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Where our answers come from

Every answer on Founded Parent is drawn from a fixed list of approved sources and graded by how strong that evidence is. We never write an answer from general knowledge, and we never cite a source that is not on this list. If the research does not have a clear answer, we say so.

Canadian guidance is checked first. Where Canadian and international guidance differ, the answer says so rather than quietly picking one.

TIER 1

National and international guidelines

The strongest starting point. These are official recommendations written by expert panels who have already reviewed the underlying research and weighed it for real-world practice.

Canada: Canadian Paediatric Society (including Caring for Kids), Health Canada and the Public Health Agency of Canada, SickKids AboutKidsHealth, HealthLinkBC, the Canadian Task Force on Preventive Health Care, Choosing Wisely Canada, Dietitians of Canada (Unlock Food), the Canadian Society of Allergy and Clinical Immunology, Immunize Canada, the Canadian Dermatology Association, the Canadian Dental Association, the Canadian Thoracic Society, the Canadian Psychological Association, and the Centre for Addiction and Mental Health.
International: CDC, American Academy of Pediatrics, HealthyChildren.org, NICE (UK), World Health Organization, American Psychological Association, UK government health guidance, UNICEF, NHS (UK), Royal College of Paediatrics and Child Health (UK), Royal Children's Hospital Melbourne, Raising Children Network (Australia), MedlinePlus, the American Academy of Child and Adolescent Psychiatry, and the US National Institute of Mental Health.
Pregnancy and birth: Society of Obstetricians and Gynaecologists of Canada and its journal (JOGC), American College of Obstetricians and Gynecologists, Royal College of Obstetricians and Gynaecologists (UK), and the Society for Maternal-Fetal Medicine.
TIER 2

Systematic reviews and meta-analyses

Studies that pool and assess all the available research on a question, rather than relying on any single trial. Very reliable, and often the basis for the guidelines above.

Sources: Cochrane Library (including Cochrane Pregnancy and Childbirth), Campbell Collaboration, the US Agency for Healthcare Research and Quality, the Academy of Breastfeeding Medicine, and systematic reviews indexed on PubMed or published in the Canadian Medical Association Journal.
TIER 3

Randomized controlled trials

Individual experiments where participants are randomly assigned to different approaches. Strong evidence, but a single trial can still be limited by its size or the specific group it studied.

Sources: Peer-reviewed trials indexed on PubMed or published in the Canadian Medical Association Journal. We prioritise high-impact pediatrics, psychology and behavioural science journals, though smaller journals are searched too. For PubMed and CMAJ the tier follows the type of article: a review is Tier 2, a trial Tier 3.
TIER 4

Expert organizations

Well-established bodies that translate research into practical guidance. Useful for topics where formal guidelines do not exist, especially around child development, behaviour, and medication or exposure safety in pregnancy and breastfeeding.

Sources: Harvard Center on the Developing Child, Child Mind Institute, Triple P, Zero to Three, and MotherToBaby.

What we leave out

How the grade is decided

Answers are written from the highest tier available: guidelines first, then reviews, then trials, then expert organizations. Where a lower tier disagrees with a higher one, we follow the higher one and say so. Each answer then carries a plain-language grade showing how confident the research allows us to be:

An answer that does not rest on a guideline or systematic review is never graded Strong or Good, and Strong always needs at least two that agree.

Where an answer relies on observational, cohort or case-control studies rather than a guideline, systematic review or randomized trial, we say so directly. That kind of evidence can show a pattern, but it cannot show cause and effect as reliably.

A note on limits

Founded Parent summarizes published research. It is educational information, not a diagnosis or personalized medical advice, and it cannot account for your child's individual history. Always check with your child's doctor for guidance specific to your situation. If this is a medical emergency, call your local emergency number. There is more in what Founded Parent cannot do.

Educational information only. Not medical advice, not a diagnosis, and no doctor-patient relationship is created by using this. Founded Parent has not examined your child and does not know their history, so its answers may not apply to you. Never delay or disregard advice from a qualified health professional because of something you read here. In an emergency, call your local emergency number.