Child Health Promotion Research Articles

Adult facilitators creating a space for children to co-design a toothbrushing game for improved oral health

Introduction: The Pacific region has a serious problem of child dental caries, with negative health consequences. Urgent action is needed, including effective prevention in the form of toothbrushing. Efforts to encourage children to brush their teeth have focused on the idea that they have inadequate knowledge and motivation about oral health. However, contemporary health promotion theories indicate that ‘nudging’ or persuasion, and health promotion as ‘edutainment’ are also important strategies. In the case of oral health promotion for children this could include fun activities, such as the use of games. The internet provides many tools and a platform for digital games to be created and accessed. This offers opportunities for children to be involved in co-designing and using digital games creating personalised approaches to oral health promotion. Adults are likely to play an important role in facilitating the process. This research project aimed to explore ideas about the role of adults as educational facilitators creating a space for children to be involved in the co-design of a digital toothbrushing game. Methods: Participatory Action Research (PAR) methods were employed in this research emphasising partnership, creativity, and empowerment between researched and researcher offering a good fit with the project. Seven young adults, aged 21 – 30, were invited to undertake two PAR workshops to develop ideas for facilitating toothbrushing game co-design with children. Results: The views and perspectives of the adult facilitators centred around five themes: What is a game? Introducing children to games; creating a space for children; children-centred membership; making learning fun and gainful for children. The themes emphasize creating a child-centred space where children’s voices and views in co-designing games are heard and respected. Conclusion: The study proposed that collaborating with children in a partnership setting provides opportunities for adult facilitators to address power imbalances and foster a child-centred approach to oral health promotion activities. Child-centred approaches, including co-design and use of digital tools and games, where children participate in partnership and express their views and voices in oral health programmes, should be further explored. Keywords: Participatory action research, child co-design, toothbrushing game, oral health promotion, school oral health, child digital prosumers, serious games

PENGARUH TRAINING OF TRAINER KESEHATAN GIGI DAN MULUT PADA GURU DAN ORANG TUA TERHADAP PERUBAHAN PERILAKU MENGGOSOK GIGI SISWA SISWI SDIT AL-USWAH

Oral and dental health is an essential aspect of general health that must be maintained from an early age. This study aims to evaluate the impact of the Training of Trainer (ToT) program on dental and oral health for teachers and parents on changing tooth brushing behavior among students at SDIT Al-Uswah Surabaya. The methods used include surveys, training, evaluations, and observations of a tooth-brushing calendar filled out over 21 days. The results showed an increase in knowledge among teachers and parents, as well as positive changes in students' habits of brushing their teeth twice daily. These results highlight the importance of the role of teachers and parents in supporting dental and oral health promotion for children, which is expected to reduce the risk of dental caries in the future.

Growth monitoring and promotion service utilization and its associated factors among children less than two years in Ethiopia: A systematic review and meta-analysis.

Growth monitoring and promotion services are strategies to promote child health and reduce child mortality. Even though Ethiopia is attempting different strategies to cope with the low rate of GMP utilization, the problem is still unresolved. Determine the pooled proportion of GMP utilization and its contributing factors among children less than two years in Ethiopia. The review protocol was registered with PROSPERO, number CRD42023472746. The PRISMA-2020 statement guided the conduct of this review. Electronic databases and grey literature were used. Heterogeneity was evaluated using I2. Subgroup analysis was conducted. The random effect model was used to summarize the pooled effect sizes with their respective 95% CI with STATA version 17. To test the small study effect, the funnel plot and Egger's test were applied. A total of seven (7) studies with 4027 participants were considered in this meta-analysis. The pooled proportion of GMP utilization reported by seven studies was 25.71% (95%CI: 24.39, 27.04). ANC follow-up (AOR = 2.11; 95% CI: 1.47, 2.76), PNC follow-up (AOR = 1.96; 95% CI: 1.44, 2.49), counseling (AOR = 2.88; 95% CI: 2.09, 3.68), maternal education (AOR = 2.89; 95% CI: 1.66, 4.13), paternal education (AOR = 3.78; 95% CI: 2.25, 5.32), family health card (AOR = 2.31; 95% CI: 1.67, 2.96), and mothers good knowledge towards GMP (AOR = 2.90; 95% CI: 1.72, 4.07) variables were positively associated with GMP service utilization. The pooled proportion of GMP remains low in Ethiopia. ANC and PNC follow-up, counseling, maternal and paternal education, family health cards, maternal knowledge towards GMP were significantly associated. Findings are essential for evidence-based policy making, intervention, and input for ongoing research.

A IMPORTÂNCIA DO ALEITAMENTO MATERNO PARA ESTREITAR O VÍNCULO AFETIVO ENTRE MÃE E FILHO

Breastfeeding plays a crucial role in strengthening the bond between mother and child. In addition to providing vital nutrition in the first months and years of a child's life, breastfeeding also promotes a healthy, affectionate relationship. Exclusive practice in the first months is the best form of nutrition, intensifying the emotional bond and contributing to healthy development. Adequate guidance on breastfeeding techniques during the prenatal and postpartum period is essential to ensure the effectiveness of this process. Furthermore, breastfeeding offers benefits for both the baby and the mother, helping with postpartum recovery and protecting against diseases such as breast cancer. However, challenges persist in promoting breastfeeding, with rates below recommendations in some regions due to social and cultural factors. It is essential that health policies and professionals offer support and education to mothers, regardless of their ethnic origin or financial situation. Childcare consultations play a crucial role in monitoring a child's growth and promoting child health. Therefore, the active involvement of health professionals, public policies and society in general is necessary to create an environment favorable to breastfeeding. Breastfeeding is essential for promoting healthy relationships between mothers and children, contributing to the physical and emotional health of both.

Oral Health of Children and Adolescents with Diabetes Mellitus.

Aim: To examine the oral health of children and adolescents with and without diabetes mellitus. Background: Diabetes mellitus is the most common metabolic disease in childhood and demonstrates an increasing incidence. Many children live with gingivitis as a precursor to periodontitis. If left untreated, it can cause the development of periodontitis. The links between periodontitis and diabetes mellitus are known but have been little studied in the age group of children and adolescents. Materials and Methods: Clinical examination and collection of sulcus fluid from participants aged 5 to 21 years was performed. The following data were collected: demographic variables, caries prevalence, DMF-T, VPI, PUFA, salivary flow rate, HbA1c, PSI, and the concentration of IL-1β, IL-6, MMP-8, and TNF-α. Results: Patients with diabetes mellitus showed a significantly lower salivary flow rate with higher concentrations of MMP-8 and IL-1β. The data indicate that at this age, regular visits to the dentist are of great importance for the promotion of oral health in children and adolescents regardless of diabetes and that patients with diabetes mellitus in particular benefit from prevention, as they belong to the periodontitis risk group. Conclusions: Patients with low salivary flow rates and increased inflammatory mediators are high-risk patients for whom dental preventive measures play a major role.

THE ROLE OF NURSING IN THE PREVENTION AND CONTROL OF CHILDHOOD OBESITY

Research on nursing interventions in the prevention and control of childhood obesity has addressed three main determinants: sedentary lifestyles, poor diet, and psychosocial and environmental factors. Through an integrative literature review, negative points associated with each determinant were identified, such as increased risk of obesity, nutritional deficiencies, social stigma, and lack of emotional support. However, several nursing interventions have been highlighted as effective in addressing these problems, including nutritional education, promotion of physical activity, psychosocial support, and advocacy for healthy environments. Authors such as Jardim (2017), Borfe et al. (2017), Serra et al. (2018), among others, have contributed significantly to the development of these strategies. The research highlights the role of nurses in promoting child health, highlighting the importance of a multidimensional and collaborative approach to prevent and control childhood obesity. In summary, the results obtained provide valuable insights to improve nursing practices, promoting healthy lifestyle habits, and combating the childhood obesity epidemic.

4.N. Scientific session: Equity in Child Health: Leveraging Universal Health Promotion Services for Families Amid Uncertainty

Abstract This workshop addresses the urgent need to foster resilience and equity in child health within the context of an increasingly uncertain Europe. Rapid societal changes, exacerbated by events such as the COVID-19 pandemic and heightened risks of conflict, climate change and economic instability, underscore the importance of nurturing environments where children can thrive despite challenging circumstances. The workshop aims to explore strategies for promoting well-being and addressing social inequalities in child health within the context of universal health promotion services, such as school health services and child health clinics. Objectives are to 1) Elucidate the importance and impact of universal health promotion services in addressing social inequalities and promoting equitable opportunities for all children, regardless of background or circumstance; 2) Identify actionable steps for interventions mitigating social inequalities and promoting equitable opportunities focusing on health literacy among parents with immigrant backgrounds; 3) Showcase successful models and initiatives in universal healthcare and health promotion services for children and families, emphasizing early intervention and standardized evaluation tools; and 4) Facilitate dialogue and knowledge exchange among professionals, policymakers, and stakeholders involved in child and adolescent health promotion. This workshop’s added value lies in its multidisciplinary approach, fostering collaboration for innovative solutions in child health resilience and equity. The coherence between presentations lies in their joint focus on addressing social inequalities in the context of universal health promotion services for children and families. Each presentation offers a unique perspective on these themes, contributing to a comprehensive understanding of the challenges and opportunities in child health promotion. • Hanne Nissen Bjørnsen’s presentation on the role of universal services in public health and addressing social inequality sets the stage by examining the structural factors contributing to disparities in child health outcomes. • Kirsti Riiseŕs presentation conveys the importance of user, stakeholder, and community involvement in creating culturally sensitive strategies for effective health promotion services in the context of health literacy among parents with immigrant backgrounds • Kristin Haraldstad’s presentation on Starting Right, an evidence-based assessment of children in municipalities healthcare centers, highlights the importance of early intervention and targeted support in mitigating health inequalities and promoting well-being. Format of the workshop: Three 10-minute presentations followed by a 20-minute moderated discussion to delve into empowerment and equity in child health, encouraging rich idea exchanges. Key messages • Leveraging universal health promotion services effectively empowers children and families while addressing social inequalities amidst periods of uncertainty. • Collaborative, user-centered approaches and evidence-based working strategies are key to promoting equity and building resilience in child health.

Promoting Equity: Child & Adolescent Health Service

Abstract The health and well-being of children and adolescents face significant challenges, particularly in times of social instability. In response to these challenges, the Norwegian government allocated funding in 2021 to establish a national center for Child and Adolescent Health Promotion Services. Situated within the Norwegian Institute of Public Health, this center focuses on enhancing expertise, professional development, and research within municipal maternity and child health clinics, school health services, and youth health clinics. This presentation delves into the crucial role of Universal Health Promoting Services (UHPS) in mitigating the adverse effects of social inequality on child and adolescent health. By leveraging evidence-based practices and identifying knowledge gaps in health promotion and disease prevention in primary care settings, UHPS serve as catalysts for reducing health disparities and enhancing outcomes among expecting parents, children, and adolescents. Moreover, UHPS plays a vital role in addressing the underlying determinants of health inequality, including social network, lifestyle factors, promotion of health literacy and ensuring accessible health care services for all. UHPS empowers individuals and communities to actively participate in health promotion efforts, fostering a culture of health equity and resilience. Through targeted health education programs, early intervention strategies, and community empowerment initiatives the UHPS work both at a systems and individual level to address social inequality in health. This presentation contextualizes UHPS within a broader picture aimed at promoting child and adolescent health while addressing social inequality in health. By highlighting effective approaches and areas requiring further research, it aims to contribute to the ongoing discourse on optimizing health outcomes for young populations.

The relationships between resilience and child health behaviors in a national dataset.

Resilience mechanisms at the individual, family, and environmental levels may improve health outcomes despite potentially harmful stress exposure partly through the practice of positive health behaviors. We performed a secondary analysis of 2016-2021 National Survey of Children's Health data to assess the relationships between three resilience domains - child, family, neighborhood - and six health behaviors using multiple regression models adjusted for the other resilience domain(s) and potential confounders. Analysis revealed significant associations between each resilience domain and multiple health behaviors in a total weighted analytic sample of 70,156,540 children. For each outcome, the odds of better health behaviors were highest with high resilience in all possible domains. For example, among children ages 0-5 years, the adjusted odds of having "good quality" vs. "poor quality" sleep for those with "high" resilience in all domains were 2.21 times higher (95% CI 1.78, 2.63) than for those with "low" resilience in all domains. This line of research may help to inform the design of resilience and health behavior promotion interventions by targeting multiple socio-ecological domains of influence to improve health and development outcomes in children exposed to experiences or sources of potential stress. This study assessed the associations between three socio-ecological resilience domains (child, family, and neighborhood) and six child and family health behaviors in a national dataset. Resilience exists within multiple socio-ecological levels and supports healthy functioning despite experiencing stress. Studies in adults and limited pediatric sub-populations show associations between resilience and health behaviors, which in turn influence numerous health outcomes. Resilience at three levels of socio-ecological levels was found to be associated with the performance of multiple child and family health behaviors in a nationally representative general pediatric population. These findings have important implications for child and family health promotion efforts.

CHILD HEALTH BOOKLET IN MONITORING AND PROMOTING CHILD HEALTH: CHALLENGES AND STRATEGIES

Promoting child health in Brazil faces significant challenges due to socioeconomic diversity and regional inequalities, impacting the effective use of the Child Health Record. The aim of this study was to analyze the challenges and strategies for the effective use of the Child Health Record in monitoring and promoting child health in Brazil. This is an Integrative Review of the literature, following the PRISMA protocol. Searches were conducted in databases such as LILACS, MEDLINE, BDENF, Redalyc, and SciELO in September 2023. Inclusion criteria: original articles in Portuguese, English, and Spanish, published between 2018 and 2023. Exclusion criteria: reviews, duplicates, theses, dissertations, books, and conference abstracts. The sample consisted of 13 studies. The main emerging thematic categories were: challenges in training health professionals, lack of parental engagement, regional variations in adherence and completion of the record, and strategies to improve its use, such as integration with computerized health systems and continuous training. The Child Health Record is essential for monitoring child health but faces significant challenges that compromise its effectiveness. The implementation of public policies for training health professionals and awareness campaigns for parents is recommended to improve adherence and completion of the record, ensuring healthy and comprehensive child development in Brazil.

Evaluate the Knowledge about the WHO- Recommended Antenatal Visits among Antenatal Mothers in the Outpatient Department

One of the most crucial aspects of the World Health Organization's family welfare program in India is the promotion of maternal and child health. ANC is the care given to women during pregnancy to ensure that both the mother and the kid remain healthy. Reducing infant and mother mortality and morbidity as well as promoting, protecting, and preventing maternal and perinatal health are beneficial for the long-term growth and development of the nation. Sadly, a lot of women in underdeveloped nations do not get this kind of care.  Objectives: Assess the knowledge of WHO recommended ANC visit among pregnant women..  Methodology:  Research Approach: Qualitative study,  Research Design: Descriptive study,  Population: Antenatal mothers Antenatal mothers who are attending OPD.  Sample Size: The sample size consider of 30 antenatal mothers.  Sample Technique: Non probability sampling convenient sampling techniques adopted in this study.  Result: This study had given some clues that majority 22 (74%) of them had moderate knowledge. 6 (20%) of them had inadequate knowledge, 2(7%) of them had adequate knowledge about antenatal mothers.  Conclusion: This study experiences helped the investigator to spell out some recommendations and develop a self- instructional module so as to improve the knowledge about antenatal mothers.

Breastfeeding in infancy and cardiovascular disease in middle-aged and older adulthood: a prospective study of 0.36 million UK Biobank participants

BackgroundCardiovascular disease originates in early life. We aimed to investigate the association between breastfeeding in infancy and cardiovascular disease in adult life. MethodsWe followed 364,240 participants from UK Biobank aged 40–73 years from 2006 – 2010 to 2021. Information on breastfeeding in infancy was self-reported by questionnaire. Cox proportional hazard regression models were used to estimate the hazard ratios (HR) and 95% confidence intervals (CI) for the association between breastfeeding and cardiovascular disease in middle-aged and older adulthood. The multivariable Cox models were used by adjusting for the age (used as the time scale), sex, ethnicity, assessment centre, birth weight, multiple birth status, maternal smoking during pregnancy, Townsend deprivation index, smoking status, alcohol drinker status, physical activity, and menopausal status for women. Binary and multinomial multivariable logistic regression models were used to explore the associations of breastfeeding in infancy with cardiovascular disease risk factors including obesity, body composition, metabolic and inflammatory disorders. ResultsDuring a median of 12.6 years of follow-up, we documented 29,796 new cases of cardiovascular disease, including 24,797 coronary heart disease and 6229 stroke. The multivariable adjusted HRs for breastfed versus non-breastfed were 0.94 (95% CI: 0.91, 0.96) for cardiovascular disease, 0.94 (95% CI: 0.91, 0.96) for coronary heart disease, and 0.95 (95% CI: 0.89, 1.01) for stroke. Furthermore, the strength of observed association between breastfeeding and cardiovascular disease seems to decrease with age (P for interaction <0.001), and increase with polygenic risk for cardiovascular disease (P for interaction <0.001). Consistently, breastfeeding in infancy was associated with cardiovascular disease risk factors including lower body mass index 0.92 (95% CI: 0.89, 0.95), body fat percentage 0.85 (95% CI: 0.83, 0.87), android to gynoid fat ratio 0.89 (95% CI: 0.83, 0.96), visceral adipose tissue 0.92 (95% CI: 0.84, 1.01), as well as lower C-reactive protein level 0.95 (95% CI: 0.94, 0.97) and a lower risk of metabolic syndrome 0.89 (95% CI: 0.85, 0.92). ConclusionsBreastfeeding in infancy was associated with a lower risk of cardiovascular disease in middle-aged and older adulthood. Promoting breastfeeding is vital not only for promoting child health, but also for halting the increasing trend of cardiovascular disease in adults.

The Prevalence and Awareness of Congenital External Ear Deformity among the School-Age Group: A Cross-Sectional Study.

Congenital outer ear deformities stem from a sequence of disturbances during fetal auricular cartilage embryonic development. A significant gap exists in understanding their prevalence among the school-age group in Saudi Arabia. This cross-sectional study aims to address this knowledge gap to raise awareness about the impact of such disorders. This cross-sectional study targeted parents of children in the school-age group. A multistage cluster sampling technique was employed to ensure the representation of schools. A self-administered Google form survey was used. Data were analyzed using IBM SPSS Statistics for Windows, Version 28.0 (IBM Corp., Armonk, NY). Our study revealed that the majority were males (56.2%), aged 6 to 10 years (49.3%), and attended primary school (69.5%). Chronic illnesses were present in 7.1% of children, with hearing impairment most prevalent (25.9%). Congenital ear deformities affected 2.7% of children, primarily Stahl's ear (35.4%). Limited knowledge about these deformities was observed among respondents (30.3%), yet a significant majority (73.9%) expressed belief in the potential of community awareness to decrease deformity prevalence. The awareness levels were impacted by parental education but showed no significant association with the child's age, gender, or presence of chronic diseases. Our study underscores the noteworthy occurrence of congenital ear deformities among the school-age group, coupled with a notable lack of awareness. Parental education emerges as a key factor influencing awareness levels. It is imperative to prioritize initiatives to bolster awareness and early detection to promote child health.

Leveraging the science of early life predictability to inform policies promoting child health

Addressing the tremendous burden of early-life adversity requires constructive dialogues between scientists and policy makers to improve population health. Whereas dialogues focused on several aspects of early-life adversity have been initiated, discussion of an underrecognized form of adversity that has been observed across multiple contexts and cultures is only now emerging. Here we provide evidence for “why unpredictability?”, including: 1. Evidence that exposures to unpredictability affect child neurodevelopment, with influences that persist into adulthood. 2. The existence of a translational non-human animal model of exposure to early life unpredictability that can be capitalized upon to causally probe neurobiological mechanisms. 3. Evidence that patterns of signals in the early environment promote brain maturation across species. 4. The uneven distribution of unpredictability across demographic populations that illuminates a possible focal point for enhancing health equity. We then outline the potential of unpredictability in terms of the “what”; that is, how might the concept of unpredictability be leveraged to inform policy? We emphasize the importance of interdisciplinary and community partnerships to the success of this work and describe our community-engaged research project. Finally, we highlight opportunities for the science of unpredictability to inform policies in areas such as screening, immigration, criminal justice, education, childcare, child welfare, employment, healthcare and housing.

Cultural Adaptation of Child Discipline Measures for Puerto Rican Mothers: Enhancing the Cultural Sensitivity of Parenting Assessments.

Puerto Ricans (PRs) face significant challenges in accessing essential parenting resources and support due to language barriers and lack of culturally appropriate healthcare services, perpetuating health disparities. Cultural adaptation of psychosocial measurement tools is crucial for promoting health equity and improving health outcomes. This study describes the cultural adaptation of two parenting discipline assessment measures for use with Spanish-speaking PR mothers of 2-4-year-old children. We used a community-engaged, mixed-methods approach to measurement adaptation that involved independent translations (n = 2), back-translations (n = 2), and an adaptation committee (n = 6, including all translators) who reviewed, appraised, and modified survey versions. We conducted cognitive interviews (n = 20) to pretest the semi-finalized Spanish measures and assess mothers' understanding of survey items. Mothers had a mean age of 28.6 years. Most were married/cohabitating (70%), had a high school diploma or GED (90%), and a household income of less than $40,000 (68%). Indexed children's mean age was 2.9 years, with most identified by mothers as female (60%). Feedback from the adaptation committee and pretesting participants led to specific changes like rephrasing culturally specific terms and adjusting examples to better fit the daily experiences of PR mothers. Most mothers found the Spanish version of the measures to be clear and culturally relevant. This cultural adaptation process addressed translation inconsistencies and design issues, and better captured culturally relevant discipline practices. Engaging communities in measurement adaptations ensures culturally and linguistically tailored measures that respect participant preferences, strengthen partnerships, and enable interventions to address health disparities, thereby promoting child health.

Parental decision-making in taking care of child health in Indonesia: Findings from a national survey

Background: The decision-making process to search for child health services involves interaction among the mother, partner, and other family members. Parental decision-making is highly complex since it involves an emotional consideration between the benefit and the child's future. The common problem in deciding the service is the lack of capabilities, such as facility, knowledge, and skill.Objective: The purpose of this study is to analyze the influence of socio-demographic factors on parents' decision-making in obtaining health services for their children Methods: This study design was cross-sectional data from the Indonesia Demographic and Health Survey (IDHS) of 2017, which was applied in this study. The respondents involved were 8,838 women aged 15-49 who had given birth in the last five years. This study employed descriptive, chi-square, and regression statistics analysis. The results were provided as adjusted odds ratios (AORs) with 95 percent confidence intervals. The statistical analysis utilized SPSS version 21.0 software (SPSS Inc., Chicago, IL, USA).Results: Bivariate analysis revealed a significant relationship between decision-making and age, living place, educational background, and wealth index (p-values 0.030, &lt;0.001, 0.002, and 0.006), but not with health insurance ownership (p=0.242). After multivariate analysis, only age-related decisions were associated with a significant risk. It explained that younger group (15-29) has a 0.325 times chance of making a joint decision than the 40 to 49-year-old group (AOR: 0.325; 95%CI: 0.144-0.733). Conclusion: Parental decision-making regarding childcare is related to several factors, namely age, living place, educational background, and socioeconomic status. Health education is a strategy to promote child health in Indonesia by facilitating proper decision-making.

Gelingens- und Hindernisfaktoren bei der Implementierung von Gesundheitsförderung in Kitas und Grundschulen anhand von 4 ausgewählten Projekten

ZusammenfassungHintergrundGesundheitsförderung (GF) ist eine komplexe, politisch geforderte Aufgabe. Die Implementierungsgüte korreliert mit der Wirksamkeit von GF. Sie erfolgreich zu implementieren, erfordert die Beachtung von Kontextbedingungen, was in Wirksamkeitsstudien eher unterbleibt. Ziel ist es, Gelingens- und Hindernisfaktoren für die Implementierung von GF in Kindertagesstätten und Grundschulen anhand von 4 Projekten (Fit fürs Leben, fit für pisa +, Buchprojekt Sonnige Traurigtage und The Daily Mile) in der Gesundheitsregion Göttingen/Südniedersachsen zu identifizieren. Die Auswirkungen der COVID-19-Pandemie werden als implementierungsrelevant für diese Projekte angenommen.MethodenIn 24 semistrukturierten Interviews und 2 Fokusgruppendiskussionen wurden im Zeitraum 08/2021–03/2022 hauptsächlich Lehrer*innen und Erzieher*innen zur Umsetzung der Projekte in ihren Tätigkeitsbereichen befragt. Nach Transkription wurde mittels qualitativer Inhaltsanalyse ausgewertet. Das Consolidated Framework for Implementation Research unterstützte die Analyse.ErgebnisseInsgesamt wurden 22 Faktorengruppen identifiziert, auf deren Basis 22 Handlungsempfehlungen für die Implementierung von GF formuliert wurden. Im Vordergrund standen Gelingensfaktoren auf der Individuen- und Interventionsebene. Die COVID-19-Pandemie wirkte sich positiv auf den Stellenwert der GF aus, obgleich ihre Umsetzbarkeit erschwert war.DiskussionZahlreiche Ergebnisse zur Implementierung von GF in kindlichen Lebenswelten konnten durch die Studie bestätigt werden. Auffällig ist der hohe Stellenwert der Individuenfaktoren, was sich auf die Befragung projektnaher Interviewpersonen zurückführen lassen könnte. Die Studienergebnisse tragen zur Weiterentwicklung von Implementierungsstrategien in der GF bei.

Promoting child health and environmental equity through a children’s environmental health information system

Promoting child health and environmental equity through a children’s environmental health information system

Parent Experiences of Empowerment: Understanding the Role of Parent Empowerment in Child Health Promotion.

Establishing healthy behaviors during a child's first 5years is essential for healthy growth. Parents are targeted as agents of change because they serve as primary models of behavior during this period. Although parent-focused interventions often target empowerment as a driver of change, our understanding of how parents experience the process of empowerment in the context of child health promotion remains limited. This qualitative study explored the process by which parents gain empowerment through participation in a health promotion intervention. Semi-structured interviews were conducted with 37 low-income parents who participated in Parents Connect for Healthy Living (PConnect), a 10-week empowerment-centered obesity prevention intervention. Data were analyzed using inductive-deductive thematic analysis and guided by empowerment theories. Most parents were Hispanic/Latino (41%) and female (97%). Five themes emerged that correspond to the process by which parents gained empowerment: (1) friendships formed and relationships strengthened during PConnect, (2) parents strengthened relationships with their children and believed in their ability to parent successfully, (3) the experience of knowledge led to behavior change, (4) parents used new resources to improve family health, and (5) parents took action. Empowerment theory should be a component of health promotion programs.

Promoting Child Health by Protecting the Patient-Clinician Relationship From Politics

Promoting Child Health by Protecting the Patient-Clinician Relationship From Politics