Bertrand Jane, Williams Robin, Ford-Jones Lee
School of Early Childhood, George Brown College, Toronto, Ontario.
Paediatr Child Health. 2008 Dec;13(10):857-61. doi: 10.1093/pch/13.10.857.
Parents have central and critical influence in the health, learning and development of their young children. The physician plays a key role in supporting this role of parents, and there are practical health interventions that practitioners can promote in everyday practice that are coherent with the population-based evidence related to childhood outcomes. Four child development enhancers are recognized - emotional awareness, reading books, appropriate discipline and preschool programs including appropriate play opportunities. The child's physician can give clear messages about why each enhancer is important and what parents can do to use them to create nurturing environments for their children. The present article provides the evidence for these interventions and a series of coordinated physician activities that will enhance the early learning opportunities of the first few years of life, for improved trajectories for health and well being.
父母对幼儿的健康、学习和发展具有核心且关键的影响。医生在支持父母发挥这一作用方面起着关键作用，并且在日常实践中，从业者可以推广一些切实可行的健康干预措施，这些措施与基于人群的、与儿童成长结果相关的证据相一致。有四种促进儿童发展的因素得到认可——情感意识、读书、适当的管教以及包括适当玩耍机会的学前教育项目。儿童的医生可以明确说明每种促进因素为何重要，以及父母可以采取哪些措施利用它们为孩子营造滋养的环境。本文提供了这些干预措施的证据以及一系列协调一致的医生活动，这些活动将增加生命最初几年的早期学习机会，以改善健康和幸福的轨迹。
