scholarly journals The Relationships between Maternal Feeding Practices and Food Neophobia and Picky Eating

2020 ◽  
Vol 17 (11) ◽  
pp. 3894 ◽  
Author(s):  
Hebah Alawi Kutbi
Keyword(s):  
Health Care Providers ◽  
Feeding Strategy ◽  
Feeding Practices ◽  
Dietary Behaviors ◽  
Feeding Practice ◽  
Healthy Children ◽  
Care Providers ◽  
Picky Eating ◽  
Food Neophobia ◽  
Maternal Feeding Practices

Food neophobia and picky eating (FNPE) are dietary behaviors that have been frequently reported to coexist in children. Parental concerns about these dietary behaviors may influence the feeding practices employed. In this cross-sectional study, we investigated the bidirectional associations of maternal feeding practices with children’s FNPE behaviors. Using a convenience sampling technique, mothers of 195 healthy children aged 1–7 years were invited to complete a sociodemographic questionnaire, rate their child’s FNPE, and rate the extent to which each feeding practice was employed with the child. Maternal reports indicated that 37.4% (n = 73) of the children exhibited severe FNPE. Multiple linear regression analyses showed positive two-way associations between the “pressure to eat” feeding strategy and FNPE, and negative two-way associations between a healthy home food environment and FNPE. However, maternal practices of teaching and monitoring were not found to be associated with FNPE. Given the bidirectional relationships observed between FNPE and maternal feeding practices, primary health care providers should address the feeding practices used with a child and indicate that coercive feeding practices are counterproductive. Intervention studies targeting mothers of children with FNPE are needed to investigate whether specific maternal practices are more effective than others.

Administration of the Third Dose of Oral Poliomyelitis Vaccine at 6 to 18 Months of Age

PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. 774-775 ◽  
Author(s):  
Keyword(s):  
United States ◽  
Health Care Providers ◽  
The United States ◽  
Preschool Age ◽  
Healthy Children ◽  
Care Providers ◽  
Wild Type ◽  
The Third ◽  
Primary Series ◽  
Poliomyelitis Vaccine

This statement describes a modification of the recommended routine schedule for administering trivalent oral poliomyelitis vaccine (OPV). The American Academy of Pediatrics previously has recommended that healthy children receive a three-dose primary series of OPV at 2, 4, and 15 to 18 months of age and a fourth dose at the time of school entry (4 to 6 years of age).1 Available data indicate that the response rates to the third dose of OPV administered at 6 months of age are as good as the rates following administration of this dose at 15 to 18 months of age. Completion of the three-dose primary series at an earlier age will help health care providers induce immunity against poliomyelitis at an early age. Although wild type poliomyelitis has not caused disease in the United States for many years, the virus remains prevalent in many countries. Continued introduction of the virus into the United States by travelers could result in transmission and disease if high levels of immunity are not maintained in preschool age children. For example, wild type poliovirus type 3 was recently introduced into Canada by a religious sect that did not believe in immunization.2 The virus was probably imported from the Netherlands, where a small epidemic of poliomyelitis occurred in members of the same sect in 1992 and 1993.3 SERUM ANTIBODY RESPONSE FOLLOWING OPV ADMINISTRATION After two doses of OPV are administered at 2 and 4 months of age, 89 to 100% of children vaccinated in the United States have evidence of humoral immunity to poliomyelitis types 1 and 3, and 99 to 100% have immunity to type 2 (Table).

scholarly journals Diet and Pregnancy: Health-Care Providers and Patient Behaviors

2014 ◽  
Vol 23 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Linda May ◽  
Richard Suminski ◽  
Andrew Berry ◽  
Emily Linklater ◽  
Sara Jahnke
Keyword(s):  
Health Care ◽  
Health Behaviors ◽  
Health Care Providers ◽  
The United States ◽  
Dietary Behaviors ◽  
Care Providers ◽  
Dietary Practices ◽  
Dietary Counseling ◽  
Multiple Health Behaviors ◽  
Multiple Health

In this study, associations between health-care providers (HCPs) discussing diet with their pregnant patients and patient dietary behavior were assessed in addition to factors related to HCPs discussing diet with their patients. Questionnaires were completed by 237 pregnant women and 31 HCPs at 12 obstetrics–gynecology clinics across the United States. Patients provided versus those not provided dietary counseling by their HCP were more likely (OR= 2.17, 95%; CI = 0.75–6.25) to engage in healthy dietary practices. HCPs that discussed multiple health behaviors were nearly four times more likely to discuss diet with their pregnant patients compared with HCP who did not discuss other health behaviors (OR= 3.67, 95%; CI = 1.10–12.28). This study indicates that HCP education can positively impact dietary behaviors of their pregnant patients.

scholarly journals Breast feeding knowledge, attitude and perspective in immediate postnatal mothers

2019 ◽  
Vol 8 (6) ◽  
pp. 2482
Author(s):  
Vishma H. Shetty
Keyword(s):  
Breast Feeding ◽  
Health Care Providers ◽  
Maternity Leave ◽  
Feeding Practices ◽  
Structured Interview ◽  
Care Providers ◽  
Medical College ◽  
Skin Contact ◽  
Attitude And Practice ◽  
Postnatal Mothers

Background: The aim of the study is to understand the knowledge, attitude and practice of breastfeeding among postnatal mothers and optimize the breast feeding practices and overcome various factors that hinder and influence the full realization of benefits of breast feeding.Methods: The study was conducted in the postnatal ward of Rajarajeswari medical college and hospital, Bangalore. 500 postnatal mothers were included. A structured interview schedule was prepared to collect sociodemographic data, perceptions, knowledge, attitude and practices of mothers regarding breastfeeding. Data was collected by interviewing mothers (in their own language) using proforma.Results: About 100% of mothers and newborn infant have skin to skin contact within one hour of an uncomplicated vaginal delivery. Majority of the mothers knew about the importance of breast feeding for babies and herself. Only 17% of the mothers were working in our study and majority of them had resigned from their work as there was no option of maternity leave and baby friendly work environment at their working places. 69% intended to breastfeed up to 6 months. 23% mothers discarded colostrum and 11% gave prelacteal feeds to their babies.Conclusions: The mothers should be encouraged and reinforced about the benefits of breastfeeding for both baby and herself. The workplace condition has to be improved and make it more breast feeding friendly. The study also will assist the health care providers and community workers to understand the attitude and practice in the area and help them to prioritize and focus on these aspects and decrease the incidence of suboptimal feeding practices.

Prevalence and Impact of Fatigue in Children With Primary Immunodeficiency Disorders: A Quantitative Single Center Study

2021 ◽  
Author(s):  
Eline Visser ◽  
Pieter Fraaij ◽  
Annemieke Hoogenboom ◽  
Erica Witkamp ◽  
Linda van der Knaap ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Intraclass Correlation ◽  
Self Report ◽  
Specific Reference ◽  
Common Symptom ◽  
Healthy Children ◽  
Care Providers ◽  
Single Center ◽  
Fatigue Score ◽  
General Fatigue

Abstract Although fatigue is a common symptom in adult patients with Primary Immunodeficiencies (PID), data in pediatric patients are limited. The goal of this study is to estimate the prevalence and impact of fatigue in children with PID as reported by patients, parents and health-care providers. A retrospective single center observational study was performed. Prevalence of fatigue was measured by reviewing medical charts of 54 children in our department who are on immunoglobulin substitution therapy. Both prevalence and impact were also measured by the PedsQL-Multidimensional Fatigue Scale (MFS). This comprises age-appropriate questionnaire for self-report in patients aged 5-18 years and parent proxy-reports for patients aged 2-18 years. General, cognitive, sleep-rest fatigue was measured and a total fatigue score was calculated. Means, standard deviation and Z-scores were calculated using age-specific reference values. Intraclass correlation coefficients (ICC) were calculated for comparison of scores provided by parents vs children’s self-reported scores.Both chart review data and PedsQL-MFS showed fatigue rates of 65%. Pediatric PID patients of all ages had significantly lower scores on all subscales and total score of the PedsQL-MFS compared to healthy children. General fatigue was the most affected subscale in PID patients; indicating fatigue of these patients is mainly physical. Seventy-four % of PID patients had a Z-score lower than -1 on the General fatigue subscale indicating severe fatigue. Child-parent concordance varied between 0.24 and 0.93. Our results show high prevalence and severity of fatigue in children with PID, addressing the importance of this issue in our patient care.

Oral Feeding Readiness in the Neonatal Intensive Care Unit

2012 ◽  
Vol 31 (3) ◽  
pp. 148-156 ◽  
Author(s):  
Luann R. Jones
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Feeding Practice ◽  
Trial And Error ◽  
Care Providers ◽  
Complex Process ◽  
Feeding Skills ◽  
Neonatal Physiology

Oral feeding is a complex sensorimotor process that is influenced by many variables, making the introduction and management of oral feeding a challenge for many health care providers. Feeding practice guided by tradition or a trial-and-error approach may be inconsistent and has the potential to delay the progression of oral feeding skills. Oral feeding initiation and management should be based on careful, individualized assessment of the NICU infant and requires an understanding of neonatal physiology and neurodevelopment. The purpose of this article is to help the health care provider with this complex process by (a) defining oral feeding readiness, (b) describing the importance of oral feeding in the NICU and the physiology of feeding, and © providing a review of the literature regarding the transition from gavage to oral feeding in the NICU.

scholarly journals Are Maternal Feeding Practices and Mealtime Emotions Associated with Toddlers’ Food Neophobia? A Follow-Up to the DIT-Coombe Hospital Birth Cohort in Ireland

2020 ◽  
Vol 17 (22) ◽  
pp. 8401
Author(s):  
Meijing An ◽  
Qianling Zhou ◽  
Katherine M. Younger ◽  
Xiyao Liu ◽  
John M. Kearney
Keyword(s):  
Birth Cohort ◽  
Feeding Practices ◽  
Food Refusal ◽  
Original Cohort ◽  
Food Neophobia ◽  
Hospital Birth ◽  
Telephone Calls ◽  
Maternal Feeding Practices ◽  
Technological University

This study was conducted to explore the associations between maternal feeding practices, mealtime emotions, as well as maternal food neophobia and toddlers’ food neophobia in Ireland. A follow-up to the Technological University Dublin (DIT)-Coombe Hospital birth cohort was conducted. Mothers in the original cohort were invited to the present study by telephone calls. Postal questionnaires with stamped addressed envelopes were distributed to those who agreed to participate in the study. Toddler food neophobia was assessed by the modified version of the Child Food Neophobia Scale (CFNS). There were 205 participants included in this study, with a median score of child food neophobia of 12. A higher degree of child food neophobia (score > 12) was positively associated with the maternal practice of coaxing the children to eat at refusal (OR (Odds Ratio) = 2.279, 95% CI: 1.048–4.955), unpleasant emotions at mealtime (e.g., stressful or hectic for mothers, or tearful for children) (OR ranged between 1.618 and 1.952), and mothers’ own degree of food neophobia (OR = 1.036, 95% CI: 1.001–1.072). Mothers who were not worried when confronted with child’s food refusal was negatively associated with toddlers’ food neophobia (OR = 0.251, 95% CI: 0.114–0.556). This study suggests the maternal practices of responsive feeding, being calm and patient with the toddlers, and creating a positive atmosphere at mealtime.

Infant Feeding Practices: The Case of Thai Immigrant Women in Australia

2001 ◽  
Vol 7 (1) ◽  
pp. 46 ◽  
Author(s):  
Pranee Liamputtong ◽  
Charin Naksook
Keyword(s):  
Infant Feeding ◽  
Health Care Providers ◽  
Participant Observation ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Care Providers ◽  
Thai Women ◽  
Ethnographic Interviews ◽  
One Year ◽  
The Many

This paper examines the perceptions and experiences of infant feeding among 30 Thai women in Australia. Ethnographic interviews and participant observation were used to elicit information in the study. Most Thai mothers breastfed their infants, but there were some women who chose bottlefeeding or mixfeeding. Their main reasons were the health and wellbeing of their infants as well as their own needs and illnesses. Nearly all mothers offered water after each feed in order to prevent jaundice and dehydration in their infants. Mothers who breastfed also offered early supplementary foods but continued to breastfeed past one year. The introduction of solid food was in accordance with recommendations of health care providers but some mothers commenced it earlier. The paper argues that infant feeding practices must be considered within the context of Thai culture and women's social situations. This will prevent misunderstanding and only then can health services and care be made more meaningful to the many women who want to implement best feeding practices for their children in their new homeland.

22 Housing Need Amongst Children with Medical Complexity: A Cross-Sectional Descriptive Study of Three Populations

2021 ◽  
Vol 26 (Supplement_1) ◽  
pp. e14-e16
Author(s):  
Kayla Esser ◽  
Clara Moore ◽  
Kara Grace Hounsell ◽  
Adrienne Davis ◽  
Alia Sunderji ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Financial Burden ◽  
Tertiary Care ◽  
Descriptive Study ◽  
Sociodemographic Factors ◽  
Healthy Children ◽  
Care Providers ◽  
Children With Medical Complexity ◽  
Cross Sectional ◽  
Medical Complexity

Abstract Primary Subject area Complex Care Background Children with medical complexity (CMC) have medical fragility, complex chronic disease necessitating specialized care, functional disability, and/or high technology dependence. Housing is an important social determinant of health, yet research on prevalence and types of housing need in CMC is limited. Housing need encompasses unstable (frequent moves), inaccessible (lack of ramps/lifts), inadequate (major repairs needed), unsuitable (not enough bedrooms), or unaffordable housing. Given the association between housing and health, housing need may be an important consideration when caring for CMC. Objectives The primary objective was to describe the prevalence of and factors related to housing need in CMC. The secondary objective was to compare housing need between CMC, children with one chronic condition (Type 1 diabetes; CT1D) and healthy children (HC) to understand the relationship between chronic conditions and housing need. Design/Methods This was a cross-sectional descriptive study. Housing affordability, adequacy, suitability, stability, and accessibility were evaluated through surveys administered to caregivers of CMC, CT1D, and HC at a tertiary-care paediatric hospital using convenience sampling. The association of binary outcomes of housing need between groups was analyzed using logistic regression models, adjusting for sociodemographic factors (income, education, employment, geography, immigration status). Results 453 caregivers participated (Table 1). Compared to caregivers of HC, caregivers of CMC had higher odds of reporting one or more moves in the last two years (1.3 times), having safety concerns (3 times), using a common area as a bedroom (5.2 times), and experiencing housing stress (3.2 times), after sociodemographic factors were adjusted for (Table 2). Families of CT1D also had elevated odds of some indicators of housing need compared to HC, although to a lesser extent than CMC. 62.2% of CMC indicated they had to reduce spending on basics in order to afford their rent/mortgage, compared to 35.9% of CT1D and 25.2% of HC. Nearly two-thirds of CMC (60.2%) reported a need for accessibility accommodations in their home. Of those who installed accommodations, 62.9% felt the installations were a financial burden (cost ranged from $800-$80,000). Conclusion Families of CMC had higher odds of reporting unstable, inadequate, unsuitable, and stressful housing compared to HC even after sociodemographic factors were accounted for, suggesting an association between complexity of child health conditions and housing need. Access to appropriate housing may improve the health of CMC. Health care providers can screen for housing need, become familiar with housing interventions, and advocate for improved resources to address housing need in CMC.

scholarly journals Effectiveness of an educational intervention on complementary feeding practices and growth in rural China: a cluster randomised controlled trial

2009 ◽  
Vol 13 (4) ◽  
pp. 556-565 ◽  
Author(s):  
Ling Shi ◽  
Jingxu Zhang ◽  
Yan Wang ◽  
Laura E Caulfield ◽  
Bernard Guyer
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Educational Intervention ◽  
Complementary Feeding ◽  
Intervention Group ◽  
Feeding Practices ◽  
Control Group ◽  
Local Health ◽  
Care Providers ◽  
Local Health Care

AbstractObjectiveInappropriate complementary feeding is one of the major causes of malnutrition in young children in developing countries. We developed an educational intervention, delivered by local health-care providers, aimed at improving complementary feeding practices and child nutrition.DesignEight townships in Laishui, a rural area in China, were randomly assigned to the educational intervention or control group. A total of 599 healthy infants were enrolled at age 2–4 months and followed up until 1 year of age. In the intervention group, educational messages and enhanced home-prepared recipes were disseminated to caregivers through group trainings and home visits. Questionnaire surveys and anthropometric measurements were taken at baseline and ages 6, 9 and 12 months. Analysis was by intention to treat.ResultsIt was found that food diversity, meal frequency and hygiene practices were improved in the intervention group. Infants in the intervention group gained 0·22 kg more weight (95 % CI 0·003, 0·45 kg, P = 0·047) and gained 0·66 cm more length (95 % CI 0·03, 1·29 cm, P = 0·04) than did controls over the study period.ConclusionsFindings from the study suggest that an educational intervention delivered through local health-care providers can lead to substantial behavioural changes of caregivers and improve infant growth.

scholarly journals Peran Kader dalam Meningkatkan Keberhasilan Program Pengobatan Pencegahan dengan Isoniazid (PP INH) pada di Kabupaten Jember

2018 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Heppy Martin Susetyowati ◽  
Farida Wahyu Ningtyias ◽  
Aris Prasetyo
Keyword(s):  
Health Care Providers ◽  
Treatment Process ◽  
Preventive Treatment ◽  
Healthy Children ◽  
Care Providers ◽  
Study Approach ◽  
The Family ◽  
Depth Interviews

Tuberculosis (TB) becomes health problem in the world. Toddlers who interact with TB sufferers are at high risk for infected than adults, it is about 50-60% on the level of infection. Related to prevention of tuberculosis is needed through preventive treatment with isoniazid (PP INH) to healthy children aged <5 years who are interacting with TB patients. Based on Tanggul Health Center data, there are 37 toddlers who have received INH PP by involving health care providers, empowering cadres and the communities. However, This research aims to analyze the role of cadres such as the role of monitors. This research uses qualitative methods and case study approach. Besides, there are 5 main informants who has recruited purposively. The data are collected from in-depth interviews and analyzed through thematic content analysis. The results of this research shows that not all of TB cadres played their role as supervisors of swallowing medicines. This is because the distance of patients' home which made it difficult the cadres for coming to the patients’ home. Furthermore, the informant uses some method such as reminded the family to provide treatment using telepone (HP), and made their own notes about the specific problems of TB in their area where the cadre was assigned. The efforts to increase the compliance of PP INH treatment is optimized in providing information to the community both in the form of lectures or practices, giving support, and facilitating during the PP INH treatment process. Keywords: Role, TB Cadre and INH PP

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