Promoting Child Development at Sick-Child Visits: A Controlled Trial

Ertem, İlgi Öztürk; Atay, Gülsüm; Bingoler, Bahar Emine; Doğan, Derya Gümüş; Bayhan, Asuman; Sarica, Dolunay

doi:10.1542/peds.2005-2704

Cited by 62 publications

(108 citation statements)

References 35 publications

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“…25 Other studies have also demonstrated the effectiveness of child development training processes that are aimed at medical students and primary healthcare professionals, in institutional programs that ensure not only health promotion and disability prevention but also care for children who have been identified as presenting a problem in their development. 26,27 Parents' opinions regarding their children's development have been recognized by many researchers as having high sensitivity and specificity for detecting possible disorders. [28][29][30][31] However, primary care professionals do not always fully appreci- ing courses, and it also needs to be adopted by physicians.…”

Section: Discussionmentioning

confidence: 99%

Continuing education on child development for primary healthcare professionals: a prospective before-and-after study

2014

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CONTEXT AND OBJECTIVE: Children's developmental disorders are often identified late by healthcare professionals working in primary care. The aim of this study was to assess the impact of a continuing education program on child development, on the knowledge and practices of these professionals. DESIGN AND SETTING: Prospective single-cohort study (before-and-after study), conducted in the city of Belém, Pará, Brazil. METHODS: Two hundred and twenty-one professionals working in primary healthcare (82.2%) participated in a continuing education program on child development and were assessed before and after implementation of the program through tests on their knowledge of child development, consisting of 19 questions for physicians and 14 for nurses, and questionnaires on their professional practices. RESULTS: One to three years after the program, the mean number of correct answers in the tests had increased from 11.5 to 14.

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Section: Discussionmentioning

confidence: 99%

Continuing education on child development for primary healthcare professionals: a prospective before-and-after study

2014

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“…15,17 For example, following training on communication techniques to promote care for child development, pediatricians in Turkey improved counseling skills, such as asking caregivers questions and encouraging the caregiver to share experiences about play or stimulation. 18 It is worth noting that a critical challenge for delivering ECD services through the healthcare system is the fact that the health system is steeped in a traditional medical model, and that communities have come to expect physical remedies for all ills (e.g., pills, injections, and supplements) from health professionals. 19 Behavioral-change interventions such as promotion of care for infant and young-child feeding require a shift in the paradigm of the health workers and counseling in a way that the family moves away from the expectations for the medical model of care.…”

Section: Building Capacity At the Level Of Health Service Providersmentioning

confidence: 99%

Capacity building in the health sector to improve care for child nutrition and development

Yousafzai

Rasheed

Daelmans

et al. 2014

Annals of the New York Academy of Sciences

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The effectiveness of interventions promoting healthy child growth and development depends upon the capacity of the health system to deliver a high-quality intervention. However, few health workers are trained in providing integrated early child-development services. Building capacity entails not only training the frontline worker, but also mobilizing knowledge and support to promote early child development across the health system. In this paper, we present the paradigm shift required to build effective partnerships between health workers and families in order to support children's health, growth, and development, the practical skills frontline health workers require to promote optimal caregiving, and the need for knowledge mobilization across multiple institutional levels to support frontline health workers. We present case studies illustrating challenges and success stories around capacity development. There is a need to galvanize increased commitment and resources to building capacity in health systems to deliver early child-development services.Keywords: capacity development; knowledge mobilization; empowerment; quality; health workers IntroductionThe health sector has a vital contribution to make in promoting healthy child growth and development. In order for children to reach their optimal development potential, adequate nutrition and the prevention and management of illness are essential, alongside interventions to promote early stimulation in a safe, responsive, nurturing environment. 1 Interventions to improve child survival, nutrition, and development are closely intertwined, and many of the underlying biological and social determinants of success or failure are the same.2 Therefore, integrated health services promoting health, nutrition, and stimulation in the early years are critical. 3 The effectiveness of interventions to promote healthy child growth and development depends, in part, upon the capacity of the health system to deliver a high-quality intervention. Services need to ensure provision and health promotion that is effective and supportive of mothers and their children's health, nutrition, and social, emotional, and cognitive development. Interactions between health workers and families must recognize families as the primary and most important caregivers and teachers for the child. An enabling environment is required to ensure children grow in communities where they are safe and have access to health care and education. Building capacity in the health system and in the wider community is central to meeting these responsibilities for children. In this paper, we present the paradigm shift required to build effective partnerships between health workers and families in order to support children's health, growth, and development, the practical skills frontline health workers require to promote optimal caregiving in families, and the need for knowledge mobilization across multiple levels to support frontline health workers. We present case studies illustrating challenges and success stories aroun...

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“…The literature evidence in support of the ECD implementation of UNICEF's Care for Child Development module is established and ideal for group learning settings [15,[20][21][22]29]. The complete Care for Child Development module contains activities and learning modules described in the Care for Child Development: Facilitator Notes [30].…”

Section: Educational Interventionmentioning

confidence: 99%

“…Incorporating early child development activities into the health system provides opportunities for reaching vulnerable children that manifest behavior and social issues, poor adaptation, and lower cognitive and educational attainment [9,14,15]. An integration of ECD into established maternal and child-health visits ensure cost-effectiveness and time efficiency for both caregiver and health-worker [2,16].…”

Section: Introductionmentioning

confidence: 99%

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Improving Early Childhood Development among Vulnerable Populations: A Pilot Initiative at a Women, Infants, and Children Clinic

Ferguson

Downey

Shriver

et al. 2018

Child Development Research

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Objective. Early childhood development (ECD) programs have demonstrated drastic improvements in survival, growth, health, and social productivity. An ECD pilot intervention was delivered to vulnerable populations of a Women, Infants, and Children (WIC) clinic in Des Moines, Iowa, to assess ECD outcomes and parental receivability in this setting. Study Design. In a randomized, single blinded control initiative, WIC group sessions of mothers (children aged 2 years and younger) were selected for pilot ECD intervention (37 participants) or control (36). Care for Child Development ECD course material was supplemented to intervention groups. Survey results were assessed with paired samples T-testing and by an ANOVA. Results. Pilot session receivability demonstrated significance in all areas relative to control: enjoyment, = 0.008; learning capacity, = 0.011; and participant sharing, = 0.023. Furthermore, the previously validated ECD intervention demonstrated significantly improved cumulative 1 month behavior outcomes following the intervention: = 0.006. Conclusions. The WIC setting provides an ideal environment for delivering ECD education beyond traditional counseling in nutrition. High receivability indices among parents demonstrate remarkable capacity for improvement and growth. The significance in receivability, as well as 1 month behavior outcomes, represents parents' overall readiness to enhance the home environment for their child if merely educated how.

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Promoting Child Development at Sick-Child Visits: A Controlled Trial

Abstract: The Care for Development Intervention is an effective method of supporting caregivers' efforts to provide a more stimulating environment for their children and can be used by health care professionals during visits for acute minor illness.

Cited by 62 publications

References 35 publications

Continuing education on child development for primary healthcare professionals: a prospective before-and-after study

Continuing education on child development for primary healthcare professionals: a prospective before-and-after study

Capacity building in the health sector to improve care for child nutrition and development

Improving Early Childhood Development among Vulnerable Populations: A Pilot Initiative at a Women, Infants, and Children Clinic

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