Families Of Children Research Articles

Immigrant Generation, Ethnicity, and Early-life Education Outcomes: Evidence from the Born in Bradford Family Cohort Study

Abstract This paper examines the relationship between ethnicity and immigrant generation in relationship to early educational outcomes and their potential determinants. Using Born in Bradford, a large longitudinal birth cohort, and its linked education and health records, we investigated the associations between ethnicity, immigration generations and education measures (Early Years Foundation Stage Profile and National Curriculum Key Stage One). We looked at the children of both first- and second-generation immigrants and compared them with White British non-immigrant children. Logistic regressions were used to examine the explanatory factors of the differences. On the Early Years Foundation Stage Profile, children of first-generation Pakistani immigrants did less well than White British non-immigrant children. This was largely related to language barriers. There were no significant differences between the children of second-generation Pakistani families and children of White British non-immigrant families. In Key Stage One results, there were no differences in reading and maths between children of first-generation Pakistani immigrants and the White British children, however, children of first-generation Pakistani immigrants had better scores in Key Stage One writing. Children of second-generation Pakistani immigrants had better odds of achieving expected standards in most models for reading and writing (but not maths) than the White British children. This might be attributed to better socioeconomic circumstances. Immigrant generation is an independent predictor for early educational outcomes. There are different patterns associated with different immigrant generations. Early life policy interventions to help children of first-generation immigrant with their English language before school could improve these children’s school readiness.

First bioarchaeological evidence of the familial practice of embalming of infant and adult relatives in Early Modern France.

While medieval and modern embalming practices in Western Europe are attested to historically and bioarcheologically, especially for famous historical figures, there are few recorded occurrences of this type of corpse preparation for a large number of archaeological individuals from the same lineage. Moreover, evidence of such practices mainly concerns adult individuals, whereas traces of child embalming are extremely rare. In 2017, the discovery of a crypt in the chapel of the Château des Milandes (Castelnaud-la-Chapelle, Dordogne, France) revealed a collective burial of the scattered remains of seven adults and five children of the aristocratic Caumont family, who died in the 16th and 17th centuries and whose skeletons all show marks of embalming practices. In 2021, another excavation in the chapel uncovered the individual grave of an elderly woman whose body was also embalmed. This skeletal sample provides a unique opportunity to examine the modus operandi of medieval embalming through the cutmarks left on the cranium and appendicular skeleton and to compare mortuary protocols for adults and children. Our macroscopic and microscopic investigations revealed a thorough and highly standardized technical treatment that was similar for both adult and very young immature individuals and displays a skillset that was passed down over two centuries.

Food preferences in schoolchildren

Introduction. Understanding children’s eating behaviour is crucial for promoting healthy nutrition. Objective. To assess the food preferences in schoolchildren. Materials and methods. A mixed-mode survey was conducted in one hundred twelve 6 to 17 years schoolchildren, including 72 (70.5%) boys and 81 (72.3%) girl from Moscow. The average age was 12.23 ± 3.69 years (median = 13.0 years), with no significant age differences between genders (p = 0.855) or between Moscow and other regions (p = 0.690). The survey (α Cronbach = 0.891) included demographic and eating behaviour questions. Data were analyzed with SPSS using Spearman’s rank correlation, Mann–Whitney U test, Kruskal–Wallis test, and χ2 test, given the non-normal distribution of variables (p ≤ 0.001). Results. Daily, 11 (9.8%) of the respondents eat vegetables, 14 (12.5%) eat fruits or berries, 18 (16.1%) have breakfast, and 87 (77.7%) consume sweets. Additionally, 62 (55.4%) often skip main meals due to sweets; 81 (72.3%) always have sweets at home; and 51 (45.5%) favour of fast food. Children in families where sweets are always available are more likely to skip main meals and breakfast, consume sweets, and prefer fast food, but eat vegetables, fruits, and healthy breakfasts less frequently (p ≤ 0.001). Daily sweet consumption is linked to lower fruit intake (p ≤ 0.001). Demographic characteristics did not impact food preferences (0.068 ≤ p ≤ 0.946). The highest index of correct eating habits, equal to 0.86, was in 2 (1.8%) children. There is no relationship between the number of correct eating habits and age (p = 0.379) and gender (p = 0.172). The criterion of “correct eating habits” is (p = 0.046) higher in Moscow schoolchildren than in children from the regions. Conclusion. Unhealthy food preferences in children reflect parents’ non-compliance with healthy eating recommendations, which underscores the need for family initiatives in the field of healthy nutrition.

Parental visual dysfunction and its associations with early childhood development in a community sample of families in Beijing, China

While research has associated parental visual functions with child vision, little is known about whether parental visual dysfunction is related to early childhood development (ECD) outcomes other than vision. Considering that parents with visual dysfunction conditions may encounter difficulties in engaging in some daily activities, the children of these parents possibly have fewer opportunities to acquire and refine certain ECD skills. This research explores associations between parental visual dysfunction conditions and different ECD outcomes in a community sample of families from Beijing, China. Participants were parents of 2140 young children (44.4% girls; age range = 0.75–63.25 months). Parents reported concerns about their visual dysfunction and responded to the Chinese version of the Ages and Stages Questionnaires, Third Edition (ASQ-C). Family demographics and child health indicators were controlled for as covariates. Analysis of variance (ANOVA) and analysis of covariance (ANCOVA) tests were used to compare group differences in the ASQ-C scores. Logistic regressions were conducted to examine the relative risk of suspected developmental delays in the ECD domains for children with parents with different visual function conditions. Results showed that children whose parents had visual dysfunction scored lower on the gross motor domain. Specifically, children whose parents had visual dysfunction conditions other than myopia had lower scores on the gross-motor and problem-solving domains relative to their counterparts. This group of children was prone to suspected developmental delays in the problem-solving domain. In conclusion, our findings suggest that having parents with visual dysfunction conditions other than myopia may be a risk, potentially compromising ECD in China.

Current investigation of neurocognitive functioning in preschool children with cancer: A cross-sectional study from western China.

Cancer and its treatments may cause neurocognitive impairments in preschool children, but there is limited research on the neurocognitive outcomes of this population. This study, which assessed the neurocognitive function of preschool children with cancer and analyzed various influencing factors of neurocognitive functioning, is of significant importance. We aimed to investigate neurocognitive function and related risk factors in preschool children with cancer to inform preventive and intervention strategies. From September 2023 to May 2024, we recruited 100 preschool children with cancer. The Chinese version of the Ages & Stages Questionnaires, the Spence Preschool Anxiety Scale Chinese Version, and the Sleep Disturbance Scale for Children were used to collected data. Binary logistic stepwise regression analysis was used to explore the influencing factors of neurocognitive function in preschool children with cancer. 49% of the preschool children with cancer had abnormalities in at least one neurocognitive dimension. The majority of children had abnormalities in gross motor dimension, accounting for 30%, which was related to age and frequency of participation in neurocognitive activities. Communication dimension was related to father's education level, dietary habit, and frequency of participation in activities. Fine motor dimension was associated with age, sex, and father's education level. Problem-solving dimension was associated with age and dietary habit. Personal-social dimension was related to age and radiotherapy. Nearly half of preschool children with cancer experienced neurocognitive impairment. The Chinese version of the Ages & Stages Questionnaires is a simple and effective tool for screening children with possible neurocognitive impairment. It was found that children's neurocognitive function was significantly influenced by family environment, dietary habit, cognitive activities, and cancer treatment. Therefore, it is recommended to strengthen family and social support, and to formulate personalized intervention such as cognitive therapy and dietary adjustment based on children's age and family background, which are important for promoting neurocognitive recovery.

Pathways from Childhood Emotional Neglect to Traditional Victimization among Secondary Vocational School Students: The Roles of Family Functioning, Psychopathy, and Socioeconomic Status.

Considering the high prevalence and detrimental developmental outcomes of traditional victimization, it is imperative to explore the influencing factors and mechanisms of traditional victimization to formulate targeted prevention interventions. Previous studies have shown a significant and positive association between childhood emotional neglect and traditional victimization. To our knowledge, there is a limited understanding of the mechanism of this association. To fill this gap, this study examined the relationship between childhood emotional neglect and traditional victimization, as well as the roles of family functioning, psychopathy, and socioeconomic status (SES) among secondary vocational school students. A cross-sectional study was carried out among 605 secondary vocational school students from grades 10 to 11 (Mage = 16.19, SD = 0.79). Participants provided data on demographic variables, childhood emotional neglect, traditional victimization, family functioning, psychopathy, and SES by answering anonymous questionnaires. The findings showed that childhood emotional neglect was not directly related to traditional victimization, but it was indirectly related to traditional victimization through the mediation of family functioning, the mediation of psychopathy, as well as the chain mediation of family functioning and psychopathy among secondary vocational school students. Additionally, SES could not moderate the relationships between childhood emotional neglect and family functioning, psychopathy, as well as traditional victimization among secondary vocational school students. These findings suggest that interventions for decreasing traditional victimization among secondary vocational school students should not only focus on reducing childhood emotional neglect but also target family functioning and psychopathy. Besides, these findings also imply SES cannot remediate the negative effects of childhood emotional neglect on secondary vocational school students.

Challenges to School Success Among Children in U.S. Military Families.

More than 90% of children in military families attend civilian schools that may lack understanding of the unique experiences and stressors of military life. School success in children of military families has important implications on future academic achievement, health outcomes, and military groups; yet there has not been an examination of challenges of school success among children of military families in the United States using nationally representative data. Data captured in the 2021-2022 National Survey of Children's Health, limited to children aged 6 to 17 years, were used to examine the association between child's caregiver military status and challenges of school success: lack of school engagement measured through caring about school and completing schoolwork, school absenteeism, and grade repetition (n = 60,599). Weighted to be nationally representative, bivariate analyses used chi-squared tests to examine estimates between selected variables and caregiver military status. Multivariable regression analyses were used to examine the association between caregiver military status and challenges of school success measures. In both unadjusted and adjusted analyses, we found that children of military families were more likely to not be engaged in school (adjusted odds ratios 1.35; 95% CI 1.19-1.53) and more likely to repeat a grade (adjusted odds ratios 1.33; 95% CI 1.09-1.64) than their civilian counterparts. There were no statistically significant differences in school absenteeism between children of military families and of civilian families. This study extends beyond previous research findings that have focused primarily on academic achievement by including school engagement, attendance, and grade repetition for a more holistic and complete understanding of school success of children in military families. Our findings can be informational for school systems and policymakers to create educational and connective interventions for children in military families to improve school success.

Parental warmth and parent-child conflict among U.S. Latinx families in middle childhood.

Grounded in family systems theory and using latent profile analysis, the present study examined (a) patterns of parent-child warmth and parent-child conflict within multiple dyads (mother-older child, mother-younger child, father-older child, father-younger child) among 305 U.S. Latinx families with fifth graders (Mage = 10.6; 46.6% female) and younger siblings (Mage = 8.20; 47.2% female) and (b) tested links of profile membership with child academic competence, negative peer relationships, and depressive symptoms. Two profiles were characterized by differential maternal and paternal warmth toward older versus younger siblings, with one of the profiles characterized by higher levels of conflict than the other, and a third profile included families where parent-child dyads were similar in their levels of moderately high warmth and low conflict. Profile membership was concurrently linked with children's academic competence, peer relationships, and depressive symptoms, with notable within-family differences for older versus younger siblings. Findings underscore the value of studying families as interrelated subsystems by capturing multiple dimensions of two children's relationships with mothers and fathers and provide insights for family-based prevention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Family Resources and Parental Problem-Solving Skills Mediate Family Functioning and Family Adaptation in Families of Children With Cancer.

To explore the mediating roles of family resources (at the individual [parental self-efficacy], family [family resilience] and social level [social support]) and parental problem-solving skills in the association between family functioning and family adaptation in families of children with cancer. A cross-sectional study. This study recruited 318 parents of children with cancer from three tertiary hospitals in mainland China. Self-report questionnaires were used to collect data on key variables, including family functioning, parental self-efficacy, family resilience, social support, parental problem-solving skills and family adaptation. Data analyses were carried out using descriptive analysis, univariate analysis, Pearson correlation analysis, hierarchical linear regression and bootstrapping. Family functioning was significantly and positively correlated with family adaptation. Family resources (parental self-efficacy at the individual level, family resilience at the family level or social support at the social level) and parental problem-solving skills both independently mediated the relationship between family functioning and family adaptation. Additionally, family resources at all three levels mediated the relationship through their effects on cumulatively parental problem-solving skills, constructing a chain mediating model. The study underscores the significance of family functioning, family resources at the individual, family and social levels and parental problem-solving skills in promoting adaptation in families of children with cancer. It highlights the need for family-centred interventions targeted at these factors to improve family adaptation. This study extended related theories and previous studies to confirm the mediating role of family resources and parental problem-solving skills, both independently and sequentially. Moreover, parental problem-solving skills were confirmed as key elements that can be incorporated into future interventions, suggesting that problem-solving skills training may serve as a highly promising program for families of children with cancer. This study was reported according to the STROBE checklist. No Patient or Public Contribution.

THE SPECIFICITY OF AUTHOR'S REPRESENTATION OF MODERN FAMILY MODELS AND MATERNAL CHARACTERS IN NOWADAYS UKRAINIAN LITERATURE FOR CHILDREN AND YOUTH

The article considers the specificity of the author’s representation of modern family models and maternal characters in nowadays literature for children and youth on the example of works of Ukrainian writers. The relevance of the research is emphasized, which is caused by the transformation of socio-cultural stereotypes in the maternal sphere. Classical and modern approaches to understanding the concepts of family and motherhood in the socio-psychological context, in folklore and fiction are outlined. The collection “Mom on Skype” highlights informal family models: children without fathers; children with a father/in the father’s new family; children in a full family after the mother’s return. The problematic and thematic proximity of the stories and the commonality of motifs are emphasized. The artistic means of creating images of children and mothers are characterized. Attention is focused on understanding the fact of a mother’s remote stay as a stressful situation that affects the child’s personal and psychological development. The book “Maya and Her Mothers” records the transformation of ideas about family and family values. The diversity of children’s families (a child and two mothers, a child in a family of guardians, a child in a family with a stepfather or stepmother, a test-tube child in a full-fledged family) is noted as the author’s fixation of a cross-section of modern society in its gender, social, and mental manifestations. The contrast between the motifs of the work and the collection “Mom on Skype”, their characters, their harmony, the absence of internal contradictions and conflicts are emphasized.

Supplemental Material for Parental Warmth and Parent–Child Conflict Among U.S. Latinx Families in Middle Childhood

Supplemental Material for Parental Warmth and Parent–Child Conflict Among U.S. Latinx Families in Middle Childhood

Identity and Belonging in Na’ima B. Robert’s Boys vs Girls (2010)

This paper investigates Na’ima B Robert’s Boys vs Girls (2010), which relates the story of two children of a Pakistani-English family. It casts light on the impact of the parents’ Pakistani culture on their children, Farhana and Faraz, who are born in England, but inherited a cultural legacy, with which they have never established any direct contact. Accordingly, Robert’s novel deals with issues common in diasporic literature, namely, identity, alienation, and belonging. The paper examines their attempt to reconcile the two parts of their identity, Pakistani and English, and reduce the pernicious impacts of their feelings of alienation. While exploring the two children’s process of identity formation in Robert’s novel, we draw on scholars, such as Paul Gilroy, Stuart Hall, and Salman Rushdie, who, like Robert and the two main characters in this novel, face similar challenges in negotiating identity and expressing their sense of belonging. Further, we employ Avtar Brah’s analysis of the cultural constrains imposed on young Asian Muslims in educational institutes as we trace Farhana and Faraz’s endeavour to counter the stereotyped image of Muslims in the West while celebrating their Islamic culture at. Moreover, it depicts the parents’ concerns that their children’s espousal of their Islamic culture might negatively impact on their progress in the West. Depending on non-white feminists’ notions, namely Hazel Carby, the paper critiques white feminism which marginalises the needs and aspirations of non-white women residing in the west.

재외동포 다문화가정 부모와 자녀의 언어·문화 정체의식 발달 연구 -프랑스 거주 한-불 가정 이중언어 교육과 정체성 함양을 중심으로-

This study used qualitative research methods to analyze the practical aspects of bilingual education and the processes of linguistic and cultural identity formation among the second generation of Korean-French multicultural families settled in France through international marriage. The findings are as follows: First, children's acquisition of bilingualism is influenced by their parents' attitudes toward bilingual education, with the French father's role having a greater impact on a family's linguistic balance than the Korean mother's. These findings highlight how parents' linguistic roles affect the dynamics of culture and language within a family, necessitating a reconsideration of bilingual education. Second, the challenges of bilingual education include setting a standard for bilingualism, addressing issues related to language mixing, and managing differences in the status of languages. Third, the correlation between bilingualism and identity formation suggests that when an individual's linguistic identity and cultural belonging are harmoniously integrated, a stronger sense of identity emerges. Additionally, the linguistic and cultural challenges faced by bilingual children and the process of overcoming those challenges are integral to their identity formation process. This research offers valuable insights into bilingual education for children from multicultural families and their cultural identity development, addressing the relatively insufficient studies on the complex identity issues faced by children of multicultural families living abroad.

Analysis Of The Quality Of Family Planning (Kb) Health Services On Children's Nutritional Status At Sigambal Public Health Center, Rantau Selatan District, Labuhanbatu Regency

Background: Family planning services play an important role in supporting reproductive health and family well-being, especially in ensuring adequate nutrition for children. Objectives: to investigate the relationship between the quality of family planning (FP) health services and children's nutritional status at the Sigambal Health Center, Rantau Selatan District, Labuhanbatu Regency. Research method: structured interviews with mothers who participated in the family planning program and anthropometric measurements of their children.Results: there was a significant relationship between the quality of family planning services and children's nutritional status. High-quality family planning services have a positive impact on children's nutritional outcomes, as evidenced by improvements in weight and height indicators according to WHO standards. Factors determining service quality include the availability of contraception, the expertise of health workers, and community involvement in family planning initiatives.Conclusion: This study emphasizes the importance of improving family planning services by ensuring adequate resources, ongoing training for health personnel, and encouraging community participation. These efforts are critical to improving children's nutritional status in the region

Abstract Strengths and difficulties Lithuania

Abstract Background Most mental health disorders begin before the age of 18, peaking at 14.5 years (Solmi, 2022) and manifest as emotional and behavioural difficulties that are more frequent in institutional social care (ISC): former foster care recipients have higher rates of depression and PTSD than the general population (Pecora, 2009). The rate of children living in residential care facilities in Europe and Central Asia is double the global average (UNICEF, 2024). This study aims to assess and compare the mental health of children in ISC centers and regular high schools. Methods A cross-sectional study was conducted in ISC centres and high schools in 2022-2023. The sample size consisted of children aged 11-17 living in ISC (n = 49) or in families (n = 193). Online anonymous survey was applied to assess the prevalence of endured violence, substance use and measure mental health outcomes using the Strengths and Difficulties Questionnaire (SDQ-25). Results A total of 242 respondents (age mean 14.6, SD = 2.12) in ISC and families showed similar poor mental health rates (42% and 44%, respectively). Prosocial behaviour problems were exhibited more by boys (p < 0.05), whereas emotional symptoms were more common in families (p < 0.001): 90% normal SDQ-25 scores in ISC vs 60% in families. Enduring psychological (38% vs 60.2%) violence was more prevalent among children in families (p < 0.05); smoking - in ISC, alcohol use - in families (p < 0.05). In both groups enduring physical violence was associated with smoking and alcohol use (p < 0.05), and overall poor SDQ-25 results strongly correlated (p < 0.001, r = 0.815, r = 0.610, respectively) with hyperactivity. Conclusions A significant part of study participants reported poor mental health outcomes with most problems in relationships with peers. Mental health risk factors such as violence or substance abuse are associated with poor emotional wellbeing while being more common among children living with families. Key messages • Children living in ISC and in families demonstrate similar level of mental health problems. • Varying prevalence of substance abuse among children living in different settings highlights the importance of environmental factors when addressing the issue.

Family Functioning and Child Participation Following Early Childhood Traumatic Brain Injury

Family functioning and child participation are critical factors in recovery from traumatic brain injury (TBI) and academic and social outcomes. Using mixed methods, we investigated these factors in children who experienced early childhood TBIs and then entered formal schooling. Caregivers completed interviews and scales of family functioning and child participation. Their scores did not reflect problematic family functioning, but showed participation across settings was below average. Themes from interviews included: (1) early childhood TBIs can affect family functioning even years after the injury; (2) learning, academic, and social-emotional issues impact participation and family functioning following early childhood TBI; and (3) appropriate supports and accessible environments are critical for both family functioning and child participation across settings. Mixed methods analyses indicated convergence, divergence, and expansion between qualitative and quantitative results. Results enhance our understanding of challenges encountered after early childhood TBI and provide directions for future interventions.

Going Insane: Battered Muslim Women Reclaim a Positive Identity.

This study examines the process of identity negotiation of 15 Muslim women who resisted severe abuse by their husbands and extended family by becoming mentally ill and thereafter, divorcing. Content analysis of the interview narratives shows that these women were poor, married young, and endured years of battering, isolation, and silencing for the sake of family honor and children's well-being. Entrapped within a web of sociocultural norms legitimizing wife beating, and abusive extended family relationships that annihilate their voice by branding them as maj'nuna/insane, these women explained that they were terrorized helpless victims fearing the stigma of being labeled insane and the resultant harm to their children. With the deterioration of their health, threat of annihilation, and imminent danger to themselves and their children, these women broke through the normative oppressive framework by becoming maj'nuna/mentally ill. Detached from the extended family and no longer caring to endorse a label that discredited what they said or did, these women overtly resisted by escaping to the family of origin and/or mental health clinic to reveal the abuse, divorce, and seek treatment. Severing all family ties, and now residing in public housing, these women felt safe to renegotiate a favorable identity and reclaim the right to live with dignity. Implications/recommendations: (1) The criminalization of battering and prosecution of batterers is not enough to deter when cultural norms sanction battering, (2) additional diagnostic categories are needed to identify the precursors of battering within the strategies of overt and covert resistance battered women adopt in collectivistic cultures such as mental and neurophysiological dysfunctions, and (3) it is necessary to transcend the individualistic model titling battered women within the false dichotomy of victimization or agency as it fails to reflect battered women's experience in collectivistic cultures and their resistant strategies to abuse in the extended family.

Benefits of Pet Therapy for Children and Young Adults

Abstract: With the development of psychology, the mental health of children is paid more attention than before. Reducing attachment to parents and anxiety are common mental issues in children. People need to focus on the mental health of the children. There have been several studies about the function of pets and how they positively or negatively support adults' mental condition. With the increasing number of pets owned, pets play an important role in several families. Pets play an essential role in affecting children's mental health. Pet therapy is an example of how pets impact the mental condition of children. This research focuses on how pets can work in pet therapy to help children reduce mental stress and how pets in their daily lives can help young adults and children perform better social development. The research reviews several previous study papers about pets' influence on children's mental and social development. The research finds that pet therapy can help children with physical health and disabled children reduce their mental stress from the environment and society. In their daily lives, children in families with pets benefit from socio-emotional development and get social support from pets.

Objective detection of wheeze at home by parents through a digital device: usage patterns and relationship with SABA administration.

Wheezing is an important indicator of exacerbated respiratory symptoms in early childhood and must be monitored to regulate pharmacological therapy. However, parents' subjective perception of wheezing in their children is not always precise. We investigated the objective identification of children's wheezing by parents using a digital wheeze detector (WheezeScanTM, OMRON Healthcare Co. Ltd), its longitudinal usage patterns, and its relationship with SABA administration. We conducted a secondary nested analysis of data from the intervention arm of a multi-center randomized controlled trial completed in 2021-2022 in Berlin (Germany), London (United Kingdom), and Istanbul (Turkey). Children aged 4 to 84 months with doctor's diagnosed wheezing (GINA step 1 or 2) were included. Using an electronic diary (Wheeze-MonitorTM, TPS), parents monitored and recorded for 120 days at home the presence or absence of their child's wheezing, detected both, with WheezeScanTM ("objective" wheezing), and subjective ("perceived" wheezing). Parents also recorded the child's symptoms, medication intake, and family quality of life. Questionnaires regarding symptom control, quality of life, and parental self-efficacy were answered at baseline and after 90 and 120 days. Eighty-one/87 families completed the intervention arm of the study. WheezeScanTM was on average used 0.7 (SD 0.6) times a day, with each patient reporting a positive, negative, or "error" outcome on average in 57%, 39%, and 5% of measurements, respectively. The use of WheezeScanTM declined slightly during the first 90 days of monitoring and steeply thereafter. Repeated usage of WheezeScanTM in the same day was more frequent after a "wheeze" (HR 1.5, 95% CI 1.37-1.65, p < 0.001) and an "error" (HR 2.01, 95% CI 1.70-2.38, p < 0.001) result, compared to a "no wheeze" outcome. The average per-patient daily agreement between "objective" and "perceived" wheezing/non-wheezing was 75% at the start of the monitoring period and only weakly persisted as time passed (Spearman's rho=0.09). The frequency of short-acting beta-2-agonists (SABA) administration was lower in days with closely interspaced consecutive device uses during which the patient's status was perceived as "never wheeze" (32/455, 7%) than in those perceived as "persistent wheeze" (53/119, 44%; OR 36.6, 95% CI [14.3, 94.1]). Daily use of a digital WheezeScanTM at home allows parents to detect their child's unperceived wheezing and discloses to caregivers the longitudinal patterns of a child's wheezing disorder. Digital monitoring of wheezing also highlights poor adherence to guidelines in SABA administration for wheezing children, with under-treatment being much more frequent than over-treatment. This pioneering study opens new perspectives for further investigation of digital wheeze detectors in the early diagnosis and proper self-management of wheezing disorders in childhood.

85 Improving children and families healthcare experiences through a Community Social Paediatrics model

Abstract Background The clinical presentation of children with referrals related for behavioral and school difficulties is often complex and involves environmental and psychosocial components in addition to medical considerations. Collaborative, team based, holistic and integrated approaches are standard of care for many medically complex conditions but less emphasized for what is considered more general presentations in Paediatrics. Given the complexity of patients presenting with challenging behaviors, an integrated approach should be considered as a patient centered and efficient model of care. Objectives The aim of this study was to determine if using a Community Social Paediatrics (CSP) model with an interdisciplinary team can improve experiences and outcomes for families of children being assessed for challenging behaviors who also have complex psychosocial considerations. Design/Methods This pre-post study recruited families with children who had received behaviour-related Paediatric referrals. Participants received the standard of care and additional resources typical to a CSP model, including support from a social worker, home visits, and referral/funding for clinically indicated therapeutic services such as occupational therapy. Three measures were used to evaluate the experience and outcomes of patients and families prior to intake and after 12 months of care: Paediatric Integrated Care Survey (PICS), Child Behaviour Checklist (CBCL), and Quality of Relationship Inventory (QRI). Descriptive analyses of demographics and subscale scores were conducted. Paired t-tests were conducted to detect significant changes in subscale scores across time points. Results In total, 31 caregivers completed the intake assessment and 26 of these completed the follow-up assessment for their children, who were between the ages of 5 to 14 at the time of intake. The QRI scores, which assessed the child-caregiver relationship, indicated a significant decrease in the conflict subscale between timepoints (M1=2.23, M2=1.87, p&amp;lt;0.005). Similarly, the CBCL scores indicated significant reductions in aggressive behaviour (M1= 68.65, M2= 64.77, p&amp;lt;0.05) and conduct problems (M1= 68.69, M2= 62.31, p&amp;lt;0.05). The PICS scores indicated families reported fewer access problems (M1= 3.35, M2= 1.19, p&amp;lt;0.005), and better communication with health care providers (M1= 14.53, M2= 16.92, p&amp;lt;0.05). Conclusion Findings indicate that aspects of the family experience and child outcomes were significantly improved after receiving care through the CSP model. In particular, the reduction of caregiver-child conflict, aggressive behaviour, and conduct problems may indicate that the child’s needs are being more effectively met, thus reducing conflict at home and school. Paediatricians should strongly consider an interdisciplinary model when seeing children for behavioral referrals. This may be especially true for those with complex psychosocial needs.