See How They Grow: Testing the Feasibility of a Mobile App to Support Parents' Understanding of Child Growth Charts

2020 ◽  
Author(s):  
Gayl Humphrey ◽  
Rosie Dobson ◽  
Varsha Parag ◽  
Marion Hiemstra ◽  
Stephen Howie ◽  
...  
Keyword(s):  
Child Growth ◽  
Mobile App ◽  
Growth Charts

scholarly journals See How They Grow: Testing the feasibility of a mobile app to support parents’ understanding of child growth charts

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246045
Author(s):  
Gayl Humphrey ◽  
Rosie Dobson ◽  
Varsha Parag ◽  
Marion Hiemstra ◽  
Stephen Howie ◽  
...  
Keyword(s):  
Focus Groups ◽  
Child Growth ◽  
Mobile App ◽  
Overweight And Obesity ◽  
Hard Copy ◽  
Growth Charts ◽  
Specific Information ◽  
Research Activities ◽  
Childhood Overweight And Obesity ◽  
On Line

Background Mobile devices provide new opportunities for the prevention of overweight and obesity in children. We aimed to co-create and test an app that offered comprehensible feedback to parents on their child’s growth and delivered a suite of age-specific information about nutrition and activity. Methods A two-phased approach was used to co-create the digital growth tool—See How They Grow—and test its feasibility. Phase one used focus groups (parents and professionals such as paediatricians and midwives) and a national on-line survey to gather requirements and build the app. Phase two involved testing the app over 12-weeks, with parents or carers of children aged ≤ 2-years. All research activities were undertaken exclusively through the app, and participants were recruited using social media and hard copy materials given to patents at a child health visit. Findings Four focus groups and 101 responses to the national survey informed the features and functions to include in the final app. Two hundred and twenty-five participants downloaded the app, resulting in 208 eligible participants. Non-Māori/Non-Pacific (78%) and Māori (14%) had the highest downloads. Fifty-four per cent of participants were parents of children under 6-months. These participants were more likely to regularly use the app than those with children older than 6-months (64% vs 36%, P = 0.011). Over half of the participants entered three measures (n = 101, 48%). Of those that completed the follow-up survey (n = 101, 48%), 72 reported that the app helped them better understand how to interpret growth charts. Conclusion The app was acceptable and with minor modifications, has the potential to be an effective tool to support parents understanding of growth trajectories for their children. A larger trial is needed to evaluate if the app can have a measurable impact on increasing knowledge and behaviour, and therefore on preventing childhood overweight and obesity.

scholarly journals Maternal Functional Health Literacy Does Not Predict Child Growth, Development, or Illness from 6 to 18 Mo of Age in Malawi (P11-004-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Katherine Cox ◽  
Ulla Ashorn ◽  
John Phuka ◽  
Kenneth Maleta ◽  
John Sadalaki ◽  
...  
Keyword(s):  
Health Literacy ◽  
Child Growth ◽  
Functional Health ◽  
Growth Charts ◽  
Functional Health Literacy ◽  
Funding Sources ◽  
Nutrient Supplements ◽  
Z Scores ◽  
Growth Development ◽  
Gates Foundation

Abstract Objectives To examine the association of maternal functional health literacy (FHL), a mother's ability to understand health information written in words and pictures, with child health, growth, and development in rural Malawi. Methods Maternal FHL was measured at six months postpartum among 671 participants in the International Lipid-Based Nutrient Supplements (iLiNS) DYAD-M trial in Malawi. Field staff asked comprehension questions about written health materials that were common in Malawi, such as medication instructions, breastfeeding information, and growth charts. Outcomes were child length-for-age (LAZ) and weight-for-length (WLZ) z scores at age 6 and 18 mo, change in LAZ and WLZ from 6 to 18 mo, motor and language development at 18 mo, and illness monitored weekly from birth to 18 mo (highest quartile prevalence of diarrhea, highest quartile prevalence of malaria or undefined fever, and incidence of acute respiratory infection). In Model 1, we examined the unadjusted association between maternal FHL and each outcome. In Model 2, we adjusted for household and parental background characteristics collected at baseline, child age and sex, and trial group. In Model 3, we added maternal cognition, depression, and caregiving characteristics collected after baseline. Results Over 90% of participants understood the growth charts, immunization record, and breastfeeding information in the health passport. Understanding of medication instructions was lower, with 72% understanding malaria, 81% Panadol, and 63% erythromycin instructions (Figure 1). Maternal FHL z score significantly predicted motor (β ± SE = 0.087 ± 0.040, P = 0.029) and language z scores (β ± SE = 0.093 ± 0.040, P = 0.020) at 18 mo in unadjusted models. However, after adjusting for covariates, these associations were not significant. Maternal FHL was not significantly associated with any other outcomes. Conclusions Revision of written medication instructions in Malawi may be needed to increase mothers’ understanding of how to deliver medication to their children. However, in this sample, maternal FHL was not associated with indicators of child growth, development, or illness after adjusting for parental, household, and caregiving characteristics. Funding Sources This publication is based on research funded by a grant to the University of California, Davis from the Bill & Melinda Gates Foundation. Supporting Tables, Images and/or Graphs

scholarly journals Prevalence of Stunting According to WHO Growth Standards and Indonesian Growth Reference Charts: A Descriptive Study from Blega Sub-District

2021 ◽  
Vol 7 (2) ◽  
pp. 98
Author(s):  
Nafiys Hilmy ◽  
Maitsa' Fatharani
Keyword(s):  
World Health Organization ◽  
Secondary Data ◽  
Child Growth ◽  
World Health ◽  
P Value ◽  
Growth Charts ◽  
Growth Standards ◽  
Growth Reference ◽  
Health Organization ◽  
National Growth

Stunting is one of the remaining health issues in Indonesia and its prevalence was still high in the last decades. There are two types of growth charts that can be used in recording the child's growth: growth standards and growth references. In recent times, the selection of the suitable growth charts has become a subject of discussion in many countries. The objective of this study is to describe the prevalence of stunting according to World Health Organization Child Growth Standards (WHOCGS) and Indonesian National Growth Reference Charts (INGRC) of children under five from the Blega sub-district. The secondary data from 2884 children were collected recapitulation of the 'Bulan Timbang' program in February 2020. Z-score of length/height-for-age was plotted according to WHOCGS and INGRC. The result showed that the prevalence of stunting were lower for the INGRC than WHOCGS (5.83% and 11.17%, with p-value <0.001). There was an advantage and disadvantage when using both two growth charts. Further research is still needed to support the result of this study. Keywords:  Stunting, World Health Organization Child Growth Standards, Indonesian National Growth Reference Charts

scholarly journals Comparison of the WHO Child Growth Standards and the CDC 2000 Growth Charts

2007 ◽  
Vol 137 (1) ◽  
pp. 144-148 ◽  
Author(s):  
Mercedes de Onis ◽  
Cutberto Garza ◽  
Adelheid W. Onyango ◽  
Elaine Borghi
Keyword(s):  
Child Growth ◽  
Growth Charts ◽  
Growth Standards

scholarly journals Growth in Exclusively Breastfed and Non-exclusively Breastfed Children: Comparisons with WHO Child Growth Standards and Korean National Growth Charts

2021 ◽  
Vol 36 (47) ◽  
Author(s):  
Sinyoung Kang ◽  
Seung Won Lee ◽  
Hye Ryeong Cha ◽  
Shin-Hye Kim ◽  
Man Yong Han ◽  
...  
Keyword(s):  
Child Growth ◽  
Growth Charts ◽  
Growth Standards ◽  
National Growth

scholarly journals Variations in estimates of underweight, stunting, wasting, overweight and obesity in children from Argentina comparing three growth charts

2012 ◽  
Vol 15 (11) ◽  
pp. 2086-2090 ◽  
Author(s):  
Gisel Padula ◽  
Analía I Seoane ◽  
Susana A Salceda
Keyword(s):  
Cross Sectional Study ◽  
Child Growth ◽  
Overweight And Obesity ◽  
Growth Charts ◽  
Cross Sectional ◽  
Mean Values ◽  
Growth Standards ◽  
Pediatric Society ◽  
Who Standards ◽  
Society Committee

AbstractObjectiveTo compare estimates of underweight, stunting, wasting, overweight and obesity based on three growth charts.DesignCross-sectional study to estimate weight-for-age, length/height-for-age and weight-for-height comparing the 2006 WHO Child Growth Standards (‘the WHO standards’), the 1977 National Center for Health Statistics (NCHS) international growth reference (‘the NCHS reference’) and the 1987 Argentine Pediatric Society Committee of Growth and Development reference (‘the APS reference’). Cut-off points were defined as mean values ±2 sd. Epi-Info software version 6·0 (Centers for Disease Control and Prevention) was used for statistical evaluations (χ2, P ≤ 0·05).SettingGreater La Plata conurbation, Buenos Aires, Argentina.SubjectsA total of 2644 healthy, full-term children from 0 to 5 years of age.ResultsPrevalence of underweight was higher with the WHO standards than with the other references up to the first 6 months. For the rest of the ages, prevalence was lower with the WHO standards. Stunting prevalence was higher with the WHO standards at all ages. Prevalence of wasting was higher with the WHO standards compared with the NCHS reference up to the first 6 months and lower at 2–5 years of age. Overweight and obesity prevalences were higher with the WHO standards at all ages.ConclusionsThe new WHO standards appear to be a solid and reliable tool for diagnosis and treatment of nutritional diseases, also being the only one built with infants fed according to WHO recommendations. Therefore, our results support the decision of the National Ministry of Health about the utilization of the new WHO standards to monitor the nutritional status of Argentinean children aged less than 5 years.

scholarly journals Online System on Monitoring and Feedback for Education

2021 ◽  
Vol 4 (1) ◽  
pp. 73-79
Author(s):  
Sudirman Sudirman ◽  
Keyword(s):  
Early Childhood ◽  
Early Childhood Education ◽  
Real Time ◽  
Child Growth ◽  
Mobile App ◽  
Mobile Phone Data ◽  
Time Data ◽  
Childhood Education ◽  
Child Education ◽  
Real Time Data

This study reported the staging of process on developing a mobile application for real-time data management information system on monitoring and feedback in early childhood education, it can help tracking child care and education and assist teacher in monitoring and feedback on child services. A study was carried out to gather necessary information through data mapping, in-depth interviews with key stakeholders, document reviews, application development, direct entry in the field using mobile development, application testing and analysis that was conducted on for 253 respondents. To obtain a full picture on early childhood education, data on child growth and education shall be mapped and linked in one application. We introduce a mobile app to systematically compile the individual as well as group data across different aspects of child life, ranging from child education. Using a tablet PC or mobile phone, data could be easily entered at any time by the person. Due to still poor infrastructure at the grass root level, the system also allows a safety store offline that could automatically link to server when network connection is available. The immediate data entry will provide real-time data report that could be accessed by any relevant stakeholders at any levels to response accordingly. However, to avoid misuse of data, the access will also be restricted with a secured login system. Based on the study, this application is easily applicable for real-time monitoring and evaluation on early child education.

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