Family-oriented Program Research Articles

Formative research to adapt the ‘Diabetes Prevention Program- Power to Prevent’ for implementation in Bamako, Mali

BackgroundThere are few community-level behaviors change interventions for reducing diabetes and hypertension risk in Africa, despite increasing cases of type 2 diabetes and cardiovascular diseases. Thus, this study was designed to adapt the United States Centers for Disease Control and Prevention’s “Diabetes Prevention Program Power to Prevent” (DPP-P2P) for use in low-income urban communities of Bamako, Mali.MethodsFeedback was elicited on an initial French PowerPoint adaptation of the DPP-P2P session guidelines from stakeholders at the ministry of health, organizational partners, and medical care providers. Two community health centers in districts with high levels of diabetes or hypertension were selected to assist in developing the Malian adaptation. Focus groups were conducted with 19 community health workers (CHWs) of these centers. Based on feedback from these discussions, more graphics, demonstrations, and role plays were added to the PowerPoint presentations. The 19 CHWs piloted the proposed 12 sessions with 45 persons with diabetes or at-risk patients over a one-month period. Feedback discussions were conducted after each session, and changes in dietary and exercise habits were assessed pre and post participation in the program. This feedback contributed to finalization of a 14-session sequence.ResultsThe DPP-P2P session guidelines were adapted for use by low-literacy CHWs, converting the written English guidelines into French PowerPoint presentations with extensive use of pictures, role plays and group discussions to introduce diabetes, diet, and exercise concepts appropriately for the Bamako context. CHWs recommendations for a strong family-oriented program led to expanded sessions on eliciting support from all adults in the household. The 45 participants in the pilot adaptation were enthusiastic about the program. At the end of the program, there were significant increases in the frequency of daily exercise, efforts to limit fat intake, and goals for more healthy diets and exercise levels.ConclusionThis study documents how an iterative process of developing the DPP-P2P adaptation led to the development of a culturally appropriate set of materials welcomed by participants and having promise for reaching the low-income, low-literacy population with or at risk for diabetes in Bamako, Mali.

Численность населения региона с точки зрения его репродуктивно-демографического потенциала.

As a result of the study, the transformation of the age structure of the population of the Kostroma region was noted, which leads to a negative change in the demographic burden – the proportion of the working-age population decreases with an increase in the proportion of the population older than the working-age population, there is a significant decrease in the number of women of fertile age in urban and rural areas, while the number of women aged 15–24 years has significantly decreased. In recent years, the total fertility rate has decreased, there has been an increase in the average age of the mother at birth, the birth rate is decreasing under the age of 20 and at the age of 20–24, it is increasing in the group of 30–34-year-olds and older. Despite the decrease in the mortality rate, the indicators of the Kostroma region exceed the national average. Life expectancy has a pronounced upward trend, but remains lower than the average for the Russian Federation and the Central Federal District. The identified trends determine the demographic situation in the region, which requires operational decisions on the development and implementation of scientifically based special family-oriented programs aimed through interdepartmental interaction at stabilizing regional reproductive and demographic indicators.

Возможности формирования традиционного семейного сознания у студентов вузов

The present study is the result of empirical studies devoted to the study of the possibilities of forming components of traditional family consciousness among university students. The relevance of the work is due to the destabilization of the institution of the family with the emergence of demographic problems, which encourages the search for ways to revive the family lifestyle, which is based on traditional family consciousness, which contributes to the solution of life-meaning problems related to the acquisition of identity in intersex and marital-family relations, and is the basis for the creation of a traditional family, which is the most important way to prevent demographic problems and anthropogeny. The paper presents the author's approach in understanding the traditional family consciousness, the possibilities of its study and formation in an educational environment. A diagnostic algorithm has been developed that includes a set of techniques that allow identifying the initial level of the components of family consciousness (attitude-cognitive, value-semantic, activity-behavioral) and its individual components (ideas about family, expectations from family, emotional stereotypes associated with family, family meanings, family values, family image, attitudes, behavioral practices related to family, etc.). The results of a formative experiment conducted among university students, including the implementation of family-oriented programs developed by the author of the work ("Orthodox family studies" for students of SAMDS, as well as "Development of family consciousness of personality" for students of universities of SamGUPS), are presented. The results obtained, processed using methods of mathematical statistics and modeling, allowed us to conclude that there is a positive dynamics among some students in the context of the formation of components of family consciousness within the framework of the traditional model based on essential fundamentals, which encourages further work in this direction.

Meta-Analysis on the Effects of Family- Oriented Prevention in German-Speaking Countries: A Contribution to Cross-Cultural Generalization

Most research on developmental prevention programs stems from Anglo-American countries. However, in German-speaking European countries, there is also a broad range of family-oriented programs to promote child development and prevent behavioral problems. This article presents a meta-analysis of n = 79 studies on family-based prevention that had a comparison group and were performed in Germany, Austria, or Switzerland. Overall, the data contained 10,667 parents and showed a significant positive mean effect of the programs (d = 0.31). The mean effect for parent related outcomes (d = 0.40) was larger than for measures of child behavior (d = 0.20). There was much heterogeneity across studies and very few had follow-ups of more than one year. Moderator analyses revealed particular influences of methodological study characteristics, e.g. larger effects in smaller samples and less well-controlled studies. Most results of our meta-analysis are similar to what has been found in the English-speaking world. However, as in international practice, the evaluated programs seem to be not representative for everyday prevention reality where many programs are not evaluated at all. Our study confirms the need for more high-quality and long-term evaluation as well as cross-national comparisons and replicated moderator analyses.

Finding ways to vitalize the Healthy Family and Multicultural Family Support Center

본 연구에서는 송파지역 주민을 대상으로 건강가정·다문화가족지원센터의 사업참여 및 경험유무에 따른 만족도, 위드코로나 시대의 대면 및 비대면 사업의 만족도, 프로그램별 만족도를 조사하였다. 본 연구에서 나타난 결과는 다음과 같다. 첫째, 센터사업에 참여한 주민들의 만족도는 높은 것으로 나타났고, 이용회수는 한 두 번 혹은 1년 미만인 것으로 나타났다. 둘째, 비대면 프로그램에 대한 만족도가 높았으며, 불편함을 적게 인식하는 것으로 나타났다. 셋째, 센터에서 진행하는 프로그램의 필요성 및 만족도가 높은 것으로 나타났다. 특히, 양육 및 자녀교육과 관련한 프로그램에 대한 요구도와 만족도가 높은 것으로 나타났다. 이러한 결과를 통해 다음과 같이 제언하고자 한다. 먼저, 센터사업에 참여한 주민들의 만족도가 높았음에도 불구하고, 센터사업 이용회수가 한 두번이거나 이용기간이 1년 미만에 그친 경우가 있었으므로 프로그램의 중복참여 및 지속참여를 이끌어낼 수 있는 방안과 홍보가 요구된다. 둘째, 코로나 19로 인해 비대면 프로그램을 추가하거나 기존의 프로그램을 비대면으로 전환하여 진행하였음에도 불구하고 지역주민들은 불편함을 낮게 인식하였고, 만족도는 높은 것으로 나타났다. 추후에도 위드(with)코로나 시대에 적합한 프로그램의 다각화 및 다양화를 시도하여 센터를 지속적으로 이용하는 고객이 증가할 수 있도록 해야 할 것이다. 셋째, 건강가정·다문화가족지원센터에서 운영하는 사업 중 양육, 자녀교육, 가족 중심 프로그램 등에 대한 요구도 및 만족도가 높으므로 이를 보다 확장하고 세분화하여 운영할 필요가 있다.In this study, satisfaction with participation and experience of healthy family/multicultural family support center, satisfaction with face-to-face and non-face-to-face projects in the era of With Corona, and satisfaction with each program were investigated for Songpa residents. The results of this study are as follows. First, the satisfaction of the residents who participated in the center project was high, and the frequency of use was found to be once or twice or less than a year. Second, the satisfaction with the non-face-to-face program was high, and it was found that they perceived less discomfort. Third, the necessity and satisfaction of the programs conducted by the center were found to be high. In particular, it was found that the demand and satisfaction for programs related to child rearing and children s education were high. Based on these results, I would like to suggest the following. First, despite the high satisfaction of the residents who participated in the center project, there were cases where the number of use of the center project was once or twice or the period of use was less than one year. publicity is required. Second, despite adding a non-face-to-face program or converting an existing program to a non-face-to-face program due to COVID-19, local residents perceived the inconvenience as low and satisfaction was high. In the future, it will be necessary to diversify and diversify programs suitable for the era of with Corona so that the number of customers who use the center continuously increases. Third, among the projects operated by the Center for Healthy Families and Multicultural Families, there is a high demand and satisfaction for child rearing, child education, and family-oriented programs, so it is necessary to expand and subdivide them.

15.2 CHATogether: A Digital Theater Approach to Mental Health Stressors and Anti-Asian Racism During the COVID-19 Pandemic

Compassionate Home, Action Together (CHATogether) is a mental health initiative that focuses on teaching coping skills to Asian American children and parents through digital theater. This culturally and family-oriented program promoted mental wellness during the COVID-19 pandemic in a community where mental illnesses are often stigmatized. This presentation aims to introduce: 1) the nature of our digital theater program; and 2) a qualitative study exploring the stressors among Asian Americans during the pandemic.

Метаболічні та психологічні рестрикти корекції харчування дітей із надлишковою масою тіла

Публікація присвячена огляду сучасних уявлень про психологічні та метаболічні регулятори голоду/насичення та їх вплив на формування порушень харчової поведінки в дітей із надмірною масою тіла. В умовах епідемії ожиріння у світі рекомендовані заходи, що спрямовані на запобігання її поширенню, включають у себе підвищення рівня фізичної активності та правильну організацію харчування дітей. У той же час ефективність цих немедикаментозних інтервенцій є вкрай низькою внаслідок психосоціальної дисфункції. Аналіз механізмів виникнення надлишкового споживання їжі показує, що порушення харчової поведінки при надмірній масі тіла в дітей мають метаболічну нейроентероендокринну основу з безпосереднім впливом на центри голоду/насичення. Постійна стимуляція гедонічних центрів із формуванням фізичної залежності у дітей зі зниженими вольовими якостями, що підтримуються батьківським ставленням, є основою вкрай низької ефективності корекції харчування при надлишковій вазі. З метою підвищення ефективності програм корекції ваги в дітей паралельно з ендокринологічним/педіатричним консультуванням необхідно широко впроваджувати сімейно-орієнтовані просвітницькі програми та соціально-психологічні інтервенції.

Caring for people who take care: What is already done?

The growing prevalence and impact of cancer on the family system calls for a palliative care approach with the family as the unit of care. This study aimed at providing an overview of the intervention programs that have been developed to offer support to the family caregivers of oncologic patients receiving palliative care. Sixteen articles were included in the final review, encompassing (i) studies focused on intervention programs with family caregivers of cancer patients in palliative care, (ii) studies including a pre- and post-test evaluation of the intervention program, (iii) and studies whose cancer patients were at least 18 years old. A great heterogeneity was verified with respect to care settings, number of sessions, outcome measures, or timing of assessment within the reviewed programs. These findings mirrored the complexity of the palliative care approach, which is difficult to standardize. Nonetheless, some interventions with different features accomplished good and sometimes similar results. The studies' main outcomes were clustered in five categories: psychological symptomatology, general quality of life, caregiving role, family relational variables, and bereavement/grief. Moreover, 44% of the main outcomes were psychological symptomatology of family caregivers, with an emphasis toward anxiety and depression. Also shown was a growing emergence of technology use among these interventions. Results revealed a scarcity of family-oriented programs and lack of certified mental health professionals as interventionists. Future studies and interventions should focus on the positive outcomes of the caregiving experience and must acknowledge the cultural differences when trying to replicate programs. Considering that there is no precise formula for dealing with terminal illness and grief, we submit that family-centered and systemic lenses are excellent approaches for support during this adjustment process. In conclusion, the present study advocates for increased investment in the field, underscoring the importance of family caregivers' mental health.

Effect of Family Empowerment on Self Care of Patients with Type-2 Diabetes Mellitus: A Systematic Review

Introduction: Diabetes Mellitus Type 2 (T2DM) is a chronic disease that will be suffered for life, so it is necessary to provide education to patients and families so that it is easy to understand the course of the disease, prevention and obstacles in the management of T2DM. Family empowerment can be started by optimizing family functions to help patients with T2DM to adapt and comply with self-care actions through four dimensions, empathic (emotional), encouragement (reward), facilitative (instrumental), and participatory (participation). This systematic review aims to identify and evaluate the effect of family empowerment interventions on self-care for T2DM patients.
 Methods: The database used for article searches consisted of EBSCO, PubMed and ProQuest using relevant keywords based on the topic and title of the study. The selection of articles used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) diagram method, the overall results were 2,635 articles and 8 articles that fit the inclusion criteria and were analyzed descriptively narrative and had met the methodological quality study according to JBI guidelines (Joanna Briggs Critical Appraising Methodology).
 Results: 8 articles with the Family Empowerment Process Model intervention program and the Diabetes Mellitus Education Program which is a family-oriented program that includes education classes, group discussions, home visits, and telephone follow-up. Education is provided to families through direct discussion and through telephone calls with a duration of each call of approximately 15 to 20 minutes scheduled for 9 am to 12 noon. Follow-up was done by telephone in the intervention group for approximately 3 months to 12 months.
 Conclusion: The findings of this systematic review indicate that family empowerment interventions based on health education can have a good effect on improving self-care for patients with type 2 diabetes mellitus

Childhood Cancer Patients in a Family-Oriented Rehabilitation Program: Goals and Change in Physical Functioning

Childhood cancer often leads to physical and psychosocial burdens that can persist beyond the end of treatment. Family-oriented rehabilitation programs (FOR) focus on long-term consequences and support families in returning to daily life. The objectives of this study were to describe rehabilitation goals and goal attainment, to analyze the relationship between physical functioning and physical well-being and to examine predictors of changes in physical functioning during the FOR. In a prospective observational study, statements of physicians regarding rehabilitation goals, goal achievement and physical functioning of 175 children (<18 years of age at the time of diagnosis of leukemia or central nervous system tumor) at the beginning and the end of a FOR were analyzed. The physical well-being of the patients was assessed from a parent and child perspective. Correlation coefficients were calculated to analyze the relation between physical functioning and physical well-being. Predictors of changes in physical functioning were examined with a multiple regression analysis. The most frequently mentioned rehabilitation goals were the increase of physical functioning and the integration into the peer group. Overall, the goal achievement ranged from 82 to 100%. Physical functioning improved significantly during the FOR. A significant positive correlation between the physician's assessment of physical functioning and the parental assessment of physical well-being could be found at the beginning of the FOR. According to the regression model, female gender of the child and a longer time since diagnosis were associated with a lower change in physical functioning. Furthermore, a higher degree of physical consequential damages was associated with a larger change. The 4-week multimodal rehabilitation program of the FOR addressed various physical and psychosocial burdens and was accompanied by a significant improvement of the physical functioning of childhood cancer patients. The change in physical functioning was associated with different sociodemographic and medical factors (eg, sex). The consideration of these factors could help with optimizing the program.

Predictors of five-year relapse rates of youths with substance abuse who underwent a family-oriented therapy program

BackgroundSubstance abuse among young people has become a serious public health problem for years. The risk of relapse among illicit drug use is essential for developing adequate substance reuse prevention policies. The purpose of the current study is to investigate the potential predictor in long-term relapse rates among young patients that underwent a family-based treatment program.MethodsTo perform this study, 103 young patients with substance use (mean age: 16.2 years, 78.6% male) were referred to participate in a 10-week family-based treatment program. At the beginning and at the end of the treatment, the patients were required to fill out the Chinese Craving Beliefs Questionnaire (CCBQ), the Adolescents’ Behavior-problem Scale (ABS), and the Family APGAR. Furthermore, the patients’ caregivers had to fill out the Family APGAR, the 12-item version of the Chinese Health Questionnaire (CHQ), and the Parenting Stress Index (PSI). All patients were followed up for 5 years in order to observe their long-term outcomes regarding substance use relapse.ResultsDuring the 10-week family-oriented programs, the CCBQ scores, the CHQ scores and the Child-domain of PSI significantly decreased. Better changes in patients’ behavioral problems during the treatment program predicted a lesser likelihood of substance use relapse in the subsequent 5 years. Furthermore, methamphetamine or 3,4-methylenedioxy-methamphetamine use and living in single-parent families were two factors associated with higher relapse rates.ConclusionsThe changes in patients’ behavioral problems during the treatment program may serve as a predictor of substance use relapse over the subsequent 5 years. This study’s findings provide insight about substance use prevention and serve as a reference for policy-making.

Socio-Structural Factors Influencing the Prevention of Mother-to-Child Transmission of HIV in the Democratic Republic of the Congo: A Systematic Review.

Introduction The Democratic Republic of the Congo (DRC) had the second-highest mother-to-child HIV transmission rate in Sub-Saharan Africa at 29% in 2013, however the uptake of preventive services for mother-to-child transmission of HIV (PMTCT) remains suboptimal. This systematic review explores socio-cultural and structural factors influencing PMTCT service uptake in the DRC. Methods We conducted a search of electronic databases. The PEN-3 model was used as a framework to synthesize factors influencing PMTCT service uptake into perceptions, enablers, and nurturers. Results Sixteen studies, 14 quantitative and two qualitative, were retained. Maternal, socio-economic, structural, and cultural factors were found to influence PMTCT service uptake in the DRC. Cost, accessibility, and quality of PMTCT services were key barriers to service uptake. Integration, male partner involvement, and evolving PMTCT policies improved PMTCT service delivery and uptake. This review also revealed several socio-cultural challenges in involving male partners in PMTCT programs. Discussion Findings highlight the need to address barriers and reinforce enablers of PMTCT uptake. Creating culturally appropriate, male-friendly, and family-oriented PMTCT programs will improve service uptake in the DRC.

Effectiveness of family-oriented interpretive media with different design characteristics: A study of family visitors’ satisfaction on the worksheets of a botanical garden

Varying from previous studies that are mostly focused on whether the use of worksheets is effective for environmental education, this study compared three family-oriented worksheets with different design characteristics to explore their effects based on family visitors’ satisfaction. The results revealed that differences in children’s ages influenced family visitors’ satisfaction. Families with younger children tended to be more satisfied with worksheets that featured higher relevance to personal experience and more animal-related content. Families with older children tended to prefer the worksheets with more observation–need tasks and more understanding-based questions. This study contributed to the practical need of interpretive media’s designing and family-oriented programs’ planning in the environmental education field.

Education for Family Members Is Effective for Improved Glycemic Control of Patients with Type 2 Rather than Type 1 Diabetes Mellitus—A Meta-analysis

Although the importance of support of patients by family members is emphasized for diabetes care, evidence of achieving adequate glycemic control (GC) through instructing family members to help in self-management care of diabetes patients has not been established. This meta-analysis assessed the effect of family-oriented diabetes programs on GC. The pooled A1C change shown in 31 studies that were retrieved from systematic literature searches for clinical trials presenting data on the net effect of family education on the reduction in glycohemoglobin A1C (A1C) (i.e., difference in A1C change between intervention groups involving family members and that not involving family members [control group]) was -0.45% (PP&amp;lt;0.001). When separating trials limited to type 1 and type 2 diabetes, the pooled A1C values were -0.35% (P=0.001) and -0.71% (P&amp;lt;0.001), respectively (Figure). Current meta-analysis indicates that involving family members in diabetes education programs is an effective strategy for improved GC predominantly in patients with type 2 diabetes. Figure legend: Forest plot of differences in changes in A1C between intervention and control groups. Effect size below zero indicates an A1C reduction larger in the intervention group than in the control group. Disclosure S. Kodama: None. K. Fujihara: None. H. Ishiguro: Research Support; Self; MSD K.K., Sanofi K.K., Eli Lilly and Company. C. Horikawa: None. Y. Yachi: None. M. Ishizawa: None. S. Matsunaga: None. S. Tanaka: None. K. Kato: None. H. Sone: Research Support; Self; Novo Nordisk Inc., Eli Lilly and Company, MSD K.K., Chugai Pharmaceutical Co., Ltd., Taisho Pharmaceutical Co., Ltd., Takeda Development Center Asia, Pte. Ltd., Daiichi Sankyo Company, Limited, Ono Pharmaceutical Co., Ltd., Kyowa Hakko Kirin Co., Ltd., Sanofi, Kowa Pharmaceuticals America, Inc., Eisai Inc..

The Effect of Family-Oriented Educational-Supportive Programs on Adequacy of Exclusive Breastfeeding from the Perspective of Mothers

The Effect of Family-Oriented Educational-Supportive Programs on Adequacy of Exclusive Breastfeeding from the Perspective of Mothers

The Effect of Barkley's Family-Oriented Program on the Burden of Care on Families of Children with Attention Deficit-Hyperactive Disorder.

Background:Attention deficit-hyperactive disorder (ADHD) is the most common behavioral disorders during childhood whose treatment is greatly dependent on families; therefore, families of such children should improve their relation with them so that they could enjoy their lives. Hence, this study was conducted to evaluate the effect of Barkley's family-oriented program on the burden of care on such families.Materials and Methods:This clinical trial was conducted among 64 family care givers for children with ADHD. By simple sampling, samples passing the inclusion criteria were selected and randomly allocated into two groups of control and intervention. The intervention group received Barkley's family education program through 9 sessions; the control group participated in 3 group sessions and expressed their problems and experiences. Data were collected and analyzed using the Zarit Burden Interview.Results:Burden of care was gradually reduced through the study in the intervention group, however, the mean score of burden of care did not have a significant reduction in the control group.Conclusions:Because Barkley's family-oriented program was able to reduce the burden of care in families of children with ADHD, it is recommended to develop similar programs and evaluate them through various studies.

Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes

We evaluated a theoretically-derived family-oriented intervention aimed to improve self-efficacy, self-management, glycemic control and quality of life in individuals living with Type 2 diabetes in Thailand. In a single-blinded randomized controlled trial, 140 volunteer individuals with Type 2 diabetes, recruited from a diabetes clinic in rural Thailand, were randomly allocated to intervention and control arms. Those in the intervention arm received routine care plus a family-oriented program that included education classes, group discussions, a home visit, and a telephone follow-up while the control arm only received routine care. Improvement in outcomes over time (baseline, Week 3, and Week 13 following intervention) was evaluated using Generalized Estimating Equations multivariable analyses. Except for age, no between-group significant differences were observed in all other baseline characteristics. Diabetes self-efficacy, self-management, and quality of life improved in the intervention arm but no improvement was observed in the controls. In the risk-adjusted multivariable models, compared to the controls, the intervention arm had significantly better self-efficacy, self-management, outcome expectations, and diabetes knowledge (p<0.001, in each). Participation in the intervention increased the diabetes self-management score by 14.3 points (β=14.3, (95% CI 10.7-17.9), p<0.001). Self-management was better in leaner patients and in females. No between-group differences were seen in quality of life or glycemic control, however, in the risk-adjusted multivariable models, higher self-management scores were associated with significantly decreased HbA1c levels (p<0.001) and improved patient quality of life (p<0.05) (irrespective of group membership). Our family-oriented program improved patients' self-efficacy and self-management, which in turn could decrease HbA1c levels.

Television food advertising to children in Malta.

To undertake a cross-sectional survey of the extent and nature of food and beverage advertising to children on Maltese national television stations. Seven national free-to-air channels were recorded for seven consecutive days in March 2014 between 07:00 and 22:00 h. Advertisements were coded according to predefined categories, with a focus on advertisements aired during 'peak' children's viewing times, defined as periods during which more than 25% of children were likely to be watching television on any channel. Food and beverage advertisements were classified as core (healthy), non-core (unhealthy) or miscellaneous foods. Malta. Whole population, with a focus on children. Food and drinks were the most heavily advertised product category (26.9% of all advertisements) across all channels. The proportion of non-core food/drink advertisements was significantly greater during peak compared with non-peak children's viewing times (52 vs 44.6%; p ≤ 0.001). A majority of advertisements aimed at children are for non-core foods, and are typically shown during family-oriented programmes in the late evening rather than being restricted to children's programmes. 'Taste', 'enjoyment' and 'peer status' were the primary persuasive appeals used in adolescent and child-focused advertisements. This first content analysis of television advertising in Malta suggests that there is scope for the implementation of statutory regulation regarding advertising of foods high in fat, sugar and salt (HFSS) during times when children are likely to watch television, rather than during children's programmes only. Ongoing, systematic monitoring is essential for evaluation of the effectiveness of regulations designed to reduce children's exposure to HFSS food advertising on television.

Kids on Board: Exploring the Choice Process and Vacation Needs of Asian Parents With Young Children in Resort Hotels

Vacation needs and the family decision-making processes are well researched in tourism. However, the role and influence of young children on parents’ hotel choice remains sparsely researched in the context of Asian families. This study, hence, examines parents’ choice criteria of resort hotels when holidaying with young children. Fifteen in-depth interviews with parents in Malaysia revealed five main themes: travel distance, quality of interactions, child-friendly amenities, safety, and family-oriented programs. Findings point to the importance of providing specific hotel amenities and services such as baby toilet seats and bottle warmers to create a satisfactory holiday experience. Findings also demonstrate how resorts can add to family quality-of-life by encouraging parent–child interactions through family-oriented activities. In this way, resort hotels are building social capital. Marketing and managerial implications for family-oriented resorts in Malaysia are offered.

Voor- en vroegschoolse voorzieningen, effectief of niet? - De samenhang tussen deelname aan voor- en vroegschoolse voorzieningen en de taal- en rekenprestaties van leerlingen op de korte en langere termijn

Early childhood facilities: effective or ineffective? Early childhood facilities refer to policies which were designed to improve the language and math performances of children between two and a half and five years old from low-socioeconomic background. This study investigated to what extent early childhood facilities are related to language and math performances in second grade and performance differences between second and fifth grade. We performed longitudinal multilevel analyses on data of the COOL5-18 cohort study, measurement waves 2007/2008 and 2010/2011. Our findings, based on information of 3922 children, show that early childhood facilities are ineffective in creating short- and longer-term improvements in language and math performances. This study also indicates that children participating in center-based programs progress more in language between the second and fifth grade than children who participate in family-oriented programs.