Background: Current use of smartphone cameras by parents create opportunities for longitudinal home-video-assessments to monitor infant development. We developed and validated a home-video method for parents, enabling Pediatric Physical Therapists to assess infants’ gross motor development with the Alberta Infant Motor Scale (AIMS). The objective of the present study was to investigate the feasibility of this home-video method from the parents’ perspective. Methods: Parents of 59 typically developing infants (0–19 months) were recruited, 45 parents participated in the study. Information about dropout was collected. A sequential mixed methods design was used to examine feasibility, including questionnaires and semi-structured interviews. While the questionnaires inquired after the practical feasibility of the home-video method, the interviews also allowed parents to comment on their feelings and thoughts using the home-video method. Results: Of 45 participating parents, 34 parents returned both questionnaires and eight parents agreed to an interview. Parent reported effort by the infants was very low: the home-video method is perceived as similar to the normal routine of playing. The parental effort level was acceptable. The main constraint parents reported was time planning. Parents noted it was sometimes difficult to find the right moment to record the infant’s motor behavior, that is, when parents were both at home and their baby was in the appropriate state. Technical problems with the web portal, reported by 28% of the parents were also experienced as a constraint. Positive factors mentioned by parents were: the belief that the home videos are valuable for family use, receiving feedback from a professional, the moments of one-on-one attention and interaction with their babies. Moreover, the process of recording the home videos resulted in an increased parental awareness of, and insight into, the gross motor development of their infant. Conclusion: The AIMS home-video method is feasible for parents of typically developing children. Most constraints are of a practical nature that can be addressed in future applications. Future research is needed to show whether the home-video method is also applicable for parents with an infant at risk of motor development problems.
While the importance of professional support following very preterm delivery (VP) is established, the parental experience of support still warrants deeper understanding. Evaluation of a Dutch one-year post-discharge responsive parenting intervention following VP suggested that parents with lower educational levels benefitted less from the program. This idiographic phenomenological study investigated the lived experiences of two mothers with differing educational backgrounds receiving professional support during hospitalization and post-discharge. In-depth interviews with the mothers were analyzed using Interpretative Phenomenological Analysis. We formulate three impressions: (1) How the mothers made sense of their experiences resonated with the findings of research on class differences in parenting. (2) The mothers valued professionals who struck a personalized balance between supporting their maternal agency and attending to their vulnerability and needs for help and perspective. (3) The mothers experienced greater trust in professionals who could suspend pre- conceived assumptions and take their personal characteristics into consideration. Practice suggestions are extrapolated for social work professionals. The study has relevance to educational diversity and recommends an overarching sensitivity to positionality in professional work with parents.
LINK
Local street cultures may appear more or less “extreme,” depending on several contextual factors. Using focus groups, the current study aimed to explore what children, aged 7 to 12 years, think of the assumption that parents play an important role on the street to increase safety in the public domain. Involvement of parents can either be helpful or contribute to escalation of the conflict. Children's biggest concern was that parents are not able to be neutral or that children did not know the parent who intervened. They can imagine intervening being helpful when the intervening parents are known and trusted. We expect that when the public environment is safe and social cohesion is strong, the amount of conflicts will reduce and the help of parents will be generally accepted. We expect that increasing public familiarity and strengthening social control in disadvantaged neighborhoods can further limit the negative influences of street culture.
MULTIFILE
Kinderfysiotherapeuten begeleiden baby's waarbij er zorgen zijn over de motorische ontwikkeling. Een goed ontwikkelde motoriek is belangrijk voor o.a. de cognitieve en de taalontwikkeling, en maakt het gemakkelijker om een fysiek actieve leefstijl te ontwikkelen die voorwaardelijk is voor een lang gezond leven. Interventies van kinderfysiotherapeuten bij baby’s met een bewegingsprobleem richten zich op het ondersteunen van ouders in een gelijkwaardige samenwerking. Kinderfysiotherapeuten zien daarbij een diversiteit in ideeën en overtuigingen die ouders hebben over ontwikkeling. Deze ideeën en overtuigingen, ook wel Parental Beliefs genoemd, vormen de basis van hun doen en laten in het zorgen voor hun baby (Parental Practices). Om een interventie goed te laten aansluiten bij het gezin, is het belangrijk dat kinderfysiotherapeuten zicht hebben op de Parental Beliefs. Kinderfysiotherapeuten ervaren echter belemmeringen om dit uit te vragen en werken hierin nu vaak intuïtief, omdat goede instrumenten ontbreken. In het project PEBBLES (ParEntal Beliefs concerning their Baby, Lifestyle and Experience Study) staat daarom de volgende onderzoeksvraag centraal: Hoe kunnen we samen met ouders en kinderfysiotherapeuten tools voor het in kaart brengen van Parental Beliefs & Practices ten aanzien van de motorische ontwikkeling van kinderen van 0-2 jaar ontwikkelen, die ingezet kunnen worden in de kinderfysiotherapeutische beroepspraktijk en in interventiestudies? In het PEBBLES-project ontwerpen we een toolbox om kinderfysiotherapeuten te ondersteunen bij het in kaart brengen van het denken en doen van ouders. In een iteratief proces ontwikkelen we dit samen met co-designers, Living Labs van zes MKB-kinderfysiotherapiepraktijken, ouders en onderzoekers. Een co-design-aanpak met aandacht voor de menselijke waarden borgt dat er tijdens het ontwerpproces voldoende aandacht is voor de impact van deze innovaties op de ouders en kinderfysiotherapeuten. Ook doen kinderfysiotherapeuten ervaring op met ontwerpprocessen en ontwikkelen daarbij ontwerpend vermogen.
