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Keeping children healthy at summer camp: A study of medications administered in the camp setting 在夏令营中保持儿童健康:对夏令营环境中使用药物的研究
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-04-17 DOI: 10.1080/02739615.2022.2063127
Tara Funk, Leon Quach, Aditi Mahajan, Sarang Modi, Emily Supenia, Natalie Schellpfeffer, Michael Ambrose, T. Gaslin, B. Garst, Andrew N. Hashikawa
ABSTRACT Summer campers often require access to medications. However, little is known about the types of medications administered in camps. We used a data set from a camp-specific electronic records system that contained all campers’ medications. We developed a coding book and classified medications based on drug type, mechanism, and indication. Data were available on 163,853 medications from 75,072 campers. Health care providers need to be aware of the vast quantity and wide spectrum of medications dispensed in summer camps and should find opportunities to advocate for the adoption of best-practice safety guidelines to ensure the safety and well-being of campers.
夏令营者通常需要获得药物。然而,人们对难民营中使用的药物种类知之甚少。我们使用了一个营地特定电子记录系统的数据集,其中包含了所有露营者的药物。我们开发了一本编码书,并根据药物类型、机制和适应症对药物进行分类。来自75,072名营员的163,853种药物的数据可用。卫生保健提供者需要了解在夏令营中分发的大量和广泛的药物,并应找到机会倡导采用最佳实践安全指南,以确保营员的安全和福祉。
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引用次数: 0
A self-report measure of diabetes-specific anxiety symptoms for adolescents 青少年糖尿病特异性焦虑症状的自我报告测量
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-03-14 DOI: 10.1080/02739615.2022.2047970
K. Rechenberg, L. Szalacha, A. Bugajski
ABSTRACT Adolescents with Type 1 diabetes experience anxiety symptoms specifically related to the self-management of diabetes. The purpose of this study is to describe the initial psychometric testing of the Anxiety Symptoms in Diabetes Scale in Adolescents (ASDS-A), a 14-item instrument designed to measure diabetes-specific anxiety. Following an in-depth qualitative study, items were identified and reviewed by experts, and remaining items were tested in 146 adolescents. A PCA indicated a single dimension (Eigenvalue, 6.106) with a Cronbach’s α of .896, leaving a 14-item measure. There is strong evidence that the ASDS-A is a developing reliable and valid measure of diabetes-specific anxiety.
摘要患有1型糖尿病的青少年会出现与糖尿病自我管理特别相关的焦虑症状。本研究的目的是描述青少年糖尿病焦虑症状量表(ASDS-A)的初步心理测量测试,这是一种旨在测量糖尿病特异性焦虑的14项工具。经过深入的定性研究,专家对项目进行了鉴定和审查,其余项目在146名青少年中进行了测试。主成分分析表明,单维度(特征值,6.106)的克朗巴赫α为.896,留下14项测量。有强有力的证据表明,ASDS-A是一种正在发展的可靠有效的糖尿病特异性焦虑指标。
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引用次数: 2
A medical home for children in foster care reduces expenditures 为寄养儿童设立医疗之家可以减少开支
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-02-16 DOI: 10.1080/02739615.2022.2039146
Brian S. Gannon, A. Gregg, Hui Wang, Mallory Enzor Marshall, Lea G. Yerby, Caroline A. Jenkins, J. Parton
ABSTRACT Children in foster care are at risk from fragmented care, delayed access, medical complexity, and increased mental health needs. We studied health care expenditures for children in foster care managed by a Patient-Centered Medical Home foster care specialty clinic (Fresh Start). We used Alabama Medicaid claims data from 2016 to 2018 to compare the costs incurred by 75 pediatric patients managed by Fresh Start with 75 matched children in foster care. Compared to their matched controls, the average total expenditures of Fresh Start children were lower by $536 (p = .02, 95% CI [−1008, −63]), primary care expenditures were lower by $171 (p = .09, 95% CI [−371, 28]), and pharmacy expenditures were lower by $63 (p = .02, IQR = 598). Reduced expenditures identified among children managed by the Fresh Start PCMH may represent more access to care coordination, behavioral health services, and trauma-informed care, with more pronounced effects on primary care and pharmacy costs.
摘要:寄养儿童面临着护理分散、获取延迟、医疗复杂性和心理健康需求增加的风险。我们研究了由以患者为中心的医疗之家寄养专科诊所(Fresh Start)管理的寄养儿童的医疗保健支出。我们使用2016年至2018年阿拉巴马州医疗补助索赔数据,比较了Fresh Start管理的75名儿科患者与75名寄养儿童的费用。与匹配的对照组相比,Fresh Start儿童的平均总支出减少了536美元(p=0.02,95%置信区间[-1008,-63]),初级保健支出减少了171美元(p=0.09,95%置信度[-371,28]),药房支出减少了63美元(p=0.02,IQR=598)。在Fresh Start PCMH管理的儿童中发现的支出减少可能意味着更多的机会获得护理协调、行为健康服务和创伤知情护理,对初级保健和药房成本产生更明显的影响。
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引用次数: 1
Sleep and media use among children with neurodevelopmental disorders during the COVID-19 pandemic COVID-19大流行期间神经发育障碍儿童的睡眠和媒体使用情况
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-02-16 DOI: 10.1080/02739615.2021.2013222
T. Wilaisakditipakorn, C. Ievers-Landis, S. Malay, Kimberly Burkhart, S. Ibrahim, Shanna Kralovic, Elizabeth A. Diekroger
ABSTRACT Children with neurodevelopmental disorders commonly have sleep problems and higher screen time compared with their typically developing peers. Relationships of their media use to sleep are unknown during the COVID-19 pandemic. Seventy-five caregivers/parents of children ages 5–12 years with neurodevelopmental disorders completed surveys during the pandemic, reporting average child media use of 3.35 hours/day (SD = 0.36) and sleep duration of 9.22 hours (SD = 1.27). Media use duration was not significantly related to any sleep outcomes in the total sample. Unexpectedly, in subgroup analyses with COVID-19 exposure/distress variables, greater media use duration significantly related to less sleep-related impairment (p = .012) and disturbance (p = .0004). Clinical implications are that media use/sleep plans should be individually tailored for these at-risk children.
摘要:与发育中的同龄人相比,患有神经发育障碍的儿童通常有睡眠问题和更长的屏幕时间。在新冠肺炎大流行期间,他们使用媒体与睡眠的关系尚不清楚。75名5-12岁神经发育障碍儿童的照顾者/父母在疫情期间完成了调查,报告儿童媒体的平均使用时间为3.35小时/天(SD=0.36),睡眠时间为9.22小时(SD=1.27)。媒体使用时间与总样本中的任何睡眠结果均无显著相关性。出乎意料的是,在新冠肺炎暴露/痛苦变量的亚组分析中,媒体使用持续时间越长,与睡眠相关障碍(p=.012)和障碍(p=.0004)越少显著相关。临床意义是,媒体使用/睡眠计划应针对这些风险儿童单独制定。
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引用次数: 3
A Qualitative Inquiry of Parents' Observations of Their Children's Mental Health Needs During the COVID-19 Pandemic. 新冠肺炎疫情期间家长对子女心理健康需求观察的定性调查
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-01-01 DOI: 10.1080/02739615.2021.2003196
Alexandra M Barth, Allison C Meinert, Katherine L Zopatti, David Mathai, Alicia W Leong, Emily M Dickinson, Wayne K Goodman, Asim A Shah, Sophie C Schneider, Eric A Storch

Given that children and adolescents are at critical periods of development, they may be particularly vulnerable to the effects of the COVID-19 pandemic. Using a descriptive phenomenological approach, 71 parents' observations of their child's mental health difficulties were explored. Parents sought out treatment because their children were experiencing significant distress. Data used were transcribed from baseline questionnaires and therapy summaries. Data analysis revealed three themes: emotion regulation difficulties, hypervigilance, and despair. The search for strategies and tailored interventions to help mitigate the potential harmful and long-term mental health impacts of the pandemic should be at the forefront of research and clinical practice.

鉴于儿童和青少年正处于发育的关键时期,他们可能特别容易受到COVID-19大流行的影响。运用描述现象学方法,对71位父母对其子女心理健康困难的观察进行了探讨。父母寻求治疗是因为他们的孩子正经历着巨大的痛苦。使用的数据来自基线调查问卷和治疗总结。数据分析揭示了三个主题:情绪调节困难、过度警惕和绝望。寻求战略和量身定制的干预措施,以帮助减轻大流行对心理健康的潜在有害和长期影响,应成为研究和临床实践的前沿。
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引用次数: 0
The impact of COVID-19 on rural treatment-seeking families with children with overweight or obesity. COVID-19对有超重或肥胖儿童的农村求医家庭的影响。
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2022-01-01 Epub Date: 2022-03-12 DOI: 10.1080/02739615.2022.2041419
Bethany Forseth, Kelsey M Dean, Megan Murray, Haley J Killian, Dana Bakula, Rebecca E Swinburn Romine, Kandace Fleming, Christie A Befort, Keisha M England, Rohit Bhagat, Maheen Bangash, Meredith L Dreyer Gillette, Eve-Lynn Nelson, Ann M Davis

To examine the early impact of the COVID-19 pandemic on rural parental stress and family behaviors, parents who participated in a 2nd-4th grade pediatric obesity intervention completed a survey in May 2020. Parents (N=77) experienced 7.8±2.7 events on the COVID-19 Exposure and Family Impact Scales (CEFIS) with an average impact of 2.5±0.5, with many parents reporting moderate stress (73%). Parental stress was predictive of personal well-being getting 'worse' while loss of income events were predictive of family routines getting 'better.' Professionals working with rural families may want to assess for these factors when promoting positive changes in family health behaviors.

为了研究COVID-19大流行对农村父母压力和家庭行为的早期影响,参加2 -4年级儿童肥胖干预的父母于2020年5月完成了一项调查。77名家长(N=77)在COVID-19暴露和家庭影响量表(CEFIS)中经历了7.8±2.7次事件,平均影响为2.5±0.5,许多家长报告中度压力(73%)。父母压力预示着个人幸福感会变得“更糟”,而收入损失事件预示着家庭生活习惯会变得“更好”。从事农村家庭工作的专业人员在促进家庭健康行为的积极变化时可能需要评估这些因素。
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引用次数: 1
Sleep across childhood during the COVID-19 pandemic: a narrative review of the literature and clinical case examples COVID-19大流行期间儿童睡眠:文献和临床病例的叙述性回顾
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2021-12-31 DOI: 10.1080/02739615.2021.2016407
M. Stearns, C. Ievers-Landis, C. McCrae, S. Simon
ABSTRACT Without the structure and schedule of traditional activities such as in-person school and socialization, evidence is emerging of pediatric sleep changes during the COVID-19 pandemic. A narrative review was conducted of the sleep literature during the pandemic for preschoolers, school-aged children, and adolescents. Changes in sleep and risk and protective factors for sleep heath during the COVID-19 pandemic are reviewed along with real-life clinical case examples for each developmental period. Given the high rates of pediatric sleep disturbance, clinicians, researchers, and policymakers should refine screening strategies and facilitate referrals for behavioral interventions to support sleep health during pandemics and other natural disasters.
摘要在没有住院学校和社会化等传统活动的结构和时间表的情况下,有证据表明新冠肺炎大流行期间儿科睡眠发生了变化。对疫情期间学龄前儿童、学龄儿童和青少年的睡眠文献进行了叙述性综述。综述了新冠肺炎大流行期间睡眠的变化以及睡眠健康的风险和保护因素,以及每个发育期的真实临床病例。鉴于儿科睡眠障碍的发病率很高,临床医生、研究人员和政策制定者应该完善筛查策略,并促进行为干预的转诊,以支持流行病和其他自然灾害期间的睡眠健康。
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引用次数: 8
Psychometric evaluation of the Turkish adaptation of the Epworth sleepiness scale for children and adolescents 儿童和青少年对爱普沃斯嗜睡量表土耳其适应性的心理测量学评价
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2021-12-06 DOI: 10.1080/02739615.2021.2000413
S. Uygun, Nedime Tuğçe Bilbay
ABSTRACT The aim of our study was to investigate the psychometric properties of the Turkish adaptation of the Epworth Sleepiness Scale for children and adolescents (ESS-CHAD). We evaluated internal consistency, test−retest reliability, construct validity, and criterion validity of the ESS-CHAD in the sample of 145 children with a mean age of 14.58 (±1.44), consisting of 53.1% females. Confirmatory factor analysis showed an 8-item unidimensional structure of the scale. Cronbach’s alpha was 0.74; the correlation coefficients for test−retest reliability and criterion validity were 0.96 and 0.85, respectively (p’s< .05). Our study presented the first evidence to establish the validity and reliability of the ESS-CHAD for Turkish children aged 12 − 18 years.
摘要本研究的目的是调查儿童和青少年埃普沃斯睡眠量表(ESS-CHAD)土耳其版的心理测量特性。我们在145名平均年龄为14.58(±1.44)的儿童样本中评估了ESS-CHAD的内部一致性、测试-再测试可靠性、结构有效性和标准有效性,其中53.1%为女性。验证性因素分析显示该量表为8项一维结构。克朗巴赫α为0.74;测试-再测试信度和标准有效性的相关系数分别为0.96和0.85(p<0.05)。我们的研究首次证明了ESS-CHAD对12-18岁土耳其儿童的有效性和可靠性。
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引用次数: 0
Adolescent and caregiver mental health, pulmonary function, and healthcare utilization in pediatric cystic fibrosis 儿童囊性纤维化的青少年和护理者心理健康、肺功能和医疗利用
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2021-12-04 DOI: 10.1080/02739615.2021.2002695
A. Vassilopoulos, M. Swartz, S. Paranjape, K. Slifer
ABSTRACT Cystic fibrosis (CF) increases risk for mental health symptoms. This study evaluated patient and caregiver screening for anxiety and depression symptoms as related to pulmonary function (PF) and health-care utilization (HCU). Participants included adolescents, young adults (AYAs; N = 119) and their caregivers (N = 104). AYA depression symptoms correlated with number of hospitalizations (NOH; r = 0.194, p = .035) and length of stay (LOS; r = 0.198, p = .031). AYA LOS correlated with caregiver depression (r = 0.230, p = .019) and anxiety (r = 0.339, p < .001) symptoms. Caregiver anxiety symptoms (sr2 = 0.044), depression symptoms (sr2 = 0.039), and AYA PF (sr2 = 0.193) predicted HCU. Psychosocial screening and intervention are recommended for standard care.
摘要囊性纤维化(CF)增加了出现心理健康症状的风险。本研究评估了患者和护理人员对与肺功能(PF)和医疗保健利用率(HCU)相关的焦虑和抑郁症状的筛查。参与者包括青少年、年轻人(AYAs;N=119)及其照顾者(N=104)。AYA抑郁症状与住院次数(NOH;r=0.194,p=.035)和住院时间(LOS;r=0.198,p=.031)相关。AYA LOS与照顾者抑郁(r=0.230,p=.019)和焦虑(r=0.339,p<.001)症状相关。护理人员焦虑症状(sr2=0.044)、抑郁症状(sr0=0.039)和AYA-PF(sr2=0.193)预测HCU。建议对标准护理进行心理社会筛查和干预。
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引用次数: 0
Intolerance of uncertainty and protective parenting: the mediating role of maternal appraisals and the moderating role of child health status 对不确定性的不容忍和保护性养育:母亲评价的中介作用和儿童健康状况的调节作用
IF 0.9 4区 医学 Q3 Medicine Pub Date : 2021-12-04 DOI: 10.1080/02739615.2021.2007771
Emily M. Steiner, L. Dahlquist
ABSTRACT This study examined how intolerance of uncertainty and having a child with food allergy relate to protective parenting. Eighty mothers of children with food allergy and 78 mothers of healthy children completed questionnaires assessing intolerance of uncertainty and parenting style. Mothers then rated vignettes of hypothetical parenting situations in terms of perceived uncertainty, threat, and negative affect and reported their likely parenting response. Results indicated that mothers’ affective and cognitive appraisals mediated the association between intolerance of uncertainty and protective parenting. Findings suggest that maternal intolerance of uncertainty and child health status may increase the risk of protective parenting.
本研究探讨了不确定性的不耐受和有一个食物过敏的孩子与保护性养育的关系。80名食物过敏儿童的母亲和78名健康儿童的母亲完成了对不确定性的不耐受程度和养育方式的调查问卷。然后,母亲们根据感知到的不确定性、威胁和负面影响对假想的育儿情景进行评分,并报告她们可能的育儿反应。结果表明,母亲的情感评价和认知评价在不确定性不容忍与保护性养育之间起中介作用。研究结果表明,母亲对不确定性和儿童健康状况的不容忍可能会增加保护性育儿的风险。
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引用次数: 3
期刊
Childrens Health Care
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