%0 Journal Article %@ 2561-6722 %I JMIR Publications %V 8 %N %P e55235 %T A Holistic Digital Health Framework to Support Health Prevention Strategies in the First 1000 Days %A Gabrielli,Silvia %A Mayora Ibarra,Oscar %A Forti,Stefano %K digital health %K digital therapeutics %K behavioral intervention technology %K prevention %K citizen science %K first 1000 days %D 2025 %7 16.1.2025 %9 %J JMIR Pediatr Parent %G English %X The first 1000 days of a child’s life, spanning from the time of conception until 2 years of age, are a key period of laying down the foundations of optimum health, growth, and development across the lifespan. Although the role of health prevention programs targeting families and children in the first 1000 days of life is well recognized, investments in this key period are scarce, and the provision of adequate health care services is insufficient. The aim of this viewpoint is to provide a holistic digital health framework cocreated with policy makers, health care professionals, and families to support more effective efforts and health care programs dedicated to the first 1000 days of life as the first line of prevention. The framework provides recommendations for leveraging on behavioral intervention technology and digital therapeutics solutions augmented by artificial intelligence to support the effective deployment of health prevention programs to families. The framework also encourages the adoption of a citizen science approach to co-design and evolve the digital health interventions with all relevant stakeholders in a real-world research perspective. %R 10.2196/55235 %U https://pediatrics.jmir.org/2025/1/e55235 %U https://doi.org/10.2196/55235 %0 Journal Article %@ 2561-6722 %I JMIR Publications %V 6 %N %P e38921 %T Designing an App for Parents and Caregivers to Promote Cognitive and Socioemotional Development and Well-being Among Children Aged 0 to 5 Years in Diverse Cultural Settings: Scientific Framework %A Crouse,Jacob J %A LaMonica,Haley M %A Song,Yun Ju Christine %A Boulton,Kelsie A %A Rohleder,Cathrin %A DeMayo,Marilena M %A Wilson,Chloe E %A Loblay,Victoria %A Hindmarsh,Gabrielle %A Stratigos,Tina %A Krausz,Michael %A Foo,Nathanael %A Teo,Melissa %A Hunter,Andrew %A Guastella,Adam J %A Banati,Richard B %A Troy,Jakelin %A Hickie,Ian B %+ Youth Mental Health and Technology Team, Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94-100 Mallett St, Camperdown, 2050, Australia, 61 291144000, jacob.crouse@sydney.edu.au %K early childhood development %K digital technology %K health information technology %K mHealth %K smartphone %K neuroscience %K pediatrics %K mobile app %D 2023 %7 13.2.2023 %9 Viewpoint %J JMIR Pediatr Parent %G English %X Recent years have seen remarkable progress in our scientific understanding of early childhood social, emotional, and cognitive development, as well as our capacity to widely disseminate health information by using digital technologies. Together, these scientific and technological advances offer exciting opportunities to deliver high-quality information about early childhood development (ECD) to parents and families globally, which may ultimately lead to greater knowledge and confidence among parents and better outcomes among children (particularly in lower- and middle-income countries). With these potential benefits in mind, we set out to design, develop, implement, and evaluate a new parenting app—Thrive by Five—that will be available in 30 countries. The app will provide caregivers and families with evidence-based and culturally appropriate information about ECD, accompanied by sets of collective actions that go beyond mere tips for parenting practices. Herein, we describe this ongoing global project and discuss the components of our scientific framework for developing and prototyping the app’s content. Specifically, we describe (1) 5 domains that are used to organize the content and goals of the app’s information and associated practices; (2) 5 neurobiological systems that are relevant to ECD and can be behaviorally targeted to potentially influence social, emotional, and cognitive development; (3) our anthropological and cultural framework for learning about local contexts and appreciating decolonization perspectives; and (4) our approach to tailoring the app’s content to local contexts, which involves collaboration with in-country partner organizations and local and international subject matter experts in ECD, education, medicine, psychology, and anthropology, among others. Finally, we provide examples of the content that was incorporated in Thrive by Five when it launched globally. %M 36780220 %R 10.2196/38921 %U https://pediatrics.jmir.org/2023/1/e38921 %U https://doi.org/10.2196/38921 %U http://www.ncbi.nlm.nih.gov/pubmed/36780220 %0 Journal Article %@ 2561-6722 %I JMIR Publications %V 4 %N 3 %P e27974 %T Internet Searches for Terms Related to Child Maltreatment During COVID-19: Infodemiology Approach %A Riem,Madelon M E %A De Carli,Pietro %A Guo,Jing %A Bakermans-Kranenburg,Marian J %A van IJzendoorn,Marinus H %A Lodder,Paul %+ Behavioural Science Institute, Radboud University, Thomas van Aquinostraat 4, Nijmegen, Netherlands, 31 0243612142, m.riem@psych.ru.nl %K child %K maltreatment %K COVID-19 %K pandemic %K internet searches %K information-seeking %K internet %K abuse %K trend %K Google trends %K infodemiology %D 2021 %7 13.7.2021 %9 Viewpoint %J JMIR Pediatr Parent %G English %X We examined internet searches indicative of abusive parental behaviors before and after the World Health Organization’s declaration of COVID-19 as a pandemic (March 11, 2020) and subsequent lockdown measures in many countries worldwide. Using Google Trends, we inferred search trends between December 28, 2018, and December 27, 2020, for queries consisting of “mother,” “father,” or “parents” combined with each of the 11 maltreatment-related verbs used in the Conflict Tactics Scales, Parent-Child version. Raw search counts from the Google Trends data were estimated using Comscore. Of all 33 search terms, 28 terms showed increases in counts after the lockdowns began. These findings indicate a strong increase in internet searches relating to occurrence, causes, or consequences of emotional and physical maltreatment since the lockdowns began and call for the use of maltreatment-related queries to direct parents or children to online information and support. %M 34174779 %R 10.2196/27974 %U https://pediatrics.jmir.org/2021/3/e27974 %U https://doi.org/10.2196/27974 %U http://www.ncbi.nlm.nih.gov/pubmed/34174779 %0 Journal Article %@ 2561-6722 %I JMIR Publications %V 4 %N 2 %P e25106 %T Challenges and Considerations for Reducing Diabetes Distress and Fear of Hypoglycemia in Parents of Youth With Type 1 Diabetes During the COVID-19 Pandemic %A Monzon,Alexandra %A Kahhan,Nicole %A Marker,Arwen %A Patton,Susana %+ Center for Healthcare Delivery Science, Nemours Children’s Health System, 807 Children’s Way, Jacksonville, FL, 32207, United States, 1 904 697 3595, susana.patton@nemours.org %K type 1 diabetes %K parents %K children %K diabetes distress %K fear of hypoglycemia %K COVID-19 %K telehealth %K diabetes %K challenge %K youth %K young adults %D 2021 %7 23.4.2021 %9 Viewpoint %J JMIR Pediatr Parent %G English %X Type 1 diabetes management can be challenging for children and their families. To address psychosocial concerns for parents of youth with type 1 diabetes, we developed two parent-focused interventions to reduce their diabetes distress and fear of hypoglycemia. Our team conducted several of these interventions during the early stages of the COVID-19 pandemic and recognized a need to make timely adjustments to our interventions. In this viewpoint article, we describe our experience conducting these manualized treatment groups during the pandemic, the range of challenges and concerns specific to COVID-19 that parents expressed, and how we adjusted our approach to better address parents’ treatment needs. %M 33848256 %R 10.2196/25106 %U https://pediatrics.jmir.org/2021/2/e25106 %U https://doi.org/10.2196/25106 %U http://www.ncbi.nlm.nih.gov/pubmed/33848256