Care provider assessment of thermal state of children in day-care centers

M. A. Folkerts, N. Gerrett, B. R.M. Kingma, M. Zuurbier, H. A.M. Daanen*

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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Young children are vulnerable to extreme temperatures due to their physiological and anatomical characteristics and behavioural dependability. The latter is a relatively unexplored area. Therefore, the current study investigated the skin temperature as a proxy of the thermal state of children and care providers in day-care centers, the ability of the care providers to estimate the thermal state of the children and their knowledge on this topic. Results from 104 children (<four years old) and 58 care providers recruited from six different day-care centers in winter and summer in the Netherlands show that there was no difference in thermal state between the children and care providers. A significant relation (p < 0.05) was found between skin temperature of the care providers and thermal sensation in winter and summer, but not for the skin temperature of the children and the assessed thermal sensation score of the children by the care providers (p > 0.05). Furthermore, many care providers had difficulties naming symptoms of heat illness and the care providers with ≤5 years work experience had a lower knowledge level of thermoregulation than care providers with >5 years work experience. It is recommended to train care providers in thermal assessment, in particular novice care providers that have less knowledge on this topic.

Original languageEnglish
Article number106915
Pages (from-to)1-9
Number of pages9
JournalBuilding and Environment
Early online date28 Apr 2020
Publication statusPublished - 15 Jul 2020


This work was supported by the project ClimApp, which is part of ERA4CS, an ERA-NET initiated by JPI Climate, and funded by FORMAS (SE), IFD (DK), NWO (NL) with co-funding by the European Union (Grant 690462 ).

FundersFunder number
Horizon 2020 Framework Programme690462
European Commission
Svenska Forskningsrådet Formas
Nederlandse Organisatie voor Wetenschappelijk Onderzoek


    • Care providers
    • Children
    • Day-care center
    • Thermal sensation
    • Thermal state


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