{"title":"Services Delivered by Specialized Professionals in Childcare Settings in Québec, Canada: Strengths and Limitations of Current Service Delivery Models","authors":"Gabrielle Pratte, Mélanie Couture, Chantal Camden, Julie Poissant, Audrée Jeanne Beaudoin","doi":"10.1111/cch.70110","DOIUrl":"https://doi.org/10.1111/cch.70110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Specialized professionals, including healthcare professionals and early childhood special educators (ECSEs), wish to offer more in-context interventions in childcare settings. Limited information is available about how these services are and should be organized. The aim of this study was to describe the different service delivery models currently used in a context of publicly funded healthcare and childcare systems (Québec, Canada) and to identify the strengths and limitations of these models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An interpretative descriptive research approach was used. Qualitative data from an online survey (<i>n</i> = 344) and semi-structured interviews (<i>n</i> = 18) were used. Questions focused on the description of services (e.g., type of specialized professionals involved, children served, funding) and strengths and limitations of those services. Data were coded using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data were classified into 10 service delivery models and are presented using a four-quadrant paradigm based on the source of funding (either internal [childcare-led] or external to childcare) and the focus of service (either child-centred or childcare-centred). Services funded by childcare providers (Quadrants 1 and 3) offered flexibility in addressing priority needs identified by childcare providers and facilitated collaboration with early childhood educators. Childcare-centred models (Quadrants 3 and 4) addressed the needs of children not receiving individual healthcare services. Healthcare-funded services (Quadrants 2 and 4) provided free services for childcare providers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Each service delivery model had its own strengths and limitations. To enhance support for childcare providers and the children they serve, stakeholders should consider using a variety of service delivery models covering all four quadrants. Three key actions should be considered to improve current services: (1) incorporate more childcare-centred services to reduce the number of underserved children; (2) offer more childcare-led services to align with priority needs identified by childcare providers; and (3) improve intersectoral collaboration by developing cross-institutional policies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Messages</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Birgitta Kerstis, Peter Jönsson, Mariette Derwig, Kent W. Nilsson, Inger Kristensson Hallström, Sara Lindeberg
{"title":"Validating the Depression Anxiety Stress Scales-21 in Community Mothers and Fathers Across the Infant's First Year","authors":"Birgitta Kerstis, Peter Jönsson, Mariette Derwig, Kent W. Nilsson, Inger Kristensson Hallström, Sara Lindeberg","doi":"10.1111/cch.70099","DOIUrl":"https://doi.org/10.1111/cch.70099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To investigate the effects of different types of parental health status on child development and health, valid parental distress measurement instruments are needed. The aim was to assess the psychometric measurement properties of the 21-item Depression Anxiety Stress Scales (DASS-21) used during the postnatal year in community samples of Swedish mothers and fathers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected at postnatal months 1, 6 and 12 from 66 mothers (mean age 31 years) and 58 fathers (mean age 32 years). Psychometric measurement properties were assessed with interitem analysis and intra-individual measurements cross-correlations. As part of assessing construct validity, the hypotheses that the levels of the different types of postnatal distress as measured by the DASS-21 would be higher in mothers than in fathers were tested.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The DASS-21 internal consistencies were good for both parent groups. The DASS-21 depression scale correlated strongly with the Edinburgh Postnatal Depression Scale (EPDS) in mothers and moderately strongly in fathers at each timepoint. Correlations between the DASS-21 anxiety scale and the EPDS ‘anxiety component’ were mostly in the low-to-moderate range. The DASS-21 stress scale significantly distinguished parental distress levels in the expected direction, as did the total DASS-21 scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Similar DASS-21 psychometric properties to those demonstrated for non-perinatal adult populations were indicated. The results suggest the usefulness of the DASS-21 during the early, middle and late postnatal periods for measuring types of as well as general maternal and paternal distress. Further analysis in larger perinatal parental samples for more conclusive results is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Featured Cover","authors":"","doi":"10.1111/cch.70111","DOIUrl":"https://doi.org/10.1111/cch.70111","url":null,"abstract":"<p>The cover image is based on the article “Investigating developmental status of children aged 0–5 years and its association with child gender, family background and geographic locations\u0000in Australian community-based early learning centre” by Yvonne K Parry et al., https://doi.org/10.1111/cch.70097\u0000 \u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yating Cheng, Yuxuan Zhu, Ying Wang, Xianhong Huang, Tao Sun, Feng Wang
{"title":"Parental Migration and the Suspected Developmental Delay of Left-Behind Children in Rural China","authors":"Yating Cheng, Yuxuan Zhu, Ying Wang, Xianhong Huang, Tao Sun, Feng Wang","doi":"10.1111/cch.70108","DOIUrl":"https://doi.org/10.1111/cch.70108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There are estimated 41.77 million left-behind children (LBC) in rural China, among whom 14.26 million are under the age of 5 years. However, limited research exits on how different parental migration status affects the early development of rural LBC. The purpose of this study is to examine early child development of previous-left-behind children (PLBC), children with single parent migrating (SLBC), children with both parents migrating (BLBC) as compared to never-left-behind children (NLBC). This study also attempts to explore the factors affecting the early development levels of four types of rural children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A questionnaire survey was conducted among 1614 child caregivers in Nanling County, Anhui Province. Ages & Stages Questionnaires–Chinese version (ASQ-C) was conducted to measure suspected developmental delay (SDD) of rural children. The parenting knowledge, depressive symptoms and parenting behaviours of caregivers were measured using the Knowledge of Infant Development Inventory-P (KIDI-P), Beck Depression Inventory-II (BDI-II) and Family Care Indicators (FCI). After controlling for the sociodemographic characteristics of children and primary caregivers, binary logistic regression was employed to assess the association between various categories of rural children and early developmental delays.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed significant differences in total SDD among the four types of rural children (<i>p</i> < 0.01), and the risk of total SDD in BLBC was 1.78 times that of NLBC [OR = 1.78, 95% CI (1.23–2.60), <i>p</i> < 0.01]. The study showed that caregivers' parenting knowledge [0.54, (0.31–0.93), <i>p</i> < 0.05], parenting behaviour [0.86, (0.80–0.92), <i>p</i> < 0.001] and caregiver depressive symptoms [1.51, (1.14–1.99), <i>p</i> < 0.01] were strongly associated with total SDD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In this study, BLBC exhibit the most pronounced early developmental delay. Additionally, PLBC who have experienced being left behind also face disadvantages. The findings provide valuable insights into LBC across various parental migration contexts and contribute to a better understanding of the risk factors of early childhood development. Correspondingly, the study emphasizes that family, society and government should formulate corresponding intervention measures to reduce the risk of early development for rural children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206917","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":"Impact of Head Start on Developmental Outcomes for Children of Teenage Mothers","authors":"Kyunghee Lee","doi":"10.1111/cch.70103","DOIUrl":"https://doi.org/10.1111/cch.70103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study examined the impact of Head Start on children's outcomes by comparing data from children born to teenage mothers and those born to non-teenage mothers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Among the 3592 children in the Head Start Impact Study, 654 were identified as being born to teenage mothers (age 19 or younger). The specific research questions were as follows: (1) Do child and family baseline characteristics differ between children born to teenage mothers and those born to non-teenage mothers within low-income families? (2) Do child outcomes differ between children of teenage mothers and those of non-teenage mothers? (3) Does Head Start participation promote child outcomes, and does this impact differ between children born to teenage mothers and those born to non-teenage mothers?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children born to teenage mothers were more likely to live in English-speaking households, experience more household risk factors and come from lower income families. They were also less likely to receive preventive dental check-ups compared to children of non-teenage mothers. Furthermore, children of teenage mothers were less likely to identify as Hispanic and more likely to identify as Black. Head Start had a greater impact on the cognitive (higher spelling test scores), social (more positive approach to learning) and health (more dental check-up) outcomes of children born to teenage mothers. The difference in outcomes between Head Start and non–Head Start children was less pronounced for children of non-teenage mothers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To increase Head Start enrolment among teenage mothers, it is recommended that teenage households be considered as a distinct admission criterion for Head Start enrolment. Furthermore, raising awareness among African American teenage mothers about their eligibility for early intervention programs is essential. Additionally, bilingual programs should be made available and promoted to target Hispanic teenage mothers, ensuring that programs like Head Start are inclusive and accessible to diverse communities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190979","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}
Tomomi Nakaike, Dung Anh Nguyen, Abdelrahman M. Makram, Randa Elsheikh, Mohamed Hassani, Abdelrahman Reda, My Duc Thao Trieu, Nguyen Tien Huy, Kenji Hirayama
{"title":"The Impact of the COVID-19 on Physical Violence, Sexual Violence and Neglect Against Children: A Systematic Review and Meta-Analysis","authors":"Tomomi Nakaike, Dung Anh Nguyen, Abdelrahman M. Makram, Randa Elsheikh, Mohamed Hassani, Abdelrahman Reda, My Duc Thao Trieu, Nguyen Tien Huy, Kenji Hirayama","doi":"10.1111/cch.70105","DOIUrl":"https://doi.org/10.1111/cch.70105","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>COVID-19 caused the interruption of child protection services and economic/psychological burdens on parents. Therefore, in this systematic review and meta-analysis (SR/MA), we aimed to identify the impact of the worldwide COVID-19 pandemic on physical and sexual violence and neglect against children by investigating the change in the prevalence of these events before and during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The protocol of this study was registered in PROSPERO with the registration number CRD42022377660. We included any studies eligible for meta-analysis comparing physical and sexual violence and neglect against children before and during the COVID-19 pandemic. Eleven electronic databases were systematically searched in March 2022. The meta-analysis was conducted using STATA, pooled odds ratios were calculated and subgroups by countries and sex of children (when possible) were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 11 publications were included in the meta-analysis. Overall, we found no significant evidence to support that the COVID-19 pandemic impacted the prevalence or proportion of the three types of violence against children, even after segregating the data to the country or sex levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Overall, our analysis revealed no significant change in physical and sexual violence, as well as neglect against children before and during the COVID-19 pandemic, with the majority of data sources being hospital records and child protection services. More self-reported studies should be performed, especially in low- and middle-income countries, for a better understanding of child abuse and neglect around the world.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171885","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}
Lesley Andrew, Elizabeth Wenden, Mohamed Estai, Ruth Wallace
{"title":"Navigating Child Oral Health in Western Australia: A Caregiver's Perspective","authors":"Lesley Andrew, Elizabeth Wenden, Mohamed Estai, Ruth Wallace","doi":"10.1111/cch.70095","DOIUrl":"https://doi.org/10.1111/cch.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early childhood caries (ECC) is the most common chronic health condition among Australian preschool-aged children. Untreated, ECC can affect children's physical and emotional health and future social opportunities. ECC is largely preventable through primary caregivers' correct understanding of oral health promoting diets, oral hygiene practices and dental service engagement. The study aim is to explore Western Australian (WA) primary caregivers' child oral health knowledge, experience and practices. The Fisher-Owens socioecological model of child oral health was applied across the study to structure and interpret the findings across the complex, interactive sociocultural influences on child oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The mixed-methods convergent research design included a questionnaire and focus group sessions with a purposive sample of primary caregivers of children aged under 5 years across two geographical WA locations (metropolitan and regional areas). Questions sought to understand participant knowledge, practices and experiences across categories of tooth safe diet and feeding practices, oral hygiene and oral health services. Questionnaire data underwent simple descriptive statistical analysis. Focus group data were organised using Nvivo v12 software and analysed using the codebook approach to thematic analysis, in which the coding process is guided by Braun and Clarke's predetermined coding frame. The study explored the social determinants of participants' geographical location, English language status and educational attainment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Participants (<i>n</i> = 42) completed the questionnaires and attended one of 10 focus groups. Findings reveal that despite the availability of evidence-based oral health guidelines for health professionals, participants reported they received inconsistent messages on the topic. Widespread confusion is evident from all social backgrounds about child oral health and hygiene, in particular, fluoride use, brushing regimes and dietary sugars. Dental service engagement is suboptimal, influenced by lack of availability, cost and perception of a lack of child-friendly dental services. Cost is a particular factor influencing lower dental service engagement among English as an additional language primary caregivers, whereas lack of availability affects those in regional areas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>Individual, community and wider structural recommendations are offered to promote equitable, accessible and consistent child oral health promotion and dental servi","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171999","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":"‘Feeling like you can't do anything because you don't know where to start’—Parents' Perspectives of Barriers and Facilitators to Accessing Early Detection for Children at Risk of Cerebral Palsy","authors":"Sue-Anne Davidson, Ashleigh Thornton, Deborah Hersh, Courtenay Harris, Catherine Elliott, Jane Valentine","doi":"10.1111/cch.70100","DOIUrl":"https://doi.org/10.1111/cch.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early detection of cerebral palsy (CP) risk is possible from 12 weeks corrected gestational age (CGA) using standardised assessments; however, up to half of children at risk are not referred early, missing out on early intervention. We investigated the barriers and facilitators to accessing early intervention from the perspective of parents of children who did not receive services by 6 months CGA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents of children with CP were invited to participate in qualitative semistructured interviews. Reflexive thematic analysis was used to analyse the data and develop themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight mothers of children who did not receive standardised screening participated in interviews, from which three themes, ‘responding to delays’, ‘systemic barriers’ and ‘complexities of diagnosis’, were developed from the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parents require more support to access and engage in early detection services; health system processes are difficult to navigate, and health professionals require education and training to recognise risk factors for CP in all health settings and refer promptly. Improving system processes, education and training and partnering early with parents to improve their experience when interacting with the health system may increase early engagement and optimise long-term outcomes for children at risk of CP and their families.</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.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171432","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}
Gokcen Akyurek, Gonca Bumın, Medine Nur Özata Değerli, Ahmet Metin Özsezen, Cemil Yıldız
{"title":"Validity and Reliability of the Turkish Version of the Shriners Hospital Upper Extremity Evaluation in Children With Hemiplegic Cerebral Palsy","authors":"Gokcen Akyurek, Gonca Bumın, Medine Nur Özata Değerli, Ahmet Metin Özsezen, Cemil Yıldız","doi":"10.1111/cch.70101","DOIUrl":"https://doi.org/10.1111/cch.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Shriners Hospital Upper Extremity Evaluation (SHUEE) is a video-based tool designed to assess spontaneous functional analysis, dynamic positional analysis and grasp and release abilities in children with various diagnoses. The aim of this study is to evaluate the validity and reliability of the Turkish version of SHUEE in children with hemiplegic cerebral palsy (CP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 23 children with hemiplegic CP, aged 6–15 years. The reliability of the scale was assessed using intraclass correlation coefficients (ICCs) for inter-rater reliability and Cronbach's alpha for internal consistency. Hypothesis testing for construct validity was assessed using the Children's Hand-Use Experience Questionnaire (CHEQ) and ABILHAND-Kids, comparing SHUEE scores based on gender and the affected side.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The inter-rater reliability of SHUEE was found to be excellent, with ICC values ranging from 0.927 to 0.981. Cronbach's alpha was 0.759 for the total SHUEE score. Hypothesis testing for construct validity of SHUEE was confirmed through significant correlations with CHEQ and ABILHAND-Kids (<i>p</i> < 0.05). Also, the analyses showed no significant differences in SHUEE scores based on gender or the affected extremity (<i>p</i> > 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Turkish version of SHUEE has been demonstrated to be a valid and reliable assessment tool. This study supports SHUEE's effectiveness as both a clinical and scientific measurement tool.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171431","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":"Development and Psychometric Testing of a Physical Activity Parenting Practices Questionnaire for Chinese Youth","authors":"Youjie Zhang, Ruohong Cao, Yana Ma","doi":"10.1111/cch.70106","DOIUrl":"https://doi.org/10.1111/cch.70106","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Ensuring consistency in both conceptualization and operationalization of physical activity parenting practices is vital for translating insights on parental influences into effective intervention. This study aimed to develop a psychometrically sound measure for comprehensively assessing Chinese parents' parenting practices regarding early adolescents' physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 70 measurement items were developed from translating, adapting and revising the Physical Activity Parenting Practice (PAPP) item bank. Content validity was assessed via consultation with 10 experts and cognitive interviews with six 7th graders. The psychometric properties assessed included structural validity via exploratory factor analysis and confirmatory factor analysis, internal consistency, predictive validity against adolescent-reported physical activity levels and test–retest reliability of construct scores over 2 weeks. The sample comprised 725 adolescents aged 12–15 years, of whom 114 completed the survey twice, 2 weeks apart.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight PAPP constructs from the control, structure and autonomy support domains were identified forming a set of 49 measurement items. The structure within each domain demonstrated good model fit and comparable alignment with the international conceptual framework. The Cronbach's alpha coefficients of each construct ranged from 0.70 to 0.90. Five construct scores had significant positive associations with adolescents' physical activity levels (<i>β</i> ranged from 0.14 to 0.43, <i>p</i> < 0.001). Test–retest construct scores generated moderate to large correlations with coefficients ranging from 0.60 to 0.80.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Psychometric testing supported the reliability and validity of the physical activity parenting practice questionnaire for Chinese youth (CYPAPP). This culturally adapted measure would enable cross-cultural comparisons to better understand parental influences on adolescents' physical activity.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171703","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}