Reviews: Child Health and Development

1963 ◽  
Vol 2 (1) ◽  
pp. 19-19
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Wallenborn ◽  
D Mäusezahl ◽  
A Castellanos ◽  
D McCoy ◽  
C e Zhang ◽  
...  

Abstract About 250 million children under age five are at risk of not reaching their developmental potential due to continued exposure to ill health, malnutrition and lack of appropriate learning environments. A large number of initiatives have been launched in recent years to support early childhood development, with home visiting programs increasingly being recognized as a key strategy for improving child wellbeing. However, the most effective ways to reach families in low income settings remain unclear due to the large expense associated with personal family visits. In this project, we assess the effectiveness and equity of a newly developed digital platform designed to deliver evidence-based, individualized parenting support through automated services. The Afinidata platform uses state-of-the art machine learning algorithms to allow caregivers to get answers to questions about child health and development, while also identifying and promoting age- and development-appropriate activities for parents to support their children. We will collaborate with partners in Peru to rigorously assess the reach, impact and cost effectiveness of this digital platform in a poor rural population through a randomized controlled trial. Our work will follow a mixed-methods evaluation approach with repeated feedback into the Afinidata system. A total of 2,400 newborns will be enrolled in a randomized controlled trial in San Marcos, Peru, and followed up for two years. The primary study outcome will be children's healthy development at 24 months of age assessed through the Bayley Scales of Infant and Toddler Development (BSID-III). Secondary outcomes will be systems utilization, program coverage and cost-effectiveness, as well as caregiver satisfaction. If proven effective, this innovative digital platform may increase global access to low-cost parental support -a widely recognized key strategy for improving child well-being.


PEDIATRICS ◽  
1980 ◽  
Vol 66 (4) ◽  
pp. 656-658
Author(s):  
David Rush ◽  
Zena Stein ◽  
Mervyn Susser

The three commentaries on our recent paper1 by Drs Barness,2 Jacobson,3 and Hegsted4 pose thoughtful questions, which require serious consideration and reply. The study was complicated, of long duration, and it was costly in money, time, and energy. The National Institute of Child Health and Development scrupulously sought to protect its investment; we were site-visited by scientific peers no fewer than seven times. Indeed, both Drs Jacobson and Hegsted served twice on site visit committees.


2020 ◽  
Author(s):  
Isabel Baumann ◽  
Rebecca Jaks ◽  
Dominik Robin ◽  
Sibylle Juvalta ◽  
Julia Dratva

Abstract BackgroundDigital media are increasingly abundant and being used to seek health information. To date, very little is known about parental seeking behaviour for child health information outside of English-speaking and Nordic countries. Our study “Digital parental counsellors” examines how parents search for health information in digital media, print media and among personal contacts, distinguishing between the search for information about general child health and development and child’s acute illness, and comparing information seeking behaviour by disability status of the child.MethodsA questionnaire was sent to 2573 parents (response rate: 30%) to a population-based sample of parents with children aged 0–2 years (N = 769). We developed a frequency score of use of different information sources and conducted bivariate and multivariate linear regression analyses to describe parental search behaviour and the association with child’s disability status.ResultsThe sample consists of 88% mothers (mean age: 35.7 years SD 4.33). Children’s mean age is 16 months (SD 7.1), 49% of the children are female and 6% have a disability. Parents use digital media significantly more frequently to search for information about general health and development questions than about an acute child’s illness (p < 0.001). In case of acute child’s illness, parents refer to their paediatrician, family members and other personal contacts significantly more frequently than other information sources (p < 0.001). The use of digital media and personal contacts does not significantly vary between parents with and without a disabled child, whereas the use of print media does (p < 0.02). Moreover, irrespective of disability, 45% of parents resort to the Internet prior to a paediatric visit and 27% after a visit when a visit did not answer all questions.ConclusionsDespite the high prevalence of digital media, personal contacts are still the most frequent health information resource for parents with young children. Parents combine all information resources (online, print, personal network) to improve their understanding or check the validity of information received regarding their child’s health. It is thus of utmost importance, that the increasingly accessed digital information parents search for is correct, understandable and addresses parent’s concerns.Trial registration:BASEC Req-2017-00817 (30 October 2017)


2013 ◽  
Vol 25 (4pt1) ◽  
pp. 903-917 ◽  
Author(s):  
Michael T. Willoughby ◽  
Roger Mills-Koonce ◽  
Cathi B. Propper ◽  
Daniel A. Waschbusch

AbstractUsing the Durham Child Health and Development Study, this study (N = 171) tested whether observed parenting behaviors in infancy (6 and 12 months) and toddlerhood/preschool (24 and 36 months) interacted with a child polymorphism of the brain-derived neurotrophic factor gene to predict oppositional defiant disorder (ODD) and callous–unemotional (CU) behaviors at age 3 years. Child genotype interacted with observed harsh and intrusive (but not sensitive) parenting to predict ODD and CU behaviors. Harsh–intrusive parenting was more strongly associated with ODD and CU for children with a methionine allele of the brain-derived neurotrophic factor gene. CU behaviors were uniquely predicted by harsh–intrusive parenting in infancy, whereas ODD behaviors were predicted by harsh–intrusive parenting in both infancy and toddlerhood/preschool. The results are discussed from the perspective of the contributions of caregiving behaviors as contributing to distinct aspects of early onset disruptive behavior.


PEDIATRICS ◽  
1960 ◽  
Vol 25 (3) ◽  
pp. 520-521
Author(s):  
HOWARD V. MEREDITH

This research monograph is based on dental casts for 184 white children residing in Massachusetts and Delaware. The topics discussed pertain to tooth size, dental arch size, and positional interrelationships of the teeth in the two arches. On each subject, the investigator had available a series of dental casts "covering the transition from the primary to the secondary dentition" (p. 40). The casts were amassed in part at the Center for Research in Child Health and Development, Boston (Dr. Harold C. Stuart), and in part at a public school in Wilmington, Delaware (Dr. Richard H. Stucklen).


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