Child Care Health Consultation Improves Infant and Toddler Care

Johnston, Rosemary Ross; DelConte, Beth; Ungvary, Libby; Fiene, Richard; Aronson, Susan S.

doi:10.1016/j.pedhc.2017.05.005

Cited by 10 publications

(12 citation statements)

References 9 publications

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“…The rate of non-compliance with supine placement of infants observed in the current study (44%), is strikingly consistent with those reported within the USA (40%) 11. In contrast to studies from the USA11 20 29 our findings could not be explained by inconsistent regulation,20 nor of availability of evidence-based guidelines or confidence in knowledge 29. Availability of guidelines was universally high.…”

Section: Discussionsupporting

confidence: 90%

Observed compliance with safe sleeping guidelines in licensed childcare services

et al. 2019

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ObjectiveTo independently assess compliance with safe sleeping guidelines for infants <12 months in licensed childcare services.DesignFull-day, in-situ observations of childcare practices (including sleep and non-sleep periods) conducted in 2016–2017.SettingAustralian home-based and centre-based licensed childcare services. All subject to national regulation and legislation to comply with safe sleeping guidelines.ParticipantsThe sample was 18 licensed childcare settings (15 centre-based, 3 home-based) that had infants <12 months (n=49) attending at the time of observation. 31 educators completed self-report surveys.Main outcomes and measuresStandard observations of childcare practices, including a 20-item infant Safe Sleeping Guideline checklist. Educator characteristics, including each individual’s knowledge, beliefs and attitudes regarding safe sleeping practices.Results83% of childcare services were observed to be non-compliant on at least 1 of 20 target guidelines (median 2.5, max=7); 44% were observed placing infants prone/side and 67% used loose bedding, quilts, doonas/duvets, pillows, sheepskins or soft toys in cots. 71% of the childcare settings had a copy of current safe sleeping guidelines displayed either in or at entry to the infant sleep room.ConclusionDespite 25 years of public health messaging, non-compliance with safe sleeping guidelines was observed to be high in childcare services. Understanding of the reasons underlying non-compliance, particularly in contexts were legislative mandate and access to information regarding safe sleeping is high, is critical to informing ongoing public health messaging and should be the focus of future studies.Trial registration numberANZCTR 12618001056280—pre-results.

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Section: Discussionsupporting

confidence: 90%

Observed compliance with safe sleeping guidelines in licensed childcare services

et al. 2019

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“…28,29 This type of training, whose objective is to train staff members to become health leaders in their centers, is innovative in our region. 30 Unlike other experiences, 27 in our case, participants continued in contact with advisors, who asked about new COVID-19-related measures and the plans to reopen the centers once the project had ended.…”

Section: Discussionmentioning

confidence: 98%

“…Prior experiences focused on training staff in preventive health measures on-site at the centers, but failed to address policy development, coordination, and implementation of plans in the long term. [21][22][23][24][25][26][27] Although these studies provided positive results, their impact was limited. Instead, this initiative emphasized the training of a staff member as health referent.…”

Section: Discussionmentioning

confidence: 99%

Training of health referents at child care centers. Experience in Argentina

2022

Arch Argent Pediat

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An adequate child care helps to mitigate the effects of social adversity. Health prevention is a part of it. This is an innovative training program for health referents in child care centers that cater to vulnerable populations in Buenos Aires, Argentina. It consisted in training child care center staff, followed by the implementation, over 4 months, of an improvement plan developed by each participant in their center, with ongoing advisory support. In total, 26 participants from 19 centers completed the program. In total, 35 out of 49 goals proposed in the plans were achieved, including the certification in cardiopulmonary resuscitation, staff and family training, development of center policies, and improved resource management. Preventive care offered in child care centers may be improved via a simple and inexpensive intervention, including in unfavorable conditions.

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“…Moon, Calabrese, and Aird (2008) conducted a demonstration project that tested effectiveness of a safe sleep curriculum and train‐the‐trainer model and found that among child care providers who received the curriculum, providers demonstrated an increase in the percentage of infants sleeping supine by 11.2% ( p = .01) compared with the control group. Johnston, DelConte, Ungvary, Fiene, and Aronson (2017) found that working with a child care health consultant significantly increased the number of written safe sleep policies containing appropriate practices and the number of child care providers and parents who reviewed and were educated about safe sleep practices.…”

Section: Introductionmentioning

confidence: 99%

A comparison of safe sleep violations in child care and family child care learning homes in Georgia

Neuharth‐Pritchett

Ward

McLaughlin

et al. 2020

Child

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Background High rates of infant death associated with sleeping practices continue to persist in the United States. Infants spend a large portion of their day with child care and family child care learning home providers. Safe sleeping practices continue to be an area of need for care providers of young children. Method The current study examines data drawn from a publicly available database of child care licensing reports in Georgia (n = 3,501), which contained data on child care centres and family child care learning homes. Information in the database included characteristics of the centres, year of data collection and the specific violations by child care provider type. Results Results indicated clear differences in the prevalence of violations between child care centres and family child care learning homes. Within the overall sample, 13.3% of centres and family child care learning homes were cited for safe sleeping practice violations with higher prevalence in licensed child care centres and unaccredited centres. Violations were consistent with those commonly found in child care environments and inconsistent with the American Academy of Pediatrics safe sleep recommendations. Conclusions Data from the current study suggest a continued need for professional learning on safe sleep practices.

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Child Care Health Consultation Improves Infant and Toddler Care

Cited by 10 publications

References 9 publications

Observed compliance with safe sleeping guidelines in licensed childcare services

Observed compliance with safe sleeping guidelines in licensed childcare services

Training of health referents at child care centers. Experience in Argentina

A comparison of safe sleep violations in child care and family child care learning homes in Georgia

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