Child Care Health and Development最新文献

{"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}

{"title":"Which Factors Influence School Backpack Use Behaviours in Elementary School Students for Prevention Musculoskeletal Disorders?","authors":"Maryam Afshari,&nbsp;Forouzan Rezapur-Shahkolai,&nbsp;Lili Tapak,&nbsp;Elham Najafi","doi":"10.1111/cch.70077","DOIUrl":"https://doi.org/10.1111/cch.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Backpacks are the most popular means of carrying books and supplies for students. However, excessive weight of school bags can lead to musculoskeletal disorders (MSDs) in students. Parents play an important role in providing standard bags and supervising how students carry their school bags. The Health Belief Model (HBM) is one of the important models for examining the factors associated with these disorders. This study aimed to determine the factors associated with backpack use behaviours in elementary school students and the relationship between these factors and musculoskeletal disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The present study was a cross-sectional study conducted in elementary schools of Hamadan city (west of Iran) from September to December 2023. The study population consisted of 500 pairs of elementary school students (grades 1 to 6) and their parents. Participants in the study were selected through multi-stage sampling. Data collection tools included a researcher-made questionnaire for parents and students based on HBM, the standard Cornell questionnaire, and an observation checklist, which were completed through interviews and observations. Data analysis was performed using SPSS and AMOS v.24 statistical software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that only 6.5% of students had musculoskeletal disorders, with 13% of students experiencing pain and discomfort in the neck area 1–2 times in the past week. There was a statistically significant relationship between body mass index, school area and perceived susceptibility with the prevalence of musculoskeletal disorders in students (<i>p</i> &lt; 0.05). There was a statistically significant difference between self-reported and observed behaviours in students (<i>p</i> = 0.001). Self-efficacy (<i>β</i> = 0.920, <i>p</i> = 0.008) and perceived benefits (<i>β</i> = 0.740, <i>p =</i> 0.001) had a significant and positive impact on the behaviours of using a school backpack, but the perceived severity (<i>β</i> = −0.150, <i>p</i> = 0.040) and cues to action (<i>β</i> = −0.390, <i>p</i> = 0.001) had negative significant relation with the behaviours of using a school backpack.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study reveals that multiple factors influence the use of school backpacks and related behaviours among students. The findings underscore the need for teaching correct backpack usage to students and parents and suggest that educational strategies in schools should be improved to prevent musculoskeletal disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914435","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":"Parenting in the Neonatal Intensive Care Unit: A Qualitative Study","authors":"Gizem Kerimoglu Yildiz,&nbsp;Selda Ates Besirik","doi":"10.1111/cch.70089","DOIUrl":"https://doi.org/10.1111/cch.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This qualitative study is aimed at describing parental feelings, their readiness during discharge, and their needs while their infant is in the neonatal intensive care unit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted with the parents of infants being monitored in a neonatal intensive care unit. A total of 30 in-depth interviews were conducted with 15 parents. This qualitative study was carried out using the Gadamerian-based research method. After parents were informed about the study, written and verbal consent was obtained from them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The content analysis of the interview data resulted in six themes: ‘sense of trust and cocoon effect, anxiety and conflicting emotions, parent–infant bonding and breastfeeding, fear of providing care, readiness/unreadiness and support needs and recommendations’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Parents often feel anxious and fearful about harming their vulnerable infants, with added stress surrounding their ability to provide care and the discharge process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883943","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":"A Cross-Sectional Examination of Movement Behaviours and Guideline Adherence Rates Among Preschool-Aged Children With Disabilities","authors":"Maeghan E. James,&nbsp;Kathleen A. Martin Ginis,&nbsp;Rebecca L. Bassett-Gunter,&nbsp;Krista L. Best,&nbsp;Kelly P. Arbour-Nicitopoulos","doi":"10.1111/cch.70088","DOIUrl":"https://doi.org/10.1111/cch.70088","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Meeting the 24-h movement behaviour guidelines (hereafter ‘guidelines’) supports healthy growth and development. It is recommended that preschool-aged children engage daily in 180 min of physical activity (PA), 60 min of which are moderate-to-vigorous PA (MVPA), along with less than 1 h of screen time and 10–13 h of sleep for optimal health. However, research on movement behaviours among children with disabilities in the early years is limited. This study aimed to describe movement behaviours and guideline adherence rates among preschool-aged children with disabilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional subanalysis was conducted of caregivers of young children (aged 4 years) with a disability (<i>N</i> = 31; 65% boys, 55% with a developmental disability) who were part of a Canadian study on movement behaviours in children and youth with disabilities. Caregiver-reported PA, screen time and sleep behaviours were collected using an online survey. Descriptive statistics were used to describe children's movement behaviours and proportion meeting the guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>On average, children engaged in 108 min (SD = 89.9) of total PA and 40 min (SD = 47.0) of MVPA per day. Children engaged in an average of 3.5 h (SD = 2.4) of screen time per day and slept an average of 10.6 h (SD = 1.0) per night. Overall, 23.1%, 6.9% and 79.3% of children met the guidelines for PA, screen time and sleep, respectively. One child (4.3%) met all three guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Few children with disabilities met the preschool-aged PA and screen time guidelines, though most met the sleep guideline. These findings highlight the need to further examine adherence of movement behaviour guidelines among a more representative sample of young children with disabilities and factors influencing adherence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70088","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883945","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":"Towards Context-Specific EHDI Services: Understanding Caregivers' Priorities and Preferences in South Africa Through a Conjoint Analysis","authors":"Katijah Khoza-Shangase,&nbsp;Ntsako P. Maluleke","doi":"10.1111/cch.70090","DOIUrl":"https://doi.org/10.1111/cch.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early Hearing Detection and Intervention (EHDI) programmes are critical for addressing hearing impairment in children by ensuring timely diagnosis and intervention. However, systemic barriers such as linguistic diversity, financial constraints and geographic accessibility challenges hinder equitable access to EHDI services in South Africa. This study explores caregivers' preferences for key attributes of EHDI services to inform the development of context-specific and family-centred programmes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey utilizing conjoint analysis was conducted with 31 caregivers of children with hearing impairment enrolled in early intervention preschools in Gauteng, South Africa. Participants evaluated five key attributes of EHDI services: language of service provision, location of diagnostic evaluations, mode of early intervention delivery, integration of support services and cost reduction strategies. Data were analysed using the conditional logit model to determine attribute preferences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Caregivers preferred services provided in their home language, diagnostic evaluations conducted at the nearest healthcare facility, home-based early intervention sessions, regular integration of support services and reductions in the cost of EHDI services. Reluctance to adopt telehealth was also noted, highlighting concerns about technological literacy, internet access and trust in virtual care delivery. These preferences emphasize the need for accessible, linguistically congruent and affordable EHDI services tailored to the South African context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides valuable insights into caregivers' preferences for EHDI services, offering actionable recommendations to address systemic barriers such as designing EHDI services that address systemic barriers to ensure equity in healthcare access. Policymakers and stakeholders should prioritize linguistically diverse service delivery, improve healthcare facility accessibility, incorporate continuous informational counselling and reduce financial burdens to ensure equitable and family-centred EHDI programmes. Future research should explore preferences among a more geographically and socio-economically diverse population to further refine these recommendations. While grounded in South Africa, the results provide insights applicable to other low- and middle-income countries (LMICs) with similar challenges.</p>\u0000 </section>\u0000 ","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883948","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":"Posture and Physical Activity Levels of Parents of Children With Esophageal Atresia: A Comparative Study","authors":"Yağmur Elmalı İpek,&nbsp;Tutku Soyer,&nbsp;Numan Demir,&nbsp;Selen Serel Arslan","doi":"10.1111/cch.70086","DOIUrl":"https://doi.org/10.1111/cch.70086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The aim of this study was to evaluate posture and physical activity of parents of children with Esophageal atresia (EA) and compare them with parents of healthy children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 20 children with EA aged 2–6 years and their parents as study group, and 20 healthy children aged 2–6 years and their parents as control group. The New York Posture Rating Test was used to assess posture, and the International Physical Activity Questionnaire-Short Form was used to assess physical activity of parents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children in groups were similar in terms of age, gender and weight (<i>p</i> &gt; 0.05). Parents in groups were similar in terms of age, height, weight, educational level and economic status (<i>p</i> &gt; 0.05). Parents in the study group had higher postural impairment (<i>p</i> = 0.01). There was no significant difference between parents in term of physical activity score (<i>p</i> = 0.07). Although not significantly different, 70% (<i>n</i> = 14) of study group were found to be inactive compared to 35% (<i>n</i> = 7) of control group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In conclusion, the posture of parents of children with EA was more affected than parents of healthy children, and both groups were similar in terms of physical activity, but parents of children with EA had more inactive lifestyle.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861922","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":"Beyond the Label: Antipsychotic Prescribing Practices at a Paediatric Neurodisability Service in Australia","authors":"Ella May Huber,&nbsp;Monica Sophie Cooper","doi":"10.1111/cch.70085","DOIUrl":"https://doi.org/10.1111/cch.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The use of antipsychotic medications in children has been increasing in Australia and abroad. Children with complex physical and neurodevelopmental disability remain understudied in the prescribing literature, and we do not have a nuanced understanding of why and to whom antipsychotic medications are prescribed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective review of records to characterise antipsychotic prescription patterns for children with neurodisability at the Royal Children's Hospital, Melbourne, Australia. We used the Electronic Medical Record to identify children under 19 years, newly prescribed an antipsychotic medication by Department of Neurodevelopment and Disability clinicians between 24/09/2018 and 26/09/2022. We identified 167 encounters for 147 patients, representing 4% (147/3673) of the patients seen in that period. Main outcome measures were the frequency of antipsychotic medication prescription by drug, age category and sex; indication frequency; proportion of off-label use; and frequency and level of psychotropic polypharmacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In our cohort, 71% of children had intellectual disability (104/147), 42% autism spectrum disorder (61/147) and 42% cerebral palsy (61/147). Risperidone was the most prescribed antipsychotic medication, in 64% (107/167), followed by olanzapine in 18% (32/167). Off-label prescription was 62% (66/107) for risperidone, 97% (31/32) for olanzapine. The indication for antipsychotic medication was challenging behaviour in 74% (123/167), including aggression in 31% (52/167), agitation in 20% (33/167) and self-injury in 17% (28/167). Nonbehavioural indications included anxiety symptoms in 19% (32/167) and sleep disorders in 14% (24/167). Psychotropic polypharmacy (two or more concurrent psychotropic medications) was present in 78% (130/167), with sedatives (69%, 115/167) and antidepressants (31%, 52/167) most common.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A small proportion of children with neurodisability were prescribed antipsychotic medications, most frequently risperidone for challenging behaviours. Off-label prescription and psychotropic polypharmacy were common. Prescription occurred in a variety of clinical scenarios that sit outside the current field of evidence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853065","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":"Clustering of 24-H Movement Behaviours and Its Associations With Eating Behaviours and Adiposity Among Mongolian Preschool Children: A Cross-Sectional Study","authors":"Ankhmaa Byambaa,&nbsp;Rachel A. Jones,&nbsp;Kar Hau Chong,&nbsp;Oyundelger Dechinjamts,&nbsp;Bayasgalan Jambaldorj,&nbsp;Anthony D. Okely","doi":"10.1111/cch.70084","DOIUrl":"https://doi.org/10.1111/cch.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Obesity-related behaviours such as physical activity, sedentary behaviour, sleep, screen time and diet often cluster in children. There is limited evidence on the clustering of movement behaviours among young children from low- and middle-income countries. This paper reports how 24-h movement behaviours cluster in Mongolian preschool children and their associations with eating behaviours and adiposity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional study involved 201 children aged 3–4 years attending kindergartens in urban and rural areas of Ulaanbaatar city, Tuv and Uvurkhangai provinces, Mongolia. Children wore accelerometers to measure physical activity, sedentary behaviour and sleep. Parents completed a questionnaire to report screen time and eating behaviours. To derive clusters, hierarchical and k-means cluster analyses were performed sequentially. Associations between clusters, eating behaviours and BMI z-score were analysed using ANOVA. Logistic regression was applied to estimate the odds of being overweight depending on cluster membership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three clusters were identified: <i>All-rounders</i>, <i>Non-active Sleepers</i> and <i>Screeners</i>. We found that around half the children exhibited at least one unhealthy behaviour and were classified into clusters with a mix of healthy and unhealthy behaviours. The clusters did not differ by sociodemographic characteristics. No significant association was found between cluster membership and BMI z-score of children. The cluster at highest risk for being overweight was <i>Screeners</i> (odds ratio = 1.7, 95% CI: 0.67–4.33), who exhibited two obesogenic behaviours simultaneously, screen time for &gt; 4 h per day and regular consumption of unhealthy snacks (53%, <i>p</i> = 0.033) and sugary drinks (53%, <i>p</i> = 0.014).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Obesity prevention measures should begin in early childhood and target high-risk clusters, considering the co-occurrence of healthy and unhealthy behaviours. More research is needed in Mongolia to provide evidence for obesity prevention policies and inform targeted interventions to promote healthy behaviours from a young age.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840783","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}