Child Care Health and Development最新文献

{"title":"Self-Care Interventions for Children and Young People With Neurodisabilities: A Mixed Methods Study of Current Therapy Practice in the United Kingdom","authors":"Samantha Armitage,&nbsp;Tim Rapley,&nbsp;Niina Kolehmainen,&nbsp;Lindsay Pennington,&nbsp;Elaine McColl,&nbsp;Catherine Jane Duff,&nbsp;Rob Brookes,&nbsp;Jennifer McAnuff","doi":"10.1111/cch.70061","DOIUrl":"https://doi.org/10.1111/cch.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Self-care is a priority outcome for children and young people with neurodisabilities, their parents and therapists, but there is little evidence about paediatric therapy interventions for children's self-care in the United Kingdom.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Children with neurodisabilities, parents, therapists and teachers participated in this mixed methods study. Data were collected by interviews and observations of routine therapy appointments. Inductive analysis was used to define aspects of self-care and describe how therapists deliver care to support self-care. The Behaviour Change Technique Taxonomy v1 was used to deductively code the data to identify self-care intervention ingredients and related mechanisms of change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixteen aspects of self-care were described; five were commonly targeted in therapy practice: being safe, dressing, eating and drinking, keeping clean and toileting. Three clusters of intervention techniques describe current practice. Cluster 1 comprises instruction on how to perform the behaviour, behavioural rehearsal and practice, graded tasks and demonstration of the behaviour. These techniques target knowledge, skills and beliefs about capabilities as mechanisms of change to improve self-care. Cluster 2 comprises restructuring the social environment, social support and adding objects to the environment. These techniques target the social and physical environment as mechanisms of change. Cluster 3 comprises reducing negative emotions, information about emotional consequences, monitoring of emotional consequences and exposure. Although not commonly used, these techniques target children's and young people's emotions. Children and young people's autonomy as a central concept in self-care is supported in relation to selecting therapy goals and outcomes of therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A clear description of current therapy practice is provided for comparison against new or alternative interventions for self-care. The most common technique involves instructing how to perform specific behaviours, with methods like behavioural rehearsal and graded tasks aiding in acquiring knowledge, skills and beliefs about capabilities. Additionally, interventions focus on modifying the environment through social influences and resources and addressing children's and young people's emotions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632946","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":"Child Well-Being and Family Quality of Life During the COVID-19 Pandemic","authors":"Conné Lategan,&nbsp;Amanda S. Newton,&nbsp;Jennifer Thull-Freedman,&nbsp;Jianling Xie,&nbsp;Kathleen Winston,&nbsp;Bruce Wright,&nbsp;Michael Stubbs,&nbsp;Stephen B. Freedman","doi":"10.1111/cch.70063","DOIUrl":"https://doi.org/10.1111/cch.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Little is known about changes in child well-being and family quality of life (QoL) among children seeking emergency department care because of mental health concerns over the course of the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Prospective cohort study of children &lt; 18 who visited two paediatric EDs in Alberta, Canada, for an acute mental health concern. Early and late pandemic time periods were defined as 15 March 2020–14 March 2021 and 1 July 2021–30 June 2022, respectively. The Stirling Children's Well-being and Warwick–Edinburgh Mental Well-being scales quantified well-being; the Family Quality of Life Scale assessed family QoL. These scales were completed as soon as possible following the ED visit. Linear regression models assessed the association between pandemic period and the change in well-being and family QoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One thousand four hundred four children were enrolled during the study time periods (50.4% early, 49.6% late). Seventy-two percent (1009/1404) of participants were White, 53.8% (744/1404) were female, and the median age was 13 (IQR, 11–15) years. Well-being remained unchanged between time periods, whereas family QoL was lower in the late pandemic time period than in the early period (mean difference: −2.16, 95% CI: −3.79, −0.53; <i>p</i> = 0.01). Among children &lt; 13 years, previous mental health care and requiring inpatient admission were negatively associated with well-being. Having an autism diagnosis and a comprehensive ED mental health evaluation were negatively associated with well-being in older children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Reduced family QoL may signal stressors experienced by caregivers and the lingering consequences of the pandemic. Resources that address well-being and support the family unit are needed to improve the mental health of children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143622453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 24-Hour Activity Checklist for Cerebral Palsy: Translation, Content Validity and Test–Retest Reliability of Portuguese Versions","authors":"Fabio Vila-Nova,&nbsp;Cristina dos Santos Cardoso de Sá,&nbsp;Hércules Ribeiro Leite,&nbsp;Ana Cadete,&nbsp;Teresa Folha,&nbsp;Egmar Longo,&nbsp;Maria Elisabete Martins,&nbsp;Raul Oliveira","doi":"10.1111/cch.70057","DOIUrl":"https://doi.org/10.1111/cch.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The importance of 24-h movement behaviour, including sleep, physical activity (PA) and sedentary behaviour (SB), has gained prominence due to its significant impact on the health and development of children, including those with cerebral palsy (CP). The 24-h activity checklist for CP, a tool developed in the Netherlands to monitor the activity in CP paediatric population, requires translation and cultural adaptation to Portuguese for use in Brazil and Portugal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional methodological study involved translating and culturally adapting the 24-h activity checklist for CP into Brazilian Portuguese (BP) and European Portuguese (EP) languages. The process included forward translation, synthesis and backward translation, expert panel evaluation and pretesting. Brazilian and Portuguese experts appraised content validity, assessed by the individual item (I-CVI) and scale level content validity index scores (S-CVI/Ave). Sixty parents of children with CP participated in the test–retest analysis, reported with the Intraclass Correlation Coefficients (ICCs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>I-CVI scores were higher than 0.78 for both versions. S-CVI/Ave scores were considered excellent for BP (0.91) and EP version (1.0). Expert's appraisal results in the inclusion of a question about sleep-related time indicators and the split of sleep, PA, and screen time questions for weekdays and weekends. Brazilian and Portuguese parents of children with CP reported understanding on instructions, questions, and answer options. The ICC values range from 0.81 to 0.99 and 0.6 to 0.98, for BP and EP, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The BP and EP versions of 24-h activity checklist for CP demonstrated good content validity and test–retest reliability, supporting its use in Brazil and Portugal. This tool can contribute to improving communication between families and healthcare professionals to monitor and develop tailored interventions for healthy movement behaviours in children with CP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554330","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":"Youth Depression After an Environmental Disaster: Is There a Relationship to Caregiver Stress and Depression?","authors":"Jacqueline Dannis,&nbsp;Sarah Jenuwine,&nbsp;Kenyetta Dotson,&nbsp;Nicole Jones","doi":"10.1111/cch.70058","DOIUrl":"https://doi.org/10.1111/cch.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In the United States, female youth have been experiencing high levels of mental health challenges, including depression. Many factors increase the risk of developing mental health issues, including exposure to traumatic events, like the Flint water crisis. To better understand this connection, this study aims to answer the question: How do depression symptoms in this Flint Registry sample of girls compare with national norms and how are child depression symptoms related to parental/caregiver depression symptoms and perceived stress?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The cohort included 539 girls, ages 6–17, and their parents who were Flint residents and had completed a baseline survey for their child and themselves during 2019–2021 and a follow-up survey (2020–2022). The Behavior Assessment System for Children (BASC-3) measured child depression symptoms; the Quality of Life in Neurological Disorders (Neuro-QoL) depression subscale and Perceived Stress Scale Short Form (PSS-4) measured adult depressive symptoms and perceived stress. Statistical analysis included One-Sample Chi-Square and Bayesian correlation and regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At enrolment, the prevalence of at-risk or clinically significant depression symptoms in Flint girls was higher than in the general population (23.6% vs. 15.9%, <i>p</i> &lt; 0.01). At follow-up, the prevalence decreased, yet there was still a significant difference between Flint girls (19.3%) and the general population (<i>p</i> &lt; 0.05). Child measures of depressive symptoms at follow-up were significantly correlated with caregiver measures of depression and stress at both time points. Child depression symptoms at baseline and caregiver depression and stress were predictive of child depressive symptoms at follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results reveal high rates of depressive symptoms after a manmade environmental disaster, as well as a relationship between female youth mental wellness and caregiver well-being. Being able to understand and identify depression symptoms in both children and caregivers is an important aspect of public health services and reinforces the call for expanding mental health screening and treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143533554","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":"Children's Risky Play and Resilience: Perspectives of Emergency Care Practitioners","authors":"Michelle E. E. Bauer,&nbsp;Laura Cunningham,&nbsp;Meghan Gilley,&nbsp;Ian Pike","doi":"10.1111/cch.70056","DOIUrl":"https://doi.org/10.1111/cch.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parents' perspectives on children's risky play can provide researchers with insight into their injury prevention and safety needs and support researchers in understanding how challenging and exciting play may positively shape children's physical, cognitive, and social development. To date, however, the perspectives of parents who witness severe injuries as part of occupational experiences, and who have medical training, are lacking within this scholarship. In this study, we worked with emergency room practitioners to understand their perspectives on children's risky play and resilience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A risk and sociocultural theoretical lens informed our approach and we conducted semi-structured interviews with doctors and nurses (<i>n</i> = 56) across Canada who had children between the ages of 4 and 13.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings from a thematic analysis were threefold: (1) learning to persevere through failure, (2) developing distress tolerance, and (3) supporting child autonomy and independence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings indicate doctors and nurses can perceive children as more emotionally and physically equipped to cope with stressful and potentially injurious situations across their lifespan if they are exposed to challenging and exciting play during childhood. Further, while the practitioners believed it was important to intervene in play which could result in children experiencing severe injuries, they believed adults should support children in testing their physical and cognitive boundaries during risky play without adult interference.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiver Experiences of a Peer Mentor Family Physical Activity Programme in England: A Qualitative Interview Study","authors":"Rebecca Symes,&nbsp;Leah Jayes,&nbsp;Elizabeth Orton","doi":"10.1111/cch.70053","DOIUrl":"https://doi.org/10.1111/cch.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Physical inactivity is a major risk factor for developing chronic disease and contributes to health inequalities. Many children and adults do not achieve recommended physical activity targets. Active Families was a pilot programme that aimed to increase physical activity in families in the East Midlands, UK, using volunteer peer mentor support. This study aimed to explore caregiver experiences of family physical activity in participants of the programme Active Families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative, semi-structured interviews were conducted with 13 caregiver participants of Active Families. Interview transcripts were explored using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most caregivers reported increased family physical activity and improvements in health and relationships. Attitudes towards family physical activity became more positive and role modelling encouraged families to be active. Volunteer peer mentors aided families using behaviour change techniques and provided psychological, emotional and practical support. Volunteers maintained programme delivery during the coronavirus pandemic, and exercise was used by some as a coping strategy. Some older children did not engage well with the programme, and maintaining physical activity was a challenge for others.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Caregivers reported improved experiences of family physical activity, with positive impacts on wellbeing and family life reported. The family–volunteer relationship appeared to be key. Behaviour change techniques and providing holistic support should therefore be considered when designing family physical activity programmes. Further research is needed to understand how best to engage older children in family physical activity and ensuring physical activity is maintained.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481613","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":"Outpatient Management of Clinical Comorbidities in Children With Cerebral Palsy in Low- and Middle-Income Countries","authors":"Bruno Leonardo Scofano Dias,&nbsp;Lenamaris Mendes Rocha Duarte,&nbsp;Daniela Fava,&nbsp;Fernanda Marinho de Lima","doi":"10.1111/cch.70052","DOIUrl":"https://doi.org/10.1111/cch.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cerebral palsy (CP) is the most common physical disability of childhood. Its prevalence in low-and middle-income countries (LMICs) is over 3/1000 live births, about double the 1.6/1000 in high income countries (HICs). Multimorbidity is highly prevalent in CP. In LMICs, there are higher rates of prevalence, severity, comorbidities and mortality in children with CP. The evidence base for the recommendations in CP emanates overwhelmingly from studies conducted in HICs. Research conducted in LMICs settings, involving local clinicians, considering local context and investigating local solutions are urgently needed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This scoping review aimed to identify and synthesise current evidence on management of clinical comorbidities in children with CP in LMICs. The Joanna Briggs Institute guidelines were followed for the data extraction and analysis phases. The following questions guided the scoping review: What are the main clinical comorbidities in children with CP? What are the gold standards for diagnosis and treatment of these comorbidities? What options do we have to diagnose and treat these comorbidities in LMICs when gold standards are not available?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 22 188 citations were identified by our search strategy, with 21 380 remaining after the removal of 808 duplicates. After screening titles and abstracts, 1918 citations progressed to full text review. A total of 194 articles met the eligibility criteria and were included in the review. The guiding questions of the review were answered for the following morbidities: respiratory impairments, dysphagia and aspiration, gastroesophageal reflux disease, drooling, obstructive sleep apnea syndrome, malnutrition, constipation, epilepsy, sleep disorders, spasticity, dystonia, pain, hip disorders, scoliosis and osteoporosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This article highlights the need for interventions adapted to the realities of LMICs. Empowering paediatricians and healthcare professionals in LMICs is crucial for early diagnosis and proactive interventions. Specific guidelines for LMICs can better guide professionals in managing these complex conditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466104","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":"Effect of Telerehabilitation on Handwriting Performance in Children With Attention Deficit Hyperactivity Disorder: Randomized Controlled Trial","authors":"Büşra Kaplan Kılıç,&nbsp;Gonca Bumin,&nbsp;Hakan Öğütlü","doi":"10.1111/cch.70055","DOIUrl":"https://doi.org/10.1111/cch.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with attention deficit hyperactivity disorder (ADHD) frequently encounter challenges in their fine motor skills, an area that therapists target for enhancement through therapeutic interventions. This study aimed to effect of telerehabilitation on handwriting performance in children with ADHD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this randomized controlled trial, 70 children (33 girls and 37 boys) with ADHD aged between 6 and 8 years were randomly assigned to intervention and control groups. Fine motor skills and handwriting performance of both groups were evaluated pre–post-intervention using the Bruininks-Oseretsky Test of Motor Proficiency-2nd Edition (BOT-2) and Minnesota Handwriting Assessment (MHA) tests. The intervention group received fine motor skills training through telerehabilitation for 8 weeks, 3 days a week, 40 min each session (totalling 24 sessions). The control group was placed on a waiting list for 8 weeks and did not receive any intervention. Statistical methods analysed changes within and between groups pre–post-intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the intervention group, intra-group change pre–post-intervention was observed in all subdomains of MHA except legibility (<i>p</i> &lt; 0.05). Compared with the control group, the intervention group showed significant differences in BOT-2 and MHA's subdomains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The results of this study suggest that fine motor skills training through telerehabilitation may be effective in improving the handwriting performance of children with ADHD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455880","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":"Environmental Factors Linked to Birth Outcomes in Urban Localities Across Argentina","authors":"Micaela Natalia Campero,&nbsp;María Dolores Román,&nbsp;Carlos Marcelo Scavuzzo","doi":"10.1111/cch.70054","DOIUrl":"https://doi.org/10.1111/cch.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The impact of environmental factors on health is a key focus in public health research. More studies are needed to explore how environmental determinants influence birth outcomes. This study investigates the regional relationship between environmental conditions and birth outcomes in urban areas of Argentina during 2018–2019.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from 657 urban localities were analyzed. Prevalence rates of low birth weight (LBW), macrosomia, preterm births (PTB), and small for gestational age (SGA) births were calculated using data from the Health Statistics and Information Division. Environmental data were obtained from satellite sources. A principal component analysis with varimax rotation was applied to 22 environmental variables using Stata v15. The Kaiser–Meyer–Olkin (KMO) test evaluated sampling adequacy, and factor scores were calculated using regression analysis. Spatial distributions were mapped in QGIS 3.28, and clusters of environmental factors were identified through optimized hotspot analysis in ArcGIS Pro 3.2. Correlations between environmental factors and birth outcomes were assessed using correlograms in RStudio (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The spatial distribution of birth outcomes varied across the country. The analysis identified five factors, with a KMO score of 0.73. Spatial clustering was observed for all factors, with Pampeana and northern regions of Argentina showing the strongest adherence. Factor 1 (related to urban expansion) and Factor 3 (associated with high temperature) showed positive correlations with all birth outcomes. Factor 2 (favorable for vegetation) positively correlated with LBW and SGA births but negatively with macrosomia. Factor 4 (linked to extensive agriculture) was positively associated with LBW and PTB. Factor 5 (PM10 concentration) negatively correlated with macrosomia and SGA births.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study provides new insights into environmental determinants of birth outcomes. Regional analysis of these factors is essential for evidence-based decision-making, particularly in climate change context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447084","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":"Psychosocial Functioning for Preschool-Aged Siblings of Children With Chronic Disorders: A Scoping Review","authors":"Caitlin M. Prentice,&nbsp;Krister Fjermestad,&nbsp;Yngvild Bjartveit Haukeland,&nbsp;Torun M. Vatne","doi":"10.1111/cch.70039","DOIUrl":"https://doi.org/10.1111/cch.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>School-aged siblings of children with chronic disorders, including somatic, neurodevelopmental and psychological diagnoses, are at a small but significant risk of experiencing psychosocial difficulties. It is unclear whether this is the case for such siblings when they are preschool age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This scoping review examined research describing psychosocial challenges and adaptation among preschool-aged children who have a sibling with a chronic disorder, and interventions aimed to serve this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>We searched online databases for peer-reviewed studies published between 1998 and 2024 and identified 18 studies that reported psychosocial functioning such as psychological states, mental health variables and descriptions of experiences for 3- to 6-year-olds who were siblings of children with a neurodevelopmental disorder, somatic illness, mental illness or rare genetic disorder.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 18 studies included, 15 were related to siblings of autistic children, and 12 of these aimed to study the development of autism in infants. Only two intervention studies were identified, and these had very small samples with maximum three participants in the 3- to 6-year-old age range.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results across the included studies suggest that preschool-aged siblings may be at an increased risk of psychosocial difficulties, but it was difficult to draw definitive conclusions due to the large proportion of included studies related to the development of autism and the heterogeneity of study types represented. Future research should focus on the psychosocial functioning of preschool-aged siblings and target preschool-aged siblings of children with chronic disorders beyond autism.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 2","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143438877","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}