Child Care Health and Development最新文献_第2页

The Longitudinal Relationship Between Mindful Parenting and Child Emotional Self-Regulation 正念教养与儿童情绪自我调节的纵向关系。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2026-01-20 DOI: 10.1111/cch.70235

Jon Quach, Kate Burke, Dennae Schleibs, Diana Zannino, Ben Deery

Background

The development of socio-emotional competencies is essential for school readiness. Children with behavioural, emotional or social difficulties, upon entering the school, are often at an increased risk of poorer academic and health outcomes. Whilst children largely learn early emotion regulation skills and self-regulation through parental observation and modelling, a known benefit of mindful parenting, an understanding of how mindful parenting and child emotional regulation relate to one another during these important early years of schooling remains limited. This study aimed to determine if there is a bi-directional relationship between mindful parenting and child emotion regulation.

Methods

A cross-lagged panel structural equation model (SEM) was used to examine the bi-directional associations with data obtained from a single staged cluster sample drawn from the Minds@Play study cohort. Parents (N = 676, M_age = 35.52 years, SD = 5.40) completed questionnaires including the Affective Reactivity Index (ARI) and the Interpersonal Mindfulness in Parenting (IEM-P) scales at two timepoints.

Results

There was a small significant relationship between levels of mindful parenting at T1 with child's irritability at T2 (β = −0.166, p = 0.023), whilst the relationship between child's irritability at T1 and levels of mindful parenting at T2 were non-significant (β = −0.099, p = 0.160). These findings indicate a unidirectional relationship between mindful parenting and children's emotion regulation, suggesting that a child's ability for emotion regulation does not predict their parents' ability to adopt a mindful parenting approach.

Conclusion

Findings suggest that supporting parents to implement mindful parenting strategies may be a promising approach to supporting a child's long-term emotional regulation and wellbeing.

背景：社会情感能力的发展对入学准备至关重要。有行为、情感或社交困难的儿童在入学后，往往面临学业和健康结果较差的更大风险。虽然孩子们在很大程度上通过父母的观察和模仿学习早期情绪调节技能和自我调节，这是众所周知的正念育儿的好处，但在这些重要的早期学校教育中，对正念育儿和儿童情绪调节如何相互关联的理解仍然有限。本研究旨在确定正念育儿与儿童情绪调节之间是否存在双向关系。方法：使用交叉滞后面板结构方程模型（SEM）来检验从Minds@Play研究队列中获得的单阶段集群样本数据的双向关联。父母（N = 676，年龄= 35.52岁，SD = 5.40）分别在两个时间点完成情感反应指数（ARI）和亲子关系正念（IEM-P）量表。结果：T1时刻的正念教养水平与T2时刻的易激惹性有显著性差异（β = -0.166, p = 0.023）， T1时刻的易激惹性与T2时刻的正念教养水平无显著性差异（β = -0.099, p = 0.160）。这些发现表明正念育儿与儿童情绪调节之间存在单向关系，表明儿童情绪调节能力并不能预测其父母采用正念育儿方法的能力。结论：研究结果表明，支持父母实施正念育儿策略可能是支持孩子长期情绪调节和健康的有希望的方法。

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引用次数: 0

Screen Time, Fatigue, Obesity and Physical Inactivity: Health Correlates of Problematic Smartphone Use in Adolescents 屏幕时间、疲劳、肥胖和缺乏身体活动：青少年智能手机使用问题与健康的关系。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2026-01-19 DOI: 10.1111/cch.70237

Mohamed Yaakoubi, Ahmed Ghorbel, Hiba Abdelkafi, Liwa Masmoudi, Adnene Gharbi, Omar Trabelsi

Objective

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.

Methods

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 U tests, chi-square tests, Spearman's correlations and logistic regression models with sex stratification, all adjusted for multiple comparisons using Benjamini–Hochberg correction.

Results

PSU prevalence was 15.7%, with significantly higher rates in males (p < 0.001) and during mid-adolescence (p < 0.001). Adolescents with PSU showed substantially higher screen time (435 vs. 155 min/day, p < 0.001), reduced vigorous physical activity (0 vs. 480 MET-min/week, p < 0.001), increased obesity (12.6% vs. 0.7%, p < 0.001) and more severe fatigue (50.3% vs. 5.8%, p < 0.001). Sports participation demonstrated protective effects against PSU (OR = 0.4–0.6), with significantly stronger effects in females (interaction p = 0.03).

Conclusion

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.

目的：本研究旨在确定突尼斯青少年中有问题的智能手机使用（PSU）的患病率，检查性别和年龄的差异，并调查与体育活动、疲劳和肥胖的关系，同时评估体育参与的潜在保护作用。方法：采用智能手机成瘾简易量表（SAS-SV）、国际体育活动问卷（IPAQ-SF）和疲劳评估量表（FAS）等阿拉伯有效工具，对960名14-16岁青少年（53%为女性）进行横断面研究。人体测量遵循世卫组织方案，并从设备跟踪功能收集客观屏幕时间数据。统计分析包括Mann-Whitney U检验、卡方检验、Spearman相关和带性别分层的logistic回归模型，所有数据均采用Benjamini-Hochberg校正进行多重比较调整。结果：PSU患病率为15.7%，男性患病率明显较高(p结论：PSU在突尼斯青少年中是一个重大的公共卫生问题，患病率为15.7%，在男性和青少年中期更高。它与屏幕时间过长、缺乏活动、身体质量指数升高和疲劳有关，而体育活动具有保护作用，尤其是对女孩而言。

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引用次数: 0

Parent and Therapist Perceptions of Early Therapy for Infants With or at Risk of Cerebral Palsy: A Scoping Review 父母和治疗师对患有或有脑瘫风险的婴儿早期治疗的看法：范围审查。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2026-01-09 DOI: 10.1111/cch.70232

Helle Sneftrup Poulsen, Lisbeth Rosenbek Minet, Lone Walentin Laulund, Charlotte Ytterberg, Alice Ørts Hansen

Background

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.

Method

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.

Results

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.

Conclusion

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.

背景：目前，建议早期发现脑瘫（CP）或脑瘫风险，以便进行有针对性和特异性的干预。提供早期治疗是一项复杂的实践，对父母和治疗师都提出了很高的要求。需要更多地了解父母和治疗师的看法，以帮助实施基于临床实践中最新证据的以家庭为中心的早期治疗干预措施。本综述旨在确定文献的范围，并总结证据，探讨父母和治疗师对患有或有cp风险的婴儿进行早期职业和物理治疗的经验。方法：根据JBI的综述方法进行综述，并按照PRISMA扩展的综述清单进行报告。采用定性内容分析对家长和治疗师的经验进行分类。结果：共纳入了2018年至2024年间发表的16项研究。15项研究包括了父母报告的经历，3项研究包括了治疗师报告的经历。内容分析产生了五个类别，反映了对早期治疗有价值和具有挑战性方面的看法。四个类别涉及父母的看法：父母承诺、父母-治疗师合作、父母作为培训提供者和父母教育。其中一类涉及治疗师的看法：提供指导和教育父母。结论：对早期治疗认知的洞察强调了专业协调干预的重要性，治疗师的具体培训，管理父母的不确定感，平衡父母作为治疗提供者的角色的参与以及他们可能从这个角色所带来的责任中感受到的压力。这一发现为在临床实践中成功实施以家庭为中心和基于证据的早期治疗干预提供了重要的知识，这些干预措施适用于患有或有CP风险的婴儿。我们确定了有限数量的研究，探索治疗师的看法，这表明存在知识差距，需要进一步研究。

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引用次数: 0

A Systematic Scoping Review to Identify Core Elements of Responsive Feeding Therapy for Children With Paediatric Feeding Disorder 确定儿童喂养障碍反应性喂养疗法核心要素的系统范围综述。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2026-01-08 DOI: 10.1111/cch.70205

Valerie Gent, Emma Crawford, Jeanne Marshall

Background

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.

Methods

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.

Results

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.

Conclusion

RFT is emerging, but inconsistencies in its conceptualisation and implementation remain. Future research should focus on clarifying its core elements, goals and outcome measures.

背景：反应性喂养疗法（RFT）是一种基于反应性喂养治疗儿科喂养障碍（PFD）儿童的新兴干预措施。尽管使用越来越多，RFT缺乏一致的定义。本文综述了RFT元素如何应用于PFD的干预研究。方法：检索涉及6个月至18岁儿童的5个数据库。提取研究设计、人群、干预、目标和结果测量的数据。采用演绎含量分析对RFT元素进行分类。结果：共纳入27项研究。只有两个明确提到了RFT的使用。三个主题出现了：支持照顾者关注、关注关系和赋予孩子权力。共同的目标包括支持用餐时间行为，增加食物种类和支持照顾者的反应。结果测量涉及儿童和照顾者因素。结论：RFT正在兴起，但其概念和实施仍然不一致。未来的研究应侧重于明确其核心要素、目标和结果衡量标准。

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引用次数: 0

Community-Based Interventions Improve the Quality of Life for Children Living With Disabilities, Zambia 以社区为基础的干预措施改善残疾儿童的生活质量，赞比亚。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2026-01-07 DOI: 10.1111/cch.70203

Mezan Ghebre, Renee Hepperlen, Jennifer Biggs, Edgar Lunda, Watson Mwandileya, Paula Rabaey, Mary O. Hearst

Background

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.

Methods

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.

Results

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.

Conclusion

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.

背景：赞比亚的残疾儿童在生活质量方面面临许多障碍。本研究评估了任何活动的参与、活动的数量以及社区干预的哪些活动对残疾儿童及其家庭的生活质量产生了影响。方法：对2019年至2021年参与Kusamala+的228个有残疾儿童的家庭进行了前-后评估设计。参与五项活动（社区护理人员家访、游戏治疗、教堂演讲、物理治疗和在赞比亚残疾人协会注册）（向家庭提供现金转移）与海滩中心家庭生活质量三个领域的变化有关，即情感、身体和与残疾有关的生活质量。分析包括描述性统计，计算生活质量随时间的变化和多项线性回归，比较有参与和没有参与，事件的数量以及与生活质量变化最相关的事件。结果：所有三个领域都增加了，在身体和残疾相关的生活质量方面有统计学意义的变化。几乎所有家庭都参加了至少一项活动。最常见的活动是社区护理人员家访（87%），其次是赞比亚残疾人协会的评估（68%）、物理治疗（49%）、游戏治疗（41%）和教会讲座（20%）。回归模型表明，物理治疗是所有三个领域积极变化的重要预测因素，社区护理人员访问和游戏小组是改善情感生活质量的关键，赞比亚残疾人协会注册对改善身体和残疾相关领域很重要。游戏小组也与残疾相关生活质量的积极变化有关。结论：以社区为基础的干预措施减少了获取障碍，增加了社会支持和身体健康，是改善资源匮乏环境中CLWD及其家庭生活质量的关键。

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引用次数: 0

Preadolescents' Insights Following an Intervention That Decreased Chronic Stress and Improved Social Relationships 减少慢性压力和改善社会关系的干预后的青春期前洞察力。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2026-01-04 DOI: 10.1111/cch.70231

Natalia Díaz Miguez, Paola D'Adamo, Diego Gonzalez, Federico Fortuna, Juan Jamardo, Bibiana Fabre, Mariana Lozada

Background

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.

Methods

Forty-one preadolescents (ages 10–11 years) from a public school in Bariloche, Argentina, were assigned to either an intervention group (IG; n = 23) or a waitlist group (WG; n = 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.

Results

Post-intervention results showed a significant decrease in HCC in the IG (p = 0.01), with no significant change in the WG. Social preference improved significantly in the IG (p = 0.02), while it declined in the WG (p = 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.

Conclusions

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.

背景：童年时期经历慢性压力会损害心理健康和发展和培养支持性社会关系的能力。本研究探讨了行为-游戏干预对学龄儿童压力调节和社会融合的影响。方法：41名来自阿根廷巴里洛切一所公立学校的学龄前儿童（10-11岁）被分为干预组（IG, n = 23）和候补组（WG, n = 18）。IG参加了为期6个月的每周1小时的会议，包括内感受和身心意识练习，协作游戏和反思实例。通过毛发皮质醇浓度（HCC）、同伴偏好的社会计量学测量和半结构化访谈来评估结果。结果：干预后IG内HCC发生率明显降低（p = 0.01），而WG无明显变化。社会偏好在IG组显著提高（p = 0.02），在WG组显著降低（p = 0.00）。对儿童访谈的专题分析揭示了四个关键主题：增强幸福感、情感意识和自我调节、增加参与度和能动性以及改善社会关系。许多参与者报告说，他们在校外进行这种练习，并与家人分享。教师的反馈进一步证实了积极的变化，包括学生自主使用实践和课堂上更多的情感支持。结论：这些发现强调了具体的、积极的干预措施在学校环境中减轻压力和加强同伴关系的潜力。据我们所知，这是第一个使用混合方法分析这一年龄组的干预措施的研究，该方法综合了生理、行为和经验数据。

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引用次数: 0

Understanding Disease Aetiology and Related Needs Knowledge of Parents of Children With Spina Bifida 了解脊柱裂患儿家长的病因及相关需求知识。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-12-29 DOI: 10.1111/cch.70229

Olivia E. Clark, Madeleine C. Suhs, Taylor L. Hilderbrand, Monique M. Ridosh, Elicia C. Wartman, Eva Darow, Grayson N. Holmbeck

Objective

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.

Methods

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.

Results

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).

Conclusions

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.

目的：脊柱裂（SB）是一种影响中枢神经系统的出生缺陷，可能会破坏家庭功能，增加家庭成员心理社会问题的风险，需要广泛的医疗管理。父母对其子女医疗状况的了解有助于父母管理青少年健康需求，为其子女进行宣传并应对并发症。我们对父母对青少年SB的理解知之甚少。本研究的目的是确定父母对SB的病因和相关问题的认知和知识，以支持对青少年SB家庭进行干预的机会。140名患有SB的青少年的父母完成了开放式回答问题，这些问题是简短疾病感知问卷的修改版本的一部分，涉及(1)SB相关问题和(2)SB病因的认知。研究人员使用内容分析方法评估了二次调查得出的数据，以确定主题。结果：父母表现出不同程度的SB病因学知识，包括与孩子病情相关的几个突出的医学和非医学问题的知识。对问题的感知包括身体（如如厕和行走）和神经认知（如执行功能）问题，以及家庭和照顾者功能（如照顾者负担）挑战。这项研究强调了在病原学知识方面的一些误解领域（例如，环境毒素）。结论：父母对SB的看法集中在各种突出的医学和非医学问题上。此外，疾病病因学知识的差距也被强调。医疗服务提供者和儿科社会心理护理提供者应从诊断到青年期提供关于SB的个性化和适合发展的教育，以支持家庭调整、照顾者福祉和量身定制的医疗管理。未来的研究应该检查父母的知识和观念的预测因素。

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引用次数: 0

Improving Equitable Access to Disability Services and Support for Children With Neurodevelopmental Disabilities: Service Provider and Decision-Maker Perspectives 改善公平获得残疾服务和对神经发育障碍儿童的支持：服务提供者和决策者的观点。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-12-29 DOI: 10.1111/cch.70213

Patricia Basualto, Angela M. Senevirathna, Ashish Seth, Gina Dimitropoulos, Jennifer D. Zwicker

Background

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.

Methods

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.

Results

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’.

Conclusions

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.

背景：神经发育障碍儿童获得服务的机会差异是改善健康、功能结局和社会参与的可改变障碍。不幸的是，患有神经发育障碍的儿童和青年在获得教育和残疾服务与支持方面面临许多障碍。本研究旨在描述服务提供者和决策者在获取残疾服务和支持神经发育障碍儿童和青少年及其家庭方面的差异。方法：利用实用认识论方法的定性描述方法，我们采访了不列颠哥伦比亚省各部委儿童教育和残疾服务部门的16名个人服务提供者和决策者。采用有目的和最大变异抽样来指导参与者的选择。一个咨询委员会提供了耐心和面向家庭的观点，并审查、试行和完善了半结构化面试指南。数据分析采用归纳主题性分析。结果：通过导航旅程和跨部门确定了获得教育和残疾服务和支持的系统障碍和促进因素。为了解决这些障碍并充分利用促进因素，确定了政策和方案设计建议，包括将政策框架为“更宽的大门”和开发“适用于所有人”的整体系统的方法。结论：系统障碍和促进因素在与家庭和儿童接触之前、期间和之后在系统内相互交织。这造成了复杂的执行环境，妨碍了公平提供残疾服务和支助。调查结果系统地、跨部门地概述了与许多司法管辖区相关的系统导航过程中遇到的相互关联的挑战。

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引用次数: 0

Factors Affecting the Incidence of Diarrhoeal Disease Among Children Under 2 Years in Remote Village Area of Bangladesh 影响孟加拉国偏远乡村地区2岁以下儿童腹泻病发病率的因素。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-12-29 DOI: 10.1111/cch.70228

Md. Mazharul Haque Chowdhury, Salamat Khandker, Md. Azharul Haque Chowdhury, Md. Kamrul Hossain, S. M. Mahmudur Rahman

Background

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.

Methods

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.

Results

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.

Conclusion

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.

背景：腹泻病仍然是两岁以下儿童的一个主要公共卫生问题，特别是在孟加拉国的农村和偏远地区。本研究旨在确定Chandpur地区Hanarchar Union地区2岁以下儿童腹泻发病率，并确定相关风险和保护因素。方法：于2021年5月至2022年5月进行横断面研究。采用系统随机抽样的方法，采用结构化问卷对400个有2岁以下儿童的家庭进行了访谈。收集和分析了有关社会人口特征、卫生习惯、饮食习惯和腹泻事件的数据。结果：调查对象中文盲占30%以上，使用卫生厕所的占86.8%。所有答复者都报告在处理儿童粪便后、饭前和排便后洗手。儿童水样腹泻的月发病率为54.1%，98.2%的受影响家庭使用口服补液（ORS）进行治疗。在用开水和肥皂清洗奶瓶的儿童中，腹泻发生率为37.5%，在母亲在排便和排便后使用肥皂和水洗手的儿童中，腹泻发生率为32.1%。更高的母亲教育与改善粪便处理方法有关。虽然所有答复者都使用卫生厕所，但大多数人对其健康益处缺乏认识。所有的孩子都是纯母乳喂养，并在5个月大后开始用奶瓶喂养。结论：适当的卫生习惯，包括用肥皂洗手和用开水清洗喂养瓶，与减少腹泻发生率有关。产妇教育和卫生意识在预防疾病方面也发挥着至关重要的作用。以社区为基础的卫生教育方案可以增进了解并进一步减少偏远地区的腹泻负担。

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引用次数: 0

What Motor Skills Do Children Perceive as Important? A Child-Centred Exploration Using the Motor Coordination Questionnaire 孩子们认为哪些运动技能是重要的？以儿童为中心的运动协调问卷研究。

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2025-12-29 DOI: 10.1111/cch.70230

Marisja Denysschen, Rosemary Xorlanyo Doe-Asinyo, Dané Coetzee, Wilmarié du Plessis, Emmanuel Bonney, Bouwien Smits-Engelsman

Background

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.

Methods

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.

Results

Total MoCQ-I scores differed significantly between countries (p < 0.001, d = 0.235), sex (p = 0.031, d = 0.134) and motor coordination groups (p < 0.001, d = 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.

Conclusion

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.

背景：了解儿童对运动技能重要性的认知对于设计激励和参与性干预措施至关重要。然而，对于有或没有运动协调困难的儿童所重视的运动活动，特别是在文化多样化、资源匮乏的环境中，人们知之甚少。这项研究探讨了儿童如何感知运动活动的重要性，以及这些观点如何受到文化背景、性别和运动技能水平的影响。方法：对南非和加纳的1438名6-13岁儿童进行运动协调问卷调查（moq）。MoCQ包括感知能力（MoCQ- c）和感知重要性（MoCQ- i）两部分。运动技能水平评估使用儿童运动评估单元，第二版在南非和发展协调障碍问卷在加纳。儿童被分为两个运动协调组：典型发育组（TD）和可能发育性协调障碍组（pDCD）。moq - 1的重要性评级在不同国家、性别和运动协调组之间进行了比较。结果：moq - 1总分在不同国家之间存在显著差异(p)。结论：儿童对运动活动重要性的认知受文化背景、性别和运动熟练程度的影响。这些调查结果突出表明，需要采取对文化有反应的、以儿童为中心的干预措施。虽然第一期文化基础问题有效地记录了关键活动，但建议进一步扩大，以增强文化包容性和相关性。

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引用次数: 0