Child Care Health and Development最新文献

{"title":"Beyond the (Log)book: Comparing Accelerometer Nonwear Detection Techniques in Toddlers","authors":"Elyse Letts,&nbsp;Sarah M. da Silva,&nbsp;Natascja Di Cristofaro,&nbsp;Sara King-Dowling,&nbsp;Joyce Obeid","doi":"10.1111/cch.70133","DOIUrl":"https://doi.org/10.1111/cch.70133","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Accelerometers are increasingly used to measure physical activity and sedentary time in toddlers. Data cleaning or wear time validation can impact outcomes of interest, particularly in young children who spend less time awake. However, no study has systematically compared wear time validation strategies in toddlers. As such, the objective of this study is to compare different fully automated methods of distinguishing wear and nonwear time (counts and raw data algorithms) methods to the semi automated (counts with logbooks) criterion method in toddlers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We recruited 109 toddlers (age 12–35 months) as part of the iPLAY study to wear an ActiGraph w-GT3X-BT accelerometer on the right hip for ~7 consecutive days (removed for sleep and water activities). Parents completed a logbook to indicate monitor removal and nap times. We tested 15 nonwear detection methods grouped into four main categories: semi-automated logbook, consecutive 0 counts, modified consecutive 0 counts (Troiano and Choi) and raw data methods (van Hees and Ahmadi). Using semi-automated logbooks as the criterion standard (all wear and wake-time only wear), we calculated the accuracy and F1 scores (a metric which balances precision and recall) and compared overall wear time with a two one-sided test of equivalence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participant daily wear time ranged from 556 to 684 min/day depending on method. Accuracy and F1 score ranged from 86% to 95%. Five methods were considered equivalent to the AllWear nonwear criterion (true wear time including sleep-time wear), with only one equivalent to the AwakeWear criterion. Mean absolute differences were lower for the AllWear criterion but ranged from 49 to 192 min/day.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The 5min0count, 10min_0count, 30min_0count, Troiano60s and Ahmadi methods provide high accuracy and equivalency when compared with semi-automated cleaning using logbooks. This paper provides insights and quantitative results that can help researchers decide which method may be the most appropriate given their population of interest, sample size and study protocol.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144550839","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":"Developmental Profiles of Young Deaf and Hard of Hearing Children and Their Associated Predictors","authors":"Natalie Zehnwirth,&nbsp;Libby Smith,&nbsp;Daisy A. Shepherd,&nbsp;Valerie Sung","doi":"10.1111/cch.70129","DOIUrl":"https://doi.org/10.1111/cch.70129","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;Concomitant developmental disability is common in deaf and hard of hearing (DHH) children. We describe the early developmental profiles of DHH children and explore factors that may be predictive of these profiles.&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;We report on data from DHH children aged 0–66 months who are participants of a longitudinal child hearing databank in Victoria, Australia. Developmental profiles were measured using the Ages and Stages Questionnaire (ASQ) across five domains (communication, gross motor, fine motor, personal social and problem solving). We reported descriptive statistics and used logistic regression to estimate odds ratios and determined which characteristics were associated with below cut-off ASQ scores.&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;Caregivers of 882 children aged 0–66 months completed the ASQ between 2012 and 2022. A considerable proportion of children scored below their developmental expectations for age with 35% below ASQ cut-off for communication, 24% fine motor, 23% problem solving, 21% gross motor and 20% personal social. Children with a mild degree of hearing loss scored below cut-off ranging from 16% to 26% across the domains. Predictive factors for below cut-off development included admission to neonatal intensive care, extreme prematurity, infection requiring intravenous antibiotics and having more than one comorbidity for all domains. Bilateral hearing loss, cochlear implant use, jaundice requiring treatment and seizures were associated with communication delays. Cochlear implant use was a protective factor for gross motor development.&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;Early developmental screening is vital for DHH children, as these children have multiple developmental needs. Degree of hearing loss does not predict overall development; however, children with a mild degree of hearing loss can have developmental impairments and benefit from developmental monitoring. Early targeted intervention to support DHH children is imperative in maximizing their functional abilities and well-being.&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;Deaf and hard of hearing children may have additional developmental disabilities and comorbidities, and early intervention supports their development.&lt;/li&gt;\u0000 \u0000 ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144550828","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":"Caregiver Peer Support for Families of Autistic Children in France","authors":"Jeffrey McCrossin,&nbsp;Lucyna Lach,&nbsp;Sophie Biette,&nbsp;Émilie Cappe","doi":"10.1111/cch.70123","DOIUrl":"https://doi.org/10.1111/cch.70123","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;Caring for autistic children presents significant emotional and practical challenges, impacting family well-being and creating a need for social supports. In France, these challenges are compounded by historical reliance on psychoanalytic approaches to autism care. This study aims to identify caregiver peer support programmes for families of autistic children in France and explore their contributions to autism care.&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 environmental scan was conducted to identify relevant caregiver peer support programmes. This approach involved an internet search using keywords related to autism, caregiver peer support and France, supplemented by informal consultations in the autism support community to contextualize findings and refine the identification of programmes. Inclusion criteria focused on services offering ongoing support to caregivers by peers. Data extraction was performed on publicly available sources and through direct correspondence with service administrators.&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;Sixteen organizations were identified, offering various forms of caregiver peer support, including group meetings and individual follow-ups. Most services were in-person, with some online options. Peer support roles varied between paid and volunteer positions. Few organizations reported offering training to peers. Key support formats included informal gatherings like discussion groups focusing on emotional support, sharing experiences and advocacy. However, inconsistencies in the availability of detailed information about services and peer training highlight limited clarity in programme descriptions, which may pose challenges for families seeking support.&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;Caregiver peer support is underdeveloped in France. Insufficient detail regarding service delivery models, support structures and training hinders broader accessibility and adoption. Aligning terminology and promoting the value of caregiver peer support could enhance its role in autism care. Future research should evaluate the impact of these programmes on caregiver and family outcomes and explore stakeholder experiences to refine support mechanisms.&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;Caregiver peer support for autism is underdeveloped in ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537090","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":"Socio-Emotional Development in Young Children With Cerebral Palsy: A Scoping Review","authors":"Julie Enkebølle Hansen,&nbsp;Laura Lærkegård Støve,&nbsp;Mette Skovgaard Væver,&nbsp;Katrine Røhder","doi":"10.1111/cch.70130","DOIUrl":"https://doi.org/10.1111/cch.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cerebral palsy (CP) is the most common physical disability in childhood, yet research on the socio-emotional development of young children with or at high risk of CP remains limited. The aim of the study is to describe how socio-emotional development has been investigated in young children diagnosed with or at high risk of CP and identify knowledge gaps and areas for future research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review based on a systematic search of PsycInfo, PubMed and Web of Science including studies on children aged 0–6:11 years diagnosed with or at high risk of CP, examining socio-emotional development. No restrictions on publication year or language were applied. Data were extracted following PRISMA guidelines for scoping reviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-five studies, representing 1914 toddlers and preschool children, were included. No studies exclusively examined infants. Most studies were cross-sectional (68%) and used parent-reported data (76%). The most commonly investigated areas of socio-emotional development were expressing negative emotionality, engagement in peer relationships and exploratory behaviour. Less optimal socio-emotional development was frequently reported, with prevalence estimates ranging from 14% to 65%. Socio-emotional difficulties were associated with severity of child motor disability, child delayed language abilities and parenting difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review identifies conceptual and methodological limitations in studies of socio-emotional development in young children with CP. Future research should include infants from a diverse range of geographical and cultural contexts, utilize observational or multi-informant methods, investigate positive emotionality and parent–child relationships and adopt longitudinal designs to better capture if and how CP may impact socio-emotional development in early childhood.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537091","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 Impact of Parafunctional Habits on Orthodontic Malocclusions in Children With Cerebral Palsy","authors":"Esra Tunalı,&nbsp;Şeniz Karaçay,&nbsp;Arda Tabancalı,&nbsp;Büşra Seda İmamoğlu,&nbsp;Ersin Yıldırım,&nbsp;Turgay Arık","doi":"10.1111/cch.70131","DOIUrl":"https://doi.org/10.1111/cch.70131","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study aimed to investigate the correlation between orthodontic malocclusion and parafunctional habits, including atypical swallowing, mouth breathing and drooling, in children with cerebral palsy (CP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty-one children with CP (ages 6–14) from the Spastic Children Foundation were assessed. Drooling, lip incompetence and malocclusion were evaluated using the Balasco and Ballard methods, Angle Classification and WHO standards. Soft tissue relations, facial type, profile and face ratios were examined via extraoral assessment and photo analysis. Fisher's exact test was used for statistical analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the children, 47% had lip incompetence, 57% exhibited mouth breathing, 63% had atypical swallowing and 66% showed increased overjet. Malocclusion findings included 45% with Class II molar relationships and 66% with parafunctional habits. A significant relationship was found between parafunctional habits and orthodontic malocclusion (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A high prevalence of parafunctional habits was observed in children with CP, significantly correlating with orthodontic issues. Early preventive and interceptive orthodontic treatment before the growth phase is essential to improve swallowing, chewing, respiratory function and nutritional intake, ultimately enhancing overall quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Summary</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>Parafunctional habits are highly prevalent in children with cerebral palsy.</li>\u0000 \u0000 \u0000 <li>These habits are significantly associated with the development of malocclusion and craniofacial morphology.</li>\u0000 \u0000 \u0000 <li>Complex tongue thrust, mouth breathing and severe drooling are strongly linked to skeletal and dental anomalies.</li>\u0000 \u0000 \u0000 <li>Early multidisciplinary follow-up and preventive orthodontic approaches can reduce long-term complications.</li>\u0000 \u0000 \u0000 <li>Swallowing patterns, respiratory types and oral motor functions should be evaluated together in clinical assessment and treatment planning.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144524671","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":"An Investigation Into Gross Motor Skill Intervention Provisions for Children With Developmental Coordination Disorder in the Republic of Ireland: Cross Sectional Study","authors":"Mary Mannion,&nbsp;Kieran Dowd,&nbsp;Niamh Ni Cheilleachair","doi":"10.1111/cch.70127","DOIUrl":"https://doi.org/10.1111/cch.70127","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 with Developmental Coordination Disorder (DCD) often experience gross motor (GM) challenges. Left untreated, children may experience lasting physical, social and emotional repercussions. Limited information is available on the accessibility of GM-specific interventions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study objectives were to identify, (1) past intervention experiences, (2) present provisions and needs and (3) barriers which may prevent children from receiving future GM intervention.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A modified Delphi technique was used for the online survey development. Parents of children with DCD were recruited through voluntary DCD support organisations, social media and existing participants. Frequency analysis was used for fixed response questions.&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;Completed by 237 parents of children with DCD, this survey represented 70.8% males (&lt;i&gt;n&lt;/i&gt; = 168); 28.7% females (&lt;i&gt;n&lt;/i&gt; = 68); 0.5% not specified (&lt;i&gt;n&lt;/i&gt; = 1) with a median age of 10.0 (IQR = 3.0) and diagnosis age of 7.0 (IQR = 3.0). Referrals were to occupational therapists (OT) (63.5%) for activities of daily living (30.9%) and GM challenges (29.0%). Waiting lists were prevalent (76%) with 43.9% waiting longer than 12 months for intervention. Lengthy wait times for publicly funded intervention programs (61.0%) and cost-prohibitive private therapy (26.2%) were cited as the primary reasons for some not yet receiving GM skill intervention. Few parents are involved in the interventions (14.3%), yet most parents (98.6%) expressed a willingness to help.&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;GM dysfunction is a primary concern of DCD noted by parents and teachers, yet delayed diagnosis and lengthy waiting lists prohibit children from receiving timely and targeted GM intervention. Alternative methods of delivery with parental involvement should be considered to accommodate the vast numbers of children in need.&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;Occupational therapists (OTs) and teachers are identified as the top providers of motor skill intervention for children with Developmental Coordination Disorder (DCD).&lt;/li&gt;\u0000 ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525031","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":"Preparing Implementation of Transition Readiness Screening: What Do Paediatric Cancer Survivors and Caregivers Want?","authors":"Marika Monarque,&nbsp;Laurianne Buron,&nbsp;Nadège Gendron Granger,&nbsp;Wendy Louis-Delsoin,&nbsp;Nathalie Labonté,&nbsp;Carole Provost,&nbsp;Zeev Rosberger,&nbsp;Argerie Tsimicalis,&nbsp;Élodie Bergeron,&nbsp;Marco Bonanno,&nbsp;Serge Sultan,&nbsp;Caroline Laverdière,&nbsp;Leandra Desjardins","doi":"10.1111/cch.70109","DOIUrl":"https://doi.org/10.1111/cch.70109","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;Supporting transition from paediatric to adult healthcare is essential for the long-term well-being of paediatric cancer survivors. Guided by an implementation science approach, our overall programme of research seeks to integrate transition readiness screening in the routine care of paediatric cancer survivors, using the validated Transition Readiness Assessment Questionnaire (TRAQ). To plan for the screening implementation, the primary objective of this study was to first assess paediatric cancer survivors' current experiences with transition preparation and their preferences for screening and resources. A secondary focus group with parents was also conducted to complement youth perspectives.&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;Focus groups were conducted with 14- to 18-year-old paediatric cancer survivors (&lt;i&gt;n&lt;/i&gt; = 13) and parents (&lt;i&gt;n&lt;/i&gt; = 6). Focus groups explored perceptions of care at the long-term follow-up clinic, transition preparedness, preferences for TRAQ administration (e.g., format, moment and location) and preferences for transition readiness resources. Interviews were analysed with an inductive thematic analysis approach.&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;This study identified several barriers to TRAQ implementation, including adolescents' lack of transition awareness, attachment to paediatric care and parental distress. Unclear TRAQ items were also noted as a challenge for adolescents. Strategies to address these barriers include regular discussions with healthcare providers, a comprehensive transition resource website, addressing emotional needs, providing parent guidance and offering flexible TRAQ administration options, for example, by leveraging technology (QR codes, choice of online or paper administration).&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 highlighted the importance of addressing the informational and emotional needs of adolescents and parents for implementation, notably by engaging in discussions with clinicians and tailoring online transition readiness resources. Preferences and suggestions for TRAQ administration and resources will be integrated to align with patients and parents' needs and optimize implementation.&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;The study identified key barriers to TRAQ implementati","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144524480","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 Facilitators for Physical Activity and Sedentary Behaviour Among Toddlers and Preschoolers Living in Poverty: Insights From Primary Caregivers in Mexico","authors":"Ana Lilia Lozada-Tequeanes,&nbsp;Florence L. Théodore,&nbsp;Armando García-Guerra,&nbsp;Anabelle Bonvecchio","doi":"10.1111/cch.70122","DOIUrl":"https://doi.org/10.1111/cch.70122","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;The first 5 years of life set the stage for physical and mental development in adulthood. The practice of physical activity (PA) benefits this process. However, literature on PA in toddlers/preschoolers is scarce, especially among populations living in poverty. To characterise PA and explore the barriers and facilitators associated with the practice of PA and sedentary behaviour in young children (0–5 years of age) who live in poverty in Mexico.&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;We carried out 24 semi-structured interviews with primary caregivers (PCs) of children &lt; 5 years old in two states of Mexico (Yucatán and Morelos) (&lt;i&gt;n&lt;/i&gt; = 24). A thematic analysis was undertaken to analyse the data based on a socio-ecological model of PA. Thus, the codes were grouped into four main groups: (1) the importance and meaning of childhood PA and its perceived benefits; (2) family dynamics; (3) types of activities in which toddlers and preschoolers engage—including their frequency, timing, locations, and whether they participate alone or with others; and (4) perceived barriers and facilitators to children's PA.&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;In this sample of the population living in poverty, it was found that most respondents identified PA as a healthy practice for toddler/preschool children. However, there was a low level of PA promotion by PCs. Differences in PA were identified between boys and girls (within the family and cultural level). At the environmental level, the lack of accessible, free, and safe spaces for children to practice PA was pointed out by PCs. Finally, the PCs associated sedentary behaviour with children's personalities, as well as the use of technological devices (such as cell phones and tablets). Screen time was also perceived as part of the child's educational skills for the future. Informants reported that children spend extended periods (&gt; 3 h) of time in front of screens (cell phone and/or TV).&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;Barriers and facilitators were identified at various levels of the socioecological model, which should be considered to promote PA from an early age. Addressing these factors can help reduce physical inactivity among toddlers/preschoolers in socioeconomically disadvantaged contexts, ultimately enhancing their physical and mental development throughout their lives.&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;There is scarce ev","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515126","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":"Methodological Considerations in Evaluating Telerehabilitation for Handwriting in Children With ADHD","authors":"Chia-Yu Chen,&nbsp;Chun-Ting Lin,&nbsp;Kun-Chung Chen","doi":"10.1111/cch.70128","DOIUrl":"https://doi.org/10.1111/cch.70128","url":null,"abstract":"","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503278","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":"Transitions of 24-H Movement Behaviour Profiles From Schooldays to Weekends and Their Associations With Health-Related Quality of Life and Well-Being in Czech Adolescents","authors":"David Janda,&nbsp;Jan Dygrýn,&nbsp;František Chmelík,&nbsp;Lukáš Rubín,&nbsp;Tereza Juřicová,&nbsp;Michal Vorlíček,&nbsp;Ondřej Vencálek,&nbsp;Aleš Gába","doi":"10.1111/cch.70121","DOIUrl":"https://doi.org/10.1111/cch.70121","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;Adolescents' movement behaviours (MB) vary between schooldays and weekends, potentially impacting health-related quality of life (HRQoL) and well-being. This study aimed to identify transitions between 24-h MB profiles on schooldays and weekends and examine their associations with HRQoL and well-being.&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 is a cross-sectional study of 1070 Czech adolescents (average age: 13.8 years and standard deviation: 2.2 years; 56% girls). Participants wore accelerometers for 7 consecutive days to assess physical activity (PA) of different intensities, sedentary behaviour (SB) and sleep. A subsample of 451 participants provided data on HRQoL, which was measured using the Paediatric Quality of Life Inventory, and 484 provided valid well-being data measured with the 5-item World Health Organisation Well-Being Index. Latent transition analysis was used on the MB variables to identify transitions across MB profiles, and linear regression was used to examine associations between transitions and HRQoL or well-being.&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;Four MB profiles were identified: &lt;i&gt;Excellent&lt;/i&gt; (high PA, low SB and high sleep duration), &lt;i&gt;Good&lt;/i&gt; (average MB values), &lt;i&gt;Fair&lt;/i&gt; (below-average PA and sleep, above-average SB) and &lt;i&gt;Poor&lt;/i&gt; (low PA and sleep, high SB). Most adolescents transitioned to less favourable profiles on weekends. Those remaining in the &lt;i&gt;Excellent&lt;/i&gt; profile had higher HRQoL than those transitioning to less favourable profiles. Transitions to the &lt;i&gt;Poor&lt;/i&gt; profile were associated with the lowest HRQoL and well-being scores.&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 underscores the dynamic nature of adolescents' MB and the importance of consistent, healthy routines. Interventions optimizing 24-h MB throughout the week and especially on weekends may enhance adolescent HRQoL and well-being, but further evidence from longitudinal and intervention studies is needed.&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;We observed a contrast in 24-h MB between schooldays and weekends: 29.7% of adolescents were in the &lt;i&gt;Excellent&lt;/i&gt; on schooldays, but only 5.8% did so on weekends, while the prevalence of the &lt;i&gt;Poor&lt;/i&gt; profile rose from 1.6% on schooldays to 27.7% on weekends.&lt;/li&gt;\u0000 \u0000 ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493002","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}