Pub Date : 2021-12-04DOI: 10.1080/02739615.2021.2001337
Roohi Y. Kharofa, Kristin M W Stackpole, Catherine Anthony, Rebekah Moorhead, R. Siegel
ABSTRACT During the COVID-19 shutdown, our pediatric weight management center instituted telemedicine and expanded educational content on Facebook. The aims of this study were to assess telemedicine utilization and social media engagement (optional). We performed a retrospective chart review and examined Facebook posts. During the first 6 weeks of the pandemic, 129 patients completed a telemedicine visit (52 non-completers). Completers were less likely to be Medicaid-insured (OR 0.252). Families engaged most with Facebook exercise content (avg. views: 449). Further analysis is necessary to determine how to make telemedicine accessible for low-income families and to determine if social media engagement improves anthropometric outcomes.
{"title":"Pediatric weight management amid the COVID-19 pandemic: a natural telemedicine experiment","authors":"Roohi Y. Kharofa, Kristin M W Stackpole, Catherine Anthony, Rebekah Moorhead, R. Siegel","doi":"10.1080/02739615.2021.2001337","DOIUrl":"https://doi.org/10.1080/02739615.2021.2001337","url":null,"abstract":"ABSTRACT During the COVID-19 shutdown, our pediatric weight management center instituted telemedicine and expanded educational content on Facebook. The aims of this study were to assess telemedicine utilization and social media engagement (optional). We performed a retrospective chart review and examined Facebook posts. During the first 6 weeks of the pandemic, 129 patients completed a telemedicine visit (52 non-completers). Completers were less likely to be Medicaid-insured (OR 0.252). Families engaged most with Facebook exercise content (avg. views: 449). Further analysis is necessary to determine how to make telemedicine accessible for low-income families and to determine if social media engagement improves anthropometric outcomes.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42264171","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 : 2021-12-03DOI: 10.1080/02739615.2021.2005599
Hannah Morris, D. Tumin, R. Kroeger, Cierra Buckman
ABSTRACT Using the 2016–2018 National Survey of Children’s Health, we examined whether children with parents in same-sex versus different-sex couples had different levels of access to a medical home. We found that relative to children with parents in different-sex couples, children with parents in same-sex couples had 31% lower odds of having access to a medical home, 36% lower odds of having a usual place to go for health care, and 29% lower odds of receiving family-centered care. Results suggest less access to care consistent with the medical home criteria for children with parents in same-sex versus different-sex couples.
{"title":"Medical home access among children of parents in same-sex couples","authors":"Hannah Morris, D. Tumin, R. Kroeger, Cierra Buckman","doi":"10.1080/02739615.2021.2005599","DOIUrl":"https://doi.org/10.1080/02739615.2021.2005599","url":null,"abstract":"ABSTRACT Using the 2016–2018 National Survey of Children’s Health, we examined whether children with parents in same-sex versus different-sex couples had different levels of access to a medical home. We found that relative to children with parents in different-sex couples, children with parents in same-sex couples had 31% lower odds of having access to a medical home, 36% lower odds of having a usual place to go for health care, and 29% lower odds of receiving family-centered care. Results suggest less access to care consistent with the medical home criteria for children with parents in same-sex versus different-sex couples.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48887454","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 : 2021-12-03DOI: 10.1080/02739615.2021.2004146
Rebecca M. Warwick, Daniel E Shumer
ABSTRACT Modern transgender and non-binary (TGNB) pediatric health care originated in the 1990s. This patient population is adversely affected by minority stress, victimization, mental health disparities, and barriers to health care With improving social and cultural support for TGNB identities and favorable evidence for affirming social and medical interventions, the need for pediatric gender services clinics has grown. Gender-affirming care requires collaboration between social and medical entities, including school personnel, community services, medical providers, and mental health professionals, which is best served within a multidisciplinary treatment model of care. This article provides an overview of the components within multidisciplinary pediatric gender clinics.
{"title":"Gender-affirming multidisciplinary care for transgender and non-binary children and adolescents","authors":"Rebecca M. Warwick, Daniel E Shumer","doi":"10.1080/02739615.2021.2004146","DOIUrl":"https://doi.org/10.1080/02739615.2021.2004146","url":null,"abstract":"ABSTRACT Modern transgender and non-binary (TGNB) pediatric health care originated in the 1990s. This patient population is adversely affected by minority stress, victimization, mental health disparities, and barriers to health care With improving social and cultural support for TGNB identities and favorable evidence for affirming social and medical interventions, the need for pediatric gender services clinics has grown. Gender-affirming care requires collaboration between social and medical entities, including school personnel, community services, medical providers, and mental health professionals, which is best served within a multidisciplinary treatment model of care. This article provides an overview of the components within multidisciplinary pediatric gender clinics.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46496823","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 : 2021-11-02DOI: 10.1080/02739615.2021.1993228
C. Lynn, E. Lyons, E. Muther
ABSTRACT Cystic fibrosis (CF) is an inherited, life-limiting chronic health condition that impacts many organ systems including the lungs, pancreas, liver, intestines, and reproductive organs. Given the various organ systems impacted, treatments can be complex, burdensome, and time consuming. In addition, the stress and emotional impact of CF on caregivers as well as patients is significant. This paper describes delivery of psychosocial care across developmental stages in the largest pediatric CF center in the country. The focus will be on goals of care as well as assessment and intervention strategies. Furthermore, clinical informatics and next steps also will be discussed.
{"title":"Delivery of cystic fibrosis psychosocial care across developmental stages","authors":"C. Lynn, E. Lyons, E. Muther","doi":"10.1080/02739615.2021.1993228","DOIUrl":"https://doi.org/10.1080/02739615.2021.1993228","url":null,"abstract":"ABSTRACT Cystic fibrosis (CF) is an inherited, life-limiting chronic health condition that impacts many organ systems including the lungs, pancreas, liver, intestines, and reproductive organs. Given the various organ systems impacted, treatments can be complex, burdensome, and time consuming. In addition, the stress and emotional impact of CF on caregivers as well as patients is significant. This paper describes delivery of psychosocial care across developmental stages in the largest pediatric CF center in the country. The focus will be on goals of care as well as assessment and intervention strategies. Furthermore, clinical informatics and next steps also will be discussed.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43613032","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 : 2021-11-02DOI: 10.1080/02739615.2021.1997602
Kimberly Burkhart, S. Minnes, Owusua Yamoah, Ellen A. Doernberg, Sarah Balser, Timothy H. Ciesielski, A. Dimitropoulos, N. Nock, Darcy A. Freedman
ABSTRACT COVID-19-related stress effects on the caregiver and child are largely unexplored. Caregivers (N = 114) of children between the ages of 3 months and 10 years accessing Ohio child care completed a parent survey (fall 2020), and additional caregivers (N = 20) completed an interview. Caregivers reported a mean of 70 (SD = 19; scale 1–100) on COVID-19-related stress. In adjusted regression models, higher caregiver-reported COVID-19-related stress was associated with increased odds of child aggression and poor social skills. Exploratory analyses indicated that these associations may be partly mediated by the caregiver working from home and losing their temper. Qualitative findings reflect caregiver COVID-19 stress and complement quantitative findings. Caregivers and children who experience COVID-19 stress should be monitored for persistent problems.
{"title":"The effects of COVID-19-related stress among parents and children in Ohio child care programs: a mixed-methods study","authors":"Kimberly Burkhart, S. Minnes, Owusua Yamoah, Ellen A. Doernberg, Sarah Balser, Timothy H. Ciesielski, A. Dimitropoulos, N. Nock, Darcy A. Freedman","doi":"10.1080/02739615.2021.1997602","DOIUrl":"https://doi.org/10.1080/02739615.2021.1997602","url":null,"abstract":"ABSTRACT COVID-19-related stress effects on the caregiver and child are largely unexplored. Caregivers (N = 114) of children between the ages of 3 months and 10 years accessing Ohio child care completed a parent survey (fall 2020), and additional caregivers (N = 20) completed an interview. Caregivers reported a mean of 70 (SD = 19; scale 1–100) on COVID-19-related stress. In adjusted regression models, higher caregiver-reported COVID-19-related stress was associated with increased odds of child aggression and poor social skills. Exploratory analyses indicated that these associations may be partly mediated by the caregiver working from home and losing their temper. Qualitative findings reflect caregiver COVID-19 stress and complement quantitative findings. Caregivers and children who experience COVID-19 stress should be monitored for persistent problems.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41326033","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 : 2021-10-23DOI: 10.1080/02739615.2021.1981331
Kristy L. Larsen, Sara Jordan
ABSTRACT Bedtime routines have “strong” support for addressing bedtime behavior problems and sleep; however, little research has examined factors associated with bedtime routines and sleep quality. Parents of 155 children ages 3 to 5 were surveyed about their children’s bedtime routines, bedtime anxiety, compliance, and sleep quality. Regression models supported a simple indirect effect of bedtime routine consistency on sleep quality through bedtime anxiety, but not through compliance at bedtime. In a serial model, consistent bedtime routines were related to sleep quality through first bedtime anxiety and then compliance near bedtime. Clinically, results suggest that if parents can alleviate child anxiety around bedtime through routines, compliance around bedtime, and a good night sleep may follow.
{"title":"Factors associated with consistent bedtime routines and good sleep outcomes","authors":"Kristy L. Larsen, Sara Jordan","doi":"10.1080/02739615.2021.1981331","DOIUrl":"https://doi.org/10.1080/02739615.2021.1981331","url":null,"abstract":"ABSTRACT Bedtime routines have “strong” support for addressing bedtime behavior problems and sleep; however, little research has examined factors associated with bedtime routines and sleep quality. Parents of 155 children ages 3 to 5 were surveyed about their children’s bedtime routines, bedtime anxiety, compliance, and sleep quality. Regression models supported a simple indirect effect of bedtime routine consistency on sleep quality through bedtime anxiety, but not through compliance at bedtime. In a serial model, consistent bedtime routines were related to sleep quality through first bedtime anxiety and then compliance near bedtime. Clinically, results suggest that if parents can alleviate child anxiety around bedtime through routines, compliance around bedtime, and a good night sleep may follow.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44741965","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 : 2021-10-21DOI: 10.1080/02739615.2021.1983434
Katherine A. Traino, Misty A. W. Hawkins, J. Chaney, L. Mullins
ABSTRACT Adolescents and young adults (AYAs) with a chronic medical condition (CMC) are tasked with independent health care management transition. However, the role of health anxiety in care management is unclear. The present study evaluated whether health anxiety moderates transition readiness-to-health-related quality of life (HRQoL). College students (N = 135) completed cross-sectional surveys of demographics, health anxiety, transition readiness, and HRQoL. Analyses revealed interaction effects for health anxiety and transition readiness on HRQoL outcomes. For lower health anxiety, greater transition readiness was associated with greater HRQoL. Therefore, examining health anxiety in AYAs transitioning care may relate to long-term HRQoL outcomes.
{"title":"The role of health anxiety in healthcare management transition and health-related quality of life in young adults with medical conditions","authors":"Katherine A. Traino, Misty A. W. Hawkins, J. Chaney, L. Mullins","doi":"10.1080/02739615.2021.1983434","DOIUrl":"https://doi.org/10.1080/02739615.2021.1983434","url":null,"abstract":"ABSTRACT Adolescents and young adults (AYAs) with a chronic medical condition (CMC) are tasked with independent health care management transition. However, the role of health anxiety in care management is unclear. The present study evaluated whether health anxiety moderates transition readiness-to-health-related quality of life (HRQoL). College students (N = 135) completed cross-sectional surveys of demographics, health anxiety, transition readiness, and HRQoL. Analyses revealed interaction effects for health anxiety and transition readiness on HRQoL outcomes. For lower health anxiety, greater transition readiness was associated with greater HRQoL. Therefore, examining health anxiety in AYAs transitioning care may relate to long-term HRQoL outcomes.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41406076","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 : 2021-10-18DOI: 10.1080/02739615.2021.1983435
Kirandeep Kaur, Chad D. Jensen
ABSTRACT Our study examined the association between hedonic hunger and body mass and whether caloric intake mediated the association between these constructs in adolescents. One hundred adolescents with overweight or obesity completed measures of hedonic food reward, dietary intake, and height and weight. Exaggerated hedonic food responses were associated with higher body mass. For 16% of participants who had high hedonic hunger, and high body mass, caloric intake mediated the association between hedonic hunger and zBMI. These results suggest that hedonic hunger may override the homeostatic need for energy and may be associated with increased caloric intake, potentiating weight gain.
{"title":"Does hedonic hunger predict eating behavior and body mass in adolescents with overweight or obesity?","authors":"Kirandeep Kaur, Chad D. Jensen","doi":"10.1080/02739615.2021.1983435","DOIUrl":"https://doi.org/10.1080/02739615.2021.1983435","url":null,"abstract":"ABSTRACT Our study examined the association between hedonic hunger and body mass and whether caloric intake mediated the association between these constructs in adolescents. One hundred adolescents with overweight or obesity completed measures of hedonic food reward, dietary intake, and height and weight. Exaggerated hedonic food responses were associated with higher body mass. For 16% of participants who had high hedonic hunger, and high body mass, caloric intake mediated the association between hedonic hunger and zBMI. These results suggest that hedonic hunger may override the homeostatic need for energy and may be associated with increased caloric intake, potentiating weight gain.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49241796","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 : 2021-10-18DOI: 10.1080/02739615.2021.1984241
Shilpa R. Taufique, Rachel E. Weller, Brandon Johnson, Jennifer Herring
ABSTRACT Born out of a recognition that minority youth have the lowest access to care and disproportionally high rates of related deleterious outcomes, the Comprehensive Adolescent Rehabilitation and Education Service (CARES) in the Mount Sinai Health System offers a novel solution. For the last 19 years, CARES has been treating adolescents and young adults (ages 14 to 21) – referred from across the five boroughs of NYC – with complex profiles of mental health, substance use, and education problems. What started out as two small grant funded programs has expanded to become a dynamic, multifaceted vehicle for empowerment, hope, and change for those individuals and families who have traditionally been underserved and unsupported by the healthcare system. Embedded within CARES is the mission and commitment to addressing mental health disparities among racial and ethnic minority youth across individual, community, and organizational levels. We, at CARES, recognize that mental health symptomology and adverse experiences rarely occur in isolation. Rather, what guides our treatment is the acknowledgment that the health and well-being of our patients is reliant upon a holistic conceptualization – one that honors the unique and diverse characteristics of adolescence and its inherent resilience.
{"title":"CARES: an innovative approach to treating adolescents with co-occurring mental health and substance use disorders","authors":"Shilpa R. Taufique, Rachel E. Weller, Brandon Johnson, Jennifer Herring","doi":"10.1080/02739615.2021.1984241","DOIUrl":"https://doi.org/10.1080/02739615.2021.1984241","url":null,"abstract":"ABSTRACT Born out of a recognition that minority youth have the lowest access to care and disproportionally high rates of related deleterious outcomes, the Comprehensive Adolescent Rehabilitation and Education Service (CARES) in the Mount Sinai Health System offers a novel solution. For the last 19 years, CARES has been treating adolescents and young adults (ages 14 to 21) – referred from across the five boroughs of NYC – with complex profiles of mental health, substance use, and education problems. What started out as two small grant funded programs has expanded to become a dynamic, multifaceted vehicle for empowerment, hope, and change for those individuals and families who have traditionally been underserved and unsupported by the healthcare system. Embedded within CARES is the mission and commitment to addressing mental health disparities among racial and ethnic minority youth across individual, community, and organizational levels. We, at CARES, recognize that mental health symptomology and adverse experiences rarely occur in isolation. Rather, what guides our treatment is the acknowledgment that the health and well-being of our patients is reliant upon a holistic conceptualization – one that honors the unique and diverse characteristics of adolescence and its inherent resilience.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43610036","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 : 2021-10-03DOI: 10.1080/02739615.2021.1973900
Lyndsay MacKay, K. Benzies, S. Raffin Bouchal, Chantelle Barnard
ABSTRACT Parents of hospitalized Medically Fragile Infants (MFI) experience stressors and mental health difficulties and Health-Care Professionals (HCP) who care for MFI experience burnout and stress. A constructivist grounded theory study was conducted among parents of MFI (N = 19) and HCP (N = 26) to understand their experiences caring for MFI in pediatric inpatient units. As parents and HCP engaged in beneficial interactions, trust was formed, and they established supportive relationships. When beneficial interactions did not occur, trust was fractured and parents and HCP were unsuccessful in establishing supportive relationships. Supportive relationships aided parents and HCP to journey alongside one another.
{"title":"Parental and Health Care Professionals' Experiences Caring for Medically Fragile Infants on Pediatric Inpatient Units","authors":"Lyndsay MacKay, K. Benzies, S. Raffin Bouchal, Chantelle Barnard","doi":"10.1080/02739615.2021.1973900","DOIUrl":"https://doi.org/10.1080/02739615.2021.1973900","url":null,"abstract":"ABSTRACT Parents of hospitalized Medically Fragile Infants (MFI) experience stressors and mental health difficulties and Health-Care Professionals (HCP) who care for MFI experience burnout and stress. A constructivist grounded theory study was conducted among parents of MFI (N = 19) and HCP (N = 26) to understand their experiences caring for MFI in pediatric inpatient units. As parents and HCP engaged in beneficial interactions, trust was formed, and they established supportive relationships. When beneficial interactions did not occur, trust was fractured and parents and HCP were unsuccessful in establishing supportive relationships. Supportive relationships aided parents and HCP to journey alongside one another.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44066557","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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