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Child health profiles updated PHE has updated the Child Health Profiles interactive tool which present data across 32 key health indicators of child health and wellbeing. The profiles provide an overview of child health and wellbeing for each local authority and CCG in England and are designed to help local organisations understand the health needs of their community and work in partnership to improve health in their local area. Due to delays in receipt of data from third party suppliers, the pdf profile reports for local authorities will receive their annual update at a later date (provisionally in June 2018). New report looks at creating national indicators for child development outcomes PHE has published findings from work looking to create child development outcomes indicators. The report looks at how data health visitors collect from their use of the ASQ-3 as part of the Healthy Child Programme development review might be used to create indicators at a national level as part of the Public Health Outcomes Framework. A blog has been published alongside the report which summarises the opportunities for such indicators to inform the planning of early years services. This eBulletin includes links to content from a range of different organisations. We do not accept responsibility for the availability, reliability or content of the items included in this eBulletin and do not necessarily endorse the views expressed within them. Newborn hearing screening programme standards valid for data collected from 1 April 2018 (Public Health England) These documents present the national screening standards for the NHS Newborn Hearing Screening Programme (NHSP). The most recent standards are applicable to data collected from 1 April 2018. They replace previous versions. The CLeaR improvement model: excellence in tobacco control (Public Health England) Guidance for local authorities, public health bodies and the NHS on using 'deep dive' self-assessment tools to improve their tobacco control work. The government published 'Towards a smoke-free generation: tobacco control plan for England' in July 2017 and this provided the impetus for a refresh of the CLeaR model. PHE is pleased to endorse this latest version, as well as new 'deep dive' self-assessment tools on specific topics relating to smoking in acute settings, mental health settings, pregnancy, and illegal tobacco. These resources provide practical help to commissioners and service providers. Child oral health: applying All Our Health (Public Health England) Evidence and guidance to help healthcare professionals improve child oral health. This resource has been updated to include Change4Life resources. Local offer guidance. Guidance for local authorities (Department for Education) Section 2 of the Children and Social Work Act 2017 requires each local authority to consult on and publish a local offer for its care leavers. This guidance provides information for local authorities on the development of the local offer and an illustrative local offer. The local offer should include details of the services and support that may assist care leavers in, or moving to, adulthood and independent living that the local authority provides in relation to: health and wellbeing; relationships; education and training; employment; accommodation; participation in society. Applying corporate parenting principles to looked-after children and care leavers. Statutory guidance for local authorities (Department for Education) This guidance is for local authorities and their 'relevant partners' (as defined in section 10 of the Children Act 2004) and others who contribute to services provided to looked-after children and care leavers. It is designed to help local authorities consider the kinds of services that may be offered with regard to the corporate parenting principles. Promoting the education of looked-after and previously looked-after children. Statutory guidance for local authorities (Department for Education) Statutory guidance for local authorities to support looked-after and previously looked-after children's aspirations to achieve in further and higher education. Designated teacher for looked-after and previously looked-after children. Statutory guidance on their roles and responsibilities (Department for Education) Statutory guidance for local-authority-maintained schools carrying out duties for looked-after and previously looked-after children. Evaluating early intervention programmes: six common pitfalls, and how to avoid them (Early Intervention Foundation) This guide provides guidance on addressing six of the most common issues the Early Intervention Foundation see in their assessments of programme evaluations, including explanations of how these problems undermine confidence in a study's findings, how they can be avoided or rectified, case studies and a list of useful resources in each case. Whether you are involved in commissioning, planning or delivering evaluations of early intervention, these are the issues to understand and watch out for. Wellbeing and mental health: applying All Our Health (Public Health England) Evidence and guidance to enable healthcare professionals make improvements against wider factors that affect health and wellbeing in mental health. Introduction to social and emotional learning in schools (Early Intervention Foundation) This information sheet explains what social and emotional learning is, why it matters, and how the Early Intervention Foundation (EIF) is working to improve how schools support children at risk of developing poor social and emotional skills. Don't be left in the dark: children and young people's mental health (Local Government Association) This short guide provides an overview of the challenges facing mental health and wellbeing services for children and young people.
What parents need to know about sexting (JAMA Pediatrics) This Patient Page discusses sexting among teenagers and tips for parents on how to talk to their children about sexting. Why we are working to reduce calorie intake (Public Health England) Public Health England (PHE) plays a major role in addressing the obesity challenge and this includes delivering significant parts of the government's childhood obesity plan. This blog explains the role of PHE and why we are now focusing on calories. Calorie reduction: the scope and ambition for action (Public Health England) This report sets out the evidence on children's calorie consumption and the details of the calorie reduction programme. In terms of the evidence the report includes details of: recommendations around calorie intakes, sources of calories and reported levels of intake; calculated estimates for daily energy intakes and excess calories consumed by children and adults; evidence on reformulation and portion size reduction; and public perceptions and attitudes to calories; estimated health economic benefits of a calorie reduction programme. For the calorie reduction programme, the report sets out: the overall ambition and structure of the programme; the food categories included; suggested mechanisms for action; timeline and next steps for Public Health England (PHE). PHE's news story, Plans to cut excess calorie consumption unveiled, explains more. Reporting and acting on child abuse and neglect: government response. Summary of consultation responses and Government action (HM Government) Building on the ambitious programme of reform to the children's social care system, the Home Office and Department for Education have responded to a joint consultation, 'Reporting and acting on child abuse and neglect', which sought views on how to best protect vulnerable children from abuse and neglect in all its forms. Their news story Government outlines strengthened plans to tackle child abuse explains more about the response. LGA response to the DfE and DHSC Green Paper consultation 'Transforming children and young people's mental health provision' (Local Government Association) This document sets out the Local Government Association's detailed response to the Green Paper consultation, Transforming children and young people's mental health provision. The LGA welcome the proposals, in particular the focus on earlier intervention with further investment and the emphasis on a whole school approach to providing early support for children and young people. But they believe that the Paper doesn't go far enough to resolve some of the real capacity challenges that children and young people are experiencing to get the vital care they need. Putting the spotlight on families facing adversity (NSPCC) Over the next 2 weeks NSPCC will be sharing its learning about what works for families facing adversity and how it is putting evidence into practice to help reach more children. This week focuses on sharing what works to help families facing substance misuse. Next week they will share the learning from the services they've 'scaled up', helping to understand more about how to implement services in the real world. Eating disorders in pregnancy - animation (Institute of Health Visiting) Eating disorders affect approximately 7.5% of pregnant women and can impact on maternal and infant outcomes. Researchers at King's College London have translated research on eating disorders during pregnancy and motherhood into practical training resources to help healthcare professionals provide the best care for pregnant women and mothers. This animation aims to raise awareness of eating disorders amongst all health professionals working with women in the perinatal period. Help to overcome abuse NICE has published a short guide for young people receiving support following child abuse and neglect. The guide, written by young people who have experienced abuse or neglect, outlines messages from the NICE guideline on child abuse and neglect (published in October 2017), which the young people felt were most important to highlight Annual report of the Chief Medical Officer 2017: health impacts of all pollution - what do we know? (Department of Health and Social Care) The Chief Medical Officer's independent report discusses the threat to health posed by pollution to people living in England. Vulnerable groups, such as young children, the elderly, those with underlying medical conditions and others, are at a disproportionately high risk from poor air quality. These groups can suffer large health burdens, and children, for example, can have lifelong poor health outcomes attributable in part to pollution exposure. The report makes recommendations to government, the NHS, Public Health England and other agencies for action to improve the health system's response to all types of pollution. It also considers: changes needed to better understand emerging threats; bringing together sources of information to give public health professionals a better idea of how to improve the health of people at a local level. Creating national indicators for child development outcomes (Public Health England) This blog explains the findings from work looking to create child development outcomes published in Public Health England's recent report. This offers real opportunities for local areas to compare how children are developing with what's happening elsewhere, both in their region and with similar populations in other parts of England – it's a really good way to look at the impact of local early years services and how yours compares to others. The data will also allow us to examine how the way in which children develop might be different in different social groups. Understanding these differences helps us target our work towards those with the greatest need. In your face: a report investigating young people's experiences of appearance-based bullying (YMCA) The YMCA has published a report looking at children and young people's experiences of appearance-based bullying. Findings from 12 focus groups and a survey of 1,006 young people aged between 11 and 16 years-old across the UK include: 55% have been bullied about their appearance, of which 40% experienced this bullying at least once a week. Public health perceptions survey (Local Government Association) In November 2017 the LGA conducted a survey of lead members of public health in England to capture the thoughts of local leaders on public health delivered by their local authority covering their perceptions of public health since transition from the NHS to local government, the priorities councils have set themselves and their ambitions for the future. Public health transformation five years on: transformation in action (Local Government Association) The theme for this year's report is transformation. The eight case studies included in this report were chosen because they show the wide range of ways in which public health is transforming how it operates. Feasibility study: developing the capability for population surveillance using indicators of child development outcomes aged 2 to 2 and a half years (Public Health England) Public Health England has published findings from work looking to create child development outcomes indicators. The report looks at how data health visitors collect from their use of the ASQ-3 as part of the Healthy Child Programme development review might be used to create indicators at a national level as part of the Public Health Outcomes Framework. A blog has been published alongside the report which summarises the opportunities for such indicators to inform the planning of early years services. Perinatal depression in mothers: how can treatment help with parenting and child development? (The Mental Elf) This blog provides an analysis of a recent systematic review, which looks at the effect that treatment for perinatal depression in mothers can have on parenting and child development. Don't push it: why the formula milk industry must clean up its act (Save the Children) This report from Save the Children looks at the scale and impact of the marketing activities of six global formula milk companies that together own more than 50% of the market in breast-milk substitutes. It sets out recommendations for change, with the aim of benefitting millions of children and mothers' health. Safety net: cyberbullying's impact on young people's mental health. Inquiry report (The Children's Society) This inquiry set up by Alex Chalk, MP for Cheltenham, in partnership with YoungMinds and The Children's Society, gained insight from a survey of over 1000 young people, as well as three evidence sessions with: children and young people who have been personally affected by online bullying; industry experts on the impact of cyberbullying on mental health; representatives from global social media companies, including Facebook, Twitter, SnapChat and YouTube. The report has collected all of the information from these evidence sessions and the survey, and made some recommendations to social media companies, and to the Government. Bite Size: Breaking down the challenge of inner-city childhood obesity (Guy's and St Thomas' Charity) This report brings together evidence on behaviour change and the experiences of families living in inner-city London alongside insights from data and learnings from interventions on the ground. It features the views of experts from across health, education, food and business. It focuses on the importance of creating environments that make healthy choices the norm, and on breaking the link between childhood obesity and deprivation. Changes to statutory guidance: Working together to safeguard children; and new regulations. Government consultation response (Department for Education) This document summarises the results of the consultation, and sets out the Government's response outlining next steps. On measuring the number of vulnerable children in England (Children's Commissioner for England) Analysis from the Children's Commissioner for England reveals, for the first time, the scale of vulnerability among children in England. These reports bring together a range of information held by various government departments, agencies and others. Its initial analysis reveals a host of statistics about the number of children living in vulnerable situations, including: over half a million children so vulnerable that the state has to step in; 670,000 children in England growing up in 'high risk' family situations; 800,000 children suffering from mental health difficulties. The prevalence of digital self-harm among adolescents (The Mental Elf) This blog gives an analysis of a recent study of digital self-harm in adolescents. Digital self-harm is the anonymous online posting, sending or sharing of hurtful content about oneself. The study attempted to better understand the underlying reasons for this behaviour and highlights the challenge in determining which adolescents are at risk of mental health problems, physical self-harm and suicide. Despite the limitations of the study, the authors have brought attention to an emerging problem and it is clear that effort should be taken to better understand the impact and outcomes of self-directed malicious online communication. Unleashing the potential of parents (Save the Children) This blog from the Head of UK Programme Development and Quality at Save the Children describes the work of their parental engagement programme - Families and Schools Together (FAST) - which is all about helping children to succeed: at home, in school and in their community. Evaluations are reported to show the programme's success, increasing parents' involvement in their child's education and learning; enriching family relationships; improving children's behaviour at school and at home, and boosting children's academic skills. Child sexual exploitation perpetration research (Centre of Expertise on Child Sexual Abuse) The Centre of expertise on child sexual abuse has published five exploratory studies to identify key findings from existing research and provide new evidence on the characteristics and perspectives of child sexual exploitation (CSE) perpetration and perpetrators. Deflection, denial and disbelief: social and political discourses about child sexual abuse and their influence on institutional responses: a rapid evidence assessment (The Independent Inquiry into Child Sexual Abuse (IICSA)) This rapid evidence assessment summarises the existing evidence base about social and political discourses concerning child sexual abuse in England and Wales from the 1940s to 2017 and identifies the ways in which those discourses may have influenced institutional responses to abuse. A summary report is also available. Creating readers for the future: analysis of the children's magazine and book markets and reading trends (Egmont) Egmont's annual research shows the number of pre-schoolers being read to daily has dropped by one fifth since 2013. The study found that 58% of parents of 3 to 4-year-olds were stopped from reading to their children by a number of obstacles, the greatest being the struggle to find energy at the end of the day, as well as the child's preference to do other things. At the same time, there is an uptake in toddlers watching online video content daily (up by almost one fifth between 2013-2017). Whilst daily reading for pleasure among 0-17s was up by 4% year-on-year, with three in ten 0-17- year-olds reading for pleasure, Egmont stressed that this steep decline in pre-schoolers reading and being read to signalled a significant threat to child development, with potential long-term social impact. Mapping of specialist primary health care services in England for people who are homeless (King's College London) This study maps primary health care services for people who are homeless in England and finds significant variation in the type of service available, with some areas poorly covered. Homelessness projects in smaller towns and rural areas, and those working with young people who are homeless, were much less likely to be served by a specialist primary health care service. Hidden in plain sight: young Londoners unemployed yet unsupported (London Youth) This report shines a light on the hundreds of thousands of young Londoners who are currently 'hidden' from the capital's economy. 'Hidden' young Londoners are typically aged 18-25, are not engaged in employment, education or training and not receiving any welfare benefits. The research provides guidance on how 'hidden' young people can be better supported to overcome existing barriers. Learning from the vanguards: supporting people and communities to stay well (NHS Clinical Commissioners and others) This briefing looks at what the vanguards set out to achieve when it comes to supporting people and communities to stay well. It highlights the work some of the vanguards have been doing and shares the lessons that other organisations and partnerships can take from the vanguards' experiences. Includes a case study on the Let's Get Moving project which, working with local primary schools, aims to improve the health of young people in Morecambe Bay. Early data shows that there has been a dramatic improvement in the children's physical and mental health, and educational performance. This is one of a series of briefings developed in partnership by NHS Clinical Commissioners, NHS Providers, the Local Government Association (LGA) and the NHS Confederation. Further child and maternal health data can be found on Public Health England's Fingertips tool. The child and maternal health section brings together a range of publicly available data, information, tools and resources. Find guidance on using these statistics and other intelligence resources to help you make decisions about the planning and provision of child and maternal health services on.GOV.UK. 2018 child health profiles (Public Health England) Public Health England has updated the Child Health Profiles interactive tool which present data across 32 key health indicators of child health and wellbeing. The profiles provide an overview of child health and wellbeing for each local authority and CCG in England and are designed to help local organisations understand the health needs of their community and work in partnership to improve health in their local area. Due to delays in receipt of data from third party suppliers, the pdf profile reports for local authorities will receive their annual update at a later date (provisionally in June 2018). NEET statistics quarterly brief: October to December 2017 (Department for Education) Statistics for young people not in education, employment or training (NEET). Young people not in education, employment or training (NEET), UK: February 2018 (Department for Education) Estimates of young people (aged 16 to 24) who are not in education, employment or training, by age and sex. Provision for children under five years of age in England, January 2017 (Department for Education) Data on the provision of education for children under 5 years of age, including: the number of children benefiting from funded early years education; and providers of funded early years education. Personal well-being in the UK: October 2016 to September 2017 (Office for National Statistics) Estimates of personal well-being for the UK and countries of the UK for the year ending September 2017. Includes estimates of life satisfaction, worthwhile, happiness and anxiety in the UK broken down by age and sex for the years (breakdown of age groups begins from 16-19; 20-24). Seasonal flu vaccine uptake in children of primary school age: monthly data, 2017 to 2018 (Public Health England) Cumulative vaccine uptake data for the childhood seasonal flu programme in England. Added data for 'Seasonal flu vaccine uptake in children of primary school age' for 1 September 2017 to 31 January 2018. NHS outcomes framework indicators February 2018 release (NHS Digital) The NHS Outcomes Framework (NHS OF) is a set of indicators developed by the Department of Health to monitor the health outcomes of adults and children in England. The framework provides an overview of how the NHS is performing. This report provides information about the indicators updated in this release. Among the data updated are: unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s; emergency admissions for children with lower respiratory tract infections; tooth extractions due to decay for children admitted as inpatients to hospital, aged 10 years and under; patient experience of maternity services. NHS dental statistics for England 2017-18, second quarterly report (NHS Digital) This quarterly report brings together information on NHS dental activity in England up to quarter 2 2017-18 and information on the number of patients seen by an NHS dentist up to quarter 3 of 2017-18. The number of children seen by an NHS dentist in the 12 months to 31 December 2017 was 6.9 million. This equates to 58.2 per cent of the child population. Scottish maternal and infant nutrition survey 2017 (Scottish Government) This first Scotland-only survey gathered data on maternal nutrition and infant feeding. The information will be used by Scottish Government to assist health services and other organisations to design and implement nutritional advice and support for families. The report found 43% of mums are still breastfeeding their babies at six months, compared to 32% in 2010. A summary of key findings is included. The full versions of some of these resources may only be available with a paid subscription. Contact your local library service or Athens account administrator to see if you are able to access them through your organisation. Children's toothache is becoming everybody's business: where do parents go when their children have oral pain in London, England? A cross-sectional analysis (BMJ Open) This study aimed to assess the number of parents who visited community pharmacies in London seeking pain medications for their children's pain and specifically for oral pain, to identify which health services parents contacted before their pharmacy visit and to estimate the cost to the National Health Service (NHS) when children with oral pain who visit pharmacies also see health professionals outside dentistry. Queen Mary University of London provide a summary of the research. The Local Government Association have responded to the study. Probiotics for treating women with gestational diabetes for improving maternal and fetal health and well‐being (Cochrane Database of Systematic Reviews) An increase in the numbers of women diagnosed with gestational diabetes (GDM) is anticipated with the more widespread application of the International Association of Diabetes and Pregnancy Study Group diagnostic criteria. The majority of women will be treated with lifestyle modification alone. All women with GDM may receive lifestyle advice and for some women this may be an effective treatment to maintain glycaemic control without the addition of pharmacotherapy. The use of probiotics may prove a useful adjunct to lifestyle interventions and reduce the need for pharmacotherapy. This review will establish the effectiveness of such an intervention in particular for women with mild GDM. Welfare‐to‐work interventions and their effects on the mental and physical health of lone parents and their children (Cochrane Database of Systematic Reviews) Lone parents in high-income countries have high rates of poverty (including in-work poverty) and poor health. Employment requirements for these parents are increasingly common. 'Welfare-to-work' (WtW) interventions involving financial sanctions and incentives, training, childcare subsidies and lifetime limits on benefit receipt have been used to support or mandate employment among lone parents. These and other interventions that affect employment and income may also affect people's health, and it is important to understand the available evidence on these effects in lone parents. The objective of this review was to assess the effects of WtW interventions on mental and physical health in lone parents and their children living in high-income countries. The secondary objective is to assess the effects of welfare-to-work interventions on employment and income. Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study (BMC Pregnancy and Childbirth) The World Health Organization leads a global strategy to promote the initiation and maintenance of breast-feeding. Existing literature shows that education and supportive interventions, both for breast-feeding mothers as well as for healthcare professionals, can increase the proportion of women that use exclusive breast-feeding, however, more evidence is needed on the effectiveness of group interventions. This research aims to evaluate the effectiveness of an educational group intervention performed by primary healthcare professionals in increasing the proportion of mother-infant pairs using exclusive breastfeeding at six months compared to routine practice. Prevalence of Sexting Behavior Among Youth (JAMA Pediatrics) The existing literature on sexting among youth shows that sexting is a predictor of sexual behavior and may be associated with other health outcomes and risky behaviors. However, there remains a lack of consensus on the prevalence of sexting, which is needed to inform future research, intervention, and policy development. The objective of this review was to provide a meta-analytic synthesis of studies examining the prevalence of multiple forms of sexting behavior, analyzed by age, sex, geography, and method of sexting. The review concluded that the prevalence of sexting has increased in recent years and increases as youth age. Further research focusing on nonconsensual sexting is necessary to appropriately target and inform intervention, education, and policy efforts. Systematic review of pediatric health outcomes associated with childhood adversity (BMC Pediatrics) Early detection of and intervention in childhood adversity has powerful potential to improve the health and well-being of children. A systematic review was conducted to better understand the pediatric health outcomes associated with childhood adversity. This systematic review adds to the growing evidence on the relationship between childhood adversity and children's health. In particular, this review provides support for two important concepts: Childhood adversity affects brain development and multiple body systems, and the physiologic manifestations are detectable in childhood. The variability in children's response to adversity suggests complex underlying mechanisms, including the timing and severity of adversity, the experience of cumulative adversity, and the presence of protective factors (i.e. resilience, genetic and epigenetic constitution, individual socioeconomic status) that mitigate or exacerbate the impact of the exposure. Cardio-metabolic and socio-environmental correlates of waist-to-height ratio in German primary schoolchildren: a cross-sectional exploration (BMC Public Health) The aim of this study was to investigate clinical and socio-environmental correlates of abdominal obesity in primary schoolchildren. The study concluded that Waist-to-height ratio correlates strongly with intra-abdominal fat thickness. Abdominal obesity in primary schoolchildren is associated with cardio-metabolic risk factors and also occurs in otherwise normal weight children. Against the background of rising numbers of abdominal obesity in children, targeted preventive measures are long overdue. Food neglect and infant development (Infant Mental Health Journal) The impact of food insecurity on child development in the general U.S. population is well-established, yet little is known about the harm of food neglect relative to other types of maltreatment. Due to the harmful physiological impact of inadequate nutrients and the social impact of food-related stress, it was hypothesized that food neglect would be more likely to impair infant cognitive and language development than physical abuse, sexual abuse, and other forms of neglect. Results from multivariable logistic regression models that controlled for likely confounding variables showed that the odds of impairment in cognition and language were significantly greater when food neglect was the most serious form of maltreatment. Considering that both food insecurity and child neglect are associated with poverty and parental mental health problems, it will be important for child welfare and mental health professionals to work collaboratively to better the health of these vulnerable children. Trends in secondary schools' practices to support lesbian, gay, bisexual, transgender, and questioning students, 2008–2014 (American Journal of Public Health) The objectives of this study were to examine trends in the percentage of US secondary schools that implemented practices related to the support of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) students. It concluded that many states have seen no change in the implementation of school practices associated with LGBTQ students' health and well-being. Adaptive behavior of sheltered homeless children in the French ENFAMS survey (American Journal of Public Health) The objectives of this study were to describe the adaptive behaviors in a large sample of homeless children and identify factors associated with developmental delay. It concluded that there is a high prevalence of developmental delays among children growing up homeless. Public Health Implications: Long-term integrated programs improving parenting and children's opportunities for stimulation and socialization should be developed in daycare centers, schools, shelters, and medical practices to minimize negative effects of early living conditions on children's development. Becoming breastfeeding friendly index: development and application for scaling-up breastfeeding programmes globally (Maternal & Child Nutrition) Global efforts to further improve exclusive breastfeeding rates have not been successful, in part because effective scaling-up frameworks and roadmaps have not been developed. The Becoming Breastfeeding Friendly (BBF) toolbox includes an evidence-based index, the BBF Index (BBFI), to guide the development and tracking of large scale, well-coordinated, multisector national breastfeeding promotion programmes. This paper describes the development of the BBFI, which is grounded in the Breastfeeding Gear Model complex adaptive systems framework. Oral health knowledge and practices of pediatric and family nurse practitioners (Journal of Pediatric Health Care) The purpose of the study was to assess the relationship between oral health educational activities of nurse practitioners and their current oral health knowledge and practices. The study findings demonstrate the importance of continuing education courses for nurse practitioners on the latest oral health guidelines and practices beyond their traditional academic education, in order to improve oral health outcomes among children. Women's mental health in the perinatal period according to migrant status: the French representative ELFE birth cohort (European Journal of Public Health) Mental health problems in the perinatal period are common. This study examined associations between different categories of migrant status and region of origin in relation to mental health during pregnancy and at 2 months post-partum. The study found that first, but not second, generation migrant women appear to have high levels of mental health difficulties during the post-partum period. Women from North Africa, Sub-Saharan Africa, and Turkey have higher levels of distress than those from other regions. In particular, non-naturalized migrant appear to be a vulnerable group; they may disproportionately face stressors that increase their risk for post-partum depressive symptoms. Eastern and western children's voices on their well-being (Child Indicators Research) Few studies are planned to 'give voice' to children from different cultural backgrounds to explore their sources of happiness. To address this gap, this study analysed focus group discussions with 42 South Indian and 48 European children aged 8 to 17 years. During the discussions, the children were asked about what makes them happy and sad and about what helps them feel good again when they feel sad. "Not just another Wii training": a graded Wii protocol to increase physical fitness in adolescent girls with probable developmental coordination disorder-a pilot study (BMC Pediatrics) Adolescents with low motor competence participate less in physical activity and tend to exhibit decreased physical fitness compared to their peers with high motor competence. It is therefore essential to identify new methods of enhancing physical fitness in this population. Active video games have been shown to improve motor performance, yet investigations of its impact on physical fitness are limited. The objective of this study was to examine the impact of the graded Wii protocol in adolescent girls with probable Developmental Coordination Disorder (p-DCD). The findings provide preliminary evidence to support the use of the graded Wii protocol for promoting physical fitness in adolescent girls with p-DCD. Further studies are needed to confirm these results and to validate the clinical efficacy of the protocol in a larger sample with a more robust design. Television format and children's executive function (Pediatrics) This article considers the impact of media on children's development. How marginalized young people access, engage with, and navigate health-care systems in the digital age: systematic review (Journal of Adolescent Health) This systematic review examines how marginalized young people access and engage with health services and navigate health-care systems in high-income countries. The review finds that marginalized young people experience barriers in addition to those common to all young people. Future research should explore the impact of intersecting multiple disadvantages, as well as the potential of technologies to better support marginalized young people's access to and engagement with health services and health system navigation. Adolescence and the next generation (Nature) A child's growth and development is affected by the health and lifestyles of their parents before pregnancy – even going back to adolescence – according to this paper. The article argues that tackling health problems including obesity, mental health, poor nutrition and substance abuse in young people before they become parents is essential for the best possible start to life for their future children. A research news item from the Murdoch Children's Research Institute explains more. Translational research – intervention strategies for improving pediatric nursing practice to promote the health of children and adolescents (Journal of Pediatric Nursing) The 12 articles in this issue of the Journal of Pediatric Nursing present new evidence and interventions that focus on strategies for improving the quality pediatric nursing practice, as well as the health outcomes for children and adolescents, and their families. Reasons for stopping exclusive breastfeeding between three and six months: a qualitative study (Journal of Pediatric Nursing) Scant published qualitative literature exists focusing on why exclusive breastfeeding rates decline between three and six months. This study aims to develop an understanding of why exclusive breastfeeding tails off so dramatically between three and six months after birth in New Zealand. Most studies have linked barriers to six months exclusive breastfeeding to difficulties within the mother-infant dyad, as well as negative maternal socioeconomic and socio-demographic characteristics. However, this study has shown that the maintenance of six months exclusive breastfeeding is also challenging for this group of mothers who were socially advantaged, well-educated and highly motivated to breastfeed their babies exclusively for six months. Social support provision: perspective of fathers with preterm infants (Journal of Pediatric Nursing) The social support systems for parents of preterm infants tend to pay more attention to mothers than fathers. As a father also plays a critical role in caring for a preterm infant, there is a need to advance understanding of paternal concerns and needs about social supports that should better support fathers. Practice implications: Healthcare professionals may refer to the study results in designing the educational materials for fathers of preterm infants. Effects of school-based mindfulness training on emotion processing and well-being in adolescents: evidence from event-related potentials (Developmental Science) In a non-randomized controlled study, the authors investigated the efficacy of a school-based mindfulness curriculum delivered by schoolteachers to older secondary school students (16–18 years). Results suggest that in-school mindfulness training for adolescents has scope for increasing awareness of socially relevant emotional stimuli, irrespective of valence, and thus may decrease vulnerability to depression. School-based interventions for reducing disciplinary school exclusion (Campbell Collaboration) This systematic review examines the impact of interventions to reduce exclusion from school. School exclusion, also known as suspension in some countries, is a disciplinary sanction imposed by a responsible school authority, in reaction to students' misbehaviour. The evidence suggests that school-based interventions are effective at reducing school exclusion immediately after, and for a few months after, the intervention. Some specific types of interventions show more promising and stable results than others, namely those involving mentoring/monitoring and those targeting skills training for teachers. However, based on the number of studies involved in the calculations, the authors suggest that results must be cautiously interpreted. Implications for policy and practice arising from our results are discussed. Later school start times for supporting the education, health and well-being of high school students (Campbell Collaboration) This systematic review examines the impact of later school start times on student academic performance, mental health and family and community outcomes. The review summarises findings from 17 reports of 11 interventions in six countries. This review suggests several potential benefits for this intervention and points to the need for higher quality primary studies. However, as a result of the limited evidence base, the authors could not determine the effects of later school start times with any confidence. Preschool predictors of later reading comprehension ability (Campbell Collaboration) The primary objective for this systematic review is to summarize the available research on the correlation between reading-related preschool predictors and later reading comprehension skills. Overall, the authors' findings show that the foundation for reading comprehension is established in the preschool years through the development of language comprehension and code-related skills. Code-related skills and decoding are most important for reading comprehension in beginning readers, but linguistic comprehension gradually takes over as children become older. Taken together, these results suggest a need for a broad focus on language in preschool-age children. Professionals breaking the silence: supporting professionals dealing with children's disclosures of abuse (NSPCC) NSPCC invite you to complete a survey on professionals' experiences of listening to children and receiving disclosures of abuse and neglect. The ambition is to develop a practical resource that will support professionals working with children to confidently deal with disclosures of abuse and to improve children's experiences of the disclosure process. This is in response to NSPCC research which found that too often children's disclosures go unheard and unnoticed. A crucial first step to developing the resource is to hear directly from individuals about their experiences of dealing with disclosures. The survey closes on Sunday 25th March. Call for evidence: impact of social media and screens on young people (UK Parliament) The Science and Technology Committee launches an inquiry into the impact of social media and screen-use on young people's health. The Committee welcomes the perspectives and experiences, and details of any initiatives taken, by children, schools and youth organisations. The deadline for evidence is 6 April 2018.
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