Pub Date : 2024-01-01Epub Date: 2023-03-16DOI: 10.1080/02739615.2023.2189116
Galen Hoft, Bethany Forseth, Anna Trofimoff, Maheen Bangash, Ann M Davis
This study examined factors influencing rural caregivers' decision to decline participation in a healthy lifestyle intervention. Eligible caregivers of rural children who declined participation in a healthy lifestyle intervention were interviewed regarding reasons for declining. Inductive thematic analyses were conducted for responses. Caregiver interviews (n=16) resulted in 5 saturated themes: (1) rural families' household schedules prohibit participation, (2) preference for diverse treatment approaches, (3) desire for information across multimedia platforms, and more communication with a point-of-contact, (4) support for an inclusive approach integrated with existing school practices, and (5) caregivers had an understanding of behaviors that promote health.
{"title":"Barriers to Participation in a Telemedicine-based, Family-based Behavioral Group Treatment Program for Pediatric Obesity: Qualitative findings from Rural Caregivers.","authors":"Galen Hoft, Bethany Forseth, Anna Trofimoff, Maheen Bangash, Ann M Davis","doi":"10.1080/02739615.2023.2189116","DOIUrl":"10.1080/02739615.2023.2189116","url":null,"abstract":"<p><p>This study examined factors influencing rural caregivers' decision to decline participation in a healthy lifestyle intervention. Eligible caregivers of rural children who declined participation in a healthy lifestyle intervention were interviewed regarding reasons for declining. Inductive thematic analyses were conducted for responses. Caregiver interviews (n=16) resulted in 5 saturated themes: (1) rural families' household schedules prohibit participation, (2) preference for diverse treatment approaches, (3) desire for information across multimedia platforms, and more communication with a point-of-contact, (4) support for an inclusive approach integrated with existing school practices, and (5) caregivers had an understanding of behaviors that promote health.</p>","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10794019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48919323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01Epub Date: 2023-05-31DOI: 10.1080/02739615.2023.2218092
Lucy McGoron, Elizabeth Towner, Tisa Johnson-Hopper, Michelle M Martel, Christopher J Trentacosta, Steven J Ondersma
Internet-based parent training is a promising intervention approach for child disruptive behavior. However, engagement in these interventions is limited. The Parenting Young Children Check-up (PYCC) was designed to improve engagement in internet-based parent training programs via three components: 1) an initial check-up, 2) text messages, and 3) a website. This proof-of-concept trial used feedback from parents and pediatric clinic staff to evaluate feasibility as well as the extent to which the initial check-up was associated with behavioral intentions to use the PYCC website. Pediatric staff and parents rated the PYCC highly, and parents reported interest in using the PYCC website.
{"title":"Proof-of-Concept Trial of a Tablet-based Program in Pediatrics to Motivate Parental Use of an Online Behavioral Parent Training Program.","authors":"Lucy McGoron, Elizabeth Towner, Tisa Johnson-Hopper, Michelle M Martel, Christopher J Trentacosta, Steven J Ondersma","doi":"10.1080/02739615.2023.2218092","DOIUrl":"10.1080/02739615.2023.2218092","url":null,"abstract":"<p><p>Internet-based parent training is a promising intervention approach for child disruptive behavior. However, engagement in these interventions is limited. The Parenting Young Children Check-up (PYCC) was designed to improve engagement in internet-based parent training programs via three components: 1) an initial check-up, 2) text messages, and 3) a website. This proof-of-concept trial used feedback from parents and pediatric clinic staff to evaluate feasibility as well as the extent to which the initial check-up was associated with behavioral intentions to use the PYCC website. Pediatric staff and parents rated the PYCC highly, and parents reported interest in using the PYCC website.</p>","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42908486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01Epub Date: 2023-02-25DOI: 10.1080/02739615.2023.2175682
Valerie Swisher, Maya Tooker, Christine Qu, Helen J Burgess, Meredith E Coles, Shannon Bennett, John Piacentini, Christopher S Colwell, Emily J Ricketts
The present study examined rates of sleep disorders and sleep medication use, and predictors of sleep disturbance in children with persistent tic disorders (PTD). Sixty-three parents of children aged 10 to 17 years with PTDs completed an internet survey evaluating sleep patterns and clinical symptoms. Insomnia (19.4%), nightmares (16.1%), and bruxism (13.1%) were the most commonly reported lifetime sleep disorders. Fifty-two percent endorsed current sleep medication use. Higher ADHD severity, overall life impairment, and female sex predicted greater sleep disturbance. Findings suggest the utility of clinical management of co-occurring ADHD and impairment to mitigate sleep disturbance in children with PTDs.
{"title":"Sleep Disorders, Sleep Medication Use, and Predictors of Sleep Disturbance in Children with Persistent Tic Disorders.","authors":"Valerie Swisher, Maya Tooker, Christine Qu, Helen J Burgess, Meredith E Coles, Shannon Bennett, John Piacentini, Christopher S Colwell, Emily J Ricketts","doi":"10.1080/02739615.2023.2175682","DOIUrl":"10.1080/02739615.2023.2175682","url":null,"abstract":"<p><p>The present study examined rates of sleep disorders and sleep medication use, and predictors of sleep disturbance in children with persistent tic disorders (PTD). Sixty-three parents of children aged 10 to 17 years with PTDs completed an internet survey evaluating sleep patterns and clinical symptoms. Insomnia (19.4%), nightmares (16.1%), and bruxism (13.1%) were the most commonly reported lifetime sleep disorders. Fifty-two percent endorsed current sleep medication use. Higher ADHD severity, overall life impairment, and female sex predicted greater sleep disturbance. Findings suggest the utility of clinical management of co-occurring ADHD and impairment to mitigate sleep disturbance in children with PTDs.</p>","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10904019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48973915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01Epub Date: 2023-01-10DOI: 10.1080/02739615.2022.2163491
Ettya R Fremont, Elizabeth A Friedrich, Adda Grimberg, Victoria A Miller
Youth decision-making involvement (DMI) in medical treatment associates with greater adherence and feelings of self-efficacy. However, little is known about youth DMI regarding medical evaluation and diagnostic procedures. Using thematic analysis of semi-structured interviews, we explored parent (n=24) and youth (n=24) perceptions of youth roles in the decision to undergo evaluation for short stature. Five themes emerged about evaluation decisions including: parents/providers were gatekeepers, some parents sought youth agreement, conversations focused on logistics, some parents gave limited information, and youth expressed anxiety. Results suggest that including youth in discussions about evaluation may alleviate anxiety and uncertainty about upcoming procedures.
{"title":"Youth and Parent Perceptions of Youth Decision-Making Roles Regarding Evaluation for Short Stature.","authors":"Ettya R Fremont, Elizabeth A Friedrich, Adda Grimberg, Victoria A Miller","doi":"10.1080/02739615.2022.2163491","DOIUrl":"10.1080/02739615.2022.2163491","url":null,"abstract":"<p><p>Youth decision-making involvement (DMI) in medical treatment associates with greater adherence and feelings of self-efficacy. However, little is known about youth DMI regarding medical evaluation and diagnostic procedures. Using thematic analysis of semi-structured interviews, we explored parent (n=24) and youth (n=24) perceptions of youth roles in the decision to undergo evaluation for short stature. Five themes emerged about evaluation decisions including: parents/providers were gatekeepers, some parents sought youth agreement, conversations focused on logistics, some parents gave limited information, and youth expressed anxiety. Results suggest that including youth in discussions about evaluation may alleviate anxiety and uncertainty about upcoming procedures.</p>","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11028966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42557148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-09DOI: 10.1080/02739615.2023.2279064
Nicole J. Fleischer, Amani Khalil
{"title":"Limitations and recommendations for use of secondary data analysis in pediatric research","authors":"Nicole J. Fleischer, Amani Khalil","doi":"10.1080/02739615.2023.2279064","DOIUrl":"https://doi.org/10.1080/02739615.2023.2279064","url":null,"abstract":"","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135241528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-03DOI: 10.1080/02739615.2023.2272954
Elizabeth A. Wanstall, Sara Ahola Kohut
ABSTRACTiPeer2Peer is an online peer mentoring program for adolescents with inflammatory bowel disease. Linguistic synchrony between mentors and mentees has been proposed to facilitate the development of positive mentoring relationships. We used secondary data analysis to assess linguistic synchrony in the first sessions of iPeer2Peer (N = 56) and how this related to program outcomes. The synchronous use of “I,” discussion of friendships, focus on future and asynchronous discussion of leisure were significant predictors of program outcomes. This highlights the utility of assessing linguistic synchrony in the context of peer mentorship programs to inform how mentors approach their contributions in such programs. Disclosure statementDr. Ahola Kohut co-owns the copyright/license for iPeer2Peer.Additional informationFundingThis work was supported by the Crohn's and Colitis Canada Grant in Aid.
{"title":"Linguistic predictors of the mentor-mentee relationship in a peer support program for adolescents with inflammatory bowel disease","authors":"Elizabeth A. Wanstall, Sara Ahola Kohut","doi":"10.1080/02739615.2023.2272954","DOIUrl":"https://doi.org/10.1080/02739615.2023.2272954","url":null,"abstract":"ABSTRACTiPeer2Peer is an online peer mentoring program for adolescents with inflammatory bowel disease. Linguistic synchrony between mentors and mentees has been proposed to facilitate the development of positive mentoring relationships. We used secondary data analysis to assess linguistic synchrony in the first sessions of iPeer2Peer (N = 56) and how this related to program outcomes. The synchronous use of “I,” discussion of friendships, focus on future and asynchronous discussion of leisure were significant predictors of program outcomes. This highlights the utility of assessing linguistic synchrony in the context of peer mentorship programs to inform how mentors approach their contributions in such programs. Disclosure statementDr. Ahola Kohut co-owns the copyright/license for iPeer2Peer.Additional informationFundingThis work was supported by the Crohn's and Colitis Canada Grant in Aid.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135819855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-28DOI: 10.1080/02739615.2023.2272969
Roxy Helliker O’Rourke, Sarah A. Moore, Katelynn Ramage, Elizabeth Jensen, Guy Faulkner, Kelly P. Arbour-Nicitopoulos
ABSTRACTChildren and adolescents with disabilities (i.e. a condition that requires ongoing medical attention and combined with societal barriers, limits activities of daily living) may be at greater risk of anxiety. Physical activity has been identified as a strategy to reduce symptoms of anxiety and buffer the severity of anxiety-related symptoms in children and adolescents without disabilities. Evidence on the relationship between anxiety and physical activity in children and adolescents with disabilities is limited. The aim of this review was to summarize and describe literature assessing the relationship between anxiety and physical activity in children and adolescents with disabilities. Five databases were searched from inception to search date. Of the initial 20,063 articles identified, eight met the inclusion criteria to be included in data extraction. The included studies ranged in study design. A small inverse relationship between anxiety and physical activity was described in all eight included studies, indicating higher physical activity levels to be associated with lower anxiety. Future research should use consistent operationalizations and reliable/valid measures of anxiety and physical activity and implement prospective studies to further examine the anxiety-physical activity relationship in children and adolescents with disabilities. Disclosure statementNo potential conflict of interest was reported by the author(s).Authors’ contributions[INSERT INITIALS] wrote the main manuscript text with feedback provided by [INSERT INITIALS] and [INSERT INITIALS]. [INSERT INITIALS], [INSERT INITIALS], and [INSERT INITIALS] conducted the abstract and full-text screening for the included articles. [INSERT INITIALS] and [INSERT INITIALS] reviewed and resolved disagreements. All authors actively engaged in the review of the manuscript.Availability of data and materialsThe included studies in this review are all available online.Ethical ApprovalThis was a scoping review with no human participants. Ethical approval was not required, and consent to participate and publish are not applicable.Additional informationFunding[INSERT INITIALS] is funded by a [INSERT NAME OF GRANT] [INSERT GRANT NUMBER].
{"title":"A scoping review and narrative synthesis on the relationship between anxiety and physical activity in children and adolescents with disabilities","authors":"Roxy Helliker O’Rourke, Sarah A. Moore, Katelynn Ramage, Elizabeth Jensen, Guy Faulkner, Kelly P. Arbour-Nicitopoulos","doi":"10.1080/02739615.2023.2272969","DOIUrl":"https://doi.org/10.1080/02739615.2023.2272969","url":null,"abstract":"ABSTRACTChildren and adolescents with disabilities (i.e. a condition that requires ongoing medical attention and combined with societal barriers, limits activities of daily living) may be at greater risk of anxiety. Physical activity has been identified as a strategy to reduce symptoms of anxiety and buffer the severity of anxiety-related symptoms in children and adolescents without disabilities. Evidence on the relationship between anxiety and physical activity in children and adolescents with disabilities is limited. The aim of this review was to summarize and describe literature assessing the relationship between anxiety and physical activity in children and adolescents with disabilities. Five databases were searched from inception to search date. Of the initial 20,063 articles identified, eight met the inclusion criteria to be included in data extraction. The included studies ranged in study design. A small inverse relationship between anxiety and physical activity was described in all eight included studies, indicating higher physical activity levels to be associated with lower anxiety. Future research should use consistent operationalizations and reliable/valid measures of anxiety and physical activity and implement prospective studies to further examine the anxiety-physical activity relationship in children and adolescents with disabilities. Disclosure statementNo potential conflict of interest was reported by the author(s).Authors’ contributions[INSERT INITIALS] wrote the main manuscript text with feedback provided by [INSERT INITIALS] and [INSERT INITIALS]. [INSERT INITIALS], [INSERT INITIALS], and [INSERT INITIALS] conducted the abstract and full-text screening for the included articles. [INSERT INITIALS] and [INSERT INITIALS] reviewed and resolved disagreements. All authors actively engaged in the review of the manuscript.Availability of data and materialsThe included studies in this review are all available online.Ethical ApprovalThis was a scoping review with no human participants. Ethical approval was not required, and consent to participate and publish are not applicable.Additional informationFunding[INSERT INITIALS] is funded by a [INSERT NAME OF GRANT] [INSERT GRANT NUMBER].","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136157604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-03DOI: 10.1080/02739615.2023.2265827
Katlyn Garr, Elizabeth L. McQuaid, Sheryl J. Kopel, Julie Boergers, Grace Molera, Daphne Koinis-Mitchell
ABSTRACTFamily asthma management is linked to children’s sleep, yet it is unclear how child and family responses to asthma symptoms affect sleep, particularly for children with overweight/obesity. We evaluated the associations between family asthma management and sleep, and whether these relationships varied by child weight status (healthy weight, overweight/obesity) among 188 children (aged 7–9; 51% Latino, 33% Black/African American, 15% non-Latino White) with persistent asthma from urban environments. Family asthma management was assessed using semi-structured interviews, sleep was assessed via actigraphy, and BMI percentiles and BMI z-scores were calculated from objective height and weight measurements. More effective family asthma management and symptom response were related to better sleep for children with a higher BMIz. Findings suggest that children with comorbid asthma and obesity from urban environments need multicomponent interventions to improve sleep. Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementThe dataset analyzed in the current study is available from the corresponding author upon reasonable request.Additional informationFundingThis work was supported by The National Institutes of Health, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (grant # R01 HD057220 to D.K.M.).
{"title":"Family and child responses to asthma symptoms and associations with sleep in urban children with asthma: Does child weight matter?","authors":"Katlyn Garr, Elizabeth L. McQuaid, Sheryl J. Kopel, Julie Boergers, Grace Molera, Daphne Koinis-Mitchell","doi":"10.1080/02739615.2023.2265827","DOIUrl":"https://doi.org/10.1080/02739615.2023.2265827","url":null,"abstract":"ABSTRACTFamily asthma management is linked to children’s sleep, yet it is unclear how child and family responses to asthma symptoms affect sleep, particularly for children with overweight/obesity. We evaluated the associations between family asthma management and sleep, and whether these relationships varied by child weight status (healthy weight, overweight/obesity) among 188 children (aged 7–9; 51% Latino, 33% Black/African American, 15% non-Latino White) with persistent asthma from urban environments. Family asthma management was assessed using semi-structured interviews, sleep was assessed via actigraphy, and BMI percentiles and BMI z-scores were calculated from objective height and weight measurements. More effective family asthma management and symptom response were related to better sleep for children with a higher BMIz. Findings suggest that children with comorbid asthma and obesity from urban environments need multicomponent interventions to improve sleep. Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementThe dataset analyzed in the current study is available from the corresponding author upon reasonable request.Additional informationFundingThis work was supported by The National Institutes of Health, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (grant # R01 HD057220 to D.K.M.).","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135743904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-21DOI: 10.1080/02739615.2023.2259291
Maegan D. Sady, Shayna S. Coburn, Zachary Kramer, Randi Streisand, Ilana Kahn
ABSTRACTA strict gluten-free diet is the only treatment for celiac disease (CD), yet dietary adherence can be challenging for youth and may be impacted by the youth’s executive functioning and attentional abilities. This study aimed to investigate whether attention and executive functioning (EF) were associated with dietary adherence in children with CD. Parents of 34 children (child age M(SD) = 13.01(3.88), 56% female) from a multidisciplinary CD clinic completed ratings of attention and EF and dietary adherence. Parent-reported adherence was negatively correlated with behavioral regulation (r = -.52, p < .01, r2 = .27, 95% confidence interval (CI) [−.73, −.22]) and cognitive regulation (r = -.48, p < .01, r2 = .23, 95% CI [−.71, −.17]), with an interaction by age (p = .01, adjusted R2 = .35, B = −0.15, 95% CI [−0.29, −0.07]) for behavior regulation. Youth who were rated as less adherent by their parents were rated as having more problems with behavioral (e.g. inhibition and self-monitoring) and cognitive regulation (e.g. planning, organization), and adolescents with lower parent-rated adherence were rated as having more problems with behavioral regulation in particular. Executive functioning deficits are an important treatment consideration for CD, particularly during adolescence. Disclosure statementMaegan Sady is an employee of PAR Inc, which publishes the BRIEF2, but the measure was selected for this study prior to her employment there, and she does not receive royalties from its sales.Additional informationFundingThe work was supported by the Global Autoimmune Institute; National Institute of Diabetes and Digestive and Kidney Diseases [K23DK129826]; Lambert Family Foundation.
{"title":"Associations between executive functioning and adherence in pediatric celiac disease","authors":"Maegan D. Sady, Shayna S. Coburn, Zachary Kramer, Randi Streisand, Ilana Kahn","doi":"10.1080/02739615.2023.2259291","DOIUrl":"https://doi.org/10.1080/02739615.2023.2259291","url":null,"abstract":"ABSTRACTA strict gluten-free diet is the only treatment for celiac disease (CD), yet dietary adherence can be challenging for youth and may be impacted by the youth’s executive functioning and attentional abilities. This study aimed to investigate whether attention and executive functioning (EF) were associated with dietary adherence in children with CD. Parents of 34 children (child age M(SD) = 13.01(3.88), 56% female) from a multidisciplinary CD clinic completed ratings of attention and EF and dietary adherence. Parent-reported adherence was negatively correlated with behavioral regulation (r = -.52, p < .01, r2 = .27, 95% confidence interval (CI) [−.73, −.22]) and cognitive regulation (r = -.48, p < .01, r2 = .23, 95% CI [−.71, −.17]), with an interaction by age (p = .01, adjusted R2 = .35, B = −0.15, 95% CI [−0.29, −0.07]) for behavior regulation. Youth who were rated as less adherent by their parents were rated as having more problems with behavioral (e.g. inhibition and self-monitoring) and cognitive regulation (e.g. planning, organization), and adolescents with lower parent-rated adherence were rated as having more problems with behavioral regulation in particular. Executive functioning deficits are an important treatment consideration for CD, particularly during adolescence. Disclosure statementMaegan Sady is an employee of PAR Inc, which publishes the BRIEF2, but the measure was selected for this study prior to her employment there, and she does not receive royalties from its sales.Additional informationFundingThe work was supported by the Global Autoimmune Institute; National Institute of Diabetes and Digestive and Kidney Diseases [K23DK129826]; Lambert Family Foundation.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136136563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-21DOI: 10.1080/02739615.2023.2259302
David W. Hollar
ABSTRACTChild abuse, neglect, and maltreatment (CANM) represents a significant public health threat. The study’s goal was to identify factors contributing to CANM and its high recurrence. We utilized 2019–2020 National Child Abuse data to test a structural equation model of Child/Caregiver Disability variables; Home Instability variables; and CANM recurrence. We hypothesized a six-factor model with Home Instability as a mediator. Of 1,221,176 victims, 29.9% had a prior victimization. A four-factor, mediational structural equation model showed strong fit (GFI = 0.946, NFI = 0.919) and was superior to alternative models. The study provides a framework for community leaders to reduce CANM. Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
{"title":"Stress, child-caregiver disability, and family dysfunction characteristics contributing to child abuse and maltreatment recurrence: a structural equation model","authors":"David W. Hollar","doi":"10.1080/02739615.2023.2259302","DOIUrl":"https://doi.org/10.1080/02739615.2023.2259302","url":null,"abstract":"ABSTRACTChild abuse, neglect, and maltreatment (CANM) represents a significant public health threat. The study’s goal was to identify factors contributing to CANM and its high recurrence. We utilized 2019–2020 National Child Abuse data to test a structural equation model of Child/Caregiver Disability variables; Home Instability variables; and CANM recurrence. We hypothesized a six-factor model with Home Instability as a mediator. Of 1,221,176 victims, 29.9% had a prior victimization. A four-factor, mediational structural equation model showed strong fit (GFI = 0.946, NFI = 0.919) and was superior to alternative models. The study provides a framework for community leaders to reduce CANM. Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136237128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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