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
{"title":"The Child’s Right to Participation: High School Learners’ Understanding and Experiences","authors":"Lucia Munongi","doi":"10.1080/13575279.2022.2037515","DOIUrl":"https://doi.org/10.1080/13575279.2022.2037515","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46217152","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: 10.1080/13575279.2022.2035683
Pauline Simon-Herrera, A. Blanchet, N. Duriez
{"title":"Emotion Regulation Learning Processes Within two Parenting Systems in the Case of a Foster Preschooler","authors":"Pauline Simon-Herrera, A. Blanchet, N. Duriez","doi":"10.1080/13575279.2022.2035683","DOIUrl":"https://doi.org/10.1080/13575279.2022.2035683","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42475579","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: 10.1080/13575279.2022.2037516
A. V. van Breda
{"title":"The Contribution of Supportive Relationships to Care-leaving Outcomes: A Longitudinal Resilience Study in South Africa","authors":"A. V. van Breda","doi":"10.1080/13575279.2022.2037516","DOIUrl":"https://doi.org/10.1080/13575279.2022.2037516","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41612696","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}
{"title":"Learning Environments of Preschool Children Who Have Different Learning Styles and Sensory Behaviors","authors":"Suchitporn Lersilp, Supawadee Putthinoi, Napalai Chaimaha","doi":"10.1080/13575279.2021.2010654","DOIUrl":"https://doi.org/10.1080/13575279.2021.2010654","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46388932","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 : 2021-12-22DOI: 10.1080/13575279.2021.2001433
Bingwen Yan, Hilda Vember, Reginald Loots
{"title":"Effectiveness of Intervention Practices in Preventing Childhood Malnutrition in a Semi-rural Area of the Western Cape","authors":"Bingwen Yan, Hilda Vember, Reginald Loots","doi":"10.1080/13575279.2021.2001433","DOIUrl":"https://doi.org/10.1080/13575279.2021.2001433","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44541642","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 : 2021-12-17DOI: 10.1080/13575279.2021.2001434
M. Meindl, D. Wilkins
Child protection social workers in England are required to make many decisions in their day-to-day work, including whether to accept a referral, undertake a child protection investigation, pursue care proceedings, or close the case. Many of these decisions involve implicit or explicit predictions about the likelihood of future actions, events, and outcomes. This paper presents the results of a study in which social workers and social work students in England were asked at two time points, six to eight months apart, to read a series of case vignettes and make forecasts about the likelihood of different actions, events, and outcomes. The accuracy of these forecasts was measured to determine 1) the aggregate level and range of forecasting accuracy, 2) whether forecasting accuracy is stable over time, 3) whether different vignettes are harder or easier to forecast and 4) whether personal or professional factors are predictors of forecasting accuracy. On average, respondent’s forecasts were 6% better than you would expect by chance, although there was significant variation within the sample. Nearly three-quarters of the respondents who made forecasts more accurately than chance at Time 1 did so again at Time 2. Four of the vignettes were found to be consistently easier to forecast, and four were consistently more difficult. No personal or professional characteristics were found to be significant predictors of forecasting accuracy. There are few straight-forward decisions in social work and the question of how best to support practitioners as they undertake this critical aspect of their role will continue to be an important focus for research.
{"title":"Can Social Workers Forecast Future Actions, Events, and Outcomes? A Study of Referrals to Children’s Services in England","authors":"M. Meindl, D. Wilkins","doi":"10.1080/13575279.2021.2001434","DOIUrl":"https://doi.org/10.1080/13575279.2021.2001434","url":null,"abstract":"Child protection social workers in England are required to make many decisions in their day-to-day work, including whether to accept a referral, undertake a child protection investigation, pursue care proceedings, or close the case. Many of these decisions involve implicit or explicit predictions about the likelihood of future actions, events, and outcomes. This paper presents the results of a study in which social workers and social work students in England were asked at two time points, six to eight months apart, to read a series of case vignettes and make forecasts about the likelihood of different actions, events, and outcomes. The accuracy of these forecasts was measured to determine 1) the aggregate level and range of forecasting accuracy, 2) whether forecasting accuracy is stable over time, 3) whether different vignettes are harder or easier to forecast and 4) whether personal or professional factors are predictors of forecasting accuracy. On average, respondent’s forecasts were 6% better than you would expect by chance, although there was significant variation within the sample. Nearly three-quarters of the respondents who made forecasts more accurately than chance at Time 1 did so again at Time 2. Four of the vignettes were found to be consistently easier to forecast, and four were consistently more difficult. No personal or professional characteristics were found to be significant predictors of forecasting accuracy. There are few straight-forward decisions in social work and the question of how best to support practitioners as they undertake this critical aspect of their role will continue to be an important focus for research.","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46606428","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 : 2021-12-17DOI: 10.1080/13575279.2021.2007852
E. Tympa, V. Karavida, Athanasia Siaviki
{"title":"“You've Got a Friend in Me”—An Exploratory Study on Greek Parents’ Views on Their Children's Friendships at the Preschool Setting","authors":"E. Tympa, V. Karavida, Athanasia Siaviki","doi":"10.1080/13575279.2021.2007852","DOIUrl":"https://doi.org/10.1080/13575279.2021.2007852","url":null,"abstract":"","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"47 36","pages":""},"PeriodicalIF":1.9,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41285741","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 : 2021-12-17DOI: 10.1080/13575279.2021.2002810
Sameera S. Nayak, Arielle A. J. Scoglio, Daphney Mirand, Andie Oates, Maya Rabow, B. Molnar
ABSTRACT Emerging research indicates an immense burden on children and families related to the COVID-19 pandemic. This study uses data from semi-structured interviews and focus groups with early childhood service providers (n=19) to demonstrate the pandemic's impact on families with very young children and early childhood services in two high-need communities in Massachusetts, USA. We found that although the pandemic has worsened existing inequities and severely limited resources for young children and families, community mobilization in response to the crisis and innovative strategies stemming from resilience were developed quickly. Findings highlight the usefulness of early childhood systems of care in crisis responses and leveraging public-private cooperation to serve the needs of diverse families with young children. Lessons learned are applicable to global settings with high pre-pandemic inequities and can be used to develop stronger models of crisis response within the early childhood sector in preparation for future crises.
{"title":"Movement and Solidarity: Community Mobilization to Mitigate the Adverse Impact of COVID-19 on Families with Young Children Receiving Care from Early Childhood Systems","authors":"Sameera S. Nayak, Arielle A. J. Scoglio, Daphney Mirand, Andie Oates, Maya Rabow, B. Molnar","doi":"10.1080/13575279.2021.2002810","DOIUrl":"https://doi.org/10.1080/13575279.2021.2002810","url":null,"abstract":"ABSTRACT Emerging research indicates an immense burden on children and families related to the COVID-19 pandemic. This study uses data from semi-structured interviews and focus groups with early childhood service providers (n=19) to demonstrate the pandemic's impact on families with very young children and early childhood services in two high-need communities in Massachusetts, USA. We found that although the pandemic has worsened existing inequities and severely limited resources for young children and families, community mobilization in response to the crisis and innovative strategies stemming from resilience were developed quickly. Findings highlight the usefulness of early childhood systems of care in crisis responses and leveraging public-private cooperation to serve the needs of diverse families with young children. Lessons learned are applicable to global settings with high pre-pandemic inequities and can be used to develop stronger models of crisis response within the early childhood sector in preparation for future crises.","PeriodicalId":35141,"journal":{"name":"Child Care in Practice","volume":"29 1","pages":"444 - 457"},"PeriodicalIF":1.9,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42816344","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}
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