used to explore associations between current mindfulness practice and outcome measures, and group differences in outcome scores were analysed using multivariate analysis of covariance (ANCOVA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In VPT adolescents who had previously completed the MBI, current mindfulness practice was generally infrequent (ranging from at least once per month to no practice). This group showed a significant association between lower levels of current mindfulness practice with reduced parent-rated anxiety. When comparing the group of VPT adolescents who had completed the MBI with both VPT and FT participants who had not, no significant differences were observed in executive and socio-emotional competencies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We observed no significant effect of MBI on the long-term (i.e., 2 to 5 years after the end of the MBI) in VPT adolescents. Regular mindfulness pratice might be needed to maintain the immediate beneficial effect of MBI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639157","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":"Participation of Children With Developmental Coordination Disorder: A Scoping Review","authors":"Thiago Weyk de Oliveira Beliche,&nbsp;Meyene Duque Weber,&nbsp;Eloisa Tudella,&nbsp;Ana Carolina de Campos","doi":"10.1111/cch.70059","DOIUrl":"https://doi.org/10.1111/cch.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with developmental coordination disorder (DCD) may have participation restrictions; however, there is little information about the specific characteristics of the participation of children with this condition. Given the relevance of participation as an outcome of physiotherapeutic interventions, the objective of this study was to provide a broad review of studies on participation in children with DCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We mapped the literature using a scoping review, through the MEDLINE/PubMed, Scopus, CINAHL and Web of Science databases to identify studies on participation in children with DCD published between 2001 and 2021. The studies were selected by two independent researchers considering the following criteria: (1) studies that evaluated participation and/or constructs related to participation in children with DCD and (2) children aged 5 to 17 years. Data were extracted independently using standardised forms and synthesised after consensus. Study quality was assessed using the Mixed Methods Appraisal Tool (MMAT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 2444 studies were initially found. Fourteen studies met the inclusion criteria, all from high-income countries. The studies included children with a mean age of 9.7 years, and most used appropriate diagnostic criteria and instruments to assess participation with adequate measurement properties. In general, children with DCD have lower levels of participation compared to children with typical development, particularly in physical activities and social participation, with lower engagement in sports teams, leisure and low parental satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although findings of decreased participation in children with DCD were consistent, there are gaps in the literature regarding the understanding of home and school participation. Studies that identify contextual determinants of participation are also needed so participation can be effectively promoted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the Impact of Discrimination: Exploring the Experiences of Sex/Gender Minoritised Youth With Disabilities","authors":"Sally Lindsay,&nbsp;Peiwen Cao","doi":"10.1111/cch.70067","DOIUrl":"https://doi.org/10.1111/cch.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Youth with disabilities often experience disability-related discrimination (ableism). Those with multiple minoritised identities, such as along the axes of disability and gender, arguably encounter more complex forms of discrimination; however, little is known about their experiences. Exploring the experiences of sex/gender minoritised youth with disabilities is important because they often face many challenges within education, health and social services, including discrimination, which could perpetuate inequalities. The purpose of this study was to understand the ways in which discrimination influenced the experiences of sex/gender minoritised youth with disabilities and how they coped with the discrimination they encountered.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study involved a qualitative interview design using a purposive sample of 10 sex/gender minoritised youth with disabilities aged 17–25 years (mean age 21.5 years). An interpretive inductive thematic analysis was applied to the interview data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our findings identified the following themes: (1) intersectional forms of discrimination, (2) negative impacts on physical and mental health, (3) hiding minoritised identities while avoiding unsafe spaces and situations and (4) inadequate social support and opportunities. We found that some youth demonstrated several positive coping strategies for dealing with ableism (Theme 5), which included (1) finding safe spaces through support-seeking and community involvement and (2) self-acceptance and self-advocacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results highlight the pervasive negative impact that ableism has for sex/gender minoritised youth with a disability. Although most youth demonstrated some coping and resilience skills, much further work is needed at a societal and institutional level to address and reduce discrimination while optimising social inclusion.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632945","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":"Self-Care Interventions for Children and Young People With Neurodisabilities: A Mixed Methods Study of Current Therapy Practice in the United Kingdom","authors":"Samantha Armitage,&nbsp;Tim Rapley,&nbsp;Niina Kolehmainen,&nbsp;Lindsay Pennington,&nbsp;Elaine McColl,&nbsp;Catherine Jane Duff,&nbsp;Rob Brookes,&nbsp;Jennifer McAnuff","doi":"10.1111/cch.70061","DOIUrl":"https://doi.org/10.1111/cch.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Self-care is a priority outcome for children and young people with neurodisabilities, their parents and therapists, but there is little evidence about paediatric therapy interventions for children's self-care in the United Kingdom.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Children with neurodisabilities, parents, therapists and teachers participated in this mixed methods study. Data were collected by interviews and observations of routine therapy appointments. Inductive analysis was used to define aspects of self-care and describe how therapists deliver care to support self-care. The Behaviour Change Technique Taxonomy v1 was used to deductively code the data to identify self-care intervention ingredients and related mechanisms of change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixteen aspects of self-care were described; five were commonly targeted in therapy practice: being safe, dressing, eating and drinking, keeping clean and toileting. Three clusters of intervention techniques describe current practice. Cluster 1 comprises instruction on how to perform the behaviour, behavioural rehearsal and practice, graded tasks and demonstration of the behaviour. These techniques target knowledge, skills and beliefs about capabilities as mechanisms of change to improve self-care. Cluster 2 comprises restructuring the social environment, social support and adding objects to the environment. These techniques target the social and physical environment as mechanisms of change. Cluster 3 comprises reducing negative emotions, information about emotional consequences, monitoring of emotional consequences and exposure. Although not commonly used, these techniques target children's and young people's emotions. Children and young people's autonomy as a central concept in self-care is supported in relation to selecting therapy goals and outcomes of therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A clear description of current therapy practice is provided for comparison against new or alternative interventions for self-care. The most common technique involves instructing how to perform specific behaviours, with methods like behavioural rehearsal and graded tasks aiding in acquiring knowledge, skills and beliefs about capabilities. Additionally, interventions focus on modifying the environment through social influences and resources and addressing children's and young people's emotions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632946","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":"Child Well-Being and Family Quality of Life During the COVID-19 Pandemic","authors":"Conné Lategan,&nbsp;Amanda S. Newton,&nbsp;Jennifer Thull-Freedman,&nbsp;Jianling Xie,&nbsp;Kathleen Winston,&nbsp;Bruce Wright,&nbsp;Michael Stubbs,&nbsp;Stephen B. Freedman","doi":"10.1111/cch.70063","DOIUrl":"https://doi.org/10.1111/cch.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Little is known about changes in child well-being and family quality of life (QoL) among children seeking emergency department care because of mental health concerns over the course of the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Prospective cohort study of children &lt; 18 who visited two paediatric EDs in Alberta, Canada, for an acute mental health concern. Early and late pandemic time periods were defined as 15 March 2020–14 March 2021 and 1 July 2021–30 June 2022, respectively. The Stirling Children's Well-being and Warwick–Edinburgh Mental Well-being scales quantified well-being; the Family Quality of Life Scale assessed family QoL. These scales were completed as soon as possible following the ED visit. Linear regression models assessed the association between pandemic period and the change in well-being and family QoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One thousand four hundred four children were enrolled during the study time periods (50.4% early, 49.6% late). Seventy-two percent (1009/1404) of participants were White, 53.8% (744/1404) were female, and the median age was 13 (IQR, 11–15) years. Well-being remained unchanged between time periods, whereas family QoL was lower in the late pandemic time period than in the early period (mean difference: −2.16, 95% CI: −3.79, −0.53; <i>p</i> = 0.01). Among children &lt; 13 years, previous mental health care and requiring inpatient admission were negatively associated with well-being. Having an autism diagnosis and a comprehensive ED mental health evaluation were negatively associated with well-being in older children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Reduced family QoL may signal stressors experienced by caregivers and the lingering consequences of the pandemic. Resources that address well-being and support the family unit are needed to improve the mental health of children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143622453","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 24-Hour Activity Checklist for Cerebral Palsy: Translation, Content Validity and Test–Retest Reliability of Portuguese Versions","authors":"Fabio Vila-Nova,&nbsp;Cristina dos Santos Cardoso de Sá,&nbsp;Hércules Ribeiro Leite,&nbsp;Ana Cadete,&nbsp;Teresa Folha,&nbsp;Egmar Longo,&nbsp;Maria Elisabete Martins,&nbsp;Raul Oliveira","doi":"10.1111/cch.70057","DOIUrl":"https://doi.org/10.1111/cch.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The importance of 24-h movement behaviour, including sleep, physical activity (PA) and sedentary behaviour (SB), has gained prominence due to its significant impact on the health and development of children, including those with cerebral palsy (CP). The 24-h activity checklist for CP, a tool developed in the Netherlands to monitor the activity in CP paediatric population, requires translation and cultural adaptation to Portuguese for use in Brazil and Portugal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional methodological study involved translating and culturally adapting the 24-h activity checklist for CP into Brazilian Portuguese (BP) and European Portuguese (EP) languages. The process included forward translation, synthesis and backward translation, expert panel evaluation and pretesting. Brazilian and Portuguese experts appraised content validity, assessed by the individual item (I-CVI) and scale level content validity index scores (S-CVI/Ave). Sixty parents of children with CP participated in the test–retest analysis, reported with the Intraclass Correlation Coefficients (ICCs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>I-CVI scores were higher than 0.78 for both versions. S-CVI/Ave scores were considered excellent for BP (0.91) and EP version (1.0). Expert's appraisal results in the inclusion of a question about sleep-related time indicators and the split of sleep, PA, and screen time questions for weekdays and weekends. Brazilian and Portuguese parents of children with CP reported understanding on instructions, questions, and answer options. The ICC values range from 0.81 to 0.99 and 0.6 to 0.98, for BP and EP, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The BP and EP versions of 24-h activity checklist for CP demonstrated good content validity and test–retest reliability, supporting its use in Brazil and Portugal. This tool can contribute to improving communication between families and healthcare professionals to monitor and develop tailored interventions for healthy movement behaviours in children with CP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554330","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":"Youth Depression After an Environmental Disaster: Is There a Relationship to Caregiver Stress and Depression?","authors":"Jacqueline Dannis,&nbsp;Sarah Jenuwine,&nbsp;Kenyetta Dotson,&nbsp;Nicole Jones","doi":"10.1111/cch.70058","DOIUrl":"https://doi.org/10.1111/cch.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In the United States, female youth have been experiencing high levels of mental health challenges, including depression. Many factors increase the risk of developing mental health issues, including exposure to traumatic events, like the Flint water crisis. To better understand this connection, this study aims to answer the question: How do depression symptoms in this Flint Registry sample of girls compare with national norms and how are child depression symptoms related to parental/caregiver depression symptoms and perceived stress?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The cohort included 539 girls, ages 6–17, and their parents who were Flint residents and had completed a baseline survey for their child and themselves during 2019–2021 and a follow-up survey (2020–2022). The Behavior Assessment System for Children (BASC-3) measured child depression symptoms; the Quality of Life in Neurological Disorders (Neuro-QoL) depression subscale and Perceived Stress Scale Short Form (PSS-4) measured adult depressive symptoms and perceived stress. Statistical analysis included One-Sample Chi-Square and Bayesian correlation and regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At enrolment, the prevalence of at-risk or clinically significant depression symptoms in Flint girls was higher than in the general population (23.6% vs. 15.9%, <i>p</i> &lt; 0.01). At follow-up, the prevalence decreased, yet there was still a significant difference between Flint girls (19.3%) and the general population (<i>p</i> &lt; 0.05). Child measures of depressive symptoms at follow-up were significantly correlated with caregiver measures of depression and stress at both time points. Child depression symptoms at baseline and caregiver depression and stress were predictive of child depressive symptoms at follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results reveal high rates of depressive symptoms after a manmade environmental disaster, as well as a relationship between female youth mental wellness and caregiver well-being. Being able to understand and identify depression symptoms in both children and caregivers is an important aspect of public health services and reinforces the call for expanding mental health screening and treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143533554","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}