{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:58:31Z","timestamp":1790913511589,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":160,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This was a five\u2010year follow\u2010up study of a cluster randomized controlled trial (RCT) that evaluated the effectiveness of the Maternal and Child Health (MCH) handbook in rural Bangladesh, with a specific focus on maternal parental stress and children's anthropometric measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a follow\u2010up survey from September to November 2023 on the mother\u2013child dyads who participated in the cluster RCT during 2017\u20132018 in Lohagora Upazila, Narail District, located in the southwestern region of Bangladesh. Of the 620 mother\u2013child dyads recruited, 617 dyads from nine unions were analyzed in this study using structured questionnaires. We used the Parental Stress Scale (PSS) to measure the mothers' parental stress. The mothers' health\u2010seeking behaviors and children's anthropometric measurements were also examined. Multiple regression analysis was performed to examine the effectiveness of the MCH handbook.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Based on the PSS, stress levels among the mothers in the MCH handbook intervention group were lower in the univariate (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.053) and multiple linear regression analysis, after adjusting for confounding variables (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.057). However, there were no significant differences between the groups in both primary outcome (PSS) and secondary outcomes (growth monitoring experience, number of sources of parenting information used by the mothers, and children's growth status).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although this study showed that the distribution of the MCH handbook generally reduced maternal parental stress, there were no significant differences between the groups. Further research is necessary to evaluate the effectiveness of the MCH handbook on parental stress as a distal outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.70123","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T08:25:10Z","timestamp":1749543910000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010term impact of Maternal and Child Health handbook in rural Bangladesh: A post\u2010trial follow\u2010up study"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9536-3424","authenticated-orcid":false,"given":"Yorin","family":"Watabe","sequence":"first","affiliation":[{"name":"Kobe University Graduate School of Health Sciences  Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Emdadul","family":"Haque","sequence":"additional","affiliation":[{"name":"UChicago Research Bangladesh (URB)  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benay Kumar","family":"Datta","sequence":"additional","affiliation":[{"name":"UChicago Research Bangladesh (URB)  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abul","family":"Kashem","sequence":"additional","affiliation":[{"name":"Bridge of Community Development Foundation (BCDF)  Narail Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2345-8455","authenticated-orcid":false,"given":"Minato","family":"Nakazawa","sequence":"additional","affiliation":[{"name":"Kobe University Graduate School of Health Sciences  Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6271-555X","authenticated-orcid":false,"given":"Ruoyan Gai","family":"Tobe","sequence":"additional","affiliation":[{"name":"Office for Global Relations Nagasaki University  Nagasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7656-6156","authenticated-orcid":false,"given":"Rintaro","family":"Mori","sequence":"additional","affiliation":[{"name":"Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18147463"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266074"},{"key":"e_1_2_13_4_1","first-page":"435","article-title":"Role of maternal and child health handbook on improving maternal, newborn, and child health outcomes: a systematic review and meta\u2010analysis","volume":"10","author":"Nishimura E","year":"2023","journal-title":"Children (Basel)"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1057\/jphp.2012.56"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0119772"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2015.01.001"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdx175"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czu133"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2017.1297604"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-058155"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.13.04022"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1066480717731347"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13864"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-021-03200-9"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265407595123009"},{"key":"e_1_2_13_18_1","unstructured":"World Health Organization.Growth Reference Data for 5\u201019\u2009Years.https:\/\/www.who.int\/tools\/growth\u2010reference\u2010data\u2010for\u20105to19\u2010years"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_13_20_1","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2023"},{"key":"e_1_2_13_21_1","unstructured":"SchumacherD.Anthroplus: Computation of the WHO 2007 Reference for School\u2010Age Children and Adolescents (5 to 19\u2009years). 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