Pub Date : 2022-06-20DOI: 10.1080/13575279.2022.2083075
Jaime Moreno-Chaparro, Eliana I. Parra Esquivel, Angy Lucia Santos Quintero, Laura Paez, Sandra Martinez Quinto, Bayron Esteven Rojas Barrios, Juan Felipe Samudio, Karol Madeline Romero Villareal
In recent years, and especially due to COVID-19, a large number of telehealth interventions have been implemented. The large amount of information requires a differential analysis with an emphasis on rurality and the practice of parents/caregivers in the care and attention of children. The objectives of this study were to synthesize the available evidence on telehealth interventions aimed at parents and caregivers of children living in rural settings, and to identify relevant methodological aspects that are considered in such interventions. A systematic review was conducted in the Medline (Ovid), Embase, Scopus, APA—PSYCNET, Web of Science and LILACS databases. Studies published between 2000 and 2020 were considered. A narrative synthesis of the main results of the studies was performed, including basic characteristics, details of the interventions, and the main outcome measures. The quality of the studies included was assessed using the Joanna Briggs Institute Critical Appraisal tools. A total of 596 potential studies were identified, of which only nine were included. Quality assessment was consistent in all nine studies. Parents and caregivers of children with speech and language impairment, motor impairment or problems in performing activities of daily living, with behavior problems, and with autism spectrum disorder were the main populations groups benefiting from the interventions. Telehealth interventions were implemented by means of online sessions, pre-recorded sessions and self-learning modules, among others. Results, although variable, evidence positive outcomes regarding the development of multiple skills in children, their parents and family members, as well as the opportunity to provide timely access to health services. Finally, Telehealth is increasingly becoming a useful tool to provide counsel and knowledge to parents and caregivers living in rural areas that will enable them to properly manage health problems. [ FROM AUTHOR] Copyright of Child Care in Practice is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
近年来,特别是由于2019冠状病毒病,实施了大量远程卫生干预措施。大量的信息需要进行差异分析,重点是农村和父母/照顾者在照顾和注意儿童方面的做法。本研究的目的是综合针对生活在农村地区儿童的父母和照料者的远程保健干预措施的现有证据,并确定此类干预措施所考虑的相关方法学方面。对Medline (Ovid)、Embase、Scopus、APA-PSYCNET、Web of Science和LILACS数据库进行系统评价。2000年至2020年间发表的研究被纳入考虑范围。对研究的主要结果进行叙述性综合,包括基本特征、干预措施的细节和主要结果测量。使用乔安娜布里格斯研究所关键评估工具对所纳入研究的质量进行了评估。总共确定了596项潜在的研究,其中只有9项被纳入。所有9项研究的质量评估结果一致。患有言语和语言障碍、运动障碍或日常生活障碍、行为问题和自闭症谱系障碍的儿童的父母和照顾者是从干预措施中受益的主要人群。远程保健干预措施通过在线会议、预先录制的会议和自学模块等方式实施。结果虽然不尽相同,但证明了在儿童、其父母和家庭成员发展多种技能以及提供及时获得保健服务的机会方面取得了积极成果。最后,远程保健正日益成为向生活在农村地区的父母和照料者提供咨询和知识的有用工具,使他们能够妥善管理健康问题。[来自作者]Child Care in Practice的版权是Routledge的财产,未经版权所有者的明确书面许可,其内容不得复制或通过电子邮件发送到多个网站或发布到listserv。但是,用户可以打印、下载或通过电子邮件发送文章供个人使用。这可以删节。对副本的准确性不作任何保证。用户应参阅原始出版版本的材料的完整。(版权适用于所有人。)
{"title":"Telehealth Interventions Aimed at Parents and Caregivers of Children Living in Rural Settings: A Systematic Review","authors":"Jaime Moreno-Chaparro, Eliana I. Parra Esquivel, Angy Lucia Santos Quintero, Laura Paez, Sandra Martinez Quinto, Bayron Esteven Rojas Barrios, Juan Felipe Samudio, Karol Madeline Romero Villareal","doi":"10.1080/13575279.2022.2083075","DOIUrl":"https://doi.org/10.1080/13575279.2022.2083075","url":null,"abstract":"In recent years, and especially due to COVID-19, a large number of telehealth interventions have been implemented. The large amount of information requires a differential analysis with an emphasis on rurality and the practice of parents/caregivers in the care and attention of children. The objectives of this study were to synthesize the available evidence on telehealth interventions aimed at parents and caregivers of children living in rural settings, and to identify relevant methodological aspects that are considered in such interventions. A systematic review was conducted in the Medline (Ovid), Embase, Scopus, APA—PSYCNET, Web of Science and LILACS databases. Studies published between 2000 and 2020 were considered. A narrative synthesis of the main results of the studies was performed, including basic characteristics, details of the interventions, and the main outcome measures. The quality of the studies included was assessed using the Joanna Briggs Institute Critical Appraisal tools. A total of 596 potential studies were identified, of which only nine were included. Quality assessment was consistent in all nine studies. Parents and caregivers of children with speech and language impairment, motor impairment or problems in performing activities of daily living, with behavior problems, and with autism spectrum disorder were the main populations groups benefiting from the interventions. Telehealth interventions were implemented by means of online sessions, pre-recorded sessions and self-learning modules, among others. Results, although variable, evidence positive outcomes regarding the development of multiple skills in children, their parents and family members, as well as the opportunity to provide timely access to health services. Finally, Telehealth is increasingly becoming a useful tool to provide counsel and knowledge to parents and caregivers living in rural areas that will enable them to properly manage health problems. [ FROM AUTHOR] Copyright of Child Care in Practice is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48102559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-13DOI: 10.1080/13575279.2022.2084366
Edna Orr, Rinat Caspi
{"title":"Parents and More: The Multidimensional Factors Involved in Children’s Cognitive Achievements","authors":"Edna Orr, Rinat Caspi","doi":"10.1080/13575279.2022.2084366","DOIUrl":"https://doi.org/10.1080/13575279.2022.2084366","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49264362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-13DOI: 10.1080/13575279.2022.2082381
S. Alhassan, Luke M. Sudarsky, Gaurav Dangol, Wanjiang Zhou, Althea Turley, Ann-Marie Sylvia, Holly B. Laws
{"title":"Feasibility and Preliminary Efficacy of a Childcare Provider-led Activity Intervention on Toddlers’ Physical Activity Levels: A Pilot Randomized Controlled Study","authors":"S. Alhassan, Luke M. Sudarsky, Gaurav Dangol, Wanjiang Zhou, Althea Turley, Ann-Marie Sylvia, Holly B. Laws","doi":"10.1080/13575279.2022.2082381","DOIUrl":"https://doi.org/10.1080/13575279.2022.2082381","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47263145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.1080/13575279.2022.2071218
Sue Bond
{"title":"What Are Possible Selves And How Do We Find Out About Them? The Revised Possible Me Tree Model","authors":"Sue Bond","doi":"10.1080/13575279.2022.2071218","DOIUrl":"https://doi.org/10.1080/13575279.2022.2071218","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47296860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-17DOI: 10.1080/13575279.2022.2071220
Élodie Gaëlle Ngameni, M. Moro, Cyrille Kossigan Kokou-Kpolou, R. Radjack, Elisasbetta Dozio, Mayssa’ El Husseini
{"title":"An Examination of the Impact of Psychosocial Factors on Mother-to-Child Trauma Transmission in Post-Migration Contexts Using Interpretative Phenomenological Analysis","authors":"Élodie Gaëlle Ngameni, M. Moro, Cyrille Kossigan Kokou-Kpolou, R. Radjack, Elisasbetta Dozio, Mayssa’ El Husseini","doi":"10.1080/13575279.2022.2071220","DOIUrl":"https://doi.org/10.1080/13575279.2022.2071220","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48912340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-09DOI: 10.1080/13575279.2022.2060187
Claire McMenemy, David Nicholas
ABSTRACT Although the families of adolescents with ADHD are at risk of various adverse outcomes, many experience resilience processes that support the adolescent and family members to thrive. This qualitative study explored the experience and perspectives of parents and caregivers of young adolescents in Canada with ADHD and professionals who support them regarding resilience-promoting factors. Participants identified a process of Journeying Together, which described the ways that families of young adolescents with ADHD face adversities like social stigma and limited ADHD-specific resources, navigating through them to experience positive outcomes and reinforce family relationships. The implications for social workers, mental health practitioners and other professionals who work with adolescents with ADHD and their families are discussed.
{"title":"Resilience in Families of Early Adolescents with ADHD: Implications for Practice","authors":"Claire McMenemy, David Nicholas","doi":"10.1080/13575279.2022.2060187","DOIUrl":"https://doi.org/10.1080/13575279.2022.2060187","url":null,"abstract":"ABSTRACT Although the families of adolescents with ADHD are at risk of various adverse outcomes, many experience resilience processes that support the adolescent and family members to thrive. This qualitative study explored the experience and perspectives of parents and caregivers of young adolescents in Canada with ADHD and professionals who support them regarding resilience-promoting factors. Participants identified a process of Journeying Together, which described the ways that families of young adolescents with ADHD face adversities like social stigma and limited ADHD-specific resources, navigating through them to experience positive outcomes and reinforce family relationships. The implications for social workers, mental health practitioners and other professionals who work with adolescents with ADHD and their families are discussed.","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"28 1","pages":"561 - 575"},"PeriodicalIF":1.9,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47933275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-21DOI: 10.1080/13575279.2022.2058916
Anne Riise, Veronika Paulsen
{"title":"Facilitating Participation for Youths in Child Welfare Services in Transition to Adulthood: Practice between Formalities and Empowerment","authors":"Anne Riise, Veronika Paulsen","doi":"10.1080/13575279.2022.2058916","DOIUrl":"https://doi.org/10.1080/13575279.2022.2058916","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43577089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-03DOI: 10.1080/13575279.2022.2056344
P. Nicholl
The care of children features highly in discourses about modern society and it is critical that our understanding of childhood and childcare in practice crosses international boundaries in a progressively globalised world. Punch (2016, p. 360) outlines some of the identifiers of a “global society” as “migration and global care chains as well as crisis events such as natural disasters and war” which have opened up new avenues for research and childhood study. Jung and Tripodi (2007) advocate Research into social phenomena involving such shared problems across nations, and the articles reflected in this edition of the Child Care in Practice Journal provide a rich contribution to the global research agenda in childcare. This edition brings together studies from Jordan, Bangladesh, Poland, the United Kingdom, Ireland, Italy, Pakistan and Ghana. The articles focus our attention on global issues of child abuse and cooperation in child welfare, theories of play and feeding practices along with contributions to our understanding of specific social phenomena relating to child marriage, the trauma of terrorist attacks, children of prisoners and the impact of inspection on Early Years Services as well as cultural competence and the role of the linguistic and cultural mediator in the Paediatric Health Service. Hanson et al. (2018, p. 274) refer to “global” and “local” research positing that the former research considers macro issues of social structure and exclusion often with minority and vulnerable populations whereas the latter research focuses on the micro specifics of children’s daily lives and experiences. The articles in this issue of Child Care in Practice represent a range of global and local studies and as such aim to address some of the perceived gaps in cross-cultural learning and understanding of childhoods in the “majority world” formerly known as the third world (Punch, 2016, p. 353). The papers challenge us to question globalised and normative perspectives of childhood which Nieuwenhuys (1998) argues are predominantly western and fail to take account of the continuously evolving experiences of children which are influenced by their cultures, histories and economic and political structures. Rather, Campbell-Barr and Bogatić (2017, p. 1462) emphasises the need for personal awareness of our subjectivities and consciousness of “personal readings of both the global discourses and our interpretations of a cultural other”. James (2010) suggests the need for a focus on cross-cultural studies of childhood and childcare which respect diversity and the worthiness of all childhoods as a focus of study. The articles challenge us to think about what works in supporting children exposed to terrorist attacks and pose questions about the impact of child marriage and infant feeding practices in non-western sociocultural contexts and enhance our understanding of the political, structural and cultural realities impacting on children, childhood and childcare prov
在关于现代社会的讨论中,对儿童的照顾是非常重要的,在一个日益全球化的世界中,我们对儿童和儿童保育的理解在实践中必须跨越国际界限,这一点至关重要。Punch(2016,第360页)将“全球社会”的一些标识符概括为“移民和全球护理链以及自然灾害和战争等危机事件”,为研究和儿童研究开辟了新的途径。Jung和Tripodi(2007)主张研究涉及各国共同问题的社会现象,本期《儿童保育实践杂志》中的文章为全球儿童保育研究议程做出了丰富贡献。本版汇集了约旦、孟加拉国、波兰、英国、爱尔兰、意大利、巴基斯坦和加纳的研究成果。这些文章将我们的注意力集中在虐待儿童和儿童福利合作的全球问题、游戏理论和喂养实践,以及对我们理解与童婚、恐怖袭击的创伤、,囚犯的子女以及检查对早期服务的影响,以及文化能力以及语言和文化调解员在儿科保健服务中的作用。Hanson等人(2018,第274页)提到了“全球”和“地方”研究,认为前一项研究考虑了社会结构和排斥的宏观问题,通常涉及少数群体和弱势群体,而后一项研究侧重于儿童日常生活和经历的微观细节。本期《实践中的儿童保育》中的文章代表了一系列全球和地方研究,因此旨在解决“多数世界”(前身为第三世界)在跨文化学习和理解童年方面的一些差距(Punch,2016,第353页)。这些论文挑战我们质疑全球化和规范化的儿童观,Nieuwenhuys(1998)认为,这些儿童观主要是西方的,没有考虑到受其文化、历史、经济和政治结构影响的儿童不断演变的经历。相反,Campbell-Barr和Bogatić(2017,第1462页)强调了个人对我们的主观意识的必要性,以及“对全球话语和我们对文化他者的解释的个人解读”的意识。James(2010)认为,有必要将重点放在儿童和儿童保育的跨文化研究上,将尊重多样性和所有儿童的价值作为研究的重点。这些文章要求我们思考如何支持遭受恐怖袭击的儿童,并就童婚和婴儿喂养做法在非西方社会文化背景下的影响提出问题,并增强我们对全球背景下影响儿童、儿童和儿童保育的政治、结构和文化现实的理解。虐待儿童是一个多方面的全球问题(Barth等人,2013),研究主要在西方社会进行(van der Put等人,2018)。Al-Khatib(2020)的文章,对约旦虐待儿童研究的全面回顾扩大了我们的理解
{"title":"Childcare Research in a Global World","authors":"P. Nicholl","doi":"10.1080/13575279.2022.2056344","DOIUrl":"https://doi.org/10.1080/13575279.2022.2056344","url":null,"abstract":"The care of children features highly in discourses about modern society and it is critical that our understanding of childhood and childcare in practice crosses international boundaries in a progressively globalised world. Punch (2016, p. 360) outlines some of the identifiers of a “global society” as “migration and global care chains as well as crisis events such as natural disasters and war” which have opened up new avenues for research and childhood study. Jung and Tripodi (2007) advocate Research into social phenomena involving such shared problems across nations, and the articles reflected in this edition of the Child Care in Practice Journal provide a rich contribution to the global research agenda in childcare. This edition brings together studies from Jordan, Bangladesh, Poland, the United Kingdom, Ireland, Italy, Pakistan and Ghana. The articles focus our attention on global issues of child abuse and cooperation in child welfare, theories of play and feeding practices along with contributions to our understanding of specific social phenomena relating to child marriage, the trauma of terrorist attacks, children of prisoners and the impact of inspection on Early Years Services as well as cultural competence and the role of the linguistic and cultural mediator in the Paediatric Health Service. Hanson et al. (2018, p. 274) refer to “global” and “local” research positing that the former research considers macro issues of social structure and exclusion often with minority and vulnerable populations whereas the latter research focuses on the micro specifics of children’s daily lives and experiences. The articles in this issue of Child Care in Practice represent a range of global and local studies and as such aim to address some of the perceived gaps in cross-cultural learning and understanding of childhoods in the “majority world” formerly known as the third world (Punch, 2016, p. 353). The papers challenge us to question globalised and normative perspectives of childhood which Nieuwenhuys (1998) argues are predominantly western and fail to take account of the continuously evolving experiences of children which are influenced by their cultures, histories and economic and political structures. Rather, Campbell-Barr and Bogatić (2017, p. 1462) emphasises the need for personal awareness of our subjectivities and consciousness of “personal readings of both the global discourses and our interpretations of a cultural other”. James (2010) suggests the need for a focus on cross-cultural studies of childhood and childcare which respect diversity and the worthiness of all childhoods as a focus of study. The articles challenge us to think about what works in supporting children exposed to terrorist attacks and pose questions about the impact of child marriage and infant feeding practices in non-western sociocultural contexts and enhance our understanding of the political, structural and cultural realities impacting on children, childhood and childcare prov","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"28 1","pages":"119 - 124"},"PeriodicalIF":1.9,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47534425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-04DOI: 10.1080/13575279.2022.2035682
L. Tully, J. Sørensen, G. O'Malley
ABSTRACT Background Childhood obesity affects around 7–8% of children in Ireland and is associated with increased risks of health complications. Data on healthcare resource use and the related costs for children with obesity are important for research, future service-planning, efforts to reduce the burden on families, and care pathways. However, there is little or no data available to describe these in Ireland. Methods We undertook a retrospective chart review for 322 children attending a national paediatric weight management service to assess their hospital service utilisation, and the associated costs, over a four-year period. We used a micro-costing approach and estimated unit costs for different types of hospital services. Multivariable negative binomial regression analyses and Cragg hurdle models were used to assess characteristics associated with type, frequency and costs of hospital care. Results Eighty-two percent of children had severe obesity, and thirty-eight percent had a co-morbid condition. Over the four-year period, children had a mean of 27 (median 24, IQR 16–33) episodes of care at a mean cost of €2590 per child (median €1659, IQR 1026–3103). The presence of a co-morbid condition was associated with more frequent visits. Neither severity of obesity nor socioeconomic status were associated with overall service utilisation. The Cragg hurdle model did not identify statistically significant differences in hospital costs according to participant characteristics. Conclusion Children with obesity frequently visit a variety of paediatric services and children with co-morbid conditions have greater levels of hospital utilisation. Further research is needed with larger sample sizes to explore variation in healthcare utilisation in this population, and the relationship between common co-morbidities and weight status. This would facilitate assessment of the implications for care pathways and examination of associations between patient outcomes and related healthcare costs and cost-effectiveness.
{"title":"Hospital Service Use Among Children With Obesity in Ireland: A Micro-costing Study","authors":"L. Tully, J. Sørensen, G. O'Malley","doi":"10.1080/13575279.2022.2035682","DOIUrl":"https://doi.org/10.1080/13575279.2022.2035682","url":null,"abstract":"ABSTRACT Background Childhood obesity affects around 7–8% of children in Ireland and is associated with increased risks of health complications. Data on healthcare resource use and the related costs for children with obesity are important for research, future service-planning, efforts to reduce the burden on families, and care pathways. However, there is little or no data available to describe these in Ireland. Methods We undertook a retrospective chart review for 322 children attending a national paediatric weight management service to assess their hospital service utilisation, and the associated costs, over a four-year period. We used a micro-costing approach and estimated unit costs for different types of hospital services. Multivariable negative binomial regression analyses and Cragg hurdle models were used to assess characteristics associated with type, frequency and costs of hospital care. Results Eighty-two percent of children had severe obesity, and thirty-eight percent had a co-morbid condition. Over the four-year period, children had a mean of 27 (median 24, IQR 16–33) episodes of care at a mean cost of €2590 per child (median €1659, IQR 1026–3103). The presence of a co-morbid condition was associated with more frequent visits. Neither severity of obesity nor socioeconomic status were associated with overall service utilisation. The Cragg hurdle model did not identify statistically significant differences in hospital costs according to participant characteristics. Conclusion Children with obesity frequently visit a variety of paediatric services and children with co-morbid conditions have greater levels of hospital utilisation. Further research is needed with larger sample sizes to explore variation in healthcare utilisation in this population, and the relationship between common co-morbidities and weight status. This would facilitate assessment of the implications for care pathways and examination of associations between patient outcomes and related healthcare costs and cost-effectiveness.","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"28 1","pages":"593 - 609"},"PeriodicalIF":1.9,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42948151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-03DOI: 10.1080/13575279.2022.2037515
Lucia Munongi
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