Parents' Receipt of and Satisfaction With Preventive Counselling During ‘Child Health Checks’: Findings From the KUNO‐Kids Health Study
Child Care Health and Development
Published online on January 30, 2026
Abstract
["Child: Care, Health and Development, Volume 52, Issue 2, March 2026. ", "\nABSTRACT\n\nBackground\nProviding advice on prevention topics is a mandatory part during health checks for children in Germany. We aimed to investigate receipt of advice from the parents' perspective using data from the KUNO‐Kids health study.\n\n\nMethods\nParents completed questionnaires at the child's third (N = 1280) and fourth (N = 997) birthday and reported utilization of health checks, receipt of advice on prevention topics (physical activity, nutrition, media consumption, speech development) and their satisfaction. Predictive factors were analysed in multivariable regression models.\n\n\nResults\nNearly all parents attended the health checks; about 60% reported having received advice on any of the investigated prevention topics. Their satisfaction with the advice they received was high. The receipt of advice was positively associated with raising a boy and having higher health literacy and negatively associated with being a first‐time parent and being older at childbirth.\n\n\nConclusion\nFindings indicate that advice on prevention topics is not routinely provided or not remembered by parents. There is considerable potential for improvement in the effective communication of prevention advice during health checks.\n\n"]