Child Care Health and Development最新文献

{"title":"Investigating Developmental Status of Children Aged 0–5 Years and Its Association With Child Gender, Family Background and Geographic Locations in Australian Community-Based Early Learning Centres","authors":"Huahua Yin,&nbsp;Matthew Ankers,&nbsp;Alicia Bell,&nbsp;Yvonne Karen Parry,&nbsp;Eileen Willis","doi":"10.1111/cch.70097","DOIUrl":"https://doi.org/10.1111/cch.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early childhood plays a vital role in long-term outcomes such as health, learning, behaviour and wellbeing. Evidence shows that developmental screening of children aged 0–5 years is currently inadequate and understanding of key factors influencing child development in the years before school remain limited. This study aimed to examine the associations between a child's age, gender, family background, remoteness of residence, community socio-economic level and developmental status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study analysed data from a Paediatric Nurse Practitioners and Registered Nurses-led initiative, which offered Child Health Development Checks and referral support, for children attending Australian early learning centres from August 2022 to August 2023. The Brigance Screen III packages were used to do the child development screening, which assessed three domains for children aged 0–2 and five domains for those aged 2–5. Data from 1002 children (convenience sampling with children who attended the early learning centres) were included; univariable and multivariable logistic regression models and chi-square tests were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After controlling for other explanatory variables, children aged 2–3, were approximately six times more likely to have developmental concerns in language and self-help domains (<i>p</i> &lt; 0.05, <i>p</i> &lt; 0.001), when compared to children aged 5. Boys were around twice as likely to have developmental concern in academic and self-help domains (<i>p</i> &lt; 0.01). Children from culturally and linguistically diverse backgrounds were approximately two to three times more likely to have developmental concerns in language and social–emotional domains (<i>p</i> &lt; 0.01, <i>p</i> &lt; 0.001). Children living in mid-level socio-economic communities were more than twice as likely to have developmental concerns in academic domains, when compared to children living in most advantaged areas (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggests that male children, those from culturally and linguistically diverse backgrounds, or children from mid-level socio-economic communities may be at higher risk of experiencing developmental concerns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171428","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":"Associations Between 24-h Movement Behaviours and Health in 3- and 4-Year-Old Children From a Low-Income Country: The SUNRISE Ethiopia Study","authors":"Chalchisa Abdeta,&nbsp;Dylan Cliff,&nbsp;Katharina Kariippanon,&nbsp;Alem Deksisa,&nbsp;Sileshi Garoma,&nbsp;Debrework Tesfaye,&nbsp;Anthony D. Okely","doi":"10.1111/cch.70096","DOIUrl":"https://doi.org/10.1111/cch.70096","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is little evidence on the associations between 24-h movement behaviours and health in children from low-income countries. We examined the associations of physical activity, sedentary behaviour, screen time and sleep with adiposity, motor skills and executive functions among 3- and 4-year-old children in Ethiopia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional study conducted in Adama city and Lume Woreda, Oromia region, Ethiopia. We recruited children from kindergartens and rural Kebeles or villages. Children's time spent in physical activity, sedentary behaviour and sleep were measured using hip worn ActiGraph accelerometers. Children's screen time was parent-reported. Linear mixed models tested associations of 24-h movement behaviours with adiposity (BMI <i>z</i>-score), motor skills (NIH Toolbox) and executive functions (Early Years Toolbox). All models accounted for child sex, age and dietary diversity as fixed effects and clustering of children within kindergarten/villages as a random effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 430 children participated (4.2 ± 0.6 years). Children who slept longer had lower adiposity (−0.12, 95% CI: −0.19, −0.06). Those who had higher levels of total physical activity (TPA) (0.06, 95% CI 0.01, 0.13) and moderate to vigorous-intensity physical activity (MVPA) (0.03, 95% CI 0.01, 0.06) had higher scores on handgrip strength. Children who spent more time in sedentary behaviour had lower handgrip strength (−0.08, 95% CI −0.16, −0.01). There were no significant associations with executive functions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Strategies to improve adiposity and motor skills should focus on promoting healthy levels of 24-h movement behaviours, especially adequate sleep and time spent in physical activity in Ethiopian children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171430","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":"Cross-Cultural Comparison of Adaptive Behaviour Between British and Brazilian Clinical Samples With Neurodevelopmental Disorders","authors":"Tally Lichtensztejn Tafla,&nbsp;Kate Anne Woodcock,&nbsp;Tatiana Pontrelli Mecca,&nbsp;Maria Cristina Triguero Veloz Teixeira","doi":"10.1111/cch.70098","DOIUrl":"https://doi.org/10.1111/cch.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Adaptive behaviour deficits are limitations in executing daily activities and difficulties in responding to environmental changes, which impact social participation and independence across contexts. Adaptive behaviour measures can be used to guide interventions for individuals with neurodevelopmental disorders. Cross-cultural studies can contribute to the understanding of adaptive functioning of neurodivergence across countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this study is to evaluate and compare the adaptive behaviour profiles of children and adolescents with neurodevelopmental condition from different countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty-eight children with an autism spectrum diagnosis were equally separated into country groups (Brazil and the United Kingdom) and ages (5–10 and 11–17 years old) and were evaluated with the Adaptive Behavior Assessment System, 3rd Edition (ABAS-3), the Parent Form (Ages 5–21), using the raw scores of the questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The only scale in which a difference between nationality groups was identified was the self-direction scale, which evaluates skills needed for independence, responsibility and self-control, with older Brazilians scoring higher than their British peers in the same age group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Similar profiles of adaptive functioning in individuals with ASD were found across cultures, with a singular difference in the self-direction scale. The study's findings shed light on the need for interventions to increase adaptive functioning skills acquisition, regardless of the culture or country in which the individual is.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108798","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":"Child Care and Development in the Migration Context of Brazil: A Convergent Parallel Mixed Methods Study at an International Border","authors":"Gabriela D. M. Casacio,&nbsp;Rosane M. M. Silva,&nbsp;Ana L. Penna,&nbsp;Gabrielle Oliveira,&nbsp;Aisha K. Yousafzai,&nbsp;Débora F. Mello","doi":"10.1111/cch.70094","DOIUrl":"https://doi.org/10.1111/cch.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Immigrant families in Brazil face challenges such as socio-economic vulnerability, and limited access to essential services like health and education. These stressors may compromise the capacity of families to provide adequate nurturing care for their young children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a convergent parallel mixed methods design to address how the experience of parenting and accessing support among immigrant and refugee caregivers of young children explains their parenting related practices and perceived parenting stress. The study objectives were to (1) describe parental beliefs, care practices and stressors among caregivers of young children living in a migratory context; (2) explore how the environment and social context influence parents' nurturing care for young children; and (3) examine how parents, nurses and educators promote young children's development in a migratory context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventy caregivers participated in the quantitative study, and a subset of 21 caregivers along with 12 nurses and 13 teachers took part in the qualitative study. Quantitative findings revealed that caregivers were not engaging in stimulating activities with their children and perceived their parenting demands to exceed their ability to provide care. These findings were elucidated by the qualitative data, which found that the challenges of migration contributed to parental stress and negative caregiving practices, reduced caregiver–child interaction and was perceived to impact children's health and development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Understanding these factors may inform interventions to mitigate challenges and offer adequate support for children to thrive in a migratory context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144100458","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":"Changes in Psychological Distress in Children With Physical Illness and Their Parents During the COVID-19 Pandemic","authors":"Melissa Elgie,&nbsp;Christy K. Y. Chan,&nbsp;Chloe Bedard,&nbsp;Mark A. Ferro","doi":"10.1111/cch.70082","DOIUrl":"https://doi.org/10.1111/cch.70082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parents and their children with chronic physical illness (CPI) are often predisposed to experiencing psychopathology, a phenomenon, which may be exacerbated during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study modelled trajectories of psychological distress experienced by children with CPI and their parents before and during COVID-19.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Overall, 134 parent–child dyads enrolled in an ongoing cohort study, Multimorbidity in Children and Youth across the Life-course study, participated in this COVID-19 substudy. Data were collected at three time-points: pre-pandemic (Dec 19–Mar 20) and two intrapandemic periods (Dec 20–Mar 21 and Jun 22–Oct 22) in Ontario, Canada. Parents reported on symptoms psychological distress they and their children experienced, using the Kessler-6. Linear mixed-effects modelling was used to estimate trajectories of psychological distress over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Parents of children with CPI experienced increased psychological distress from pre-pandemic to intrapandemic 2021, which declined slightly by intrapandemic 2022 (B_linear = 4.64, <i>p</i> &lt; 0.001; B_quadratic = −1.79, <i>p</i> &lt; 0.001), and this rate of change over time was influenced by parent stress. Psychological distress was lower among parents of older children. Children experienced increasing psychological distress from pre-pandemic to intrapandemic 2022 (B_linear = 1.20, <i>p</i> &lt; 0.001). Elevated child psychological distress was associated with the presence of mental illness, older age, greater disability, younger parent age, and higher household income.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Children with CPI and their parents experienced elevated psychological distress during COVID-19. Understanding the course of psychological distress for vulnerable children and their families is crucial to informing healthcare strategies that foster mental well-being and preparedness for future global crises.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085013","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":"Complex Care Needs a Team Approach: How Implementation of a Nurse Key-Worker Can Improve Care for Children With Medical Complexity and Their Families","authors":"Tessa Diaczun,&nbsp;Mimi T. Y. Kuan,&nbsp;Tamara Crozier,&nbsp;Amie Nowak,&nbsp;Cynthia Vallance,&nbsp;Esther Lee","doi":"10.1111/cch.70093","DOIUrl":"https://doi.org/10.1111/cch.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with medical complexity (CMC) have complex, chronic conditions and require specialized care and extensive support across multiple sectors. Children's Healthcare Canada guidelines highlight the importance of care coordination for this population. The BC Children's Hospital Complex Care programme introduced a Nurse Key Worker (NKW) to perform care coordination in conjunction with the expertise of physicians and nurse practitioner (NP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To assess the feasibility of the NKW role in coordinating care for families of CMC. To evaluate the activities performed to meet care coordination needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty-one caregivers of CMC (0–19 years old) were invited to work with the NKW. Electronic health records were utilized to determine the number of patient appointments before and after NKW implementation. Caregivers completed the Family Experience with Care Coordination Measure and Patient-Reported Outcomes Measurement Information System Self-Efficacy tools at baseline and 9 months post-implementation. The physician, NP and NKW completed the Care Coordination Measurement Tool for a duration of 2 weeks to assess and quantify care coordination needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was an average of 45% increase in the number of patient appointments after NKW implementation. Caregivers of CMC recognized their NKW as a reliable, skilled, single point of contact. More caregivers reported feeling “very confident” in their ability to care for their CMC. The NKW addressed 168 care coordination needs and performed 576 activities, whereas the NP and physician addressed 115 care coordination needs and performed 282 activities. The care coordination activities prevented unnecessary emergency and clinic visits and reduced family stress and burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The NKW effectively addressed the care coordination needs of CMC and their families without requiring additional physician or NP resources. The NKW, NP and physician performed different activities to meet care coordination needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950152","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":"Experiences of Parents of Children With Cerebral Palsy Participating in an Online Parenting Course Grounded in Acceptance and Commitment Therapy","authors":"Koa Whittingham,&nbsp;Tara Crandon,&nbsp;Catherine Mak,&nbsp;Jeanie Sheffield,&nbsp;Ashleigh Wright,&nbsp;Grace Kirby,&nbsp;Roslyn N. Boyd","doi":"10.1111/cch.70075","DOIUrl":"https://doi.org/10.1111/cch.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To understand the experiences of parents of children with cerebral palsy (CP) participating in an online parenting course grounded in acceptance and commitment therapy (PACT) from an implementation perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Fifty-five parents from 50 families of children with CP (GMFCS I = 21, II = 15, III = 8, IV = 8, V = 3) participated in this mixed methods study. Families were drawn from 67 families participating in an RCT of PACT. Parents participated in a qualitative interview and gave additional feedback on 10-point Likert scales and open-ended questions via the course platform. The implementation analysis consisted of a thematic analysis as well as descriptive statistics, <i>t</i>-tests and ANOVAs to examine the impact of child age and motor functioning as potential barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Parents reported that they liked both the ACT content and the online format, and the modules were rated highly in the course feedback (7–9 on 10-point Likert scales). Parents reported positive changes for both them and their child. Parents of younger (2–5 years) children rated the videos from Module One Living a Meaningful Life more highly than parents of older (6–10 years) children. There were no other effects of child age or motor functioning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Overall, parental response to PACT was positive, and child age and motor functioning level were not barriers. The online format of the programme and ACT content were well suited to the needs of this population. In particular, the ACT components of values and mindfulness were found to be particularly relevant. Implementation should focus on understanding that ACT can be psychologically challenging, ensuring that parents who need individualised support for intervention adaptation receive it, providing good support to address technological difficulties and building effective reminders into the intervention protocol.</p>\u0000 \u0000 <p><b>Trial Registration:</b> Australian New Zealand Clinical Trials Registry: ACTRN12616000351415</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939142","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":"Associations Between Sedentary Behaviour and Fine and Gross Motor Skills in 3- to 4-Year-Olds: A Secondary Data Analysis From Sunrise International Study Pilot Studies","authors":"Nana A. Kwofie,&nbsp;Adang Suherman,&nbsp;Alex A. Florindo,&nbsp;Amanda Staiano,&nbsp;Amy S. HA,&nbsp;Anthony D. Okely,&nbsp;Asmaa El Hamdouchi,&nbsp;Bang Nguyen Pham,&nbsp;Catherine E. Draper,&nbsp;Chiaki Tanaka,&nbsp;Denise Koh,&nbsp;Dong Hoon Kim,&nbsp;E. Kipling Webster,&nbsp;Hongyan Guan,&nbsp;Hong Kim Tang,&nbsp;John J. Reilly,&nbsp;Kar Hau Chong,&nbsp;Marie Löf,&nbsp;Mark S. Tremblay,&nbsp;Mohammad Sorowar Hossain,&nbsp;Nyaradzai Munambah,&nbsp;Penny L. Cross,&nbsp;Pujitha Wickramasinghe,&nbsp;Thanh Van Kim,&nbsp;Xanne Janssen","doi":"10.1111/cch.70092","DOIUrl":"https://doi.org/10.1111/cch.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The evidence on associations between sedentary behaviour (SB) and motor skills in 3- to 4-year-olds is unclear and mostly from high-income countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study is to examine associations between (1) screen time (h/day) and total daily SB (h/day), and gross and fine motor skills, and (2) meeting the restraint, screen time and overall SB (restraint and screen time) guidelines and fine and gross motor skills.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional study of 1394 3- to 4-year-olds from the pilot phase of the SUNRISE International study. Time spent in SB was measured using the <i>activ</i>PAL accelerometer, whereas screen time and restraint were measured using a parent questionnaire. Fine and gross motor skills were measured using parent-reported Ages and Stages Questionnaire (ASQ-3). Associations between SB and motor skills were determined using linear and logistic regression, adjusting for sex and socioeconomic status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Every additional 1 h of screen time was associated with 0.50-point reduction in gross motor skills scores (<i>p</i> = 0.008). More screen time was associated with decreased odds of being on track for fine and gross motor skill development (<i>p</i> &lt; 0.001 and <i>p</i> = 0.017, respectively). Meeting the screen time (<i>p</i> = 0.009) and overall SB guidelines (<i>p</i> = 0.006) were favourably associated with fine motor skills scores. Meeting the screen time, restraint and overall SB guidelines were favourably associated with gross motor skills scores (<i>p</i> = 0.007, <i>p</i> &lt; 0.001 and <i>p</i> &lt; 0.001, respectively), higher odds of being on track for fine (<i>p</i> = 0.033, <i>p</i> = 0.015 and <i>p</i> &lt; 0.001, respectively) and gross motor skills (<i>p</i> = 0.006, <i>p</i> &lt; 0.001 and <i>p</i> &lt; 0.001, respectively) development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The present study adds to the evidence on the importance of sedentary behaviour for the motor development of 3- to 4-year-olds. It is important that policy makers and health educators develop strategies that will encourage and promote adherence to sedentary behaviour guidelines among 3- and 4-year-olds.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939120","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":"Accessibility of Childcare Services for Children With Disabilities Aged 0 to 5 Years: A Scoping Review of Promising Solutions","authors":"François Routhier,&nbsp;Josiane Lettre,&nbsp;Maude Lemieux,&nbsp;Fidélia Longchamps,&nbsp;Gbetogo Maxime Kiki,&nbsp;Martine Gagnon,&nbsp;Chantal Desmarais,&nbsp;Marie Grandisson,&nbsp;Ernesto Morales,&nbsp;Marie-Eve Lamontagne,&nbsp;Francine Julien-Gauthier,&nbsp;W. Ben Mortenson,&nbsp;Debra Field,&nbsp;Jill G. Zwicker,&nbsp;Felicia Kangkoyiri,&nbsp;Wenonah Campbell,&nbsp;Michelle Phoenix,&nbsp;Marie-Claude Belleau,&nbsp;Francine Tellier,&nbsp;Stéfanie Lamothe,&nbsp;Jason Gordon,&nbsp;Keely Edgington,&nbsp;Gabrielle Gagnon,&nbsp;Michelle Goulet,&nbsp;Anne-Marie Guillot,&nbsp;Bobbi Taylor,&nbsp;Michelle Wan","doi":"10.1111/cch.70087","DOIUrl":"https://doi.org/10.1111/cch.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Article 23 of the United Nations Convention on the Rights of the Child states that children with disabilities must have access to education. This includes ensuring access to high-quality, affordable and inclusive childcare services that are specifically tailored to meet the unique needs of young children with disabilities. However, little is known about the factors that enhance the accessibility of childcare services for these children. Therefore, the aim of this study is to identify solutions that promote this accessibility as well as the outcome variables collected among children following the implementation of these promising solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To map available knowledge, a scoping review was conducted. A search strategy developed in collaboration with a research librarian was applied in seven databases: Medline, CINAHL, ERIC, Web of Science, PSYCInfo, Academic Search Premier and Education Source. Two reviewers independently screened the studies identified through the database search. Data were extracted by a single member of the research team and validated by another one. Promising solutions and documented outcome variables in the selected studies were categorised according to the International Classification of Functioning, Disability and Health for Children and Youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixty-five studies were retained. The solutions most often documented in the scientific literature to improve the accessibility of childcare services for young children with disabilities involve various forms of support and relationships, mainly addressing the social and communication skills of children with autism. These promising solutions are generally child-centred. The literature makes little reference to changes in the physical environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study not only provides a list of solutions that have demonstrated substantial benefits for children with disabilities attending a childcare service but also highlights the need for documentation or development of new solutions. The findings will provide essential evidence that can inform the development of standards for high-quality and inclusive childcare services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930489","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":"Family Experiences of Integrated Care for Children With Medical Complexity: A Scoping Review","authors":"Yvonne Zurynski,&nbsp;Karen Hutchinson,&nbsp;Yilin Kang,&nbsp;Maryam Vizheh,&nbsp;Anneliese de Groot","doi":"10.1111/cch.70091","DOIUrl":"https://doi.org/10.1111/cch.70091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with medical complexity (CMC) frequently access multiple healthcare services across often fragmented systems. Paediatric integrated care models (PICMs) support health care coordination, but little is known about experiences and perceived benefits and barriers among CMC, parents or carers while accessing PICMs. This review addresses these knowledge gaps by synthesising current published evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping literature review based on searches of four databases: Medline, Embase, Scopus and CINAHL (2015–2024). Articles reporting on experiences of accessing PICMs by CMC aged &lt; 19 years, their parents or carers were included. Data were extracted and thematically synthesised to describe experiences and perceived benefits and barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The seven included papers reported on the experiences of parents (mostly mothers, 89%); only one paper included the views of CMC and siblings. All seven papers described the benefits of PICMs, including greater attention to individualised needs, smoother system navigation facilitated by care coordinators and improved communication and information sharing among care teams. Four papers reported barriers including limited understanding among parents and carers of care coordinator roles and processes and pathways of PICMs. Systemic barriers limited medical records sharing across providers and settings, and in two studies, parents raised this as a risk for care quality and safety for their CMC. Other systemic barriers identified by parents included a lack of stable funding for new models of care and difficulties linking PICMs with primary care, social care and education sectors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The evidence on experiences, benefits and barriers of PICMs among CMC, families and carers is scarce, and the voices of CMC are largely absent. The greater involvement of CMC, their parents and carers in the design and ongoing evaluation of PICMs should be a priority to improve family-centred integrated care for CMC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914053","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}