Construct validity of a service-setting based measure to identify mental health problems in infancy

Ammitzbøll, Janni; Skovgaard, Anne Mette; Andersen, Anette; Kreiner, Svend; Nielsen, Tine

doi:10.1371/journal.pone.0214112

Cited by 7 publications

(7 citation statements)

References 69 publications

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“…Feeding and eating, sleeping and excessive crying were evaluated as being within the normal range or not 29. At the home visit between 8 and 11 months, the CHNs used a validated tool, the Copenhagen Infant Mental Health Questionnaire,31 which includes specified variables on feeding and eating, on sleeping and on excessive crying, all answered by yes/no to the presence of any problem or not 28 32. The parent–child relationship was evaluated from the parents’ description of their expectations to and their handling of the child, and the CHN’s observations of the interaction and emotional attunement between parents and child, and the relation was finally recorded by the CHNs as problematic or not.…”

Section: Methodsmentioning

confidence: 99%

Problems of feeding, sleeping and excessive crying in infancy: a general population study

et al. 2019

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ObjectiveTo study regulatory problems (RPs) of feeding, sleeping and excessive crying in infancy, and explore the influence of maternal mental health problems and parent–child relationship problems.Design and settingData were collected in the general child health surveillance delivered to infant families by community health nurses (CHNs). Information on CHNs’ assessments and conclusions were obtained on 2598 infants and merged with data from national registers. Descriptive statistics and logistic regression models were used to study RPs in early and late infancy, and the influences due to child, family and parent–child relationship problems.ResultsCombined RPs (C-RPs), defined as two or more simultaneous problems of feeding, sleeping or excessive crying, was identified in 2.9% and 8.6% of the population between age 2–6 and 8–11 months, respectively. Low maternal schooling and immigrant parents were associated with an increased risk of late C-RPs, but RPs in early infancy stand out as the main predictor of late C-RPs OR 3.4 (95% CI 1.8 to 6.6), and the effect of early maternal mental health problems and parent–child relationship problems seem to be mediated by early C-RPs.ConclusionsCombined problems of feeding, sleeping or excessive crying may exist throughout infancy independently of exposures to maternal mental health problems and parent–child relationship problems. The results indicate that infants with RPs exceeding age 2 months need special attention, in clinical as well as community settings. Suggested intervention includes specific guidance to the parents to help them understand and regulate their infant’s sensitivity and reactions.

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Section: Methodsmentioning

confidence: 99%

Problems of feeding, sleeping and excessive crying in infancy: a general population study

et al. 2019

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“…The evaluations of the CHNs are recorded in the PUF-scheme comprising a total of 28 items that cover motor function, language development, attention, activity, and interests, contact and communication, and regulation of eating, sleep and of emotions. The PUF-assessment has been validated and tested for feasibility [74,75] and integrated in the PUF-program [76] to guide the CHNs to their action within the existing service settings to address vulnerabilities identified at the PUF-assessment. Face validity and feasibility have been demonstrated, and the program is currently implemented across the municipalities in Denmark.…”

Section: Universal and Indicated Approaches To Prevention In Infancymentioning

confidence: 99%

“…To be eligible, the child has been examined at ages 9-10 months in the PUF-program [73][74][75][76] and found to have high levels of cognitive, emotional, and regulatory problems, indexed by three or more problems at the PUF-assessment.…”

Section: Inclusion Criteriamentioning

confidence: 99%

The Infant Health Study - Promoting mental health and healthy weight through sensitive parenting to infants with cognitive, emotional, and regulatory vulnerabilities: protocol for a stepped-wedge cluster-randomized trial and a process evaluation within municipality settings

et al. 2022

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Background Child mental health problems are a major public health concern associated with poor mental and physical health later in development. The study evaluates a new community-based intervention to promote sensitive parenting and reduce enduring mental health problems and unhealthy weight among vulnerable infants aged 9-24 months. Methods We use a step-wedge cluster randomized controlled trial design conducted within a home visiting program offered by community health nurses to infant families in Denmark. Sixteen municipalities are randomly allocated to implement the intervention starting at three successive time points from May 1, 2022 to January 1, 2023. A total of 900-1000 families will be included. A standardized program, Psykisk Udvikling og Funktion (PUF), is used to identify infants with major problems of eating, sleep, emotional or behavioral regulation or developmental problems. The intervention builds on the Video-Feedback Intervention to Promote Positive Parenting (VIPP) program, adapted to the PUF-context and named the VIPP-PUF. Children will be followed up at ages 18 and 24 months. Primary outcome measure is the Strengths and Difficulties Questionnaire (SDQ) at child age 24 months. The other outcome measures include body mass index z-scores, the Ages and Stages Questionnaire Social-Emotional (ASQ:SE2); the Child Behavior Checklist (CBCL 1½ -5); Eating behavior Questionnaires; the Being a Mother-questionnaire (BaM13); the Parental Stress Scale (PSS); and the WHO-5 well-being index (WHO-5). Data on child and family factors are obtained from National registries and the Child Health Database. Quantitative measures are applied to examine the effectiveness of the VIPP-PUF intervention and the implementation process. Qualitative measures include interviews with CHNs, parents and municipality stakeholders to explore factors that may influence the adherence and effectiveness of the intervention. Discussion The study examines a service-setting based intervention building on the promotion of sensitive parenting to vulnerable infants. We use a mixed methods approach to evaluate the intervention, taking into account the influences of COVID-19 pandemic running since March 2020. Overall, the study has potential to add to the knowledge on the possibilities of prevention within the municipality child health care to reduce the risk of mental health problems and unhealthy weight in early childhood. Trial registration www.ClinicalTrials.gov; IDNCT04601779; Protocol ID 95-110-21307. Registered 25 June 2021.

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“…All non-significant items were not used. The spiritual development of Cronbach's alpha is 0.914, the basic knowledge of noble truth was 0.890, and the mindfulness practice is 0.934 suggesting very high internal consistency and reliability [11]; [12].…”

Section: Resultsmentioning

confidence: 99%

The Influence Of The Basic Knowledge Of Noble Truth and The Implementation Of Mindfulness On Spiritual Development Of Buddhist People at Mahabodhi Temple-Semarang

Partono¹,

Sugiharto²,

Raharjo³

et al. 2020

Proceedings of the Proceedings of the 5th International Conference on Science, Education and Technology, ISET 2019, 29th June 2

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Human beings are considered having basic potentialities to be happy and suffer. Spiritual development is an ability to think critically, have self-understanding, liable consciousness and development of mindfulness. This research aims at finding out the influence of the basic knowledge of noble truth and the implementation of mindfulness on the spiritual development of Buddhist people at Mahabodhi Temple. The research result found that the basic knowledge of four noble truths does not have a significant influence on spiritual development; the correlation coefficient was 0.906 showed a fragile correlation level. The result of the correlation coefficient test (0.029) of the influence of the implementation of mindfulness on spiritual development showed a significant value. The correlation coefficient number of the application of mindfulness which was 0.488 showed a unidirectional relationship between the practice of mindfulness and spiritual development, which was like the practice of mindfulness develops, the spiritual development would also develop, too.

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Construct validity of a service-setting based measure to identify mental health problems in infancy

Cited by 7 publications

References 69 publications

Problems of feeding, sleeping and excessive crying in infancy: a general population study

Problems of feeding, sleeping and excessive crying in infancy: a general population study

The Infant Health Study - Promoting mental health and healthy weight through sensitive parenting to infants with cognitive, emotional, and regulatory vulnerabilities: protocol for a stepped-wedge cluster-randomized trial and a process evaluation within municipality settings

The Influence Of The Basic Knowledge Of Noble Truth and The Implementation Of Mindfulness On Spiritual Development Of Buddhist People at Mahabodhi Temple-Semarang

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