5,125 results
Search Results
2. Joint position paper on rural maternity care.
- Subjects
- Canada, Female, Humans, Infant, Newborn, Pregnancy, Child Health Services standards, Maternal Health Services standards, Rural Health Services standards
- Published
- 2012
3. Call for papers: improving the quality of care for children and adolescents.
- Author
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Rivara FP
- Subjects
- Adolescent, Child, Humans, United States, Adolescent Health Services standards, Child Health Services standards, Quality of Health Care standards
- Published
- 2010
- Full Text
- View/download PDF
4. Parents' attitudes towards hepatitis B vaccination for their children. A survey comparing paper and web questionnaires, Sweden 2005.
- Author
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Dannetun E, Tegnell A, and Giesecke J
- Subjects
- Adult, Child, Child, Preschool, Correspondence as Topic, Cross-Sectional Studies, Female, Humans, Internet, Male, Pilot Projects, Sweden, Child Health Services statistics & numerical data, Health Care Surveys methods, Health Knowledge, Attitudes, Practice, Hepatitis B prevention & control, Hepatitis B Vaccines administration & dosage, Parents psychology, Surveys and Questionnaires
- Abstract
Background: The World Health Organisation, WHO, recommends that most countries should vaccinate all children against hepatitis B. Sweden has chosen not to do so, but the issue is reassessed regularly. The objective of this survey was to assess knowledge and attitudes towards hepatitis B vaccine for children among parents living in Sweden, and to compare distribution of responses and response rate between parents answering a postal questionnaire and those responding via the Internet., Methods: A population-based cross-sectional survey, where the sampling frame consisted of all parents to a child born 2002 living in Sweden. Two independent samples of 1001 parents in each sample were drawn. All parents were contacted by postal mail. The parents in the first sample were invited to participate by answering a paper questionnaire. The parents in the second sample were given an individual user name along with a password, and asked to log on to the Internet to answer an identical electronic questionnaire., Results: A total of 1229 questionnaires were analysed. The overall response rate for paper questionnaires was 55%, and 15% for the web version. Knowledge of the disease hepatitis B was overall high (90%). A higher degree of knowledge was seen among parents with education beyond high school (p = 0.001). This group of parents also had a higher tendency to reply via the Internet (p = 0.001). The willingness to accept hepatitis B vaccine for their child was correlated to the acceptance of the present childhood vaccination programme (p = 0.001)., Conclusion: The results reveal a high level of knowledge of the disease and a positive attitude to having their children vaccinated. This study also displays that the conventional postal method of surveying still delivers a higher response rate than a web-based survey.
- Published
- 2007
- Full Text
- View/download PDF
5. Insuring children's health care: a call for papers.
- Author
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Perrin JM
- Subjects
- Adolescent, Child, Humans, United States, Adolescent Health Services economics, Child Health Services economics, Health Services Accessibility economics, Insurance Coverage
- Published
- 2005
- Full Text
- View/download PDF
6. Emergency Medical Services for Children managed care white paper series: introduction.
- Author
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Moody-Williams JD and Athey J
- Subjects
- Adolescent, Child, Child, Preschool, Female, Humans, Male, Practice Guidelines as Topic, United States, Child Health Services standards, Emergency Medical Services standards, Managed Care Programs standards
- Abstract
The introduction of managed care principles profoundly changed the delivery of health care in the United States. The Emergency Medical Services for Children (EMSC) program has developed a series of white papers to address the impact of managed care on the emergency care system for children and adolescents. We hope that these white papers will focus discussions among managed care organizations, health care providers, and the public in ways that will lead to improvement in the system of care available to children and adolescents.
- Published
- 1999
- Full Text
- View/download PDF
7. Public health for children: the Green Paper.
- Author
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Campbell S and Carter B
- Subjects
- Child, Health Care Reform organization & administration, Health Priorities, Humans, United Kingdom, Child Health Services organization & administration, Health Policy, Public Health, State Medicine organization & administration
- Published
- 1998
- Full Text
- View/download PDF
8. The papers of Cicely Williams (1893-1992) in the Contemporary Medical Archives Centre at the Wellcome Institute.
- Author
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Hunter I
- Subjects
- Adolescent, Child, Child, Preschool, Colonialism history, Ghana, History, 20th Century, Humans, Infant, Libraries history, Singapore, United Kingdom, Archives history, Child Health Services history, Child Nutritional Physiological Phenomena, Kwashiorkor history, Manuscripts as Topic history, Maternal Health Services history, Public Health history
- Abstract
The papers of Cicely Williams were given to the Contemporary Medical Archives Centre in 1993, and subsequently catalogued. They cover most aspects of her work in the field of maternal and child health, as practitioner, teacher and consultant, 1929-1989, especially in the developing world. The collection includes correspondence, reports, lectures, publications, photographs and sound recordings, and is of relevance to a wide range of issues related to maternal and child health and the development of appropriate local health care systems. In particular, it is of interest in relation to Williams' pioneering work on the identification of the childhood malnutrition disease kwashiorkor. The Cicely Williams papers complement many other collections held by the Contemporary Medical Archives Centre. This article focuses on two pre-war reports of her work in the Gold Coast and Singapore, which show the early development of ideas which are echoed throughout the rest of her papers.
- Published
- 1996
- Full Text
- View/download PDF
9. Child-health nurses' experiences from using pictorial support with families within child-health services in Sweden.
- Author
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Carlsson E, Hüls A, Myrén D, Jansson A, and Larsson A
- Subjects
- Humans, Sweden, Child, Pediatric Nursing, Female, Professional-Family Relations, Male, Adult, Middle Aged, Nurses, Pediatric psychology, Child Health Services, Qualitative Research
- Abstract
Aim: To gain insight into child-health nurses' experiences of using pictorial support in health visits within child-health services., Methods: A qualitative study involving interviews conducted with 17 child-health nurses in Sweden. The interview data were analysed using content analysis., Results: The nurses experienced that pictorial support could facilitate communication with families and increase opportunities for children to participate in child-health services, although it may come with challenges. This theme can be broken down into three main categories: (1) Pictorial support makes interaction with families clearer and easier and is used in different ways; (2) The design and extensiveness of the pictorial support can create obstacles; and (3) Pictorial support influences children's attitudes towards, and participation in, health visits., Conclusion: Pictorial support is an important and useful tool in child-health nurses' own work and improves their communication with children and caregivers during health visits. It can also increase children's participation and help them express themselves. Communicative tools such as pictorial support are very helpful to healthcare professionals striving to offer child- and family-centred care., (© 2024 The Author(s). Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)
- Published
- 2024
- Full Text
- View/download PDF
10. Transition from child-centered to adult health-care systems for adolescents with chronic conditions. A position paper of the Society for Adolescent Medicine.
- Author
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Blum RW, Garell D, Hodgman CH, Jorissen TW, Okinow NA, Orr DP, and Slap GB
- Subjects
- Adolescent, Adult, Child, Humans, Adolescent Health Services, Adolescent Medicine, Child Health Services, Chronic Disease epidemiology, Patient Transfer
- Published
- 1993
- Full Text
- View/download PDF
11. Position paper on the role of occupational therapy in paediatrics. Canadian Association of Occupational Therapists.
- Subjects
- Canada, Child, Humans, Models, Theoretical, Organizational Policy, Role, Child Health Services standards, Occupational Therapy standards, Pediatrics standards, Societies
- Published
- 1991
12. Oral health education and promotion in maternal and child health: a position paper.
- Author
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Frazier PJ and Horowitz AM
- Subjects
- Child, Female, Humans, Child Health Services, Dental Health Services, Health Education, Dental, Health Promotion, Maternal Health Services, Oral Health
- Abstract
Oral health education and promotion are the connecting mechanisms among prevention, policy development and program implementation, maintenance and evaluation. Given the preventive procedures available today, all focus populations of women and children should have access to accurate information about such procedures as well as access to the procedures themselves. Furthermore, appropriate methodologies need to be utilized for community oral health education and these methods differ from those commonly used for individual education. In the context of maternal and child health there are unprecedented opportunities for new accomplishments in oral health. The health education model most appropriate for these groups is the public health model, an approach designed to empower as well as inform, and one that fosters shared decision making among community members and health professionals. Dental professionals have the responsibility to address this challenge, and to help correct the health information inequities that prevail, especially among the traditionally informationally disenfranchised subfocus populations discussed in this paper.
- Published
- 1990
- Full Text
- View/download PDF
13. Wellbeing Outcomes and Risk and Protective Factors for Parents with Migrant and Refugee Backgrounds from the Middle East in the First 1000 Days: A Systematic Review.
- Author
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Winter, Amelia Kate, Due, Clemence, and Ziersch, Anna
- Subjects
MENTAL illness risk factors ,MENTAL illness prevention ,ANXIETY prevention ,PREVENTION of mental depression ,RISK assessment ,MEDICAL information storage & retrieval systems ,EMIGRATION & immigration ,HEALTH services accessibility ,INFANT development ,HEALTH attitudes ,HEALTH status indicators ,RESEARCH funding ,PSYCHOLOGICAL distress ,MATERNAL health services ,PSYCHOLOGY of refugees ,MOTHERS ,CHILD health services ,PARENT attitudes ,POSTPARTUM depression ,HELP-seeking behavior ,DESCRIPTIVE statistics ,DISEASE prevalence ,LONELINESS ,PARENTING ,FAMILY roles ,FAMILIES ,PREGNANCY outcomes ,POPULATION geography ,EXPERIENCE ,SYSTEMATIC reviews ,MEDLINE ,THEMATIC analysis ,MIGRANT labor ,CHILD development ,PATIENT-professional relations ,PSYCHOLOGY of parents ,ONLINE information services ,SOCIAL support ,PATIENT satisfaction ,PSYCHOSOCIAL factors ,WELL-being ,PSYCHOLOGY information storage & retrieval systems ,MENTAL depression ,SOCIAL isolation ,COMMUNICATION barriers ,COVID-19 pandemic ,PREGNANCY - Abstract
The First 1000 Days (the period from conception to a child's second birthday) is an important developmental period. However, little is known about experiences of parents with refugee and migrant backgrounds during this period. A systematic review was conducted according to PRISMA guidelines. Publications were identified through searches of the Embase, PsycINFO, PubMed, and Scopus databases, critically appraised, and synthesised using thematic analysis. A total of 35 papers met inclusion criteria. Depressive symptomatology was consistently higher than global averages, however maternal depression conceptualisations differed across studies. Several papers reported changes in relationship dynamics as a result of having a baby post-migration. Consistent relationships were found between social and health support and wellbeing. Conceptualisations of wellbeing may differ among migrant families. Limited understanding of health services and relationships with health providers may impede help-seeking. Several research gaps were identified, particularly in relation to the wellbeing of fathers, and of parents of children over 12 months old. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
14. The Epidemiology and Experience of Atopic Eczema during Childhood: A Discussion Paper on the Implications of Current Knowledge for Health Care, Public Health Policy and Research
- Author
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Fennessy, Mairéad, Coupland, Sue, Popay, Jennie, and Naysmith, Karen
- Published
- 2000
15. Failure To Report Ethical Approval In Child Health Research: Review Of Published Papers
- Author
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Bauchner, Howard and Sharfstein, Joshua
- Published
- 2001
16. Background Paper on Universal Maternity Care: Council on Maternal and Child Health, National Association for Public Health Policy
- Published
- 1986
- Full Text
- View/download PDF
17. Personal Paper: Attention Deficit Hyperactivity Disorder Is Underdiagnosed and Undertreated in Britain
- Author
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Kewley, Geoffrey D.
- Published
- 1998
18. Review: Improving access to mental health interventions for children from birth to five years: A Scoping Review.
- Author
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Hickey L, Harms L, Evans J, Noakes T, Lee H, McSwan A, Bean H, Hope J, Allison L, Price S, and Harris N
- Subjects
- Child, Infant, Humans, Child, Preschool, Mental Health, Risk Factors, Population Groups, Mental Health Services, Child Health Services
- Abstract
Background: In spite of infants and children aged 0-5 years experiencing mental health difficulties being estimated to be in the range of 6%-18% globally, the mental health care needs for this age group are often overlooked in the design of specialist mental health services. Although there is increasing recognition of the importance of infant mental health services and treatments for younger children, access remains a barrier. Mental health services specifically designed for children 0-5 years are vital; however, little is known about how these services ensure access for infants at risk of mental health difficulties and their families. This scoping review seeks to address this knowledge gap., Methods: A scoping review methodology framework was used to search for relevant articles published between January 2000 and July 2021, identified using five databases: MEDLINE, CINAHL, PsycINFO, SocIndex and Web of Science. The selection of studies was based on empirical research about access to infant mental health services and models of care. A total of 28 relevant articles met the eligibility criteria for inclusion in this review., Results: Findings can be summarised under five broad themes: (1) accessibility for at-risk populations (2) the importance of early detection of infants in need of mental health services and interventions; (3) the promotion of culturally responsive services and interventions; (4) ensuring the sustainability of IMH services and programs and (5) the integration of innovative interventions to improve existing practice models., Conclusions: The findings from this scoping review highlight barriers to access and provision of infant mental health services. Future infant mental health service design, informed by research, is needed to improve access for infants and young children with mental health difficulties and their families., (© 2023 Association for Child and Adolescent Mental Health.)
- Published
- 2024
- Full Text
- View/download PDF
19. "The Children's Act, A Consultation Paper".
- Author
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Turgay A
- Subjects
- Child, Child Welfare legislation & jurisprudence, Deinstitutionalization, Humans, Ontario, Child Health Services legislation & jurisprudence, Social Work legislation & jurisprudence
- Published
- 1983
20. A child, adolescent and family health service (Paper 6).
- Author
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Morrissey A
- Subjects
- Australia, Child, Child, Preschool, Family, Humans, Infant, Adolescent, Child Health Services, Community Health Services
- Published
- 1980
21. A White Paper: children and federal health care cuts.
- Subjects
- Child, Cost Control legislation & jurisprudence, Female, Humans, Infant, Infant, Newborn, Maternal Health Services economics, Medicaid legislation & jurisprudence, Pregnancy, United States, Child Health Services economics
- Published
- 1983
22. MCAAP position paper declares health planning must not fragment child care.
- Author
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Perkin N
- Subjects
- Child Advocacy, Humans, Michigan, Child Health Services, Health Planning
- Published
- 1979
23. Promoting Coordination and Collaboration in Tribal Home Visiting Programs in the United States.
- Author
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Stewart SL, Applequist KL, and Seanez P
- Subjects
- Child, Child, Preschool, Female, Humans, Infant, Pregnancy, Alaska Natives, Disabled Children, Indians, North American, United States, United States Government Agencies, American Indian or Alaska Native, Child Health Services, Health Services, Indigenous, House Calls, Maternal Health Services, Delivery of Health Care ethnology
- Abstract
Background: A joint statement from two federal agencies in the United States calls for coordination and collaboration between programs serving families of infants and toddlers who are at risk or developmentally delayed or disabled U.S. Department of Education and U.S. Department of Health and Human Services. Policy guidance: Joint statement on collaboration and coordination of the MIECHV and IDEA Part C programs. (2017). Individuals with Disabilities Education Act. ED/HHS Joint Guidance Document: Collaboration and Coordination of the Maternal, Infant, and Early Childhood Home Visiting Program and the Individuals with Disabilities Education Act Part C Programs. Young Native American children living on tribal lands in this country are currently eligible for two federal programs associated with these agencies which overlap in mission and implementation., Purpose: This paper outlines potential strategies for creating a more seamless system of services for tribal families involving more centralized intake processes and procedures, cross training of staff to work across programs, and adopting more unifying approaches to program implementation., Conclusion: A streamlined system of services will result in interventions that better support family and child outcomes while reducing duplication of services, consolidating the limited number of qualified professionals available to provide services, and increasing convenience and cultural attunement of services to Native American families currently participating in both programs., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Published
- 2024
- Full Text
- View/download PDF
24. Rural-urban differences in access to care among children and adolescents in the United States.
- Author
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Crouch E, Hung P, Benavidez G, Giannouchos T, and Brown MJ
- Subjects
- Child, United States, Humans, Adolescent, Cross-Sectional Studies, Poverty, Logistic Models, Insurance, Health, Health Services Accessibility, Child Health Services
- Abstract
Purpose: Rural children and adolescents face disproportionate challenges in access to health care services than their urban counterparts. Yet, recent evidence on disparities in access to health care between rural and urban children and adolescents has been limited. This study examines the associations of residence location with receipt of preventive care, foregone medical care, and continuity of insurance coverage among US children and adolescents., Methods: This study used cross-sectional data from the 2019 to 2020 National Survey of Children's Health, with a final sample size of 44,679 children. Descriptive statistics, bivariate analyses, and multivariable logistic regression models were used to examine the differences in preventive care, foregone care, and continuity of insurance coverage between rural and urban children and adolescents., Findings: Rural children had lower odds of receiving preventive care (aOR 0.64; 95% CI 0.56-0.74) and having continuous health insurance coverage (aOR 0.68; 95% CI 0.56-0.83) compared to urban children. The odds of foregone care were similar between rural and urban children. Children at every federal poverty level (FPL) less than 400% were less likely to receive preventive care, and more likely to forego care than children residing at 400% or above FPL., Conclusions: Rural disparities in child preventive care and insurance continuity warrant ongoing surveillance and local access to care initiatives, especially for children in low-income households. Without updated public health surveillance, policymakers and program developers may not be aware of current disparities. School-based health centers are 1 avenue for meeting the unmet health care needs of rural children., (© 2023 National Rural Health Association.)
- Published
- 2024
- Full Text
- View/download PDF
25. Investing in the foundation of sustainable development: pathways to scale up for early childhood development.
- Author
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Richter LM, Daelmans B, Lombardi J, Heymann J, Boo FL, Behrman JR, Lu C, Lucas JE, Perez-Escamilla R, Dua T, Bhutta ZA, Stenberg K, Gertler P, and Darmstadt GL
- Subjects
- Child Health Services economics, Child Protective Services economics, Child Protective Services organization & administration, Child, Preschool, Early Intervention, Educational economics, Early Intervention, Educational organization & administration, Financing, Government, Humans, Maternal Health Services economics, Maternal Health Services organization & administration, Politics, Poverty, Child Development, Child Health Services organization & administration, Developing Countries
- Abstract
Building on long-term benefits of early intervention (Paper 2 of this Series) and increasing commitment to early childhood development (Paper 1 of this Series), scaled up support for the youngest children is essential to improving health, human capital, and wellbeing across the life course. In this third paper, new analyses show that the burden of poor development is higher than estimated, taking into account additional risk factors. National programmes are needed. Greater political prioritisation is core to scale-up, as are policies that afford families time and financial resources to provide nurturing care for young children. Effective and feasible programmes to support early child development are now available. All sectors, particularly education, and social and child protection, must play a role to meet the holistic needs of young children. However, health provides a critical starting point for scaling up, given its reach to pregnant women, families, and young children. Starting at conception, interventions to promote nurturing care can feasibly build on existing health and nutrition services at limited additional cost. Failure to scale up has severe personal and social consequences. Children at elevated risk for compromised development due to stunting and poverty are likely to forgo about a quarter of average adult income per year, and the cost of inaction to gross domestic product can be double what some countries currently spend on health. Services and interventions to support early childhood development are essential to realising the vision of the Sustainable Development Goals., (Copyright © 2017 Elsevier Ltd. All rights reserved.)
- Published
- 2017
- Full Text
- View/download PDF
26. Reviewed paper: Young ones, small steps: The journey of Hume healthy mothers healthy babies
- Author
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Janssen, Glenys and Pinchen, Suzy
- Published
- 2012
27. Health service utilisation and unmet healthcare needs of Australian children from immigrant families: A population-based cohort study.
- Author
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Guo S, Liu M, Chong SY, Zendarski N, Molloy C, Quach J, Perlen S, Nguyen MT, O'Connor E, Riggs E, and O'Connor M
- Subjects
- Adolescent, Australia, Child, Child, Preschool, Cohort Studies, Female, Health Services Accessibility statistics & numerical data, Humans, Logistic Models, Longitudinal Studies, Male, Child Health Services organization & administration, Emigrants and Immigrants statistics & numerical data, Health Services Accessibility organization & administration, Healthcare Disparities statistics & numerical data
- Abstract
Compared with most other Organization for Economic Co-operation and Development (OECD) countries, information about the patterns of health service use for children from immigrant families in Australia is currently limited, and internationally, data on unmet healthcare needs are scarce. This study aims to examine the distribution of health service utilisation and unmet healthcare needs for immigrant children aged 10-11 years in Australia. We drew on data from the Longitudinal Study of Australian Children Birth (B; n = 5,107) and Kindergarten (K; n = 4,983) cohorts. The exposure was family immigration background collected at 0-1 (B-cohort) and 4-5 (K-cohort) years. Outcomes were parent-reported child health service use and unmet healthcare needs (defined as the difference between services needed and services received) at 10-11 years. Logistic regression analyses were used to examine associations between family immigration background and health service use/unmet healthcare needs, adjusting for potential confounders. Results showed that one-third of Australian children (B-cohort: 29.0%; K-cohort: 33.4%) came from immigrant families. There were similar patterns of health service use and unmet healthcare needs between children from English-speaking immigrant and Australian-born families. However, children from non-English-speaking immigrant families used fewer health services, including paediatric, dental, mental health and emergency ward services. There was a disparity between the services used when considering children's health needs, particularly for paediatric specialist services (B-cohort: OR = 2.43, 95% CI 1.11-5.31; K-cohort: OR = 2.72, 95% CI 1.32-5.58). Findings indicate that Australian children from non-English-speaking immigrant families experience more unmet healthcare needs and face more barriers in accessing health services. Further effort is needed to ensure that the healthcare system meets the needs of all families., (© 2020 John Wiley & Sons Ltd.)
- Published
- 2020
- Full Text
- View/download PDF
28. Implementing the Green Paper: The Challenges of multi-disciplinary team collaboration. A review of the evidence.
- Author
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Symons, Rachel
- Subjects
CHILD health services ,HEALTH care teams ,HEALTH education ,HEALTH services accessibility ,HIGH schools ,INTERPROFESSIONAL relations ,NATIONAL health services ,MEDICAL care for teenagers ,HUMAN services programs ,SCHOOL mental health services ,STAKEHOLDER analysis - Published
- 2020
29. Improving Care for Families and Children with Neurodevelopmental Disorders and Co-occurring Chronic Health Conditions Using a Care Coordination Intervention.
- Author
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Gall VN, Buchhalter J, Antonelli RC, Richard C, Yohemas M, Lachuk G, and Gibbard WB
- Subjects
- Adolescent, Child, Child, Preschool, Emergency Service, Hospital, Family, Humans, Quality Improvement, Child Health Services, Neurodevelopmental Disorders epidemiology, Neurodevelopmental Disorders therapy
- Abstract
Objective: This clinical intervention study aimed to improve care integration and health service delivery for children with concurrent neurodevelopmental disorders and chronic health conditions. This population has significant unmet needs and disproportionate deficits in service delivery. A lack of coordination across child service sectors is a common barrier to successful treatment and support of children with neurodevelopmental disorders with complex medical needs., Methods: This project implemented an innovative care coordination model, involving one-on-one supports from a trained care coordinator who liaised with the broader intersectoral care team to improve joint care planning, integration of services, and the experience of both families and care providers. To evaluate the impact of care coordination activities, a single-group interventional study was conducted using a repeated-measures framework (at 0, 6, and 12 months) using previously established outcome measures., Results: Over 2 years, this project provided care coordination to 84 children and their families, with an age range from 2 to 17 years. The care coordination intervention demonstrated positive impacts for children, families, and care teams and contributed to clinical efficiencies. Children had fewer visits to the emergency department and less frequent acute care use. Improvement in access to services, joint care planning and communication across providers, and better linkage with school supports were demonstrated. Families reported that the program decreased their stress around coordinating care for their child., Conclusion: This work demonstrated that intersectoral care coordination is attainable through innovative and collaborative practice for children with complex neurodevelopmental and medical needs., Competing Interests: Disclosure: The authors declare no conflict of interest., (Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2022
- Full Text
- View/download PDF
30. An international position paper on mother-infant (perinatal) mental health, with guidelines for clinical practice.
- Author
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Brockington, Ian, Butterworth, Ruth, and Glangeaud-Freudenthal, Nine
- Subjects
- *
ANXIETY , *CHILD health services , *HEALTH care teams , *INFANT development , *MATERNAL health services , *MEDICAL protocols , *MENTAL health , *MENTAL health services , *POSTPARTUM depression , *PSYCHIATRIC nursing , *PATHOLOGICAL psychology , *PREGNANCY - Abstract
The purpose of this paper is to set out informal, provisional and comprehensive but concise guidelines for mother-infant (perinatal) mental health (psychiatry), as an area of specialisation. It is informal in the sense that the authors are clinicians and researchers from many different nations, who share a common goal and vision, speaking on their own behalf and not with the backing of any authority or society. It is provisional in the expectation that it can be improved by criticism and new research findings. It is a comprehensive summary of the development of the specialty, its core knowledge and recommended investigations and interventions. It is concise (under 6,000 words, taking less than an hour to read) in order to increase readership and facilitate translation. No attempt has been made to parade the evidence for these suggestions, because the document would have been too long to translate, and for many to read. Instead, drafts were circulated for criticism by those included in the authorship, resulting in a consensus (finalised by the three principal authors), providing a framework to guide service provision, clinical practice and research. The full list of authors, from 33 nations, is given in the postscript. They include mother-infant (or parent-infant) and perinatal adult or child psychiatrists and those with a special interest; mother-infant, perinatal and forensic psychologists; psychiatric nurses; the founders of Postpartum Support International and the Association for Postnatal Illness; representatives of social work and obstetrics and the management of these services, and research scientists working in the field. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
31. Will the green paper transform mental health services for children and young people?
- Author
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Hackett, Kimberley
- Subjects
- *
CHILD health services , *HEALTH policy , *MENTAL health services ,MEDICAL care for teenagers - Abstract
The article mentions that leading nurses are among those conveying their thoughts on government and National Health Service efforts to reshape services ahead of Mental Health Nurses Day on February 21, 2019.
- Published
- 2018
- Full Text
- View/download PDF
32. Children with Cerebral Palsy and Unmet Need for Care Coordination.
- Author
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Casseus M and Cheng J
- Subjects
- Child, Chronic Disease, Cross-Sectional Studies, Health Services Accessibility, Health Services Needs and Demand, Humans, Autism Spectrum Disorder epidemiology, Autism Spectrum Disorder therapy, Cerebral Palsy epidemiology, Cerebral Palsy therapy, Child Health Services
- Abstract
Objective: To examine the physical and functional health of children with cerebral palsy (CP) and determine the prevalence and correlates of unmet need for health care coordination among this population., Methods: We analyzed data from the 2016 to 2018 National Survey of Children's Health (n = 102,341). Bivariate and multivariable analyses were conducted to compare the prevalence of chronic health conditions, functional disabilities, and care coordination among children with and without CP. Multivariable logistic regression models were used to estimate the adjusted odds ratio of comorbid conditions, functional disabilities, and unmet need for care coordination. Associations between select sociodemographic factors and unmet need for care coordination were assessed., Results: Children with CP had significantly higher prevalence of all the comorbid conditions and functional disabilities examined. The most prevalent health conditions among children with CP were allergies (34.2%), anxiety (26.5%), and asthma (25.1%). Notably, children with CP had higher odds of autism spectrum disorder (adjusted odds ratio [aOR] = 2.97; 95% confidence interval [CI] 1.40-6.30) and mental health conditions (aOR = 3.65; 95% CI 2.15-6.21). More than half (53.8%) of children with CP had unmet need for care coordination. They also had higher odds of unmet need for care coordination than children without CP (aOR = 2.63; 95% CI 1.69-4.10)., Conclusion: Children with CP have high prevalence of chronic health conditions and are also more likely to have unmet need for care coordination. Given the complexity of CP, our study supports the need for robust efforts to ensure that all children with CP have effective care coordination., Competing Interests: Disclosure: The authors declare no conflict of interest., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
33. Predictors of Unmet Family Support Service Needs in Families of Children with Special Health Care Needs.
- Author
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Graaf G, Annis I, Martinez R, and Thomas KC
- Subjects
- Child, Cross-Sectional Studies, Delivery of Health Care, Health Care Surveys, Health Services Accessibility, Health Services Needs and Demand, Humans, Insurance, Health, United States, Child Health Services, Disabled Children
- Abstract
Objectives: This study describes rates of perceived and unmet need for family support services (care coordination, respite care, and family mental health care) among a national sample of children with special health care needs (CSHCN), distinguishing children with emotional, behavioral, or developmental problems (EBDPs) from children with primarily physical chronic conditions. It also examines if a child having EBDPs is associated with perceived and unmet family support service needs and investigates public versus private health insurance's moderating effect on this association., Methods: Using data from the National Survey of Children with Special Health Care Needs (2005/2006 and 2009/2010), this cross-sectional study uses multi-level, fixed effects logistic regression., Results: When compared to CSHCN with no EBDPs, parents of CSHCN with EBDPs report greater need for all family support services and greater rates of unmet need for all support services. This pattern of greater need for CSHCN with EBDPs versus those without is similar among those with public and private health insurance. Among CSHCN with family support needs, however, the pattern differs. For CSHCN with EBDPs, having public insurance is associated with lower probabilities of unmet needs compared to private insurance. For CSHCN without EBDPs, having public insurance has a mixed effect on probability of reporting unmet need., Conclusion: Having EBDPs and public insurance is associated with increased perceived need, but public insurance also confers particular benefit for children with EBDPs., (© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Published
- 2021
- Full Text
- View/download PDF
34. Opportunities for Nurses to Increase Parental Health Literacy: A Discussion Paper.
- Author
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Johnston, Robyn, Fowler, Cathrine, Wilson, Valerie, and Kelly, Michelle
- Subjects
- *
CHILD health services , *CHILDREN'S health , *DECISION making , *FAMILIES , *EVALUATION of medical care , *NURSES , *INFORMATION resources , *OCCUPATIONAL roles , *HEALTH literacy , *PARENTING education - Abstract
Most families can access a range of health information and advice. Information and advice sources often include nurses, the Internet, social media, books, as well as family and friends. While the immediate aim may be to find information, it can also be to assist with parenting skills, solve parenting problems or as part of decision-making processes about their child’s health. These processes are strongly influenced by the parent’s level of health literacy. Health literacy describes a person’s capacity to obtain and utilize health related information. Although there are numerous health literacy definitions all have clearly defined steps. These steps are: obtaining relevant information; then understanding this information; and finally being able to use the information to achieve the expected outcome. Previous research has linked low levels of parental health literacy with poorer child health outcomes. Given this link, increasing health literacy levels would be advantageous for both families and health services. Nurses working with families are in a position to support the family to increase their health literacy through the use of a variety of strategies. This article outlines how health literacy can influence the way parents seek help when they are concerned about child health issues, the relevance of parental health literacy for nurses and suggests some tools that could be used to support the increase of health literacy. [ABSTRACT FROM PUBLISHER]
- Published
- 2015
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35. Care Coordination in Emergency Departments for Children and Adolescents With Behavioral Health Conditions: Assessing the Degree of Regular Follow-up After Psychiatric Emergency Department Visits.
- Author
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Lynch S, Witt W, Ali MM, Teich JL, Mutter R, Gibbons B, and Walsh C
- Subjects
- Adolescent, Child, Child, Preschool, Emergency Service, Hospital, Follow-Up Studies, Humans, Insurance Coverage, Male, United States, Child Health Services, Medicaid
- Abstract
Background: Increasing numbers of children are receiving care for behavioral health conditions in emergency departments (EDs). However, studies of mental health-related care coordination between EDs and primary and/or specialty care settings are limited. Such coordination is important because ED care alone may be insufficient for patients' behavioral health needs., Methods: We analyzed claims during the year 2014 from Truven Health Analytics MarketScan Medicaid and Commercial databases for outpatient services and prescription drugs for youth 2 to 18 years old with continuous enrollment. We applied a standard care coordination measure to insurance claims data in order to examine whether youth received a primary care or specialty follow-up visit within 7 days following an ED visit with a psychiatric diagnosis. We calculated descriptive statistics to evaluate differences in care coordination by enrollees' demographic, insurance, and health-related characteristics. In addition, we constructed a multivariate logistic regression model to detect the factors associated with the receipt of care coordination., Results: The total percentages of children who received care coordination were 45.8% (Medicaid) and 46.6% (private insurance). Regardless of insurance coverage type, children aged 10 to 14 years had increased odds of care coordination compared with youth aged 15 to 18 years. Children aged 2 to 5 years and males had decreased odds of care coordination., Conclusions: It is of concern that fewer than half of patients received care coordination following an ED visit. Factors such as behavioral health workforce shortages, wait times for an appointment with a provider, and lack of reimbursement for care coordination may help explain these results., Competing Interests: Disclosure: The authors declare no conflict of interest., (Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2021
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36. Paper Bag Books: A Creative Intervention with Elementary School Children Experiencing High-Conflict Parental Divorce.
- Author
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Somody, Catherine and Hobbs, Marsha
- Subjects
- *
CHILDREN of divorced parents , *CHILD psychotherapy , *SCHOOL children , *CHILD psychiatry , *CHILD mental health services , *CHILD health services , *MENTAL health services , *CHILD psychology , *MENTAL health , *PSYCHOTHERAPY - Abstract
The article focuses on the activity of making paper bag books as a creative intervention for elementary school children experiencing high-conflict parental divorce. Research shows that school-based interventions for children can help counter the adverse effects of divorce. It states that the paper bag book activity aims to offer a compassionate environment for meaningful connections and perceived commonality among students with similar traumatic experiences. Furthermore, the child-made paper bag books can help empower the child to express his or her innermost feelings.
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- 2006
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37. What can the randomness of missing values tell you about clinical practice in large data sets of children's vital signs?
- Author
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Roland D, Suzen N, Coats TJ, Levesley J, Gorban AN, and Mirkes EM
- Subjects
- Adolescent, Age Factors, Child, Child, Preschool, Clinical Decision-Making, Data Interpretation, Statistical, England, Humans, Infant, Infant, Newborn, Predictive Value of Tests, Child Health Services, Data Collection, Datasets as Topic, Electronic Health Records, Emergency Service, Hospital, Health Status Indicators, Research Design, Vital Signs
- Published
- 2021
- Full Text
- View/download PDF
38. Importance of child and adolescent health and related research.
- Author
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Murakami K
- Subjects
- Adolescent, Child, Family, Humans, Nursing Research, Adolescent Health, Child Health Services, Mental Health Services
- Published
- 2020
- Full Text
- View/download PDF
39. Experiences of a feasibility study of children with albinism in Zimbabwe: A discussion paper
- Author
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Taylor, Julie S. and Lund, Patricia
- Subjects
- *
ALBINISM , *PIGMENTATION disorders , *CHILD health services - Abstract
Abstract: Background: Feasibility studies are often a helpful prelude to constructing fundable research proposals. Where the intended research is in a foreign country, focuses on a vulnerable population, and is aggravated by political and pragmatic challenges, feasibility studies become essential. Albinism, a genetic condition of reduced melanin synthesis, is a major public health issue in southern Africa. Whilst much is known about the health needs of children with albinism, little is understood about how to address these effectively in low income countries. Further, the child care and protection needs of children with albinism are largely unexplored. Zimbabwe''s current political and economic climate presents additional challenges to research on the topic. Method: The technical, economic, legal, collaborative, operational, schedule and political feasibilities (acronym TELCOSP) to undertaking a study on children with albinism in Zimbabwe were explored over a six week period of fieldwork in the country. Results: Using the TELSCOSP framework allowed a deconstruction of each challenge to provide innovative solutions. The economic and legal feasibility aspects presented some difficulties that will require flexibility and perseverance to overcome. Conclusion: With the assistance of the local communities and people with albinism in Zimbabwe, the obstacles appear surmountable. The feasibility study provided a productive framework for addressing potential challenges in studying the needs of Zimbabwe''s children living with albinism. [Copyright &y& Elsevier]
- Published
- 2008
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40. Research Trends in Mother–Child Healthcare, 1966–1995.
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Loria, Alvar and Arroyo, Pedro
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BIBLIOMETRICS ,CHILD health services ,MEDICAL care ,RESEARCH ,MEDLINE ,COMPUTER software - Abstract
Objective: To explore trends in mother–child healthcare (MCHC) research over the past 30 years. Methods: Classifications of Medline articles were made at 5-year intervals using Medical Subject Headings (MeSH) as classifiers. Papers were classified in mutually and non-mutually exclusive categories by subject (mother and four age groups of children) and type of research (clinical, basic, epidemiologic, and unclassified) and its various combinations. Results: The number of MCHC papers increased from 34,110 in 1966 to 65,028 in 1995, but the proportion of all Medline articles (18–21%) was relatively stable. There were remarkable long-term temporal stabilities in the proportions of MCHC papers of mothers and the four age groups of children. Most papers dealt with child (46%) and adolescents (45%), and only 11% studied mother and children together. Regression analysis indicated that a linear increase in number of MCHC papers in Medline (1053/year) was represented largely by single-age and combinations of age children, especially adolescence. However, the slope for mother-plus-children papers (113/year) was substantially higher than for mothers alone (64/year). Clinical papers (52%) were the dominant type of MCHC research, but the proportions of basic and epidemiologic papers and their combinations with clinical papers have increased substantially in the past decade. Conclusions: There has been a dominance of clinical and child-related papers in MCHC research, which may be a reflection of restricted outlooks of specialists in the area. This may change soon if the tendency toward increasing numbers of basic and epidemiologic papers holds. [ABSTRACT FROM AUTHOR]
- Published
- 2000
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41. Assessing the burden of childhood asthma: validation of electronic versions of the Mini Pediatric and Pediatric Asthma Caregiver's Quality of Life Questionnaires
- Author
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Minard, Janice P., Thomas, Nicola J., Olajos-Clow, Jennifer G., Wasilewski, Nastasia V., Jenkins, Blaine, Taite, Ann K., Day, Andrew G., and Lougheed, M. Diane
- Published
- 2016
42. Quotidian Beliefs and Practices in Maternal and Child Health Care: An Empirical Study Among the Irula Tribe of Tamil Nadu.
- Author
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Lakshmi, M. Roja and Eswarappa, Kasi
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MATERNAL health services ,CHILD health services ,IRULAS (Indic people) ,TRIBES - Abstract
The present paper explores the cultural context of maternal and child health (MCH) care practices and beliefs of Irula tribes. It identifies the factors and analyses the pattern of their domiciliary deliveries and neonatal care among Irula, which is one of the PVTGs (Particularly Vulnerable Tribal Groups) in Tamil Nadu. The paper adopted a descriptive research design based on the pilot survey and ethnographic fieldwork. It examines the health care beliefs and practices relating to maternal and neonatal care connected with a holistic view of the Irula community's cultural dimensions. The paper also demonstrates the factors for domiciliary deliveries, non-utilization of prevailing state's health interventions, and incentives for maternal and child health care services among the Irulas. Keeping in view the aforementioned argument, an empirical study was carried out in six Irular settlements of Villupuram district in Tamil Nadu. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
43. Parents' attitudes towards hepatitis B vaccination for their children. A survey comparing paper and web questionnaires, Sweden 2005
- Author
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Johan Giesecke, Anders Tegnell, and Eva Dannetun
- Subjects
Adult ,Male ,Parents ,medicine.medical_specialty ,Pediatrics ,Health Knowledge, Attitudes, Practice ,Hepatitis B vaccine ,Cross-sectional study ,Population ,Child Health Services ,Pilot Projects ,Surveys and Questionnaires ,medicine ,Humans ,Hepatitis B Vaccines ,education ,Child ,Response rate (survey) ,Sweden ,education.field_of_study ,Internet ,business.industry ,lcsh:Public aspects of medicine ,Public health ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,Hepatitis B ,medicine.disease ,Correspondence as Topic ,Cross-Sectional Studies ,Family medicine ,Child, Preschool ,Health Care Surveys ,Female ,Biostatistics ,Willingness to accept ,business ,Research Article - Abstract
Background The World Health Organisation, WHO, recommends that most countries should vaccinate all children against hepatitis B. Sweden has chosen not to do so, but the issue is reassessed regularly. The objective of this survey was to assess knowledge and attitudes towards hepatitis B vaccine for children among parents living in Sweden, and to compare distribution of responses and response rate between parents answering a postal questionnaire and those responding via the Internet. Methods A population-based cross-sectional survey, where the sampling frame consisted of all parents to a child born 2002 living in Sweden. Two independent samples of 1001 parents in each sample were drawn. All parents were contacted by postal mail. The parents in the first sample were invited to participate by answering a paper questionnaire. The parents in the second sample were given an individual user name along with a password, and asked to log on to the Internet to answer an identical electronic questionnaire. Results A total of 1229 questionnaires were analysed. The overall response rate for paper questionnaires was 55%, and 15% for the web version. Knowledge of the disease hepatitis B was overall high (90%). A higher degree of knowledge was seen among parents with education beyond high school (p = 0.001). This group of parents also had a higher tendency to reply via the Internet (p = 0.001). The willingness to accept hepatitis B vaccine for their child was correlated to the acceptance of the present childhood vaccination programme (p = 0.001). Conclusion The results reveal a high level of knowledge of the disease and a positive attitude to having their children vaccinated. This study also displays that the conventional postal method of surveying still delivers a higher response rate than a web-based survey.
- Published
- 2007
44. Ethical considerations for paediatrics during the COVID-19 pandemic: A discussion paper from the Australian Paediatric Clinical Ethics Collaboration.
- Author
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Jansen, Melanie, Irving, Helen, Gillam, Lynn, Sharwood, Erin, Preisz, Anne, Basu, Shreerupa, Delaney, Clare, McDougall, Rosalind, Johnston, Carolyn, Isaacs, David, and Lister, Paula
- Subjects
COVID-19 pandemic ,MEDICAL personnel ,HYPOPLASTIC left heart syndrome ,SCIENTIFIC knowledge ,CHILD health services ,CHILDREN with autism spectrum disorders - Abstract
Children have not been severely affected by SARS-CoV-2-related illness but are vulnerable to the economic and social deprivation arising from the pandemic.[1] This document describes unique risks and burdens for children and their care givers during the COVID-19 pandemic. The allocation of intensive care resources applies to all patients needing ICU, not only those with COVID-19, and it applies to the whole population, from newborns to the elderly. Determining eligibility for ICU admission Eligibility for ICU is based both on the clinical need of the patient and their likelihood of benefit from intensive care. How should non-ICU paediatric clinicians prepare for ICU resource scarcity?. [Extracted from the article]
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- 2020
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45. Forty years of fabricated or induced illness (FII): where next for paediatricians? Paper 2: Management of perplexing presentations including FII.
- Author
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Glaser, Danya and Davis, Paul
- Subjects
PEDIATRICIANS ,CHILD health services ,MENTAL health services ,CHILD protection services - Published
- 2019
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- View/download PDF
46. Smartphone Versus Pen-and-Paper Data Collection of Infant Feeding Practices in Rural China.
- Author
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Zhang, Shuyi, Wu, Qiong, van Velthoven, Michelle H. M. M. T., Chen, Li, Car, Josip, Rudan, Igor, Zhang, Yanfeng, Li, Ye, and Scherpbier, Robert W.
- Subjects
HOUSEHOLD surveys ,CHILD health services ,COMPUTERS in medicine ,SMARTPHONES ,PERINATAL care ,MEDICAL informatics - Abstract
Background: Maternal, Newborn, and Child Health (MNCH) household survey data are collected mainly with pen-and-paper. Smartphone data collection may have advantages over pen-and-paper, but little evidence exists on how they compare. Objective: To compare smartphone data collection versus the use of pen-and-paper for infant feeding practices of the MNCH household survey. We compared the two data collection methods for differences in data quality (data recording, data entry, open-ended answers, and interrater reliability), time consumption, costs, interviewers' perceptions, and problems encountered. Methods: We recruited mothers of infants aged 0 to 23 months in four village clinics in Zhaozhou Township, Zhao County, Hebei Province, China. We randomly assigned mothers to a smartphone or a pen-and-paper questionnaire group. A pair of interviewers simultaneously questioned mothers on infant feeding practices, each using the same method (either smartphone or pen-and-paper). Results: We enrolled 120 mothers, and all completed the study. Data recording errors were prevented in the smartphone questionnaire. In the 120 pen-and-paper questionnaires (60 mothers), we found 192 data recording errors in 55 questionnaires. There was no significant difference in recording variation between the groups for the questionnaire pairs (P = .32) or variables (P = .45). The smartphone questionnaires were automatically uploaded and no data entry errors occurred. We found that even after double data entry of the pen-and-paper questionnaires, 65.0% (78/120) of the questionnaires did not match and needed to be checked. The mean duration of an interview was 10.22 (SD 2.17) minutes for the smartphone method and 10.83 (SD 2.94) minutes for the pen-and-paper method, which was not significantly different between the methods (P = .19). The mean costs per questionnaire were higher for the smartphone questionnaire (¥143, equal to US $23 at the exchange rate on April 24, 2012) than for the pen-and-paper questionnaire (¥83, equal to US $13). The smartphone method was acceptable to interviewers, and after a pilot test we encountered only minor problems (eg, the system halted for a few seconds or it shut off), which did not result in data loss. Conclusions: This is the first study showing that smartphones can be successfully used for household data collection on infant feeding in rural China. Using smartphones for data collection, compared with pen-and-paper, eliminated data recording and entry errors, had similar interrater reliability, and took an equal amount of time per interview. While the costs for the smartphone method were higher than the pen-and-paper method in our small-scale survey, the costs for both methods would be similar for a large-scale survey. Smartphone data collection should be further evaluated for other surveys and on a larger scale to deliver maximum benefits in China and elsewhere. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
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47. Closing the Loop: Enhancing Local Monitoring of Child Poverty to Leave No Child Behind.
- Author
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de la Rasilla, Pablo, Stamos, Iraklis, Proietti, Paola, and Siragusa, Alice
- Subjects
RESEARCH methodology ,SOCIAL networks ,STAKEHOLDER analysis ,NUTRITION ,INTERVIEWING ,VIOLENCE ,CHILDREN with disabilities ,SOCIAL isolation ,CONCEPTUAL structures ,CHILD health services ,QUALITY assurance ,ACTION research ,CASE studies ,POVERTY ,HOMELESSNESS ,HOUSING ,LITERATURE reviews ,SOCIAL integration ,CHILDREN - Abstract
Research on the Leave No One Behind principle of the Sustainable Development Goals (SDGs) within the context of the Agenda 2030 is currently prevalent; however, research on monitoring child poverty at the sub-national (local) level is still limited. This paper addresses this gap by examining indicators developed for monitoring the phenomenon at different territorial levels (global, European, and national) and assessing their territorial transposition locally, using the city of Cadiz, Spain, as a case study. Interviews with local stakeholders reveal that despite the availability and access to related indicators and data, relevant actors must enhance their efforts to utilize such indicators effectively. Based on desktop research and qualitative analysis, the paper delivers recommendations for improving local monitoring of child poverty in Europe and inducing policy changes. This knowledge can inform targeted interventions, policy formulation, and resource allocation to tackle child poverty and promote equitable and inclusive societies. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
48. Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ approach of Curamericas: 2. Study site, design, and methods.
- Author
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Perry, Henry B., Valdez, Mario, Blanco, Stanley, Llanque, Ramiro, Martin, Shayanne, Lambden, Jason, Gregg, Corey, Leach, Kaitlin, Olivas, Elijah, Muffoletto, Barbara, Wallace, Jacqueline, Modanlo, Nina, Pfeiffer, Erin, Westgate, Carey C., Lesnar, Breanne, and Stollak, Ira
- Subjects
EXPERIMENTAL design ,WELL-being ,MEDICAL quality control ,RURAL health services ,RESEARCH protocols ,COMMUNITY support ,COMMUNITY health services ,UNIVERSAL healthcare ,BIRTHING centers ,SOCIAL capital ,PRIMARY health care ,HUMAN services programs ,SELF-efficacy ,CHILD health services ,QUALITY assurance ,HEALTH equity ,NUTRITIONAL status ,CHILD mortality - Abstract
Background: The Curamericas/Guatemala Maternal and Child Health Project, 2011–2015, included implementation research designed to assess the effectiveness of an approach referred to as CBIO+ , composed of: (1) the Census-Based, Impact-Oriented (CBIO) Approach, (2) the Care Group Approach, and (3) the Community Birthing Center Approach. This is the second paper in a supplement of 10 articles describing the implementation research and its findings. Paper 1 describes CBIO+ , the Project Area, and how the Project was implemented. Objective: This paper describes the implementation research design and details of how it was carried out. Methods: We reviewed the original implementation research protocol and the methods used for all data collection related to this Project. The protocol and methods used for the implementation research related to this Project were all standard approaches to the monitoring and evaluation of child survival projects as developed by the United States Agency for International Development Child Survival and Health Grants Program (CSHGP) and the CORE Group. They underwent independent peer review supervised by the CSHGP before the implementation research began. Results: The study area was divided into two sets of communities with a total population of 98,000 people. Project interventions were implemented in Area A from 2011 until the end of the project in 2015 (44 months) and in Area B from late 2013 until 2015 (20 months). Thus, Area B served as a quasi-comparison area during the first two years of Project implementation. The overarching study question was whether the CBIO+ Approach improved the health and well-being of children and mothers. The outcome indicators included (1) changes in population coverage of evidence-based interventions, (2) changes in childhood nutritional status, (3) changes in the mortality of children and mothers, (4) quality of care provided at Community Birthing Centers, (5) the impact of the Project on women's empowerment and social capital, (6) stakeholder assessment of the effectiveness of the CBIO+ Approach, and (7) the potential of wider adoption of the CBIO+ Approach. Conclusion: The implementation research protocol guided the assessment of the effectiveness of the CBIO+ Approach in improving the health and well-being of children, mothers, and their communities. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
49. Select Committee report damns mental health Green Paper.
- Subjects
MENTAL health services ,BRITISH education system ,EDUCATION policy ,CHILD health services - Published
- 2018
50. The use of hydrotherapy in the first stage of labour: A systematic review and meta‐analysis.
- Author
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Ergin, Ayla, Aşci, Özlem, Bal, Meltem Demirgöz, Öztürk, Gizem Güneş, and Karaçam, Zekiye
- Subjects
ONLINE information services ,META-analysis ,SYSTEMATIC reviews ,LABOR pain (Obstetrics) ,HYDROTHERAPY ,TREATMENT effectiveness ,VAGINA ,CHILD health services ,FIRST stage of labor (Obstetrics) ,DELIVERY (Obstetrics) ,MEDLINE ,INTRAPARTUM care - Abstract
Aim: To explore the effect of hydrotherapy applied in the first stage of labour on the health of mother and newborn. Methods: This systematic review and meta‐analysis was carried out by following PRISMA. The studies were obtained by scanning EBSCO, PubMed, Science Direct, Ovid, Web of Science and Scopus electronic databases. Twenty studies published between 2013 and 2023 were included. Results: The total sample size of the studies was 8254 (hydrotherapy: 2953, control: 5301). Meta‐analyses showed that the perception of pain decreased, comfort level and vaginal birth rate were higher and assisted vaginal birth rate and APGAR scores in the first minute were lower in women who underwent hydrotherapy. There was no difference between groups in terms of the duration of the first and second stage of labour, episiotomy, perineal trauma, intrapartum and postpartum bleeding amounts, use of pain medication and labour augmentations, APGAR scores in the fifth minute, positive neonatal bacterial culture and neonatal intensive care unit need. Conclusion: This study revealed that the results that hydrotherapy decreased the perception of pain and assisted birth, increased the rate of vaginal birth and comfort level and did not adversely affect the health of the mother and baby during the birth process. Summary statement: What is already known about this topic? Hydrotherapy is a non‐pharmacological technique used in labour.Studies showed that hydrotherapy applied in the first stage of labour is an effective technique for lessening the intensity of labour pain, reducing the need for assisted vaginal childbirth and augmentation and lowering episiotomy rates. What this paper adds This study summarizes the evidence that hydrotherapy is effective in increasing vaginal birth rates and comfort, reducing pain during labour and assisted vaginal birth rates.This review revealed that hydrotherapy does not impact the duration of the first and second stages of labour, perineal trauma or episiotomy, the use of pain relief, labour augmentation, intrapartum/postpartum haemorrhage and neonatal outcomes. The implications of this paper: Increasing availability for reliable evidence about the effectiveness of hydrotherapy for reducing pain in the first stage of labour and rates of assisted vaginal birth, increasing vaginal birth rates, comfort and satisfaction is likely to be beneficial both in theory and practice for all stakeholders, including pregnant women, midwives, nurses and obstetricians. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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