Medical Leadership News Archive
The Frameworks Institute, a nonprofit focused on strategic communications research, warns that framing early childhood development as a health issue can inadvertently emphasize personal responsibility over systemic solutions. Effective messaging should elevate the role of social and environmental factors to foster collective accountability for child well-being.
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The commentary below has been provided by Dr. Stephanie Allen.
As electronics become more and more integrated into schools and home life, discussing the harms of extended use screen time has become one of the most common concerns addressed in any clinic working with a pediatric population. I have often found one of the most difficult parts of this conversation to be that while the majority of my parents see and agree with the ramifications of significant screen use, they may be at a loss for how to minimize time for their children. Here is where ƹƵ can offer valuable support to families in need, providing parents not just with the knowledge of the problems with screen time, but also offering support for what their children can be doing instead.
Dr. McArthur and collaborators have done excellent research in this area, with their research on longitudinal associations between screen use and reading demonstrating a clear link between lower reading activities and screen time. In their 2021 paper, 2440 mothers and children were assessed using a maternal report at 24, 36, and 60 months. They found that greater screen use at 24 months had a statistically significant association with lower reading levels at 36 month. The same finding was found with later age groups with greater screen use at 36 months having a statistically significant association with lower reading at 60 months. Using such research can help empower both clinicians and parents to understand the positive impacts of early life reading habits on later life screen use.
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The American Academy of Pediatrics updated its Literacy Promotion policy, reaffirming that encouraging reading from infancy is a vital part of pediatric primary care. The updated policy highlights ƹƵ as a key strategy for fostering early relationships through shared reading and recommends public funding for books and literacy programs in primary care.
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This Childhood Development study examined the impact of maternal phone use on speech to infants by analyzing 16,673 minutes of real-world data from 16 mother-infant pairs. Findings showed that maternal phone use was associated with a 16% decrease in speech to infants, with even shorter phone use intervals leading to a 26% decrease, emphasizing the importance of minimizing phone distractions to support infant language development.
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The Developmental Science study investigated how caregivers communicate with their toddlers, combining various methods, like speech, gestures, and touch, during playtime. The sample consisted of 44 toddler-caregiver dyads from predominantly middle-class, English-speaking families in the U.S. Results showed that caregivers often used multiple communication methods together, adjusting their complexity based on the toddler’s responses and language skills. These findings suggest that these dyadic interactions are richer and more responsive than previously understood.
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The Journal of Developmental & Behavioral Pediatrics video abstract is now available for the ƹƵ-supported study featured in your July 25 brief (Nikki Shearman is credited as an author). The video features three of the study’s authors — rica Levin and Usha Ramachandran from Rutgers Robert Wood Johnson Medical School and Deepa Srinivasavaradan from SPAN Parent Advocacy Network — explaining the study’s approach, findings, and implications. Overall, the video provides a bite-size, digestible summary of the study and specifically mentions ROR.
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This Journal of Pediatrics study investigated the relationship between newborn neurobehavioral stress signs, maternal parenting stress, and toddler language development in 202 mother-infant dyads. The results showed that newborns with higher stress signs had fewer social-communicative gestures at 18 months, and those whose mothers experienced low parenting stress had a negative association with receptive vocabulary, highlighting the need for additional support for neonates with increased stress signs to mitigate language difficulties.
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