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Risk of behavioural and developmental difficulties in early childhood in the Australian Capital Territory 澳大利亚首都地区幼儿期行为和发育困难的风险。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-08-06 DOI: 10.1111/cch.13314
Kathleen O'Brien, Jason Agostino, Karen Ciszek, Kirsty A. Douglas

Aim

We aimed to estimate the prevalence of risk for developmental and behavioural problems for children in their first year of full-time primary education in the Australian Capital Territory (ACT).

Methods

We conducted an analysis of the 2014–2017 Kindergarten Health Check (KHC), an annual series of complete enumeration surveys of all children in their first year of full-time primary education in the ACT. Risk for developmental and behavioural problems was determined using the Parents' Evaluation of Developmental Status (PEDS) questionnaire.

Results

19 414 children (mean age 5.56 years; 51.4% boys; 2.3% Aboriginal and Torres Strait Islander; 18.4% quintile of greatest relative disadvantage) who participated in the 2014–2017 KHC were included in the study (87%). More than half of ACT children in their first year of primary education had low/no developmental risk identified through the PEDS questionnaire, with 1 in 10 at high risk.

Conclusions

Those more likely to have a high risk PEDS score were boys, those from the areas experiencing relative disadvantage, and Aboriginal and Torres Strait Islander children. While we can identify children at risk through screening, the greater challenge remains to identify and address the underlying causes of healthy inequalities, even within highly socioeconomically advantaged communities.

目的:我们旨在估算澳大利亚首都地区(ACT)全日制小学一年级儿童发育和行为问题的风险发生率:我们对 2014-2017 年的幼儿园健康检查(KHC)进行了分析,这是一项针对澳大利亚首都地区所有接受全日制小学教育的一年级儿童进行的年度系列全面查点调查。结果显示,19 414 名儿童(平均年龄为 5 岁)出现了发育和行为问题:19 414 名儿童(平均年龄为 5.56 岁;51.4% 为男孩;2.3% 为土著居民和托雷斯海峡岛民;18.4% 为处于最不利相对状况的五分之一人口)参加了 2014-2017 年的 KHC 研究(87%)。一半以上的澳大利亚首都地区小学一年级儿童通过PEDS调查问卷确定了低/无发育风险,每10人中就有1人处于高风险:更有可能获得高风险 PEDS 分数的是男孩、来自相对贫困地区的儿童以及土著和托雷斯海峡岛民儿童。虽然我们可以通过筛查来识别高风险儿童,但更大的挑战仍然是识别和解决健康不平等的根本原因,即使在社会经济条件非常优越的社区也是如此。
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引用次数: 0
Understanding the physical literacy development of 8- to 12-year-old children living with chronic medical conditions: A comprehensive, mixed methods inquiry 了解患有慢性疾病的 8 至 12 岁儿童的体育素养发展:综合、混合方法调查。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-08-06 DOI: 10.1111/cch.13316
Angelica Blais, Sherri Lynne Katz, Robert J. Klaassen, Jane Lougheed, John J. Reisman, Daniela Pohl, Sarah Lawrence, Lillian Lai, Suzie Lee, Letizia Gardin, Derek Wong, Erick Sell, Patricia Longmuir

Background

Physical literacy is a concept used to describe the combined physical, affective and cognitive capacities facilitating an active lifestyle. Physical activity participation is essential for children living with chronic medical conditions, but knowledge of physical literacy among this group is scarce.

Methods

An explanatory, sequential mixed methods design was used to comprehensively describe the physical literacies of children with chronic medical conditions (CMCs). Participants were recruited from paediatric cardiology, respirology/cystic fibrosis, neurology, haematology and endocrinology outpatient clinics. All participants completed the Canadian Assessment of Physical Literacy (2nd Edition), and those with higher and lower scores were invited to a semi-structured interview. A deductive-inductive thematic analysis was applied using Margaret Whitehead's conceptualization of physical literacy.

Results

Using normative strata, 80.0% of the 99 children assessed (mean age = 9.97 ± 1.3 years, 48% girls) were considered beginning or progressing in their overall physical literacy (mean score = 56.5 ± 13.8/100). Meanwhile, physical literacy informed participants' approach to new, active experiences and may have contributed to a strong sense of self. There was a significant difference between endocrinology and haematology patients on total physical literacy score (p = 0.03) but not domain scores. Participants scored high on motivation/confidence (mean = 22.9 ± 5.0/30) but obtained low physical competence (mean = 11.8 ± 5.6/30) and daily behaviour scores (n = 72, mean = 15.5 ± 7.1/30). Main themes represent salient experiences of children with CMCs within the domains of physical literacy, including their need to evaluate active contexts, self-regulate activity intensity and manage physical limitations.

Conclusions

Children with CMCs can achieve recommended levels of physical literacy without meeting normative standards for physical competence. Participants would benefit from a physical literacy intervention that targets the development of bodily self-regulation skills and risk evaluation in active settings.

背景:体育素养是一个概念,用于描述有助于形成积极生活方式的身体、情感和认知综合能力。对于患有慢性疾病的儿童来说,参加体育活动至关重要,但对这一群体的体育素养却知之甚少:方法:采用解释性、顺序性混合方法设计,全面描述慢性病患儿的体育素养。参与者来自儿科心脏病、呼吸内科/囊性纤维化、神经内科、血液内科和内分泌科门诊。所有参与者都完成了加拿大身体素养评估(第 2 版),得分较高和较低的参与者被邀请参加半结构化访谈。采用玛格丽特-怀特海(Margaret Whitehead)的体育素养概念进行了演绎-归纳主题分析:采用标准分层法,在接受评估的 99 名儿童(平均年龄 = 9.97 ± 1.3 岁,48% 为女孩)中,有 80.0% 的儿童被认为在整体身体素养方面处于起步或进步阶段(平均分 = 56.5 ± 13.8/100)。同时,体育素养有助于参与者获得新的、积极的体验,并可能有助于形成强烈的自我意识。内分泌科和血液科患者在身体素养总分上有明显差异(p = 0.03),但在领域得分上没有差异。参与者在动机/自信方面得分较高(平均 = 22.9 ± 5.0/30),但在身体能力(平均 = 11.8 ± 5.6/30)和日常行为(n = 72,平均 = 15.5 ± 7.1/30)方面得分较低。主要的主题代表了CMC儿童在体育素养领域的突出经验,包括他们需要评估活动环境、自我调节活动强度和管理身体限制:结论:患有先天性肌肉萎缩症的儿童可以达到建议的体育素养水平,但不符合体育能力的规范标准。针对活动环境中身体自我调节技能和风险评估的体育素养干预将使参与者受益。
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引用次数: 0
Validation of Serbian version of the LittlEARS® Early Speech Production Questionnaire for the assessment of early language development in typically developing children 验证塞尔维亚语版 LittlEARS® 早期言语表达能力问卷,以评估发育正常儿童的早期语言发展。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-08-01 DOI: 10.1111/cch.13317
Mina Nikolić, Sanja Ostojić Zeljković, Maja Ivanović

Objective

The LittlEARS® Early Speech Production Questionnaire (LEESPQ) was developed to provide professionals with valuable information about children's earliest language development and has been successfully validated in several languages. This study aimed to validate the Serbian version of the LEESPQ in typically developing children and compare the results with validation studies in other languages.

Methods

The English version of the LEESPQ was back-translated into Serbian. Parents completed the questionnaire in paper or electronic form either during the visit to the paediatric clinic or through personal contact. A total of 206 completed questionnaires were collected. Standardized expected values were calculated using a second-order polynomial model for children up to 18 months of age to create a norm curve for the Serbian language. The results were then used to determine confidence intervals, with the lower limit being the critical limit for typical speech-language development. Finally, the results were compared with German and Canadian English developmental norms.

Results

The Serbian LEESPQ version showed high homogeneity (r = .622) and internal consistency (α = .882), indicating that it almost exclusively measures speech production ability. No significant difference in total score was found between male and female infants (U = 4429.500, p = .090), so it can be considered a gender-independent questionnaire. The results of the comparison between Serbian and German (U = 645.500, p = .673) and Serbian and English norm curves (U = 652.000, p = .725) show that the LEESPQ can be applied to different population groups, regardless of linguistic, cultural or sociological differences.

Conclusion

The LEESPQ is a valid, age-dependent and gender-independent questionnaire suitable for assessing early speech development in children aged from birth to 18 months.

目的:LittlEARS® 早期语言表达能力问卷 (LEESPQ) 的开发旨在为专业人员提供有关儿童早期语言发展的宝贵信息,该问卷已成功通过多种语言的验证。本研究旨在对塞尔维亚语版的 LEESPQ 进行验证,并将结果与其他语言的验证研究结果进行比较:方法:将英语版的LEESPQ反译成塞尔维亚语。家长在儿科门诊就诊时或通过个人联系填写纸质或电子版问卷。共收集到 206 份填写完毕的问卷。我们使用二阶多项式模型计算了 18 个月以下儿童的标准化预期值,从而绘制出塞尔维亚语的标准曲线。然后根据结果确定置信区间,下限为典型言语-语言发展的临界值。最后,将结果与德国和加拿大的英语发展标准进行比较:塞尔维亚语 LEESPQ 版本显示出较高的同质性(r = .622)和内部一致性(α = .882),表明它几乎只测量言语表达能力。男婴和女婴的总分没有明显差异(U = 4429.500,p = .090),因此可以认为这是一份与性别无关的问卷。塞尔维亚语和德语(U = 645.500,p = .673)以及塞尔维亚语和英语常模曲线(U = 652.000,p = .725)之间的比较结果表明,LEESPQ可以适用于不同的人群,不受语言、文化或社会学差异的影响:结论:LEESPQ 是一份有效的、与年龄相关且与性别无关的问卷,适合评估出生至 18 个月儿童的早期言语发展。
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引用次数: 0
Reliability and validity of a measure of service providers' perceptions of child and parent engagement in pediatric rehabilitation therapy sessions 衡量服务提供者对儿童和家长参与儿科康复治疗过程的看法的可靠性和有效性。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-08-01 DOI: 10.1111/cch.13319
Gillian King, Lisa A. Chiarello, Matthew J. W. McLarnon, Kathleen M. Einarson, Madhu Pinto

Background

There is growing interest in client engagement in pediatric rehabilitation. This article investigated the psychometric properties of a measure of service providers' perceptions of the affective, cognitive and behavioural engagement of both children with disabilities and their parents in pediatric rehabilitation therapy sessions.

Methods

Test–retest reliability of the Pediatric Rehabilitation Intervention Measure of Engagement—Service Provider version (PRIME-SP) was examined using engagement ratings made by 60 service providers for 77 children and 73 parents. Construct validity was examined using the known-group validity technique, utilizing service providers' ratings of the engagement of parents and their children attending the same session with the service provider. We hypothesized that there would be significantly different, yet moderately correlated engagement ratings for children and their parents.

Results

There was evidence of moderate test–retest reliability for the child ratings, indicative of dynamicity across occasions, but also a degree of consistency, as aligned with our expectations. Service providers' ratings of parent and child engagement were not significantly correlated and paired t-tests indicated significantly higher engagement scores for parents than children.

Conclusions

The study provides preliminary evidence to support the reliability and validity of the PRIME-SP as a tool for service providers to document, reflect on and monitor child and/or parent engagement.

背景:人们对儿童康复治疗中客户参与度的关注与日俱增。本文研究了服务提供者对残疾儿童及其家长在儿科康复治疗过程中的情感、认知和行为参与度的心理测量特性:方法:使用 60 名服务提供者对 77 名儿童和 73 名家长的参与度评分,对儿科康复干预参与度测量--服务提供者版(PRIME-SP)的重测可靠性进行了检验。我们采用已知组有效性技术,利用服务提供者对与服务提供者参加同一疗程的家长及其子女的参与度评分,对结构有效性进行了检验。我们假设儿童和家长的参与度评分会有显著差异,但相关性适中:有证据表明,儿童的评分具有适度的重测可靠性,这表明不同场合的评分具有动态性,但也具有一定程度的一致性,这与我们的预期相符。服务提供者对家长和儿童参与度的评分没有明显的相关性,配对 t 检验表明家长的参与度评分明显高于儿童:本研究提供了初步证据,支持 PRIME-SP 作为服务提供者记录、反思和监测儿童和/或家长参与情况的工具的可靠性和有效性。
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引用次数: 0
Correction to ‘The relationship between video games and social–emotional delay in Chinese rural preschoolers: A comparison of five types of media’ 更正 "电子游戏与中国农村学龄前儿童社交情感延迟的关系:五种媒体的比较》。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-07-26 DOI: 10.1111/cch.13309

Gou, H., & Yang, Y. (2024). The relationship between video games and social–emotional delay in Chinese rural preschoolers: A comparison of five types of media. Child: Care, Health and Development, 50(4), e13288. https://doi.org/10.1111/cch.13288

The title was published as ‘The relationship between video games and social–emotional delay in Chinese rural preschoolers: A comparison of five types of media video games and social–emotional delay’.

It should have been ‘The relationship between video games and social–emotional delay in Chinese rural preschoolers: A comparison of five types of media’.

The title has been corrected in the article.

We apologize for the error.

Gou, H., & Yang, Y. (2024). 电子游戏与中国农村学龄前儿童社会情感延迟的关系:五种媒体的比较。儿童:Care, Health and Development, 50(4), e13288. https://doi.org/10.1111/cch.13288 标题为 "电子游戏与中国农村学龄前儿童社交情感发育迟缓的关系:五种媒体的比较":应该是 "电子游戏与中国农村学龄前儿童社交情感发育迟缓的关系:五类媒体电子游戏与社交情感发育迟缓的比较":标题已在文章中更正,我们对此表示歉意。
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引用次数: 0
Healthcare providers' perceptions of infant physical activity and communication 医疗服务提供者对婴儿体育活动和沟通的看法。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-07-26 DOI: 10.1111/cch.13312
Priyanka Chaudhary, Kailey Snyder, Shari DeVeney, Danae Dinkel

Background

Healthcare providers (HPs) play a critical role in disseminating information about infant health and development. Two key developmental areas for infants are physical activity (PA) and communication. Few studies have examined HPs views of these topics. Thus, HPs may need support to promote these early development outcomes in infants. Thus, the study explored HPs' perceptions of infant PA and communication.

Methods

A total of 13 HPs with a wide variety of backgrounds were recruited. Zoom semi-structured interviews were based on the Health Belief Model. Deductive content analysis was utilized to analyze data.

Results

HPs knew little about PA guidelines. HPs were concerned about an infant's PA because of limited playtime and tummy time. Most HPs advised parents on PA and motor development milestones, with crawling, walking, and tummy time. HPs also wanted to learn about PA measurement tools. PA promotion was hindered by parents' busy schedules, lack of time, and language barriers. Most HPs advised parents on verbal and nonverbal communication. Many HPs were unfamiliar with communication assessment methods and wanted to learn more.

Conclusions

HPs had limited knowledge about PA guidelines and communication measurement tools. Efforts are needed to identify easily accessible ways to educate HPs that could be disseminated to parents.

背景:医疗保健提供者(HPs)在传播有关婴儿健康和发育的信息方面发挥着至关重要的作用。婴儿发育的两个关键领域是身体活动(PA)和沟通。很少有研究调查过医疗服务提供者对这些主题的看法。因此,保健医生可能需要得到支持,以促进婴儿的这些早期发育成果。因此,本研究探讨了助产士对婴儿体能活动和沟通的看法:方法:共招募了 13 名不同背景的助产士。变焦半结构式访谈以健康信念模型为基础。采用演绎式内容分析法对数据进行分析:保健医生对 PA 指南知之甚少。由于婴儿的玩耍时间和吃奶时间有限,保健医生对婴儿的 PA 表示担忧。大多数助产士向父母提供了关于 PA 和运动发育里程碑的建议,包括爬行、走路和吃奶时间。保健医生还希望了解 PA 测量工具。父母工作繁忙、缺乏时间和语言障碍阻碍了儿童自我保护的推广。大多数家政服务人员向家长提供语言和非语言沟通方面的建议。许多保健医生不熟悉沟通评估方法,希望了解更多:家政服务人员对PA指南和沟通测量工具的了解有限。需要努力找出易于使用的方法来教育保健医生,并将其传播给家长。
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引用次数: 0
How best to support parents in the management of standing frame usage in home settings: A mixed methods study 在家庭环境中如何更好地支持家长管理站立架的使用:混合方法研究。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-07-26 DOI: 10.1111/cch.13310
Laerke Hartvig Krarup, Anders Holsgaard-Larsen, Helle Mätzke Rasmussen, Stine Østergaard Kyed, Charlotte Skau Pawlowski

Background

An improved understanding of the current practice of standing frame use may have implications for supporting parents in managing standing frames. We aimed to investigate how parents of children with cerebral palsy perceive and manage standing frame use in home settings.

Methods

We conducted a mixed methods study with an explanatory sequential design, first collecting and analysing quantitative questionnaire data and then using these results to inform a qualitative follow-up phase to explain them. The questionnaire was answered by 103 parents of children with cerebral palsy across five countries, Denmark, Norway, Great Britain, Canada and the United States, and 12 Danish families participated in the subsequent interviews. A descriptive analysis was conducted using the questionnaire data. The qualitative data were analysed using a directed content analysis, enabling integration of the quantitative and qualitative data.

Results

The quantitative analysis showed that 89% of the parents felt confident with their child's standing frame, and 82% felt they had sufficient knowledge about how their child's standing frame could/should be used. However, the qualitative analysis showed that even when feeling confident, the parents experienced insecurity regarding whether their child was positioned correctly, and being responsible for positioning was challenging.

Conclusion

Our study implies a need for providing educational materials to assist the parents in ensuring optimal positioning of their child in the standing frame to decrease insecurity. Additionally, our study suggests a need to provide more thorough information about the benefits of using a standing frame and ensure alignment of expectations in relation to the child's prognosis of functional independence.

背景:更好地了解目前站立架的使用情况可能会对支持家长管理站立架产生影响。我们旨在调查脑瘫儿童的父母如何看待和管理家庭环境中站立架的使用:我们进行了一项混合方法研究,采用解释性顺序设计,首先收集和分析定量问卷数据,然后利用这些结果为定性后续阶段提供信息,以解释这些结果。丹麦、挪威、英国、加拿大和美国五个国家的 103 名脑瘫儿童家长回答了问卷,12 个丹麦家庭参加了随后的访谈。对问卷数据进行了描述性分析。定性数据采用定向内容分析法进行分析,从而将定量和定性数据结合起来:定量分析显示,89% 的家长对孩子的站立架有信心,82% 的家长认为他们对如何/应该使用孩子的站立架有足够的了解。然而,定性分析显示,即使家长感到有信心,他们也会对自己孩子的站立姿势是否正确感到不安全感,而且负责孩子的站立姿势也具有挑战性:我们的研究表明,有必要提供教育材料,帮助家长确保孩子在站立架上的最佳姿势,以减少不安全感。此外,我们的研究还表明,有必要就使用站立架的益处提供更全面的信息,并确保与儿童功能独立的预后相一致。
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引用次数: 0
Assessing the acceptability of a culturally adapted group-based pediatric intervention, Kokajjiriri, for Marshallese mothers and infants to improve nutrition and prevent childhood obesity 评估马绍尔母婴对基于文化的集体儿科干预措施 Kokajjiriri 的接受程度,以改善营养状况并预防儿童肥胖。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-07-26 DOI: 10.1111/cch.13311
Britni L. Ayers, Eliza Short, Chloe Cline, Alice S. Ammerman, Sarah K. Council, Philmar Mendoza Kabua

Background

Marshallese Pacific Islanders experience higher rates of obesity than other racial and/or ethnic communities. Despite the obesity rates experienced in this community, there are currently no childhood obesity prevention interventions designed for Marshallese Pacific Islanders in the United States. The purpose of this study is to assess the acceptability and feasibility of a culturally adapted group-based pediatric intervention, Kokajjiriri, with Marshallese mothers to improve nutrition and reduce childhood obesity.

Methods

A multi-methods design was used to culturally adapt the Kokajjiriri intervention for Marshallese mothers in Arkansas (n = 17). In phase one, we conducted 24-h dietary recalls with 20 Marshallese mothers to inform the cultural adaptation of the group-based pediatric intervention, and then in phase two, we culturally adapted and piloted three sessions of the intervention to determine the acceptability and feasibility of the intervention.

Results

Participants found the adapted intervention to be acceptable and feasible, found the location to be convenient and found the facilitator to be knowledgeable. Four themes emerged from the qualitative data: (1) Lactation Support; (2) Introducing Healthy Solids; (3) Rice Portion Control; and (4) Finding Resources.

Conclusions

This is the first study to assess the acceptability and feasibility of a culturally adapted group-based pediatric intervention, Kokajjiriri, with Marshallese mothers to improve nutrition and reduce childhood obesity. The results from this culturally adapted group-based pediatric intervention, Kokajjiriri, will be used to inform future adaptations and implementation of the full intervention for Marshallese women and children.

背景:马绍尔太平洋岛民的肥胖率高于其他种族和/或族裔社区。尽管该社区的肥胖率很高,但目前美国还没有针对马绍尔太平洋岛民设计的儿童肥胖预防干预措施。本研究的目的是评估马绍尔母亲对基于文化的小组儿科干预Kokajjiriri的接受度和可行性,以改善营养状况,减少儿童肥胖:方法:我们采用了多种方法设计,针对阿肯色州的马绍尔母亲(n = 17)对 Kokajjiriri 干预措施进行了文化调整。在第一阶段,我们对 20 位马绍尔母亲进行了 24 小时饮食回顾,为基于小组的儿科干预措施的文化调整提供信息;然后在第二阶段,我们对干预措施进行了文化调整并试行了三节课,以确定干预措施的可接受性和可行性:结果:参与者认为调整后的干预措施可以接受且可行,认为地点方便,并认为主持人知识渊博。定性数据中出现了四个主题:(1)哺乳支持;(2)引入健康固体食物;(3)米饭分量控制;以及(4)寻找资源:这是第一项评估马绍尔母亲对基于文化的集体儿科干预Kokajjiriri的接受度和可行性的研究,旨在改善营养状况和减少儿童肥胖。Kokajjiriri "这一基于文化的小组儿科干预措施的结果将被用于为马绍尔妇女和儿童未来调整和实施完整的干预措施提供信息。
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引用次数: 0
Online occupational therapy group training for mothers of children with feeding problems: A randomized controlled trial 为有喂养问题儿童的母亲提供在线职业治疗小组培训:随机对照试验
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-07-26 DOI: 10.1111/cch.13315
Rukiye Begum Koca, Gokcen Akyurek

Aim

The aim of this study was to scrutinize how online occupational therapy group training for mothers influenced their attitudes and stress levels relating to feeding their children and the eating behaviours of the children. The secondary purpose of the study is to evaluate the satisfaction of the participants of this program. Twenty-nine mothers of children aged 3–6 years, experiencing feeding issues, were randomly allocated to either an intervention or control group.

Background

Feeding problems including selective eating, loss of appetite, and mealtime behaviour problems are prevalent during childhood. Parents play a fundamental role in acquiring knowledge about feeding. Problems in the feeding process may lead to parental stress, feelings of despair, and incorrect attitudes.

Results

The mothers in the research group participated in the 4-week training. Results indicated positive effects on both maternal attitudes and their children's eating behaviours (p < 0.05). No significant change was found in mothers' state and trait anxiety levels (p > 0.05). Participants were asked to score their satisfaction level with the program between 1 and 10, and the average of the scores was 9.78 ± 0.42.

Conclusion

This study shows that online group education for mothers can support existing treatments and guide clinicians working with children with feeding problems.

目的:本研究的目的是仔细研究为母亲提供的在线职业治疗小组培训如何影响她们在喂养孩子和孩子饮食行为方面的态度和压力水平。研究的第二个目的是评估该计划参与者的满意度。29 位有 3-6 岁喂养问题儿童的母亲被随机分配到干预组或对照组:背景:喂养问题,包括选择性进食、食欲不振和进餐行为问题,在儿童时期十分普遍。家长在掌握喂养知识方面扮演着重要角色。喂养过程中出现的问题可能会导致家长产生压力、绝望感和不正确的态度:研究组的母亲参加了为期 4 周的培训。结果表明,培训对母亲的态度和孩子的饮食行为都产生了积极影响(P 0.05)。参与者被要求在 1 到 10 之间对项目的满意度打分,平均分为 9.78 ± 0.42:这项研究表明,针对母亲的在线小组教育可以支持现有的治疗方法,并为临床医生处理有喂养问题的儿童提供指导。
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引用次数: 0
Enhancing school health programmes post-pandemic: Insights from Taiwan's integrated mental health initiatives 大流行后加强学校保健计划:台湾综合心理健康计划的启示。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-07-22 DOI: 10.1111/cch.13313
Ya-Yun Tsai, Lien-Chung Wei
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Child Care Health and Development
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