Piccinini-Vallis, Helena
Permanent URI for this collectionhttps://hdl.handle.net/10222/81427
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Item Open Access Assessing the frequency with which primary care providers address sleep of infants and young children(Wiley Online Library, 2022-03-07) Mosher, Wayne Andrew; Piccinini-Vallis, HelenaSleep problems during early development are common and associated with negative health outcomes. Earlier recognition of poor sleep health permits earlier intervention and improved outcomes. This retrospective cohort study aimed to identify the frequency with which primary care providers assessed sleep health when completing the Rourke Baby Record for infants and young children during routine well-baby visits from years 2002 to 2019. Using 1180 electronic medical records from an academic family medicine teaching clinic, we identified the frequency with which primary care providers assessed sleep health at three time intervals in child development: one week to one month, two months to six months, and nine months to 12-13 months. Sleep variables were night waking, healthy sleep habits, and safe sleep. The frequency of having any aspect of sleep addressed was 85.4%, 90.2%, and 66.7% at the three respective time intervals. There were no differences in the frequency with which sleep was assessed based on birthweight or sex. Children born in the years 2002-2015 were approximately half as likely to be assessed for sleep compared to those born in the years 2016-2019 at the second and third time intervals. In the first and second time intervals, children who were not exclusively breastfed had their sleep assessed significantly less than children who were exclusively breastfed. To our knowledge this is the first study to explore the area of sleep discussions and breastfeeding status in primary care during routine well-baby visits. These results are clinically relevant for clinicians and parents, due to the known associations between sleep issues and sudden infant death syndrome, childhood injuries, and emotional dysregulation.Item Open Access Pregnant and postpartum women's perceptions of barriers and enablers to physical activity during pregnancy: a qualitative systematic review protocol.(2020-07) McKeough, Regan; Piccinini-Vallis, Helena; Blanchard, ChrisBackground: Moderate physical activity throughout pregnancy has been shown to have many health benefits for the mother, including reductions in the risk of preeclampsia and gestational weight gain, as well as improvements in blood pressure regulation. Despite the health benefits, it has been shown that many pregnant women do not meet the current guidelines for physical activity throughout pregnancy. Therefore, it is important to determine what influences pregnant women’s physical activity levels during pregnancy. This qualitative systematic review will aim to determine pregnant and postpartum women’s perceptions of barriers and enablers to physical activity during pregnancy. Methods: MEDLINE, PsycINFO, CINHAL, and EMBASE will be searched systematically to identify qualitative studies investigating pregnant and/or postpartum women’s perceptions of barriers and facilitators to physical activity during pregnancy. Included studies will be limited to populations of pregnant and/or postpartum women between the ages of 18 and 40 years old (inclusive), that have been published from 1985 onward. Two reviewers will independently screen and select references that will be critically appraised using the Mixed Methods Appraisal Tool. Extracted data will be mapped on the COM-B framework and synthesized using a meta-aggregative approach. Discussion: We aim to provide information on pregnant and postpartum women’s perceptions of barriers and enablers to physical activity during pregnancy, which may assist clinicians in developing more appropriate physical activity interventions and providing counselling.