Dataset Information

Nonsynostotic plagiocephaly: a child health care intervention in Skaraborg, Sweden.

ABSTRACT: BACKGROUND:The aim was to evaluate the intervention's effect on prevention and reversal of nonsynostotic plagiocephaly. METHODS:Thirty-eight intervention group nurses were educated about nonsynostotic plagiocephaly and asked to follow guidelines; 18 control group nurses were not. In a longitudinal single-blinded clinical intervention, parents brought infants to well-child visits according to the national schedule. Cranial shape was assessed in 176 intervention and 92 control group infants at 2-, 4-, and 12-month visits. RESULTS:Asymmetry at two months reversed by four months four times more often in intervention than control subgroup infants (OR?=?4.07, p?=?0.02) when adjusted for parent awareness of written information from their nurse. Asymmetry at two months reversed by 12?months fivefold when parents were aware of written information (OR?=?0.19, p?=?0.04). The risk for persistent asymmetry at 12?months was lower for intervention than control group infants (RR?=?0.35, p?=?0.03). Of infants with no asymmetry at two months, 25% in intervention and 22% in control group developed brachycephaly. CONCLUSIONS:The intervention contributed to early reversal and reducing infants' risk for persistent asymmetry. Parents' awareness of written information contributed to reversal. Preventing brachycephaly was difficult. Further research is needed.

SUBMITTER: Lennartsson F

PROVIDER: S-EPMC6364473 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Nonsynostotic plagiocephaly: a child health care intervention in Skaraborg, Sweden.

Lennartsson Freda F Nordin Per P

BMC pediatrics 20190206 1

<h4>Background</h4>The aim was to evaluate the intervention's effect on prevention and reversal of nonsynostotic plagiocephaly.<h4>Methods</h4>Thirty-eight intervention group nurses were educated about nonsynostotic plagiocephaly and asked to follow guidelines; 18 control group nurses were not. In a longitudinal single-blinded clinical intervention, parents brought infants to well-child visits according to the national schedule. Cranial shape was assessed in 176 intervention and 92 control group ...[more]

PMID: 30727985

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Project description:Maternal and Child Health (MCH) Handbook, an integrated MCH home-based record, was piloted in four provinces of Vietnam (Dien Bien, Hoa Binh, Thanh Hoa and An Giang). The study is aimed at assessing the changes in pregnant women's behavior towards the frequencies of their antenatal care service utilizations and their subsequent breastfeeding practices up to six months of age, through the MCH Handbook intervention. This is because the levels of pregnant women's knowledge, attitude and practices (KAP) towards their antenatal care service utilizations and exclusive breastfeeding practices have been previously neither analyzed nor reported in relation to MCH home-based records in the country.To compare pre-intervention baseline in 2011, post-intervention data were collected in 2013. Structured interviews were conducted with randomly selected 810 mothers of children 6-18 months of age in the four provinces. A focus group discussion among mothers in each of four provinces was conducted.There was no significant difference in pregnant women's knowledge about the need for ≥3 antenatal care visits between pre- and post-interventions. Yet, the proportion of pregnant women who made ≥3 antenatal care visits in post-intervention was significantly higher than in pre-intervention. Thus, MCH Handbook is likely to have contributed to practicing ≥3 antenatal care visits, by changing their attitude. The proportion of mothers who know the need for exclusive breastfeeding necessary during the initial six months significantly increased between pre- and post-interventions. The proportion of those practicing exclusive breastfeeding significantly increased between pre- and post-interventions, too. Thus, MCH Handbook is likely to have contributed to the increase in both knowledge about and practices of exclusive breastfeeding.The results of study imply that MCH Handbook contributed to the increase in pregnant women's practices of ≥3 antenatal care visits and in their knowledge about and practice of exclusive breastfeeding. While there is room for improvement in the level of its data recording, the study confirmed that MCH Handbook plays a catalytic role in ensuring a continuum of maternal, newborn and child care. Note that this study is the first study that attempted to estimate pregnant women's behavioral changes through MCH Handbook intervention in Vietnam.

Project description:BACKGROUND:Child care workers are among the lowest paid US workers and experience a wide array of health concerns. The physical and mental demands of their job and the lack of employer-provided health-insurance increase health risks. The Caring and Reaching for Health (CARE) study evaluated a 6-month Healthy Lifestyles intervention targeting child care workers' physical activity (primary outcome), other health behaviors, and their workplace health environment. METHODS:Eligible child care centers, defined as being in operation for at least 2 years and employing at least four staff, were enrolled into CARE's cluster-randomized trial. Centers and their child care staff were randomly assigned to either the Healthy Lifestyles (HL) intervention arm or the Healthy Finances (HF) attention control arm using a block randomization approach. Intervention components were delivered through in-person workshops, center-level displays, informational magazines, director coaching, electronic messaging, and an interactive website. Outcome measures were collected during center visits at baseline and immediately post-intervention by trained data collectors blinded to center arm assignment. Workers' physical activity was assessed with accelerometers, worn for 7 days. Secondary outcome measures included biometric assessments of health and fitness, web-based surveys about health behaviors, and an environmental audit of workplace supports for health. Multi-level linear mixed models assessed worker- and center-level changes in these outcomes. RESULTS:Participants included 553 child care workers representing 56 centers (HL?=?250 staff/28 centers, HF?=?303 staff/28 centers). At 6 months, moderate-to-vigorous physical activity declined slightly in both arms (-?1.3?min/day, 95% CI: -?3.0, 0.3 in HL; -?1.9?min/day, 95% CI: -?3.3, -?0.5 in HF), but there was no significant group by time interaction. Several secondary outcomes for other health behaviors and workplace health environment showed improvements in favor of the intervention arm, yet differences did not remain statistically significant after adjustment for multiple comparisons. CONCLUSIONS:While the Healthy Lifestyles intervention did not improve health behaviors or the workplace health environment, results confirmed the pressing need to focus on the health of child care workers. Future interventions should focus on prevalent health issues (e.g., weight, stress), include both high-tech and high-touch intervention strategies, and address work conditions or other social determinants of health (e.g. wages) as a means of improving the health of these essential workers. TRIAL REGISTRATION:Care2BWell: Worksite Wellness for Child Care (NCT02381938).

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Nonsynostotic plagiocephaly: a child health care intervention in Skaraborg, Sweden.

Publications

Nonsynostotic plagiocephaly: a child health care intervention in Skaraborg, Sweden.

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