Consistency of face scale choice between nursery school children and their teachers and parents while using facial expression stickers developed to improve young children's daily routines

Consistency of face scale choice between nursery school children and their teachers and parents while using facial expression stickers developed to improve young children's daily routines

The consistency between 3 to 5-year-old children’s choice of facial expression stickers and the choices made by nursery school teachers and parents in health evaluations over a 4.5.month period were evaluated at 21 nursery schools in Japan. Children at the nursery schools chose facial expression stickers at health checks conducted immediately after arr？val at school a nd as they were leaving. For selected students, the teachers cond ucted health checks and chose a fac？al expression st？cker corresponding to their evaluation of the child’s cond？tion. At home, after the even？ng meal, the children and their parents conducted daily health checks, and each chose an appropriate facial expression sticker. Consistency rates and Cohen’s Kappa were calculated by age group for school arr？val and departure, and total arrivalsl departures for all sampled children throughout the entire study period. There was moderate consistency between ch？ldren and teachers ？mmediately after school arr？val, but cons？stency was lower at school departure, except for 5.yearold children. Levels of cons？stency were higher at home than at school for every age group. Using facial expression stickers in health checks could be a useful method for 3. to 5.year.old children, who may find it difficult to express their physical condition verbally