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Child health service's response to early feeding and behaviour problems: changes in parental perceptions 1970-93
M Magnusson1, M J Garrett, C Sundelin
1Department of Women's and Children's Health, Uppsala University, Sweden. margaretha.magnusson@pediatrik.uu.se
Insights
Parental concerns about child behavior and feeding issues fluctuated over time, with service organization impacting help-seeking and satisfaction. Focused pediatric nursing services improved parental engagement with child health services.
Area of Science:
- Health Systems Research
- Pediatric Nursing
- Child Health Services
Background:
- Parental perceptions of child feeding and behavioral issues are crucial for early intervention.
- Understanding parental engagement with child health services is vital for effective healthcare delivery.
Purpose of the Study:
- To measure changes in parental perceptions of child feeding/behavioral problems.
- To assess shifts in parents' willingness to use child health services.
- To evaluate parental satisfaction with advice received from healthcare providers.
Main Methods:
- Repetitive cross-sectional study design.
- Three surveys conducted in 1970, 1988, and 1993.
- Random sampling of parents with children aged 6-18 months in Uppsala, Sweden.
Main Results:
- Perceived feeding/behavioral problems decreased until 1988, then increased in 1993.
- Help-seeking inclination and perceived advice benefit declined 1970-1988, then rose in 1993.
- Parental engagement was higher with specialized pediatric nurses than generalist district nurses.
Conclusions:
- Parental willingness to use and satisfaction with child health services are influenced by service organization.
- Specialized pediatric nursing services may enhance parental engagement and perceived value of advice.
- Findings suggest organizational focus on pediatric care improves child health service outcomes.
Objective:
This health systems study was done to measure changes over time concerning parents' perceptions of feeding and behavioural problems in children 6-18 mo of age, parents' willingness to use child health services and their evaluation of the advice received.
Method:
The study had a repetitive cross-sectional design. Three largely identical surveys were performed in 1970, 1988 and 1993. Questionnaires were sent to a random sample of all parents of children 6-18 mo living in Uppsala, Sweden.
Results And Conclusions:
The frequency of different perceived feeding and/or behavioural problems was stable or declined between 1970 and 1988, but increased in 1993. For most problems, inclination to seek help and perceived benefit of advice decreased between 1970 and 1988, but increased again in 1993. The parents sought more help and perceived the advice they received as more beneficial when the service was in the hands of paediatric nurses (1970) or of district nurses focusing on the care of infants and preschool children (1993) than when the district nurses also had responsibilities for adults and the elderly (1988). No correlation was seen with societal and sociodemographic trends. Although the cross-sectional (hence non-experimental) design of the study makes it impossible to prove causality, the findings suggest that parents' willingness to use the child health service and their evaluation of that service may depend in part on organization, including the degree to which nurses with "first-line" contacts are focused on paediatric services.
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