PMID- 11888376
OWN - NLM
STAT- MEDLINE
DCOM- 20020509
LR  - 20191105
IS  - 1530-1567 (Print)
IS  - 1530-1567 (Linking)
VI  - 1
IP  - 2
DP  - 2001 Mar-Apr
TI  - Use of a statewide system to improve health and safety in child care facilities.
PG  - 73-8
AB  - BACKGROUND: The Early Childhood Education Linkage System (ECELS) in Pennsylvania 
      (PA) models ideals of the national Healthy Child Care America (HCCA) Campaign. 
      Little is known about how child care providers use these newly developed 
      statewide systems and about how users compare with nonusers of such a system. 
      OBJECTIVES: Our objectives were 1) to assess knowledge and use of ECELS among 
      child care providers in PA, 2) to compare users and nonusers of ECELS with regard 
      to health concerns, advice-seeking preferences, and infant sleep positioning, and 
      3) to assess satisfaction among users of ECELS. METHODS: Cross-sectional 
      telephone survey of directors of 400 licensed child care centers (CCCs) and 
      providers of 400 registered family child care homes (FCCHs) in PA. RESULTS: The 
      proportion of children with certain special health care needs mirrored the 
      prevalence in the national child population. Of the facilities surveyed, 88% of 
      CCCs and 71% of FCCHs had heard of ECELS. Among these, 85% had used ECELS's 
      services in the previous 12 months. Significantly more nonusers than users 
      consulted doctors, whereas more users consulted health professionals from 
      government agencies and used printed materials. Of those who enrolled infants, 
      46% of users and 41% of nonusers reported placing infants on their backs only to 
      sleep. Users who placed infants on their backs were more likely than nonusers to 
      have a written policy about the correct practice (55% and 26%, respectively; P 
      =.02). Overall, 46% of users and 28% of nonusers reported having a sleep position 
      policy (P =.02). Users were at least 95% satisfied with ECELS's services. 
      CONCLUSION: This statewide system reached most child care providers surveyed: 
      more outreach is needed to providers in FCCHs. The health concerns, safety 
      practices, and advice-seeking preferences of child care providers described in 
      this article can inform others who are developing similar collaborative services 
      in each state. Further research on the impact of HCCA programs on health and 
      safety practices (such as correct infant sleep positioning) is warranted.
FAU - Dayie, R A
AU  - Dayie RA
AD  - Division of General Academic Pediatrics, Childrens Hospital of Pittsburgh, PA, 
      USA.
FAU - Aronson, S S
AU  - Aronson SS
FAU - Jansen-McWilliams, L
AU  - Jansen-McWilliams L
FAU - Kelleher, K J
AU  - Kelleher KJ
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Ambul Pediatr
JT  - Ambulatory pediatrics : the official journal of the Ambulatory Pediatric 
      Association
JID - 101089367
SB  - IM
MH  - Analysis of Variance
MH  - Child Care/*standards/trends
MH  - Child Day Care Centers/*standards/trends
MH  - *Child Welfare
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - Female
MH  - Health Care Surveys
MH  - Health Education/organization & administration
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Infant
MH  - Infant Care/standards/trends
MH  - Male
MH  - Pennsylvania
MH  - *Quality Assurance, Health Care
MH  - Risk Assessment
MH  - Statistics, Nonparametric
MH  - Sudden Infant Death/prevention & control
MH  - Surveys and Questionnaires
EDAT- 2002/03/13 10:00
MHDA- 2002/05/10 10:01
CRDT- 2002/03/13 10:00
PHST- 2002/03/13 10:00 [pubmed]
PHST- 2002/05/10 10:01 [medline]
PHST- 2002/03/13 10:00 [entrez]
AID - S1530-1567(05)60021-4 [pii]
AID - 10.1367/1539-4409(2001)001<0073:uoasst>2.0.co;2 [doi]
PST - ppublish
SO  - Ambul Pediatr. 2001 Mar-Apr;1(2):73-8. doi: 
      10.1367/1539-4409(2001)001<0073:uoasst>2.0.co;2.