Center-based child care settings are a common form of non-parental child care for many families worldwide. However, according to earlier studies, children can experience stress when they attend... Show moreCenter-based child care settings are a common form of non-parental child care for many families worldwide. However, according to earlier studies, children can experience stress when they attend child care. The aim of the current dissertation was to elucidate the correlates of physiological and behavioral stress (especially around transitions) for young children (aged 0 – 4 years, with a specific focus on infants) and their parents in the context of center-based child care, and to examine whether and how we can support families with the aim of reducing stress. We did this by conducting a meta-analysis, a large-scale correlational study, and a small-scale intervention study combining questionnaires, observations, and physiological measures. Results showed that a significant part of children and parents experienced stress during and beyond the transition to center-based child care, irrespective of the quality of child care, and that several child (age and number of hours at child care) and parental (sensitivity and separation anxiety) factors were correlated. We also identified some clues as to what type of support can be helpful to assist families within this context, with the ultimate goal of promoting well-being in both young children and their parents. Show less
The thesis ‘Quality in home-based childcare: Impact and improvement’ consists of two studies. The general aim of the first study is to examine children’s stress levels and wellbeing, and the role... Show moreThe thesis ‘Quality in home-based childcare: Impact and improvement’ consists of two studies. The general aim of the first study is to examine children’s stress levels and wellbeing, and the role of caregiver stress and childcare quality. This first study is described in chapters 2, 3, and 4. Chapter 2 addresses the question whether children’s cortisol levels (and wellbeing) differ between contexts (childcare day or at home day) and setting (childcare homes and childcare centers), and associations with childcare quality are examined. Chapter 3 reports on caregivers’ cortisol levels (and perceived stress) between contexts (work day, non-work day) and setting (childcare homes and childcare centers). In addition, associations between caregiver stress and childcare quality are examined. Chapter 4 investigates associations between caregivers’ cortisol levels (and perceived stress) and children’s wellbeing and cortisol in home-based childcare. Also, children’s temperament is taken into account. In the second study, described in chapter 5, we test the effectiveness of the Video-feedback Intervention to promote Positive Parenting – Childcare (VIPP-CC) in enhancing childcare quality in home-based childcare. Show less