Child Care Health and Development最新文献

{"title":"Screen Time, Fatigue, Obesity and Physical Inactivity: Health Correlates of Problematic Smartphone Use in Adolescents","authors":"Mohamed Yaakoubi,&nbsp;Ahmed Ghorbel,&nbsp;Hiba Abdelkafi,&nbsp;Liwa Masmoudi,&nbsp;Adnene Gharbi,&nbsp;Omar Trabelsi","doi":"10.1111/cch.70237","DOIUrl":"10.1111/cch.70237","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to determine the prevalence of problematic smartphone use (PSU) among Tunisian adolescents, examine variations by sex and age and investigate associations with physical activity, fatigue and obesity while assessing the potential protective role of sports participation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study of 960 adolescents (53% female), aged 14–16 years utilized validated Arabic instruments including the Smartphone Addiction Scale—Short Version (SAS-SV), International Physical Activity Questionnaire (IPAQ-SF) and Fatigue Assessment Scale (FAS). Anthropometric measurements followed WHO protocols, and objective screen time data were collected from device tracking features. Statistical analyses included Mann–Whitney <i>U</i> tests, chi-square tests, Spearman's correlations and logistic regression models with sex stratification, all adjusted for multiple comparisons using Benjamini–Hochberg correction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>PSU prevalence was 15.7%, with significantly higher rates in males (<i>p</i> &lt; 0.001) and during mid-adolescence (<i>p</i> &lt; 0.001). Adolescents with PSU showed substantially higher screen time (435 vs. 155 min/day, <i>p</i> &lt; 0.001), reduced vigorous physical activity (0 vs. 480 MET-min/week, <i>p</i> &lt; 0.001), increased obesity (12.6% vs. 0.7%, <i>p</i> &lt; 0.001) and more severe fatigue (50.3% vs. 5.8%, <i>p</i> &lt; 0.001). Sports participation demonstrated protective effects against PSU (OR = 0.4–0.6), with significantly stronger effects in females (interaction <i>p</i> = 0.03).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PSU represents a significant public health concern among Tunisian adolescents, with a prevalence of 15.7% that is higher in males and mid-adolescents. It is associated with excessive screen time, inactivity, elevated BMI and fatigue, whereas sports participation offers a protective effect, particularly among girls.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12816945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004651","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":"Parent and Therapist Perceptions of Early Therapy for Infants With or at Risk of Cerebral Palsy: A Scoping Review","authors":"Helle Sneftrup Poulsen,&nbsp;Lisbeth Rosenbek Minet,&nbsp;Lone Walentin Laulund,&nbsp;Charlotte Ytterberg,&nbsp;Alice Ørts Hansen","doi":"10.1111/cch.70232","DOIUrl":"10.1111/cch.70232","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Currently, the early detection of cerebral palsy (CP) or risk of CP is recommended to enable targeted and specific intervention. The provision of early therapy is a complex practice that places high demands on both parents and therapists. More knowledge about the perceptions of parents and therapists is needed to help the implementation of family-centred early therapy interventions that are based on recent evidence in clinical practice. This scoping review aims to identify the extent of literature and summarize the evidence exploring parents' and therapists' experiences of early occupational and physical therapy for infants with or at risk of CP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The scoping review was conducted in accordance with the JBI methodology for scoping reviews and reported following the PRISMA Extension for Scoping Reviews checklist. The experiences of parents and therapists were categorized using qualitative content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 16 studies published between 2018 and 2024 were included. Parent-reported experiences were included in 15 studies and therapist-reported experiences in three. The content analysis resulted in five categories reflecting perceptions of valued and challenging aspects of early therapy. Four categories concerned parents' perceptions: parental commitment, parent–therapist collaboration, parents as training providers and parental education. One category concerned therapists' perceptions: providing guidance and educating parents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Insight into perceptions of early therapy highlights the importance of professional coordination of intervention, specific training of therapists, managing parents' feelings of uncertainty and balancing parents' engagement in their role as treatment providers and the pressure they may experience from the responsibility this role entails. This finding contributes important knowledge for the successful implementation of family-centred and evidence-based early therapy interventions in clinical practice for infants with or at risk of CP. A limited number of studies exploring therapists' perceptions were identified, which indicates a knowledge gap and a need for further research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936545","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":"A Systematic Scoping Review to Identify Core Elements of Responsive Feeding Therapy for Children With Paediatric Feeding Disorder","authors":"Valerie Gent,&nbsp;Emma Crawford,&nbsp;Jeanne Marshall","doi":"10.1111/cch.70205","DOIUrl":"10.1111/cch.70205","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Responsive feeding therapy (RFT) is an emerging intervention grounded in responsive feeding for children with paediatric feeding disorder (PFD). Despite increasing use, RFT lacks a consistent definition. This scoping review examines how RFT elements have been applied in intervention studies for PFD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five databases were searched for studies involving children aged 6 months to 18 years. Data was extracted on the study design, population, intervention, goals and outcome measures. Deductive content analysis was used to categorise RFT elements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 27 studies were included. Only two explicitly referenced the use of RFT. Three themes emerged: supporting caregivers to tune in, focusing on relationships and empowering the child. Common goals included supporting mealtime behaviours, increasing food variety and supporting caregiver responsiveness. Outcome measures addressed both child and caregiver factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>RFT is emerging, but inconsistencies in its conceptualisation and implementation remain. Future research should focus on clarifying its core elements, goals and outcome measures.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936527","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":"Community-Based Interventions Improve the Quality of Life for Children Living With Disabilities, Zambia","authors":"Mezan Ghebre,&nbsp;Renee Hepperlen,&nbsp;Jennifer Biggs,&nbsp;Edgar Lunda,&nbsp;Watson Mwandileya,&nbsp;Paula Rabaey,&nbsp;Mary O. Hearst","doi":"10.1111/cch.70203","DOIUrl":"10.1111/cch.70203","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children living with disabilities in Zambia face many barriers to quality of life. This study evaluated any participation in activities, the number of activities and which activities of a community-based intervention impacted quality of life among children living with disabilities and their families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a pre–post evaluation design for 228 families with a child living with disabilities who participated from 2019 to 2021 in Kusamala+, a multifaceted community-based intervention. Participation in five activities (home visits by community caregivers, play therapy, church talks, physiotherapy and registration with the Zambian Association of Persons with Disabilities) (that provided cash transfers for families) was associated with change in the three Beach Center Family Quality of Life domains of emotional, physical and disability-related quality of life. Analysis included descriptive statistics, calculating change in quality of life over time and multinomial linear regression that compared any versus no participation, the number of events and which event was most associated with quality of life change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All three domains increased, with a statistically significant change in physical and disability-related quality of life. Nearly all families participated in at least one activity. The most common activity was the community caregiver home visits (87%), followed by assessment by the Zambian Association of Persons with Disability (68%), physiotherapy (49%), play therapy (41%) and church talks (20%). Regression models indicated that physiotherapy was an important predictor of positive change in all three domains, community caregiver visits and play groups were key for emotional quality of life improvement, and Zambian Association of Persons with Disability registration was important for improvement in physical and disability-related domains. Play groups were also associated with positive change for disability-related quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Community-based interventions that reduce barriers to access and increase social support and physical well-being are key to improving the quality of life for CLWD and their families in low-resource settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12778894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919143","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":"Preadolescents' Insights Following an Intervention That Decreased Chronic Stress and Improved Social Relationships","authors":"Natalia Díaz Miguez,&nbsp;Paola D'Adamo,&nbsp;Diego Gonzalez,&nbsp;Federico Fortuna,&nbsp;Juan Jamardo,&nbsp;Bibiana Fabre,&nbsp;Mariana Lozada","doi":"10.1111/cch.70231","DOIUrl":"10.1111/cch.70231","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Experiencing chronic stress during childhood can undermine both psychophysical health and the ability to develop and nurture supportive social relationships. This study explored the impact of an enactive–playful intervention on stress regulation and social integration among school-aged children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty-one preadolescents (ages 10–11 years) from a public school in Bariloche, Argentina, were assigned to either an intervention group (IG; <i>n</i> = 23) or a waitlist group (WG; <i>n</i> = 18). The IG participated in weekly 1-h sessions over 6 months, incorporating interoceptive and mind–body awareness practices, collaborative games and reflective instances. Outcomes were assessed using hair cortisol concentration (HCC), sociometric measures of peer preference and semi-structured interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Post-intervention results showed a significant decrease in HCC in the IG (<i>p</i> = 0.01), with no significant change in the WG. Social preference improved significantly in the IG (<i>p</i> = 0.02), while it declined in the WG (<i>p</i> = 0.00). Thematic analysis of interviews with children revealed four key themes: enhanced well-being, emotional awareness and self-regulation, increased engagement and agency and improved social relationships. Many participants reported using the practices outside school and sharing them with family members. Teacher feedback further confirmed positive changes, including students' autonomous use of the practices and greater emotional support within the classroom.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings highlight the potential of embodied, enactive interventions to reduce stress and strengthen peer relationships in school settings. To our knowledge, this is the first study to analyse this kind of intervention in this age group using a mixed-methods approach, which integrates physiological, behavioural and experiential data.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901697","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":"Understanding Disease Aetiology and Related Needs Knowledge of Parents of Children With Spina Bifida","authors":"Olivia E. Clark,&nbsp;Madeleine C. Suhs,&nbsp;Taylor L. Hilderbrand,&nbsp;Monique M. Ridosh,&nbsp;Elicia C. Wartman,&nbsp;Eva Darow,&nbsp;Grayson N. Holmbeck","doi":"10.1111/cch.70229","DOIUrl":"10.1111/cch.70229","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Spina bifida (SB), a birth defect impacting the central nervous system, may disrupt family functioning, elevate risk for psychosocial concerns in family members, and require extensive medical management. Parental knowledge of their child's medical condition supports parents in managing youth health needs, advocating for their child and responding to complications. Little is known about parent understanding of youth SB. The purpose of this study is to identify parent perceptions and knowledge of aetiology and problems associated with SB to support opportunities for intervention in families of youth with SB.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents of 140 youth with SB completed open-response questions as part of a modified version of the Brief Illness Perception Questionnaire regarding perceptions of (1) problems associated with SB and (2) causes of SB. Researchers evaluated secondary survey-elicited data using a content analysis approach to identify themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Parents exhibited varying levels of knowledge of SB aetiology, including knowledge of several salient medical and nonmedical problems associated with their child's condition. Perceptions of problems included physical (e.g., toileting, and ambulation) and neurocognitive (e.g., executive function) concerns, as well as family and caregiver functioning (e.g., caregiver burden) challenges. This study highlighted some areas of misunderstanding with respect to knowledge of aetiology (e.g., environmental toxins).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parent perceptions of SB focused on a variety of salient medical and nonmedical problems. In addition, gaps in knowledge of condition aetiology were highlighted. Medical providers and paediatric psychosocial care providers should provide individualized and developmentally appropriate education regarding SB from diagnosis through young adulthood to support family adjustment, caregiver well-being and tailored medical management. Future research should examine predictors of parent knowledge and perceptions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12749550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859408","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":"Improving Equitable Access to Disability Services and Support for Children With Neurodevelopmental Disabilities: Service Provider and Decision-Maker Perspectives","authors":"Patricia Basualto,&nbsp;Angela M. Senevirathna,&nbsp;Ashish Seth,&nbsp;Gina Dimitropoulos,&nbsp;Jennifer D. Zwicker","doi":"10.1111/cch.70213","DOIUrl":"10.1111/cch.70213","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Disparity in access to services for children with neurodevelopmental disabilities is a modifiable barrier to improving health, functional outcomes and social participation. Unfortunately, children and youth with neurodevelopmental disabilities face many barriers in accessing education and disability services and support. This study aimed to describe the perspectives of service providers and decision-makers about disparities in access to disability services and support for children and youth with neurodevelopmental disabilities and their families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Utilizing a qualitative descriptive methodology informed by a pragmatic epistemological approach, we interviewed 16 individual service providers and decision-makers from childhood education and disability services across ministries in British Columbia. Purposeful and maximum variation sampling was used to guide the selection of participants. An advisory council provided patient and family-oriented perspectives and reviewed, piloted and refined the semi-structured interview guide. Data was analysed with inductive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>System barriers and facilitators to accessing education and disability services and support were identified both through the navigation journey and across ministries. To address these barriers and leverage facilitators, policy and program design recommendations were identified, including an approach for framing policy as a ‘wider door’ and developing a holistic system that ‘works for everybody’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Systemic barriers and facilitators intertwine within the system before, during and after engagement with families and children. This creates a complex delivery environment, hindering the equitable provision of disability services and support. The findings provide a systemic and intersectoral overview of the interconnected challenges encountered while navigating the system, relevant to many jurisdictions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851445","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":"Factors Affecting the Incidence of Diarrhoeal Disease Among Children Under 2 Years in Remote Village Area of Bangladesh","authors":"Md. Mazharul Haque Chowdhury,&nbsp;Salamat Khandker,&nbsp;Md. Azharul Haque Chowdhury,&nbsp;Md. Kamrul Hossain,&nbsp;S. M. Mahmudur Rahman","doi":"10.1111/cch.70228","DOIUrl":"10.1111/cch.70228","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Diarrhoeal disease remains a major public health concern for children under 2 years of age, particularly in rural and remote areas of Bangladesh. This study aimed to determine the incidence of diarrhoea and identify associated risk and protective factors among children under 2 years old in Hanarchar Union, Chandpur District.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted from May 2021 to May 2022. Using systematic random sampling, 400 families with children under 2 years were interviewed using a structured questionnaire. Data on socio-demographic characteristics, sanitation practices, feeding habits and diarrhoeal episodes were collected and analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over 30% of the respondents were illiterate, while 86.8% used sanitary latrines. All respondents reported practicing handwashing after disposing of child stool, before meals and after defecation. The monthly incidence of watery diarrhoea among children was 54.1%, with 98.2% of the affected families using oral rehydration solution (ORS) for treatment. Diarrhoeal incidence was 37.5% among children whose feeding bottles were cleaned with boiled water and soap, and 32.1% among those whose mothers used soap and water for handwashing after stool disposal and defecation. Higher maternal education was linked to improved stool disposal practices. Although all respondents used sanitary latrines, most lacked awareness of their health benefits. All children were exclusively breastfed and began bottle-feeding after 5 months of age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Proper hygiene practices, including handwashing with soap and cleaning feeding bottles with boiled water, are associated with reduced diarrhoeal incidence. Maternal education and awareness on sanitation also play a crucial role in disease prevention. Community-based health education programmes could enhance understanding and further reduce diarrhoeal burden in remote areas.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851517","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":"What Motor Skills Do Children Perceive as Important? A Child-Centred Exploration Using the Motor Coordination Questionnaire","authors":"Marisja Denysschen,&nbsp;Rosemary Xorlanyo Doe-Asinyo,&nbsp;Dané Coetzee,&nbsp;Wilmarié du Plessis,&nbsp;Emmanuel Bonney,&nbsp;Bouwien Smits-Engelsman","doi":"10.1111/cch.70230","DOIUrl":"10.1111/cch.70230","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Understanding children's perceptions of motor skill importance is essential for designing motivating and participatory interventions. However, little is known about which motor activities children with and without motor coordination difficulties value, particularly in culturally diverse, low-resource settings. This study explored how children perceive the importance of motor activities and how these views are shaped by cultural context, sex and motor skill level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A culturally adapted version of the motor coordination questionnaire (MoCQ) was administered to 1438 children aged 6–13 years in South Africa and Ghana. The MoCQ includes sections on perceived competence (MoCQ-C) and perceived importance (MoCQ-I). Motor skill level was assessed using the Movement Assessment Battery for Children, Second Edition in South Africa and the Developmental Coordination Disorder Questionnaire in Ghana. Children were classified into two motor coordination groups: as typically developing (TD) or having probable developmental coordination disorder (pDCD). Importance ratings from the MoCQ-I were compared across countries, sex and motor coordination groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Total MoCQ-I scores differed significantly between countries (<i>p</i> &lt; 0.001, <i>d</i> = 0.235), sex (<i>p</i> = 0.031, <i>d</i> = 0.134) and motor coordination groups (<i>p</i> &lt; 0.001, <i>d</i> = 0.335). Children in both countries rated self-care, handwriting and household chores as highly important. Ghanaian children rated kicking, throwing, running, hopping and indigenous games more often as important. South African children gave a higher importance rating to handwriting. Males rated kicking, team sports and biking as more important, whereas females rated dancing higher. Differences between TD and pDCD groups at the item level were more pronounced in Ghana compared to South Africa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Children's perceptions of motor activity importance are shaped by cultural context, sex and motor proficiency. These findings highlight the need for culturally responsive, child-centred interventions. While the MoCQ-I effectively captures key activities, further expansion is recommended to enhance cultural inclusivity and relevance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12746215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851512","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":"Correlation Between Caregiver Mental Health and Stimulating Parenting Practice: Evidence From Rural China","authors":"Boya Wang,&nbsp;Dorien Emmers,&nbsp;Shanshan Li,&nbsp;Andrew Rule,&nbsp;Hanwen Zhang,&nbsp;Scott Rozelle","doi":"10.1111/cch.70225","DOIUrl":"10.1111/cch.70225","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Poor mental health affects caregivers' parenting practices and threatens the early development of children under 2 years old. This study examined the correlations between caregivers' mental health and parenting practices among 5- to 24-month-old children in rural China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected in two cohorts (October 2022 and March 2023) from 948 households randomly sampled from 120 villages. Dependent variable: parenting practices measured by the Family Care Indicators (FCI). Independent variables: caregiver mental health (DASS-21), perceived social support (MSPSS) and socioeconomic status (SES; household asset index, caregiver education). Models adjusted for child age, child sex, caregiver age and household size, with standard errors clustered at the village level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although caregivers provided more play materials for their children compared to previous research, the variety of play materials did not improve. Depressive symptoms among caregivers were associated with inadequate parenting practices, particularly with providing a lower variety of play materials. Both lower SES and more severe caregiver depressive symptoms were linked to less stimulating parenting, whereas higher perceived social support was associated with more stimulating practices and partially attenuated these SES- and mental health–related disparities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although rural Chinese caregivers now supply more play materials, limited diversity and widespread caregiver mental health risks persist. Strengthening caregiver mental health and social support could enrich home stimulation and improve early childhood development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851475","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}