Evidence map›Paper›PMID 42827840›Full record

ArticleFrontiers in public health2026

Service provider perspectives on implementing the 'F-words for child development': an innovative approach to children's health and developmental services.

Isha Mehreen, Vanessa Tomas, Evelyn Bursey, Lucy Charles, Andrea Cross, Arul Hamill, Elizabeth Hammond, Kim Hesketh, Julia Hill, Brigid Hitchcock and 6 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Isha MehreenCanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.
Vanessa TomasCanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.
Evelyn BurseyCommunity Living North Halton, Milton, ON, Canada.
Lucy CharlesPaediatric Occupational Therapy and Physiotherapy, Auckland, New Zealand.
Andrea CrossCanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.
Arul HamillPaediatric Occupational Therapy and Physiotherapy, Auckland, New Zealand.
Elizabeth HammondRehabilitation Centre for Children, Winnipeg, MB, Canada.
Kim HeskethChildren's Treatment Network, Richmond Hill, ON, Canada.
Julia HillDepartment of Physiotherapy, Auckland University of Technology, Auckland, New Zealand.
Brigid HitchcockDepartment of Occupational Science and Therapy, Auckland University of Technology, Auckland, New Zealand.
Margaret JonesDepartment of Occupational Science and Therapy, Auckland University of Technology, Auckland, New Zealand.
Genevieve McMurdieChildren's Developmental Services Halton Region, Oakville, ON, Canada.
Peter RosenbaumCanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.
Rachel TeplickyCanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.
Margaret van BeersCanChild Centre for Childhood-onset Disability Research, McMaster University, Hamilton, ON, Canada.
Kristy WittmeierRehabilitation Centre for Children, Winnipeg, MB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The 'F-words for Child Development'-Functioning, Family, Fun, Friends, Fitness and Future-provide a framework that brings to life key World Health Organization ideas about child health and development in an innovative and family-friendly way. Given international uptake of the F-words, understanding service providers' (SPs') experiences and perceived impact of F-words on pediatric disability and developmental services is important. Objectives: This study explored SPs' (i) knowledge of the F-words and confidence in using the framework; (ii) perceptions and experiences using F-words; and (iii) barriers/facilitators to implementing the F-words. Methods: This descriptive study was part of a larger project implementing the F-words across five sites in Canada and New Zealand from 2021 to 2024. SPs who provide services for children and youth with disabilities or developmental concerns (e.g., neurodevelopmental disabilities) were surveyed and interviewed after F-words implementation to explore their experiences implementing the F-words. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed via team-based conventional content analysis. Results: Fifty-seven SPs completed the survey and 10 participated in interviews. SPs rated F-words familiarity (X̄ = 3.41/4) and knowledge (X̄ = 3.05/4) high, with moderate confidence using the F-words (X̄ = 2.93/4). Content analysis revealed that SPs perceived the F-words to enhance their service-delivery experiences, indicating that they provide a structured yet flexible approach to deliver strengths-based, holistic, family-centered care, while fostering relationship-building and empowerment with/among families. Examples of implementation facilitators included organizational buy-in, access to F-words resources/tools, and F-words alignment with service-delivery models. Reported implementation barriers included time constraints, the need for ongoing F-words training, and uncertainties regarding the cultural/social safety and responsiveness of the F-words for families. Conclusion: Within this study, SPs had positive perceptions and experiences using the F-words to promote strengths-based, family-centered care for children and youth with disabilities or developmental concerns and their families. Future efforts should address implementation challenges, leverage facilitators, and continue to explore F-words implementation experiences across diverse settings.

Indexed as

Attitude of Health PersonnelChild DevelopmentChild HealthChild Health ServicesHealth PersonnelCanadaChildChild, PreschoolChildren with DisabilitiesDevelopmental DisabilitiesFemaleHumansMaleNew ZealandSurveys and Questionnaireschildhood-onset disabilityF-words for child developmentICFimplementationservice provider experiences

Identifiers

PMID42827840
PMCPMC13630929

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.