Literatura académica sobre el tema "Parent-held Child Health Record"

Parent-held child health record (PHCHR), a public health intervention for promoting access to preventive health services, have been in use in many developed and developing countries. This review aimed to evaluate the use of the records toward promoting child health/development. We searched PubMed, PsycINFO, CINAHL, Cochrane Library and Google Scholar to identify relevant articles, of which 32 studies met the inclusion criteria. Due to considerable heterogeneity, findings were narratively synthesised. Outcomes with sufficient data were meta-analysed using a random-effects model. Odds Ratio (OR) was used to compute the pooled effect sizes at 95% confidence interval (CI). The pooled effect of the PHCHR on the utilisation of child/maternal healthcare was not statistically significant (OR = 1.31, 95% CI 0.92–1.88). However, parents who use the record in low- and middle-income countries (LMIC) were approximately twice as likely to adhere to child vaccinations (OR = 1.93, 95% CI 1.01–3.70), utilise antenatal care (OR = 1.60, 95% CI 1.23–2.08), and better breastfeeding practice (OR = 2.82, 95%CI 1.02–7.82). Many parents (average-72%) perceived the PHCHR as useful/important and majority (average-84%) took it to child clinics. Health visitors and nurses/midwives were more likely to use the record than hospital doctors. It is concluded that parents generally valued the PHCHR, but its effect on child health-related outcomes have only been demonstrated in LMIC.

The purpose of this evaluation was to document (a) the level of patients’ satisfaction with use of a personal parent-held child health record (PHCHR), (b) their frequency of using it for specific reasons, (c) behavior changes participants made due to use of this record, and (d) perceived barriers to using the PHCHR. Eighty-two mothers completed the 22-item validated evaluation instrument. Patients reported high levels of satisfaction with all applicable use of the PHCHR. Respondents believed the PHCHR was a useful tool that served as a cue to increase their action in health seeking behaviors. Healthcare providers may consider use of PHCPR for pregnant women and mothers of young children.

We examined parent views of health professionals and satisfaction toward use of a child health home-based record and the influence on parent engagement with the record. A cross-sectional survey of 202 parents was conducted across New South Wales (NSW), Australia. Bivariate and multivariate logistic regressions were conducted to identify predictors of parent engagement with the record book using odds ratio (OR) at 95% confidence interval (CI) and 0.05 significance level. Parents reported utilizing the record book regularly for routine health checks (63.4%), reading the record (37.2%), and writing information (40.1%). The majority of parents (91.6%) were satisfied with the record. Parents perceived nurses/midwives as most likely to use/refer to the record (59.4%) compared to pediatricians (34.1%), general practitioners (GP) (33.7%), or other professionals (7.9%). Parents were less likely to read the record book if they perceived the GP to have a lower commitment (Adjusted OR = 0.636, 95% CI 0.429–0.942). Parents who perceived nurses/midwives’ willingness to use/refer to the record were more likely to take the record book for routine checks (Adjusted OR = 0.728, 95% CI 0.536–0.989). Both parent perceived professionals’ attitude and satisfaction significantly influenced information input in the home-based record. The results indicate that improvements in parent engagement with a child health home-based record is strongly associated with health professionals’ commitment to use/refer to the record during consultations/checks.

Forskning har vist at dårlig kommunikasjon og mangelfull kontinuitet kan føre til dårlig kvalitet på tjenestene til barn. I noen tilfeller har dette ført til uriktige diagnoser og behandling, samt til mangelfull informasjon til foreldrene. Statens Helsetilsyn opprettet en arbeidsgruppe som utformet et forslag til egen journal til bruk for barn og foreldre. Gruppen foreslo å prøve ut egenjournalen til enutvalgt populasjon, og evaluere denne før den ble tatt i bruk i resten av landet. Mål/ hensikt: Endepunktsmål var foreldrenes opplevde kvalitet på kommunikasjon med helsepersonell, informasjonens relevans, følelse av likeverd og invitasjon til egen delaktighet. En ønsket å finne ut ihvilken grad foreldrene ville bruke egenjournalen i møte med helsetjenesten, om foreldrene opplevde at bruk av egenjournal ville føre til en bedre og mer delaktig kommunikasjon, om egenjournalen ville påvirke bruken av helsetjenester, og om foreldrene fikk tilført mer kunnskap om barns helse gjennom egenjournalen. Setting: Helsestasjoner i ti kommuner på nordvestlandet i Norge Metode: Et utvalgpå 309 barn født mellom 1. august 2000 og1. oktober 2001, ble rekruttert gjennom helsestasjonsbesøk og randomisert i en intervensjonsgruppe eller en kontrollgruppe. Førstefødte ble ekskludert. Vi brukte selvutfyllende spørreskjema, som var standardiserte og lukkede. Begge gruppene besvarte del 1 både før og etter intervensjonen. Intervensjonsgruppen besvarte i tillegg del 2 etter intervensjonen. Det var 289 (94%) foreldre som besvarte spørreskjemaet før intervensjonenog 260 (84%) etter. Helsesøstrene introduserte både egenjournalen ogspørreskjemaene. Helsepersonell ble også intervjuet for å validere resultatene. Resultat: Ca ¾ av foreldrene benyttetegenjournalen ved besøk på helsestasjonen, og en tilsvarende andel mente den var nyttig og haddeselv skrevet i den. Halvparten av foreldre oppgav at egenjournal førte til bedre oversikt over barnets helse og utvikling og at de ble mer involvert i bestemmelser. Den ble mindre brukt ved andre typerkontakter med helsetjenesten. Brukav egenjournalen påvirket ikke bruken av helsetjenester, kunnskaper om barns helse eller tilfredshet med informasjon og kommunikasjon med helsepersonell. Konklusjoner: Egenjournalen ble godtmottatt og hyppig benyttet i denne randomiserte og kontrollerte undersøkelsen, men undersøkelsen støttet imidlertid ikke de positive resultatene egenjournalen hadde på kommunikasjon og informasjon, som er blitt vist i tidligere deskriptive oppfølgingsstudier. Foreldre og helsesøstre som deltok i studien, trodde imidlertid at resultatene ville blitt bedre dersom egenjournalen ble introdusert ved første hjemmebesøk etter fødsel, og dersom det ble gitt mer opplæring i bruken av egenjournalen. Det vil være behov for videre forskning for åkunne bestemme hva som videre skal skje med egenjournalen i det helsefremmende arbeidet
Background:Research has shown that insufficient communication skills and lacking continuity has led to poor quality of the children's health services. In some cases this has caused incorrect diagnosis and treatment and insufficient information to the parents. The Norwegian Board of Health appointed a working group that created a parent-held child health record. The group proposed the record to betried out in a selected population and evaluated before introducing it for the whole country. Aim: Tostudy parents use of the PHCHR, and to evaluate participation in decisionmaking and communication with the professionals. We also wanted to determine the PHCHR’s influence on health care utilisation, knowledge about child health and self-care. Setting: Maternal child health centres in ten municipalities in the North-west of Norway between October 2001 and January2003. Method: A sample of 309 children born between Jan 8. 2000 (00.08.01) and Oct 1. 2001 (01.10.01) was recruited successively at routine health surveillance visits and randomised into an intervention ora control group. First-born children were excluded. We used self-completed questionnaires, which had standardised, specific and closed questions. Both groups answered part one before and after the intervention, and the intervention group also answered part two after the intervention. It was 289(94%) parents who answered the questionnaires before the intervention, and 260 (84%) after. Public health nurses introduced both the PHCHR and the questionnaires. The nurses were interviewed to validate the interpretation of the results. Results: 3/4 of the parents used the PHCHR when visiting the maternal child health centres, 3/4 reported that the record had been helpful to them and 3/4 had entered information in the PHCHR themselves. Half of the parents claimed that the PHCHR led to better view of the child's health and development, and that they got more involved in decisions. The PHCHR was less used visiting other health professionals. The use of PHCHR did not influence the utilisation of health care services, parents’ knowledge of child's health, or the parents' satisfaction of information and communication with professionals. Conclusions: The PHCHR was well acceptedand frequentlyused in this randomised controlled trial, but the survey does not support the positive results using PHCHR shown in earlier descriptive follow up studies. Still, the public health nurses taking part in the study believe that an earlier introduction of the parent-held child record – at the first home visit, and more training would alter the results. Further studies are needed before one is to decide what to do about PHCHR in health promotion in children

ISBN 91-7997-092-3

Forms of parent-held records have been in existence for well over 100 years, but it is only relatively recently that they have been introduced on a systematic basis in the UK. As part of the review of Health for all children in 2003, the Personal Child Health Record was reviewed in England and a national standard core record introduced, reflecting the content of the child health programme with flexibility to allow for local details. It is intended as a record of growth and development and health events, but not as a repository of detailed health promotion material. This principle also applies in Scotland, Wales, and Northern Ireland with some variation. Parents value it, but apart from health visitors it is not well used by healthcare professionals. A digital version is in development.

Factitious disorder imposed on another (FDIA) occurs when a caregiver deliberately falsifies illness in a child despite the absence of obvious external rewards. The caregiver receives the diagnosis of FDIA and the child is a victim of medical child abuse. Factitious disorder imposed on another is associated with a high risk of morbidity and mortality. Warning signs that raise concern for FDIA include atypical presentations, multiple illnesses, seeking care from multiple providers, resisting reassurances that the child is healthy, and testing/observations that are inconsistent with the caregiver’s report. The assessment should include a detailed review of reported signs/symptoms as well as objective findings in the patient’s medical record. All physicians involved in the child’s care should come to a consensus regarding ongoing management, and it may be helpful to consult with a pediatrician with specialty training in child abuse. Treatment includes ensuring the child’s safety, discontinuing unnecessary medical care, and providing psychotherapy.

This radio talk records a conversation between Winnicott and Clare Raynor, a writer and broadcaster on child care and health, on the propensity of mothers to experience many guilt feelings around their children. They discuss the issue of one parent feeling jealous of the rival parent for the child’s love, an ageing mother feeling jealous as her young daughter starts her life, fears of the possible abnormality of the newborn and much more. Winnicott conveys how normal and common these feelings of anxiety and guilt are.

Recorded via video link for the Emmanuel Miller Memorial Lecture and Conference 'Child and adolescent mental health: what have we learnt during the Covid-19 pandemic? Looking back, Looking forward' on Friday 19 March 2021. ACAMH members can now receive a CPD certificate for watching this recorded lecture.