Measuring health-related aspects of quality in early childhood settings.

S.M. Hegland, Susan S. Aronson, P.I. Isbell, S Benjamin, Beth S Rous, M.J. Krajicek

Research output: Chapter in Book/Report/Conference proceedingChapter


Physical and psychological development are inextricably interlinked (Friedman, Brooks-Gunn, Vandell, & Weinraub, 1994); however, few studies of group care settings have included assessments of both children's health (e.g., illnesses, injuries, nutritional status) and their psychological (e.g., language, cognition, social-emotional) development. Indeed, Zaslow et al. (2006) pointed out that among 65 studies on the impact of child care quality on children's school readiness, only 3 (5%) included assessments of children's physical well-being or motor development. The gravity of this omission is demonstrated by a recent study by Hair, Halle, Terry-Humen, Lavelle, and Calkins (2006), who found that children assessed as at risk for health outcomes upon kindergarten entrance showed significantly lower performance in academic and social outcomes in first grade. Thus, the importance of health outcomes for the cognitive and social aspects of school readiness cannot be ignored. As noted subsequently in greater detail, features of early childhood settings have been found to be related to such health outcomes in young children as rates of accidents and injuries. In turn, health outcomes have been found to be linked to variation in children's cognitive and behavioral development. The purposes of this chapter are to identify issues that are important to take into account in measuring facets of quality in early childhood settings that are related to children's health, to summarize the evidence linking children's developmental outcomes to the health features of early childhood settings, to determine why this is a promising time to reexamine the measurement of the health facets of quality in early childhood settings, and to point to possibilities for further progress in measuring health quality in early childhood settings. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Original languageEnglish
Title of host publicationQuality measurement in early childhood settings.
EditorsMartha Zaslow, Ivelisse Martinez-Beck, Kathryn Tout, Tamara Halle
Place of PublicationBaltimore, MD
Number of pages26
ISBN (Electronic)1598571613, 9781598571615
StatePublished - Jan 1 2011


  • Child Care
  • Childhood Development
  • Health
  • Measurement
  • Quality of Services


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