Child Care Health and Development最新文献

{"title":"Caregiver Experiences of Providing Care to a Child With Cerebral Palsy in Zambia: A Photovoice Project","authors":"Renee A. Hepperlen,&nbsp;Paula Rabaey,&nbsp;Edgar Lunda,&nbsp;Watson Mwandileya,&nbsp;Memory Mwansa,&nbsp;Mary O. Hearst","doi":"10.1111/cch.70252","DOIUrl":"10.1111/cch.70252","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Caregivers of children living with cerebral palsy often experience challenges when living in low-resource communities, such as those found in low-and-middle-income countries. Kusamala is a home-visiting programme that supports families of children with disabilities in Makululu in Kabwe, Zambia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following the nine steps of photovoice, this project aimed to consider the experiences of ten caregivers of children living with cerebral palsy who participated in a 12-month home-visiting programme. Potential recruits for this study completed an informational meeting, where they received information about photovoice and this study. During an all-day training session, participants considered the programme evaluation question, which sought to understand how Kusamala contributed to their ability to care for their child with a disability. During this time, they also provided consent to participate and received cameras and instructions on how to use them. Participants then took photos and reconvened for a focus group session, where they shared their experiences associated with each photo, identified themes and selected images for a community exhibition. The final step involved a community exhibition to share their stories and photographs with the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants identified three themes: Equality, Business/Having a Source of Income, and Special Care, capturing 39 images that reflected these themes. The first theme described how these caregivers understand and support the full inclusion of their children in their communities. The second theme highlights the need for a sustainable source of income, which is necessary to purchase basic needs for families. The final theme relates to how caregivers learn new skills and activities to support their child's growth and development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The current study adds to the limited body of knowledge on the impact of community-based programming to help children living with cerebral palsy in a low-and-middle-income country context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437816","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":"Investigating the Compliance With the 24-h Movement Behaviours Guidelines in Preschoolers: Insights From the SUNRISE Pilot Study in Portugal","authors":"Ricardo Amaral,&nbsp;Luís Lemos,&nbsp;Kar Hau Chong,&nbsp;Lucas Roxo,&nbsp;Wilka Silva,&nbsp;Maria Luiza Pessoa,&nbsp;Emanuel Passos,&nbsp;Wendell Lopes,&nbsp;Anthony Okely,&nbsp;Jorge Mota,&nbsp;Clarice Martins","doi":"10.1111/cch.70255","DOIUrl":"10.1111/cch.70255","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In 2019, the World Health Organization (WHO) established guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. Since then, the SUNRISE Study has been producing evidence on the proportion of children meeting the guidelines and their association with healthy development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This SUNRISE Portugal pilot study aimed to (a) report the prevalence of 3- to 4-year-old Portuguese children meeting the WHO guidelines and (b) assess the feasibility and acceptability of implementing the SUNRISE protocol in the Portuguese context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 115 preschool children were recruited from three urban and three rural public early childcare and education centres in Portugal. Parents answered questions on the children's screen time and sleep patterns. Movement behaviours were objectively measured using accelerometers wGT3X. Anthropometrics, gross and fine motor skills, physical fitness and executive functions were assessed using the SUNRISE protocol. Children were categorized as compliant or not with the guidelines, and descriptive statistics were used to summarize the protocol's feasibility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From those recruited, 77 children provided valid accelerometer data. Compliance was slightly higher when considering parent-reported sleep data instead of device-based measurements of sleep (33.8% and 31.2%, respectively). When considering the restrained time recommendation, no child was classified as non-compliant. The highest compliance rate was observed for parent-reported sleep time (89.7%), whereas the lowest was for physical activity (53.3%). A total of 66.3% of the children complied with screen time recommendations. Response rates to the protocol were consistently high, exceeding 70% across all measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Compliance with the WHO guidelines among Portuguese children varies depending on the protocol used to assess sleep duration and the inclusion or not of the restrained time recommendation. The SUNRISE protocol proved to be feasible for implementation in the Portuguese context, and valuable lessons were learned regarding response rates for both accelerometer data and the parent questionnaire.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391810","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":"Prevalence and Associated Factors of Developmental Delays Across Gross Motor, Fine Motor, Language and Social Domains in Malaysian Children Aged 6–59 Months","authors":"Nur Hamizah Nasaruddin,&nbsp;S. Maria Awaluddin,&nbsp;Nazirah Alias,&nbsp;Khaw Wan-Fei,&nbsp;Tham Sin Wan,&nbsp;Noor Syaqilah Shawaluddin,&nbsp;Sharifah Nazeera Syed Anera,&nbsp;Sulhariza Husni Zain,&nbsp;Adibah Hanis Zainudin,&nbsp;Wan Shakira Rodzlan Hasani","doi":"10.1111/cch.70248","DOIUrl":"10.1111/cch.70248","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Developmental delays in gross motor, fine motor, language or social skills can affect children's growth and well-being. This study aimed to determine the prevalence of overall and domain-specific delays and identify associated risk factors among Malaysian children aged 6–59 months using recent national data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This population-based, cross-sectional study used data from the National Health and Morbidity Survey 2022, focusing on children aged 6–59 months. Data were collected through face-to-face interviews with caregivers, and physical assessments were conducted by trained nurses. Overall developmental delay was defined as failing an age-specific assessment in at least one of four domains: gross motor, fine motor, language, or social skills. Multivariable logistic regression, accounting for the complex survey design, was performed using SPSS version 23 to identify sociodemographic and health-related factors associated with developmental delays across all domains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Prevalence of overall developmental delay was 7.4%. Children aged 24–35 months (AOR: 2.40), boys (AOR: 1.44) and those with low birth weight (AOR = 1.76) were significantly at risk of overall developmental delay. By domain, social delay (4.1%) was the most prevalent delay, followed by language delay (2.7%), fine motor delay (1.9%) and gross motor delay (1.0%). Children aged 36–59 months were at higher risk of fine motor and language delays. Low birth weight was a strong predictor across all domains, with the greatest effect on gross motor delay (AOR: 3.75). Boys had higher odds of fine motor (AOR: 1.49), language (AOR: 1.77) and social delays (AOR: 1.55), while being overweight was specifically associated with gross motor delay (AOR: 2.79).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Developmental delays are prevalent among Malaysian children, with low birth weight as a consistent risk factor across domains. Domain-specific assessment reveals distinct patterns and unique risk profiles that are masked by overall prevalence, underscoring the need for targeted early interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379732","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":"Barriers and Innovations Towards Accessing an Autism Diagnosis in Rural Northern Ontario: A Qualitative Study","authors":"Carly A. Cermak,&nbsp;Jesiqua Rapley,&nbsp;Sherry Fournier,&nbsp;Melanie Penner","doi":"10.1111/cch.70250","DOIUrl":"10.1111/cch.70250","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early identification and diagnosis of autism are essential steps in supporting children and families. In rural communities, families can experience significant challenges in accessing an autism diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted semistructured interviews with four groups of participants: managers (<i>n</i> = 11), diagnosticians (<i>n</i> = 7), clinicians (<i>n</i> = 14) and parents/caregivers (<i>n</i> = 20) across six regions in Northern Ontario to learn of barriers and facilitators in accessing an autism diagnosis. Two independent coders coded each transcript and used inductive thematic analysis to identify themes across participants and regions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five themes were generated from participants: (1) Gaps in autism knowledge delay early identification for children requiring an autism assessment; (2) complex systems create navigation barriers for families in knowing where to seek help; (3) families with limited access to resources face delays in the early identification process; (4) staffing challenges exacerbate barriers within the autism diagnostic process; and (5) collaboration among health disciplines while using a culturally responsive approach to care facilitates the autism assessment process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Hopes about the future of accessing an autism diagnosis were shared by families and professionals; although some challenges are fixed (e.g., vast geography), others are amenable to interventions such as building community knowledge and streamlining service navigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12962844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367218","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":"An Innovative Transitional Care Unit for Hospital to Home Transition of Children With Medical Complexity: A Qualitative Study of Parents' Experiences","authors":"Heleen N. Haspels,&nbsp;Nicole Skomorowski,&nbsp;Koen F. M. Joosten,&nbsp;Matthijs de Hoog,&nbsp;Job B. M. van Woensel,&nbsp;Clara D. van Karnebeek,&nbsp;Mattijs W. Alsem","doi":"10.1111/cch.70253","DOIUrl":"10.1111/cch.70253","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospital-to-home (H2H) transitions of children with medical complexity (CMC) are a multifaceted process with many challenges and obstacles, especially for parents. The ‘Jeroen Pit Huis’ (JPH) is a stand-alone, innovative transitional care unit (TCU) that aims to improve the transition home. This study explored parents' experiences with the H2H transition via the JPH TCU setting, including the facilitators and barriers that shaped this process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study using semistructured interviews was conducted between January and November 2023. Interviews were audio recorded and transcribed verbatim and analysed thematically. Data collection continued until thematic saturation was reached.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-one parents (13 mothers and 8 fathers) of 14 CMC participated in 14 interviews. Inductive thematic analysis identified the following five interrelated processes shaping parental experiences: regaining control and confidence, emotional recovery and resilience, relational dynamics and family adaptation, navigating care systems, as well as child well-being and development. Across these processes, parents reported key facilitators—grouped into the following four domains: TCU supportive environment, professional guidance and continuity, family and peer empowerment, as well as coordinated care systems. At the same time, barriers were described across four domains: privacy and boundaries, emotional and psychological strain, family equity challenges, as well as systemic and practical barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Parents experienced H2H transition via the TCU valuable for the well-being and development of both their child and family. By capturing both facilitators and barriers, this study underscores the opportunities and challenges of a stand-alone TCU and provides insights to inform the development of transitional care for CMC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12962879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367253","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":"Physical Activity Levels of Early Childhood Educators: A Systematic Review and Meta-Analysis.","authors":"Myranda Hawthorne, Bayley V Inniss, Rachel Heydon, Shauna M Burke, Patricia Tucker","doi":"10.1111/cch.70259","DOIUrl":"10.1111/cch.70259","url":null,"abstract":"<p><strong>Background: </strong>Early childhood educators (ECEs) play a key role in fostering healthy behaviours, such as physical activity (PA), in young children, yet their own PA levels are not well characterized. Understanding ECEs' PA is important given their potential to model active behaviours in childcare settings.</p><p><strong>Methods: </strong>This systematic review and meta-analysis synthesized ECEs' PA levels, focusing on (1) time spent in moderate-to-vigorous PA (MVPA); (2) the proportion of ECEs meeting the World Health Organization's (WHO) PA recommendation for adults; and (3) associations between ECEs' and children's PA. Seven databases were systematically searched using terms related to PA, childcare/education and childhood. Eligible studies reported quantitative data for at least one objective. Data for objectively measured MVPA and WHO guideline adherence were pooled using meta-analyses, and associations with children's PA were narratively synthesized. Twenty-one studies (5291 participants) met inclusion criteria; 18 reported on MVPA (11 in meta-analysis), 11 on guideline adherence and 6 on associations.</p><p><strong>Results: </strong>ECEs accumulated an average of 223.6 min/week of MVPA (95% CI: 83.6-363.5), exceeding WHO guidelines but with high variability (I² = 97.6%). Overall, 52.6% (95% CI: 35.9%-68.8%; I² = 97.3%) of educators met the adult 24-h PA guidelines, with study-level proportions ranging from 21% to 92%. Narrative findings indicated modest but generally positive associations between ECEs' and children's PA.</p><p><strong>Conclusions: </strong>Many ECEs meet or exceed WHO PA guidelines, underscoring their potential as active role models in childcare settings. Strengthening ECEs' capacity to support movement-rich environments could further enhance benefits for both educators and children through consistent, collaborative approaches.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":"e70259"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482387","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":"Attitudes, Norms, and Control: What Is Shaping Fijian Children's Physical Activity and Screen Time Behaviours?","authors":"Sarah T Ryan, Anthony D Okely, Rebecca M Stanley, Gade Waqa, Melanie Randle","doi":"10.1111/cch.70256","DOIUrl":"10.1111/cch.70256","url":null,"abstract":"<p><strong>Background: </strong>Only half the children in Fiji meet both physical activity (PA) and screen time (ST) recommendations. Understanding factors associated with meeting these recommendations is important to inform the development of policies and programmes to encourage healthy behaviours. This study aimed to examine the association between Fijian caregivers' and children's attitudes, subjective norms and perceived behavioural control and their or their child's adherence to physical activity and screen time guidelines.</p><p><strong>Methods: </strong>We investigated Fijian caregivers and children aged 5-17 years attitudes, subjective norms and perceived behavioural control towards meeting PA and ST guidelines through an online survey. The survey explored these factors and their associations with meeting the Asia-Pacific Integrated 24-h Activity Guidelines for Children and Adolescents.</p><p><strong>Results: </strong>A total of 1015 caregivers and 699 of their children completed the survey. Caregivers (OR = 1.4, CI 1.003-1.862) and children 5-8 years (OR = 16.5, CI 1.227-222.665) who believed being active would make them happier were more likely to meet PA recommendations compared to those not meeting PA recommendations. Caregivers who set ST restrictions (OR = 1.5, CI 1.252-1.816) and believed ST rules helped their child meet recommendations (OR = 1.3, CI 1.052-1.505) were more likely to have children who met ST recommendations versus not meet ST recommendations. Children aged 5-8 and older children/adolescents aged 9-17 who had easy access to screens were less likely to meet ST recommendations (OR = 0.5, CI 0.224-0.984) and (OR = 0.5, CI 0.324-0.802), respectively, compared to those who did meet ST recommendations. Children aged 5-8 years who believed it was important to follow the guidance of religious leaders were more likely to meet ST recommendations (OR = 5.4, CI 2.423-12.002) compared to those who did not meet the ST recommendation.</p><p><strong>Conclusion: </strong>Communicating through trusted community figures (such as teachers and religious leaders for younger children and ministries for caregivers) is recommended for future initiatives to increase adherence to guidelines among children and adolescents in Fiji. These initiatives should also emphasise the link between PA and both happiness and academic performance, while exploring ways to support caregivers in enforcing ST restrictions.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":"e70256"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482392","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":"Digital Screen Exposure of Children During Complementary Feeding: The Role of Maternal Social Media Addiction.","authors":"Bahise Aydın, Hatice Sarı, Dilara Kurt, Fatma Çolak","doi":"10.1111/cch.70261","DOIUrl":"10.1111/cch.70261","url":null,"abstract":"<p><strong>Background: </strong>Mothers may resort to digital screen use for their children during the complementary feeding period. Given the pervasiveness of social media use in daily life, mothers' screen-related behaviours during caregiving may be linked to their level of social media addiction. This study aimed to examine the relationship between mothers' social media addiction levels and their children's digital screen exposure during the complementary feeding period.</p><p><strong>Methods: </strong>This descriptive, comparative and correlational study included 390 mothers with children aged 6-18 months who presented to the paediatric outpatient clinics of a university hospital. Data were collected using the 'Screen Time and Complementary Feeding Information Form' and the 'Social Media Addiction Scale-Adult Form'. Independent-samples t-test, one-way ANOVA and Pearson correlation analysis were used for exploratory data analysis.</p><p><strong>Results: </strong>The mean maternal social media addiction score was 44.11 ± 10.836 (possible range: 20-100). Approximately one quarter of the children were exposed to digital screens during complementary feeding. Higher maternal addiction scores were observed across several socio-demographic and feeding-related characteristics. In addition, a statistically significant association was found between mothers' social media addiction scores and children's daily screen exposure (p < 0.01).</p><p><strong>Conclusion: </strong>Maternal social media addiction levels were moderate. These findings highlight the importance of maternal social media use as a potential factor associated with digital screen exposure during complementary feeding. Education on digital media use during complementary feeding should address screen practices as an integral component of infant feeding guidance.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":"e70261"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437741","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":"Relationships Among Activity, Motor Skill Performance and Executive Function in Preschool Children: Observational Report.","authors":"Alyssa M Button, Ethan Abbenante, Robbie Beyl, E Kipling Webster, Anthony Okely, Amanda E Staiano","doi":"10.1111/cch.70263","DOIUrl":"10.1111/cch.70263","url":null,"abstract":"<p><strong>Background: </strong>Executive functions are important for navigating daily demands and engaging in goal-driven behaviour. While these functions are associated with motor skills and activity in mid-to-late childhood, there is a paucity of available data among preschool ages. We hypothesized that child activity, motor skills and executive function would be associated among preschool-aged children.</p><p><strong>Methods: </strong>Children aged 3-4 years wore an Actigraph GT3X+ for 7 days to assess activity levels. Product-oriented motor skills were assessed that measure balance, manual dexterity, agility, strength and coordination. The Early Years Toolbox was used to measure visual-spatial working memory via the Mr. Ant Task and inhibitory control using the Go/No-Go task. Pearson correlations evaluated associations among both physical activity and motor skill performance with executive function. N = 83 children provided data for the analytic sample.</p><p><strong>Results: </strong>Positive relationships (p < 0.001) were observed among inhibitory control and visual-spatial working memory and standing long jump (r = 0.46, r = 0.28), one-legged balance (r = 0.36, r = 0.40) and grip strength (r = 0.41, r = 0.44). A negative relationship (p < 0.001) was observed between quicker STUG times and inhibitory control and visual-spatial working memory (r = -0.47, r = -0.48).</p><p><strong>Conclusions: </strong>The bidirectional associations of motor competence and executive function are evident during this rapid time of development. Cognitive functions are required for concerted movement and inhibiting nongoal-directed movements, indicating that this is an important period to provide ample opportunities for learning.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":"e70263"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464363","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":"Feeling Good With My Family and Teachers: The Interaction Effects of Family and Teacher-Student Relationships on Self-Esteem and School Satisfaction Among Vulnerable Children in Rural China.","authors":"Shiying Li, Shiqi Cheng, Rui Yuan","doi":"10.1111/cch.70257","DOIUrl":"https://doi.org/10.1111/cch.70257","url":null,"abstract":"<p><strong>Background: </strong>Due to the high HIV/AIDS epidemic and economic underdevelopment in Liangshan Yi Ethnic Minority Autonomous Prefecture located in Southwest China, numerous Yi children become AIDS orphans who lost one or both parents to AIDS-related causes, and quite a few become left-behind children as a result of parental migration for work. The purpose of the present study was to investigate how family and teacher-student relationships interactively influence the self-esteem and school satisfaction of orphans and left-behind children in rural China.</p><p><strong>Methods: </strong>A cross-sectional survey with 2553 students from four junior high schools was recruited, including 590 single orphans (who have lost only one parent), 106 double orphans (who have lost both parents), 588 left-behind children and 1269 other children as a reference group.</p><p><strong>Results: </strong>Compared with other children, left-behind children were less satisfied with both family and teacher-student relationships, as well as showed lower levels of self-esteem and school satisfaction. Orphans reported lower family relationship satisfaction but higher teacher-student relationship satisfaction and school satisfaction, compared with left-behind children. Self-esteem played a mediating role between family relationship satisfaction and school satisfaction for other children, left-behind children and single orphans, but not for double orphans. A booster effect on self-esteem-where school resources reinforced home resources-was observed among double orphans. Among other children, a similar booster effect was present, along with a compensatory pattern in which support from one setting offset insufficiency in the other. Notably, this compensation effect on school satisfaction between family and teacher-student relationships was observed only in other children.</p><p><strong>Conclusions: </strong>Vulnerable children who had experienced parental absence or bereavement generally reported poorer family relationships. Notably, compared with orphans, left-behind children showed lower levels of self-esteem and were less satisfied with their teachers and schools. The analysis further revealed distinct patterns across these groups regarding how family and teacher-student relationships interactively shape self-esteem and school satisfaction.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 2","pages":"e70257"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464320","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}