Over 75% children in the United Kingdom fail to achieve recommended levels of physical activity. Successful implementation of ‘The Daily Mile™’, a school-based physical activity intervention, could promote activity. We examined factors instrumental to replication and/or wider implementation of ‘The Daily Mile’ through application of a two phase multi-method process evaluation. Phase one: 75 children (mean age seven years eight months) from one East Midland primary academy trialled the intervention. Data collected were self-report logs, perceived exertion scores and structured observation. Phase two: a sub-sample of 18 stakeholders participated in focus groups which were analysed using framework method. Teachers delivered ‘The Daily Mile’ on 93.6% of school days. An average of 95.2% of students participated, 94.2% completed recommended 15 minutes, 94.3% to a moderate-to-vigorous level. Three themes emerged in focus groups; embedding ‘The Daily Mile’ into practice, creating the right physical environment and building relationships/promoting a supportive climate. With systematic organisation and planning, ‘The Daily Mile’ could emerge as an integrated means of increasing physical activity. A supportive climate and factors that promote resilience are key facilitators. Further research is needed to establish outcomes and cost-effectiveness.

A systematic review and meta-analysis of randomized controlled trials (RCT) was conducted to determine whether early interventions are effective in improving attachment security and parental sensitivity. Electronic databases were searched 2002-2015 onwards, All RCTs delivered to mothers, fathers or carers, before their child's mean age was 36 months, via 1:1 support, group work or guided self-help were included. The search was restricted to English Language publications. Study Selection, data extraction and quality appraisal were independently undertaken by two authors. With regard to analysis, where appropriate, dichotomous data were pooled using the Mantel- Haenszel odds ratio method and for continuous data descriptive statistics were collected in order to calculate standardized mean differences and effect sizes. Four studies met inclusion criteria and were divided into two groups: North American & Canadian and South African based studies. Combining data from both groups indicates that early interventions improve attachment security and improves rates of disorganized attachment. One study provided extractable data on the outcome of parental sensitivity which shows that early interventions were effective in improving maternal sensitivity at 6 and 12 months. Study results generally support the findings of a previous review (Bakermans-Kranenburg et al., 2003) which found that early interventions improved attachment security and maternal sensitivity.

Bite forces of young children show comparatively wide intra- and inter-individual variation with some similarities with those found in the limited number of previous primary dentition studies undertaken elsewhere. The results will serve to provide key reference values for use both in paediatric dental clinical practice and wider research community.

The NSPCC is dedicated to perinatal wellbeing and advocating for a preventative model of care that has the potential to improve the mental health for parents, families and communities. Here in the first of two articles, Camilla Sanger, Alice Haynes, Gary Mountain and Naomi Bonett-Healy provide an update of antenatal mental health research and recommended practice, with a specific focus on the role midwives can play in screening and identifying mental health problems.

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