scholarly journals The involvement of community pediatricians in the treatment of developmental-behavioral difficulties as perceived by directors of child development centers

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Rachel Nissanholtz-Gannot ◽  
Davidovitch Michael ◽  
Yael Ashkenazi ◽  
Zachi Grossman
Keyword(s):  
Child Development ◽  
Developmental Delays ◽  
Qualitative Interviews ◽  
Relevant Information ◽  
Health Plans ◽  
Behavioral Issues ◽  
Pediatric Residency ◽  
Medical Evaluation ◽  
Parental Guidance ◽  
Child Development Centers

Abstract Background Developmental-behavioral issues are among the most frequent and disabling conditions of children and adolescents seen in ambulatory settings. Guidelines of the Israeli Pediatric Association and the Israeli Society for Developmental Pediatrics specify the role of the primary-care pediatrician in screening and early identification of mild developmental behavioral conditions and define the criteria for referral to child development institutes. The aims of this study were to examine and describe how directors of these institutes perceive the role and involvement of community pediatricians in child development. Methods Qualitative interviews of the directors of 22 child development institutes from the ministry of health and the four health plans. Results According to the interviewees, there is little involvement of community pediatricians in detecting developmental delays, and it is mainly nurses and preschool teachers who detect such delays. They report that the key barriers that deter community pediatricians from greater involvement in child development diagnosis and treatment are lack of time, lack of compensation, and insufficient clinical knowledge. The interviewees would like to see community pediatricians conducting the primary medical evaluation, providing parental guidance, referring to therapists in mild cases, exercising discretion before referring children to child development institutes and providing relevant information to the institutes in the referral process. The mechanisms that they proposed for increasing the involvement of community pediatricians were expansion of pediatricians’ training, increased pediatricians’ use of teleconsultation with child development specialists and incentives for thorough performance of developmental assessments. Conclusions Due to the importance of the Issue, we strongly recommend that policymakers require child development principles, evaluation, and providing appropriate parental guidance in the curriculum of the Israeli pediatric residency program. In addition, health plans should compensate pediatricians who need to conduct longer visits for children with developmental delays. The health plans should also develop teleconsultation channels for pediatricians with child development specialists to reduce unnecessary referrals to child development institutes.

scholarly journals Environmental factors and psychomotor development in children up to the age of 3

2020 ◽  
Vol 66 (4) ◽  
pp. 61-68
Author(s):  
Joanna Owsianowska ◽  
Marta Wawrzynów ◽  
Sylwia Wieder-Huszla ◽  
Paulina Zabielska ◽  
Artur Kotwas ◽  
...  
Keyword(s):  
Child Development ◽  
Significant Relationship ◽  
Developmental Delays ◽  
Negative Influence ◽  
Maternal Exposure ◽  
Childhood Development ◽  
Psychomotor Development ◽  
Toxic Exposure ◽  
High Exposure ◽  
Communication Development

Abstract Introduction Chemical compounds and other pollutants found in the environment have a well-documented, adverse effect on the life and health of individuals. Those who are most vulnerable to toxic effects include prospective parents, pregnant women, foetuses, and young children. In Poland, both the prevention and early detection of developmental abnormalities is insufficient. The objective of the study was to analyse how the pre- and postnatal development of a child is affected by toxicants the mother has been exposed to. Materials and methods The study was conducted in the form of a diagnostic survey. The degree of toxic exposure was assessed based on Wawrzynów’s questionnaire, the Mothers’ Toxic Exposure Assessment Questionnaire’ (Kwestionariusz Oceny Narażenia Matek Dzieci na Toksyny – KONT-15). The evaluation of child development was based on the following psychometric tools: the Munich Functional Developmental Diagnostics (MFDD), the Speech (MM-speech) and Reflex (MM-reflexes) Development Questionnaire, IRMIK (Inwentarz Rozwoju Mowy i Komunikacji) – the Polish adaptation of the MacArthur-Bates Communication Development Inventories (CDI), and the Child Development (RD-18) questionnaire, also designed by Wawrzynów. Results The study included 102 mothers of children up to 3 years of age. Most of the surveyed mothers indicated large urban agglomerations with more than 100,000 inhabitants as their current place of residence. The study demonstrated that a substantial majority of the mothers had come into contact with toxicants. A statistically significant relationship was demonstrated between developmental delays in children and high exposure to toxins in mothers. There was no statistically significant relationship between maternal exposure to toxins and delays in the development of speech and reflexes. Conclusions Environmental pollutants found primarily in air, food, medication, and everyday items, exert a negative influence on childhood development. A high maternal exposure to toxins contributes to developmental delays in speech and reflexes in children. Delays in speech and communication development were observed more frequently in children who were older. Developmental delays in children were more common among younger children.

Radiographers relationship with head and neck cancer patients

2013 ◽  
Vol 12 (3) ◽  
pp. 245-254 ◽  
Author(s):  
Helen Egestad
Keyword(s):  
Radiation Therapy ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Qualitative Interviews ◽  
Relevant Information ◽  
Open Questions ◽  
Post Radiation ◽  
Fear And Anxiety

AbstractIntroductionHead and neck cancer patients face many demanding events, such as radiation therapy, which can cause anxiety and uncertainty. Studies report that relevant information decreases emotional distress and inadequate communication can lead to increased fear and anxiety. There is a lack of research that describes what radiographers do when they meet the patients. The aim is to explain what radiographers’ do that may lead to less anxiety and uncertainty for head and neck cancer patients.MethodThis study was conducted via qualitative interviews and took on a phenomenological, hermeneutic approach. Eleven head and neck cancer patients were interviewed 1-month post radiation therapy.ResultsSuccessful meetings are characterised by the radiographer smiling, being pleasant, referring to the patient by their name, informing the patient thoroughly, asking open questions and answering questions.ConclusionHead and neck cancer patients feel vulnerable and need the radiographer to create a safe atmosphere when they undergo treatment. Then radiographers reduce uncertainty, provide emotional support, reduce loneliness, provide information and create alliances.

scholarly journals Deteksi Perkembangan Anak Usia 3 Bulan – 72 Bulan Menggunakan Kuesioner Pra Skrining Perkembangan (KPSP)

2020 ◽  
Vol 1 (1) ◽  
pp. 8-14
Author(s):  
Christina Entoh ◽  
Fransisca Noya ◽  
Kadar Ramadhan
Keyword(s):  
Child Development ◽  
Early Detection ◽  
Community Service ◽  
Growth And Development ◽  
Developmental Disorders ◽  
Developmental Delays ◽  
The United States ◽  
Growth Disorders ◽  
Language Behavior ◽  
The World

More than a third of children in the world experience growth and development disorders both physically and mentally, and an estimated 5 to 10% of the child population has developmental delays. Child development problems such as motor delays, language, behavior, autism, hyperactivity, have increased in recent years, the occurrence in the United States ranges from 12-16.6%, Thailand 24%, Argentina 22.5%, and in Indonesia between 13 % -18%. Approximately 16% of children under five years old (toddlers). Indonesia experiences neurological and brain development disorders ranging from mild to severe. The purpose of this study is to increase the motivation of toddlers to carry out routine child development checks, increase the participation of toddlers to carry out child development checks using KPSP, early detection of growth, and developmental disorders. The method used in this community service is varied lectures. The speakers did a demonstration to mothers who have children of 3  - 72 months. Each mother gave information about their child's age and early detection of growth and development using KPSP according to the age child age. Results: Out of 140 children aged 3 - 72 months who were detected developmentally using the Pre Development Screening Questionnaire (KPSP), there were 134 children (95.7%) with normal results and 6 people (4.3%) with doubtful results and none (0%) who experienced deviance. Conclusion:  The 6 children with doubtful screening results, after 2 weeks of screening, obtained 100% normal developmental results. Suggestion: Early detection can find growth disorders and child development, therefore, an intervention can be done as early as possible.

scholarly journals Process evaluation of integrated early child development care at private clinics in poor urban Pakistan: a mixed methods study

BJGP Open ◽  
2017 ◽  
Vol 1 (3) ◽  
pp. bjgpopen17X101073 ◽  
Author(s):  
Muhammad Amir Khan ◽  
Syeda Somyyah Owais ◽  
Sehrish Ishaq ◽  
John Walley ◽  
Haroon Jehangir Khan ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Child Development ◽  
Qualitative Interviews ◽  
Public Health Care ◽  
Early Child Development ◽  
Care Providers ◽  
Structured Interviews ◽  
District Health ◽  
Healthcare Facilities ◽  
Early Child

BackgroundIn poor urban Pakistan, private GP clinics lack adequate services to promote early child development (ECD) care. A clinic-based contextualised ECD intervention was developed for quarterly tool-assisted counselling of mothers.AimTo explore the experience and implementation of ECD intervention by the private care providers and clients, for further adaptation for scaling of quality ECD care, at primary level private healthcare facilities in Pakistan.Design & settingA mixed methods approach using quantitative records review and qualitative interviews at poor urban clinics in Rawalpindi and Lahore, Pakistan.MethodQuantitative data from study-specific records were reviewed for 1242 mother–child pairs registered in the intervention. A total of 18 semi-structured interviews with clinic staff, mothers, and research staff were conducted at four clinics. The interviews were audiorecorded and transcribed verbatim.ResultsDistrict Health Office (DHO) support allowed transparent and effective selection and training of clinic providers. Public endorsement of ECD care at private clinics and the addition of community advocates promoted ECD care uptake. Clinic settings were found feasible for clinic assistants, and acceptable to mothers, for counselling sessions. Mothers found ECD counselling methods more engaging compared to the usual care provided.ConclusionIn poor urban settings where public health care is scarce, minimal programme investment on staff training and provision of minor equipment can engage private clinics effectively in delivering ECD care.

Psychosocial Health Issues in Pediatric Practices: Parents' Knowledge and Concerns

PEDIATRICS ◽  
1984 ◽  
Vol 74 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Yolanda D. McCune ◽  
Miriam M. Richardson ◽  
Judith A. Powell
Keyword(s):  
Child Development ◽  
Psychosocial Health ◽  
Statistical Technique ◽  
Health Issues ◽  
Pediatric Practice ◽  
Behavioral Issues ◽  
The Past ◽  
South Central ◽  
Central United States ◽  
Child Development Knowledge

Parents' general knowledge of child development and the demographic factors associated with that knowledge were studied. A questionnaire was completed by 230 parents of patients from three quite different pediatric practices in the south-central United States. χ2 analysis was used as the major statistical technique. Results indicated that age, educational level, and income were associated with level of child development knowledge. Parents reported the sources and educational techniques that were most helpful to them in the past and present. The majority (81%) of the questions that parents wished to direct to pediatricians, given sufficient time, were concerned with psychosocial issues. It appears that the pediatric practice is a logical means of providing information to parents about their children's health concerns, both behavioral and physical. These results emphasize the importance of training pediatricians in behavioral issues and in improving their communication skills. The results are presented to help pediatricians select the anticipatory guidance and educational techniques that might be provided to parents through the pediatric practice.

Avaliação motora para prevenção de deficiências do bebê pré-termo e em risco de atraso no desenvolvimento / Motor evaluation for preventing disabilities on preterm babies and babies at risk of developmental delays

2020 ◽  
Vol 4 (5) ◽  
pp. 774-784
Author(s):  
Laene Jeronimo Mendes ◽  
Alice Sá Carneiro Ribeiro ◽  
Larissa Gundes Toqueti ◽  
Lucieny Almohalha
Keyword(s):  
At Risk ◽  
Child Development ◽  
Occupational Therapy ◽  
Developmental Delay ◽  
Motor Development ◽  
Developmental Delays ◽  
Early Stimulation ◽  
History Of ◽  
Age Appropriate ◽  
Preterm Babies

Introdução: O bebê de risco é considerado como aquela criança que está exposta a fatores biológicos e/ou ambientais que interferem com o desenvolvimento infantil típico e impactam a aquisição das habilidades esperados para a faixa etária dos primeiros anos de vida. Objetivo: Avaliar o desenvolvimento motor de bebês pré-termo e a termo com risco de atraso no desenvolvimento atendidos em um ambulatório de pediatria. Métodos: Trata-se de um estudo descritivo de campo, com abordagem observacional. Foram avaliados 17 lactentes de quatro, seis e oito meses de idade, com risco de atraso no desenvolvimento por meio do consentimento dos pais. Os instrumentos para coleta de dados foram um roteiro elaborado pelas pesquisadoras com perguntas relacionadas à história passada e atual dos bebês e seus pais, e a Alberta Infant Motor Scale (AIMS) para avaliação do desenvolvimento motor. Resultados: Verificou-se que dois bebês apresentaram atraso no desenvolvimento motor, três eram suspeitos de atraso e doze tiveram desenvolvimento motor normal para a idade atual. Constatou-se que os bebês que estavam em intervenção terapêutica ocupacional precoce apresentaram desenvolvimento típico em comparação aos bebês que foram assistidos apenas no serviço de rotina pediátrica. Conclusão: Destaca-se a importância da estimulação precoce nos primeiros meses de vida para prematuros e de crianças com risco de atraso no desenvolvimento, uma vez que todos as crianças que estavam no programa de estimulação precoce e recebendo as intervenções de terapia ocupacional, apresentaram desenvolvimento motor adequado para a idade. AbstractIntroduction: The baby at risk is considered as that child who is exposed to biological and/or environmental factors that interfere with the typical child development and impact the acquisition of the skills expected for the age group of the first years of life. Objective: to evaluate developmental delays in premature infants and terms of risk of developmental delay seen in a pediatric outpatient clinic. Methods: This is a descriptive field study, with an observational approach. 17 infants of four, six and eight months of age were taxed, with risk of developmental delay through parental consent. The instruments for data collection were developed by researchers with questions related to the recent and current history of their parents and parents, and an AIMS (Alberta Infant Motor Scale) to assess the development of these engines. Results: It was found that two patients had delayed motor development, three were suspected of delayed development and had normal motor development for their current age. It was found that babies who were undergoing occupational therapeutic intervention started the typical development compared to babies who were seen only in the pediatric routine service. Conclusion: The importance of early stimulation in the first months of life for premature children and those at risk of developmental delay is highlighted, since all children as children who have had no early stimulation program and receive occupational therapy assessments, age-appropriate motor development.Keywords: Child Development; Early Intervention; Occupational Therapy. ResumenIntroducción: El bebé en riesgo se considera aquel niño que está expuesto a factores biológicos y / o ambientales que interfieren con el desarrollo típico del niño e impactan la adquisición de las habilidades esperadas para el grupo de edad de los primeros años de vida. Objetivo: Evaluar posibles retrasos motores en recién nacidos prematuros y a término con riesgo de retraso en el desarrollo atendidos en una clínica ambulatoria pediátrica. Métodos: Este es un estudio de campo con un enfoque observacional y descriptivo. Diecisiete bebés de cuatro, seis y ocho meses fueron evaluados, con riesgo de retraso en el desarrollo a través del consentimiento de los padres. Los instrumentos para la recolección de datos fuero unnguión desarrollado por los investigadores con preguntas relacionadas con la historia pasada y actual de los bebés y sus padres, y la Escala motora infantil de Alberta (AIMS) para evaluar el desarrollo motor. Resultados: Se descubrió que dos bebés tenían retraso en el desarrollo motor, treseransospechosos de retraso y doce tenía nun desarrollo motor normal para la edad actual. Se descubrió que los bebés que se sometían a una intervención terapéutica ocupacional temprana mostraronun desarrollo típico en comparación con los bebés que solo fueron atendidos en el servicio de rutina pediátrico. Conclusión: Se destaca la importancia de la estimulación tempranaen los primeros meses de vida para bebés prematuros y niños en riesgo de retraso del desarrollo, ya que todos los niños que esta banenel programa de estimulación temprana y que recibieron intervenciones de terapia ocupacional mostraron desarrollo motor apropiado para la edad.Palabras clave: Desarrollo infantil, estimulación temprana, terapia ocupacional.   

scholarly journals Association Between Knowledge of Child Development and Parenting: A Systematic Review

2017 ◽  
Vol 9 (1) ◽  
pp. 1-14
Author(s):  
Shiron Jade September ◽  
Edna Rich ◽  
Nicolette Roman
Keyword(s):  
Child Development ◽  
Parenting Styles ◽  
Methodological Quality ◽  
Developmental Delays ◽  
Self Report ◽  
Future Studies ◽  
Quantitative Studies ◽  
Comprehensive Search ◽  
Academic Search

Background: Parents who understand early child development are better informed on how to respond to children’s needs. They are also in a better position to identify developmental delays as opposed to a parent with less knowledge of child development. Objective: The aim of the review was to systematically appraise quantitative studies to establish the association between knowledge of child development and parenting styles. Methods: A comprehensive search, through databases namely: Ebscohost (Academic search complete, Africa-Wide information, PsychArticles, SocIndex, Cinahl), JStor, Sciencedirect, Springerlink, Pubmed and Sage was conducted in August 2014 for the previous 12 years. The methodological quality of the studies were independently evaluated and reviewed by two reviewers. Results: The findings indicate that there is an association between knowledge of child development and parenting styles. While there is an association it may be more of a moderating factor. Conclusion: Future studies may benefit from using other forms of assessment in con-junction with self report assessments.

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