Abstract:
Objective:To examine changes in the awareness, use, feasibility, and barriers associated with the Canadian Physical Activity and Sedentary Behaviour Guidelines for Children and Youth ages 0-17 years in a sample of Canadian paediatricians, and to assess tools/resources developed by the Canadian Paediatric Society (CPS). Methods:Practicing paediatricians who were members of the CPS were invited to complete an on-line survey in February 2013. In response to survey findings, the CPS developed and promoted tools/resources to increase and improve paediatricians' counselling of the guidelines. The CPS membership was surveyed again in September-October 2014. Findings are based on responses from 331 and 217 (23% and 16% participation rate) Canadian paediatricians who completed the survey in 2013 and 2014, respectively. Results:No significant differences were observed for awareness, use, or feasibility associated with the physical activity or sedentary behaviour guidelines between 2013 and 2014. However, a lack of knowledge/training was reported as a barrier sometimes/often/always by paediatricians significantly less in 2014 (14%) compared to 2013 (32%). Insufficient motivation/lack of support from parents/caregivers/youth was also reported as a barrier less frequently in 2014 (64%) compared to 2013 (75%) but it was borderline non-significant (P=0.05). Only 9% of paediatricians were unaware of the new CPS tools/resources. Conclusions:The new tools/resources developed by the CPS appeared to reduce some barriers experienced by paediatricians in counselling families about the guidelines. However, this did not appear to translate into greater awareness or use of the guidelines. Continued tool/resource development and training initiatives may be required. Objectif:Examiner les modifications à la prise de conscience, à l’utilisation, à la faisabilité et aux limites associées aux Lignes directrices en matière d’activité et de comportement sédentaire pour les enfants et les adolescents de 0 à 17 ans auprès d’un échantillon de pédiatres canadiens et évaluer les outils et les ressources produits par la Société canadienne de pédiatrie (SCP). Méthodologie:En février 2013, les pédiatres en exercice membres de la SCP ont été invités à participer à un sondage en ligne. Compte tenu des résultats, la SCP a produit et promu des outils et des ressources pour accroître et améliorer les conseils des médecins au sujet des lignes directrices. Les membres de la SCP ont été sondés une seconde fois en septembre-octobre 2014. Les résultats reposent sur les réponses de 331 et 217 pédiatres canadiens qui ont participé au sondage en 2013 et 2014 (taux de participation de 23 % et 16 %), respectivement. Résultats:Les chercheurs n’ont observé aucune différence significative sur le plan de la prise de conscience, de l’utilisation ou de la faisabilité des Lignes directrices en matière d’activité et de comportement sédentaire entre 2013 et 2014. Cependant, les pédiatres étaient beaucoup moins nombreux à déclarer ne pas posséder parfois, souvent ou toujours les connaissances et la formation nécessaires en 2014 (14 %) qu’en 2013 (32 %). Le manque de motivation ou l’absence de soutien des parents, des tuteurs ou des adolescents étaient également moins considérés comme un obstacle en 2014 (64 %) qu’en 2013 (75 %), mais ce résultat n’était pratiquement pas significatif (P=0,05). Seulement 9 % des pédiatres n’étaient pas au courant de l’existence des nouveaux outils et ressources de la SCP. Conclusions:Les nouveaux outils et ressources de la SCP semblaient réduire certains obstacles qu’affrontaient les pédiatres pour conseiller les familles au sujet des lignes directrices. Cependant, cette constatation ne semble pas se traduire par une plus grande prise de conscience ou une plus grande utilisation des lignes directrices. Il faudrait peut-être poursuivre la préparation d’outils et de ressources ainsi que les initiatives de formation.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Carson V,Barnes J,LeBlanc CMA,Moreau E,Tremblay MSdoi
10.1093/pch/pxx006subject
Has Abstractpub_date
2017-03-01 00:00:00pages
17-22issue
1eissn
1205-7088issn
1918-1485pii
pxx006journal_volume
22pub_type
杂志文章abstract:BACKGROUND/OBJECTIVES:In 2001, a chart review of children referred to the authors' endocrine clinic because of short stature revealed that many were referred with insufficient baseline data, had normal height velocity and were within genetic target height. Therefore, a two-way fax communication system was implemented b...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/18.10.533
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To determine the current prevalence of smoking among First Nations youth living on reserve within the Saskatoon Tribal Council, and to determine the independent risk indicators associated with smoking among First Nations youth. METHODS:Students in grades 5 to 8 attending school within the Saskatoon Tribal Co...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/16.10.e71
更新日期:2011-12-01 00:00:00
abstract::This statement is intended for health care professionals caring for neonates and young infants. The objectives of this statement are to review the short and long term effects of systemic and inhaled postnatal corticosteroids for the prevention or treatment of evolving or established chronic lung disease, and to make r...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/7.1.20
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Many intervention studies typically require data from several centres to ensure adequate power. The usual intention is to pool data after testing for heterogeneity. Sites that differ in sample characteristics may, on the one hand, complicate the assessment of the intervention, but on the other hand, they may...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/8.7.433
更新日期:2003-09-01 00:00:00
abstract:Background:Constipation is a common condition in children. Little is known about the acute health care utilization of constipated children, including how many present to the paediatric emergency department (ED), the spectrum of presenting complaints, investigations and treatments used. Methods:We conducted a cross-sec...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx041
更新日期:2017-06-01 00:00:00
abstract::Canada lags behind other countries when it comes to investing in families with children. Canada, therefore, fails to promote health by not optimizing early development. The authors diagnose the Canadian failure. The problem is not research or fiscal capacity, but rather a sickness in Canadian culture. Four ailments ar...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.10.685
更新日期:2009-12-01 00:00:00
abstract::The rate of multiple pregnancy has increased in developed countries, a finding usually attributed to more widespread use of assisted reproductive technologies. Multiple pregnancies are associated with a greater risk of pregnancy complications, including intrauterine growth restriction of one or more of the fetuses, va...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/11.5.283
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:Health care professionals (HCPs) may be involved in counselling women after an antenatal diagnosis of various fetal anomalies. Many pregnant women consider termination of pregnancy (TOP) after antenatal diagnosis of various fetal anomalies. Little is known, however, about the attitudes of HCPs regarding TOP ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/17.8.e86
更新日期:2012-10-01 00:00:00
abstract::Antimicrobial stewardship is a recent concept that embodies the practical, judicious use of antimicrobials to decrease adverse outcomes from antimicrobials while optimizing the treatment of bacterial infections to reduce the emergence of resistant pathogens. The objectives of the present statement are to illustrate th...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/19.5.261
更新日期:2014-05-01 00:00:00
abstract::[This corrects the article on p. 12 in vol. 20, PMID: 25722635.]. ...
journal_title:Paediatrics & child health
pub_type: 已发布勘误
doi:
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:The importance of the teaching role of residents in medical education is increasingly being recognized. There are little data about how this role is perceived within training programs or how residents develop their teaching skills. The aims of the present study were to explore the perspectives of Canadian pa...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/13.8.675
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:The death of a child is a tragedy resulting in family trauma and disorganization. The present study sought to evaluate the intensity of grief experienced by parents who have lost a child in the perinatal period (stillbirth, premature baby, term baby less than one month) and parents who have lost a child after...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/8.6.363
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:Paediatric electrocardiograms (ECGs) are ordered and interpreted by general paediatricians; however, no previous studies have evaluated the accuracy of their ECG interpretations. OBJECTIVE:To determine general paediatricians' practice and opinions regarding ECG use, accuracy of their interpretation of paedi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/19.2.77
更新日期:2014-02-01 00:00:00
abstract::An Alternate Funding Plan (AFP) was introduced at the Hospital for Sick Children in 1990 as the fee-for-service model was incapable of meeting the academic mandate of the Department of Pediatrics. The plan was challenged by some members of the Ontario Medical Association and community paediatricians as inefficient, to...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxy159
更新日期:2019-05-01 00:00:00
abstract:Objectives:Children with attention deficit/hyperactivity disorder (ADHD) are frequently treated with psycho-stimulant agents causing a modest but significant increase in blood pressure and heart rate. The objective of this study was to define blood pressure characteristics in children with ADHD treated with a variety o...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx207
更新日期:2018-09-01 00:00:00
abstract::The present paper describes research on the skills and processes associated with word and text reading acquisition in preschool children and during the first years of school. The aim is to provide an overview that gives a sense of the important milestones in language and literacy acquisition. A comparison of children'...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/11.9.589
更新日期:2006-11-01 00:00:00
abstract::In Canada, the National Advisory Committee on Immunization systematically reviews the evidence for the effectiveness and safety of new and old vaccines, and sets a 'minimum' recommended schedule. However, in contrast to other industrialized countries where single, harmonized countrywide immunization schedules are de r...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::Disability is a major public health concern worldwide and the situation for children with disabilities is even more serious. The present article will focus on the issue of children with disabilities in low-income countries. Approximately one-third of the world's disabled population is children and many of these disabl...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/10.5.269
更新日期:2005-05-01 00:00:00
abstract::Childhood obesity has reached epidemic proportions. Many of these children have risk factors for later disease, including cardiovascular disease. For optimal cardiovascular health, health care professionals must be able to identify children and youth at risk and provide appropriate support as needed. The present artic...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.3.177
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Current recommendations suggest that routine screening for hypoglycemia should be performed in all term newborns with a birth weight (BW) below the 10th percentile. The impact of updated growth curves on the incidence of hypoglycemia in small-for-gestational-age (SGA) newborns has not been evaluated. OBJECT...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/15.5.271
更新日期:2010-05-01 00:00:00
abstract::Clinical trials in paediatric cancer continue to be a key factor in progress toward better treatment and prognosis. Paediatricians and family physicians may be asked by patients and families for their advice regarding participation in such trials. The significant advances in the success of treatment of paediatric canc...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract::Adolescents who suffer from chronic pain also report complex syndrome-associated disability and distress that can detrimentally affect the quality of their lives and the lives of their family members. Over the past 10 years, there have been significant developments in both methods of assessment and in treatment progra...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.2.117
更新日期:2007-02-01 00:00:00
abstract::In the face of negative media attention, community members and Elders from the First Nation community of Maskwacis identified the importance of promoting community strengths and reframing perceptions of their community. Two research questions were addressed: (1) How do youth in Maskwacis view their community strengths...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx178
更新日期:2018-07-01 00:00:00
abstract:Background:Functional abdominal pain disorders (FAPD) are prevalent in the paediatric population, however, there is currently no consensus regarding best practices for treatment. The use of probiotics is becoming popular to treat FAPD. The goal of this rapid review is to synthesize the best evidence on the use of probi...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxz036
更新日期:2019-09-01 00:00:00
abstract::Acute otitis media (AOM) continues to be a common infection in young children. Milder disease, usually due to viruses or less virulent bacteria, resolves equally quickly with or without antibiotics. A bulging tympanic membrane, especially if yellow or hemorrhagic, has a high sensitivity for AOM that is likely to be ba...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/21.1.39
更新日期:2016-01-01 00:00:00
abstract::This practice point summarizes the use of antiviral drugs to manage influenza illness in children and youth for the 2012/2013 season. It excerpts a recently published, full-length update of Canadian recommendations for clinicians on the use of antiviral drugs for the prevention and treatment of influenza, with a focus...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Formal sexual education is a mandatory component of the high school curriculum in most Canadian provinces. The present study was a preliminary assessment of sexual knowledge among a sample of Ontario adolescents who had completed their high school sexual education requirements. METHODS:A questionnaire, test...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:2013-02-01 00:00:00
abstract::In Canada, cerebral palsy (CP) is the most common physical disability, affecting approximately 2 to 3 per 1,000 individuals. Paediatricians are sure to encounter and care for children with CP and their families. The role of the general paediatrician in caring for a child with CP is crucial, from diagnosis to providing...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxaa100
更新日期:2020-09-16 00:00:00
abstract::Details of an innovative model for providing health education to families and patients using a coordinated series of skill-based educational opportunities are described. The model offers a variety of educational courses for parents of children at each developmental stage. Each course provides transferable skills that ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/5.6.329
更新日期:2000-09-01 00:00:00
abstract::Hyperbilirubinemia is very common and usually benign in the term newborn infant and the late preterm infant at 35 and 36 completed weeks' gestation. Critical hyperbilirubinemia is uncommon but has the potential for causing long-term neurological impairment. Early discharge of the healthy newborn infant, particularly t...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.5.401
更新日期:2007-05-01 00:00:00