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Cooperative learning in parental education groups – child healthcare nurses’ views on their work as leaders and on the groups 家长教育小组中的合作学习——儿童保健护士对其领导工作和小组的看法
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-26 DOI: 10.1080/02739615.2021.1949319
K. Forslund Frykedal, Michael Rosander, M. Barimani, Anita Belin
ABSTRACT New parents are offered parental education groups as a way to support their transition to parenthood. Interactive approaches in these groups are of importance, but studies have reported a lack of activities that support interaction. Cooperative learning is a structured method when working with groups and based on five elements essential to maximizing the cooperative potential of groups. The aim was to investigate the leadership skills of child healthcare nurses as leaders for parental education groups, their ideas about creating conditions for well-functioning groups, and what is required to achieve this. The results were analyzed and discussed using social interdependence theory as a framework and especially the five elements of cooperative learning. Further, the study used a qualitative descriptive design, and eight qualitative interviews were analyzed deductively using thematic analysis. The results showed that in their narratives the nurses display vocational knowledge and describe conditions important for their groups from a cooperative learning perspective. Nevertheless, the results indicate that the nurses had difficulty explicitly instructing parents to use their personal experiences and social skills to get groups to function effectively. Knowledge developed in the workplaces from the experience of leading groups is mostly implicit, and formal knowledge and awareness of leadership is necessary for development of the role.
摘要:为新父母提供家长教育小组,以支持他们转变为父母。这些群体中的互动方法很重要,但研究报告称缺乏支持互动的活动。合作学习是一种与团队合作的结构化方法,基于最大限度地发挥团队合作潜力所必需的五个要素。目的是调查儿童保健护士作为家长教育团体领导者的领导技能,他们关于为运作良好的团体创造条件的想法,以及实现这一目标所需的条件。以社会相互依存理论为框架,特别是合作学习的五个要素,对结果进行了分析和讨论。此外,本研究采用了定性描述性设计,并使用主题分析对8次定性访谈进行了演绎分析。结果表明,在他们的叙述中,护士们展示了职业知识,并从合作学习的角度描述了对其群体重要的条件。然而,研究结果表明,护士很难明确指示父母利用他们的个人经历和社交技能来让团队有效运作。在工作场所从领导团队的经验中发展出来的知识大多是隐性的,正式的领导知识和意识对于角色的发展是必要的。
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引用次数: 1
Parental feeding knowledge, practices and Chinese children and adolescents’ weight status 父母喂养知识、做法与中国儿童青少年体重状况的关系
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-07-05 DOI: 10.1080/02739615.2021.1919112
Li Zhang, Yao Zhang, Liya Qiu, Guangxing Yang, Haiyan Jiang, Mengyi Zheng, Jie-song Wang
ABSTRACT Childhood obesity is related to impaired health and to some diseases in adulthood. Overweight children and adolescents have also been shown to experience social and psychological problems such as stigmatization and poor self-esteem. Thus, it is imperative to investigate the determinants of children and adolescents’ weight outcomes. Through analyzing the 2004, 2006, 2009 and 2011 waves of survey data released by China Health and Nutrition Survey (CHNS), this paper studied how parental feeding knowledge and practices have impacted the weight status of Chinese children and adolescents aged 6 to 17. The paper focused on exploring how such impacts varied by parental gender and rural-urban residence. Logistic regression was used to conduct the analyses. The results showed that parental feeding knowledge and practices varied by gender and by rural-urban residence. Specifically, food preferences, energy intake (such as carbohydrate, protein and fat intake) and numbers of meals sharing with children showed different patterns among mothers and fathers. Maternal intervention on children and adolescents’ eating and physical activities, parental energy intakes and meal sharing also showed rural and urban differences. The results further highlighted that the ways in which parental feeding knowledge and practices influenced children and adolescents’ weight status also differed by parental gender and residence. Mothers were “gatekeepers” of children and adolescents’ food choices and selection; their feeding practices played a more decisive role when influencing Chinese youth’s weight status.
儿童肥胖与健康受损和成年后的某些疾病有关。超重的儿童和青少年还会经历社会和心理问题,如被污名化和缺乏自尊。因此,有必要调查儿童和青少年体重结果的决定因素。本文通过分析中国健康与营养调查(CHNS) 2004年、2006年、2009年和2011年的调查数据,研究父母喂养知识和行为对中国6 ~ 17岁儿童和青少年体重状况的影响。本文重点探讨了这种影响在父母性别和城乡居住地之间的差异。采用Logistic回归进行分析。结果表明,父母喂养知识和做法因性别和城乡居住而异。具体来说,食物偏好、能量摄入(如碳水化合物、蛋白质和脂肪的摄入)和与孩子共餐的次数在母亲和父亲之间表现出不同的模式。母亲对儿童和青少年饮食和体育活动、父母能量摄入和用餐分享的干预也显示出城乡差异。结果进一步强调,父母喂养知识和行为对儿童和青少年体重状况的影响方式也因父母性别和居住地而异。母亲是儿童和青少年食物选择和选择的“看门人”;他们的喂养方式在影响中国青少年体重状况方面起着更决定性的作用。
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引用次数: 2
Disrupted mealtime interactions are associated with stress and internalizing symptoms in caregivers of school-age children 进餐时间中断的互动与学龄儿童照料者的压力和内化症状有关
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-15 DOI: 10.1080/02739615.2021.1928499
Paulina S. Lim, Kathryn A. Balistreri, A. Silverman, W. Davies
ABSTRACT Caregivers of children with feeding problems (FP) experience more stress and mental health concerns. This study examines the relationship between disruptive mealtime interactions and symptoms of FP with caregiver stress and mental health concerns. A community sample of 198 caregivers of school-age children completed an online survey about child mealtime problems, caregiver perceptions of the severity of their child’s FP, disrupted mealtime interactions severity, caregiver stress, and caregiver depression and anxiety (i.e., internalizing symptoms). Two-thirds of caregivers reported at least 1 mealtime problem. Child picky eating was commonly reported and occurred before and after age 6. Increase in disrupted mealtime interactions and mealtime problem severity was associated with higher ratings of caregiver stress and increased internalizing symptoms. Feeding is an interactive activity between caregivers and children. Caregiver’s perception of FP is important as negative attributions about child feeding behaviors lead to increased risks of caregiver mental health problems. Integrative care providers and psychologists are encouraged to evaluate caregivers’ feeding concerns in addition to traditional objective measures of child nutrition (e.g., growth charts), as the interactions between caregiver stress, internalizing symptoms, and child FP result in poor outcomes.
喂养问题儿童(FP)的照顾者面临更多的压力和心理健康问题。本研究探讨了破坏性用餐时间互动和FP症状与照顾者压力和心理健康问题之间的关系。198名学龄儿童照顾者的社区样本完成了一项关于儿童用餐时间问题、照顾者对孩子FP严重程度的看法、用餐时间互动中断的严重程度、照顾者压力、照顾者抑郁和焦虑(即内化症状)的在线调查。三分之二的护理人员报告了至少一个用餐时间问题。儿童挑食通常发生在6岁前后。用餐时间互动中断和用餐时间问题严重程度的增加与照顾者压力评分较高和内化症状增加有关。喂养是照顾者和儿童之间的互动活动。照顾者对FP的认知是重要的,因为对儿童喂养行为的负面归因导致照顾者心理健康问题的风险增加。由于照顾者压力、内化症状和儿童FP之间的相互作用导致不良结果,除了传统的儿童营养客观测量(如生长图表)外,还鼓励综合护理提供者和心理学家评估照顾者的喂养问题。
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引用次数: 3
Statistically derived patterns of smoking typologies among adolescents and their associations with demographic characteristics, interpersonal influences, and sources of cigarettes 统计得出的青少年吸烟类型模式及其与人口统计学特征、人际关系影响和香烟来源的关系
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-09 DOI: 10.1080/02739615.2021.1937172
Kinsey Pebley, L. Robinson, K. Campbell, K. Berlin
ABSTRACT Cigarette use is one of the leading causes of death in the United States, with most smokers beginning cigarette use in adolescence. Despite not being of legal age to make tobacco purchases, adolescents are quite successful in their acquisition. The current study used latent variable mixture modeling to identify smoking typologies among adolescents and examine associations with various sources of cigarettes (i.e., stealing, obtaining from friends, obtaining from family members, purchasing), social influences (parental objection to smoking, smoking friends), and demographics. Participants were 195 high school students caught with tobacco in school who completed surveys questions about their cigarette use, and cigarette use of family and friends. Results identified three latent classes pertaining to smoking patterns: recent, heavy, frequent smokers (RHFS), low infrequent smokers (LIS), and recent moderate smokers (RMS). Students in the RHFS and RMS groups were more likely to obtain cigarettes by purchasing or borrowing from a friend, and reported more friends who smoke and lower parental objection compared to LIS members. RHFS members also were more likely to obtain cigarettes from family and be of White race compared to the other groups. These findings highlight the need for tailored prevention or intervention programs depending on risk profile.
在美国,吸烟是导致死亡的主要原因之一,大多数吸烟者在青少年时期开始吸烟。尽管青少年没有达到购买烟草的法定年龄,但他们在购买烟草方面相当成功。目前的研究使用潜在变量混合模型来确定青少年的吸烟类型,并检查与各种香烟来源(即偷窃、从朋友那里获得、从家庭成员那里获得、购买)、社会影响(父母反对吸烟、吸烟的朋友)和人口统计学的关系。参与者是195名在校吸烟的高中生,他们完成了关于自己吸烟情况以及家人和朋友吸烟情况的调查问题。结果确定了与吸烟模式相关的三个潜在类别:近期重度频繁吸烟者(RHFS),低不频繁吸烟者(LIS)和近期中度吸烟者(RMS)。rfs组和RMS组的学生更有可能通过购买或从朋友那里借来香烟,与LIS组的学生相比,他们报告说有更多的朋友吸烟,父母的反对也更少。与其他组相比,rfs成员更有可能从家庭和白人那里获得香烟。这些发现强调了根据风险概况制定量身定制的预防或干预方案的必要性。
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引用次数: 0
Pediatric siblings of children with special health care needs: Well-being outcomes and the role of family resilience 有特殊保健需要儿童的儿科兄弟姐妹:福祉结果和家庭复原力的作用
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-09 DOI: 10.1080/02739615.2021.1933985
E. Rosenthal, Sara R. Franklin Gillette, G. DuPaul
ABSTRACT Using data from the 2018 National Survey for Children’s Health , this study examined relationships between several adaptive psychological and psychosocial factors among siblings of children with special health care needs (CSHCN) compared to siblings of children without SHCN and the role of family resilience within those relationships. We conducted independent samples t-tests to determine if outcomes of interest differed between the siblings of CSHCN (n = 1486) and the siblings of typically-developing children (n = 1429). We then conducted simple linear regressions to examine family resilience as a correlate of all outcomes. Siblings of CSHCN exhibit significantly worse outcomes in academic and social school engagement, flourishing, and family resilience. Family resiliency is significantly associated with relationships involving school engagement, flourishing, and bullying. Siblings of CSHCN are at increased risk for important negative outcomes. Preventive intervention research is warranted, specifically to enhance resilience of families with CSHCN.
本研究利用2018年全国儿童健康调查的数据,研究了有特殊卫生保健需求儿童(CSHCN)的兄弟姐妹与无特殊卫生保健需求儿童的兄弟姐妹之间几种适应性心理和社会心理因素之间的关系,以及家庭弹性在这些关系中的作用。我们进行了独立样本t检验,以确定CSHCN患儿的兄弟姐妹(n = 1486)和正常发育儿童的兄弟姐妹(n = 1429)的结局是否不同。然后,我们进行了简单的线性回归,以检验家庭弹性作为所有结果的相关性。CSHCN的兄弟姐妹在学业和社会学校参与、成长和家庭弹性方面表现出明显较差的结果。家庭弹性与学校参与、成长和欺凌等关系密切相关。CSHCN的兄弟姐妹发生重要负面结果的风险增加。预防干预研究是有必要的,特别是为了提高CSHCN家庭的复原力。
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引用次数: 2
Theory of mind failure and emotion dysregulation as contributors to peer bullying among adolescents with attention-deficit/hyperactivity disorder 注意缺陷/多动障碍青少年同伴欺凌的心理失败和情绪失调理论
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-08 DOI: 10.1080/02739615.2021.1926250
H. Yilmaz Kafali, Binay Kayan Ocakoğlu, Adem Işık, Ümran Gül Ayvalık Baydur, Gizem Müjdecioğlu Demir, Müge Şahin Erener, Ö. Üneri
ABSTRACT This study investigated whether poor performance in the Reading the Mind in the Eyes Test (RMET) and emotion dysregulation (ED) contributes to involvement in bullying among adolescents with attention-deficit/hyperactivity disorder (ADHD). Altogether, 105 adolescents with ADHD aged 10–18 years (mean: 13.9±1.8 years, 77% boys) were recruited. RMET was applied to evaluate the ToM abilities. Participants completed the Difficulties in Emotion Regulation Scale (DERS) and the Olweus Bully/Victim Questionnaire to measure ED and evaluate involvement in bullying, respectively. Among the subjects, 24.8% were victims, 23.8% were perpetrators. The perpetrators and victims exhibited significantly lower RMET scores and higher DERS awareness scores than non-victims/non-perpetrators. The perpetrators also exhibited significantly higher DERS impulse scores and DERS total scores than non-victims/non-perpetrators. Binary logistic regression analysis revealed that a 1-point decrease in the RMET score increased the odds of bullying victimization by 53% and bullying perpetration by 21.6%, while a 1-point increase in DERS impulse scores increased the risk of bullying perpetration by 14.9%. This study is the first to show an association between poor ToM ability and involvement in bullying as victims/perpetrators among children with ADHD. Both victims and perpetrators had problems with emotional awareness, while only perpetrators had difficulties controlling their impulses.
摘要:本研究旨在探讨注意力缺陷多动障碍(ADHD)青少年在眼读心术测试(RMET)和情绪调节障碍(ED)中的不良表现是否会导致欺凌行为。共纳入105名10-18岁ADHD青少年(平均:13.9±1.8岁,77%为男孩)。采用RMET法评价学生的ToM能力。被试分别填写了情绪调节困难量表(DERS)和Olweus欺凌/受害者问卷来测量ED和评估欺凌参与。被害者占24.8%,加害者占23.8%。加害者和受害者的RMET得分显著低于非受害者/非加害者,而DERS意识得分显著高于非受害者/非加害者。加害者也表现出显著高于非受害者/非加害者的DERS冲动得分和DERS总分。二元logistic回归分析显示,RMET得分每降低1分,霸凌受害的几率增加53%,霸凌实施的几率增加21.6%,而DERS冲动得分每增加1分,霸凌实施的风险增加14.9%。这项研究首次表明,在患有多动症的儿童中,较差的ToM能力与作为受害者/施暴者参与欺凌之间存在关联。受害者和加害者都有情感意识方面的问题,而只有加害者难以控制自己的冲动。
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引用次数: 2
Deficits in socialization and daily living skills associated with gastrointestinal symptoms in children with autism spectrum disorder 自闭症谱系障碍儿童胃肠道症状相关的社交和日常生活技能缺陷
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-06-07 DOI: 10.1080/02739615.2021.1925117
Harry M. Voulgarakis, C. Saulnier, D. Bendell-Estroff, J. Bush, T. Field
ABSTRACT Recent research has demonstrated greater prevalence of gastrointestinal (GI) symptoms in children with autism spectrum disorder (ASD) as compared to their typically developing peers. While there is an existing body of research that examines behavioral correlates of ASD and GI symptoms, few specifically examine social and adaptive profiles in this context. The aim of the current study was to identify correlations between social and adaptive skills in children with ASD, with the endorsement of GI symptoms. Significant correlations were found between GI symptoms and overall adaptive functioning, socialization, and daily living skills. No significant correlations were found between GI symptoms and communication skills, motor skills, or ADOS-2 severity scores. Strengths, limitations, and directions for future research are discussed.
最近的研究表明,与正常发育的同龄人相比,自闭症谱系障碍(ASD)儿童胃肠道(GI)症状的患病率更高。虽然现有的研究机构研究了ASD和胃肠道症状的行为相关性,但很少有人专门研究在这种情况下的社会和适应概况。当前研究的目的是在胃肠道症状的支持下,确定自闭症儿童的社交技能和适应技能之间的相关性。胃肠道症状与整体适应功能、社会化和日常生活技能之间存在显著相关性。胃肠道症状与沟通技能、运动技能或ADOS-2严重程度评分之间未发现显著相关性。讨论了未来研究的优势、局限和方向。
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引用次数: 1
A systematic review of online parent-implemented interventions for children with neurodevelopmental disorders 网络父母实施的神经发育障碍儿童干预措施的系统综述
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-04-16 DOI: 10.1080/02739615.2021.1886934
Kim M. Tan-MacNeill, I. Smith, Shannon A. Johnson, J. Chorney, P. Corkum
ABSTRACT Online parent-implemented interventions may increase treatment accessibility and reduce health care services burden by enabling parents of children with neurodevelopmental disorders (NDD) to implement treatments at home. This systematic review identified and evaluated the quality of evidence for the efficacy of online parent-implemented interventions for children with Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Cerebral Palsy (CP), and Fetal Alcohol Spectrum Disorder (FASD). Twelve interventions were identified targeting a range of behaviors (ASD = 8, ADHD = 3, FASD = 1). Preliminary evidence suggests that online parent-implemented interventions are promising for children with these diagnoses, but require more rigorous, large-scale research as study quality was poor overall.
在线父母实施的干预措施可以增加治疗的可及性,并通过使患有神经发育障碍(NDD)儿童的父母在家中实施治疗来减轻医疗保健服务负担。本系统综述确定并评估了父母实施的在线干预对患有自闭症谱系障碍(ASD)、注意缺陷/多动障碍(ADHD)、脑瘫(CP)和胎儿酒精谱系障碍(FASD)的儿童的有效性的证据质量。针对一系列行为(ASD = 8, ADHD = 3, FASD = 1)确定了12种干预措施。初步证据表明,在线父母实施的干预措施对患有这些诊断的儿童很有希望,但由于研究质量总体较差,需要更严格、更大规模的研究。
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引用次数: 8
Parents’ experiences of children’s health care for hypermobile Ehlers–Danlos syndrome and hypermobility spectrum disorders 多动性ehers - danlos综合征和多动性谱系障碍患儿家长保健经验
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-04-15 DOI: 10.1080/02739615.2021.1960165
Lauren Bell, G. Pearce
ABSTRACT Hypermobile Ehlers–Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD) are underdiagnosed hereditary connective tissue disorders requiring health care across specialties. Using mixed methods, we explored how parents have experienced children’s health care for hEDS/HSD. Surveyed parents (N = 297) reported varying experiences, though professional understanding was negatively appraised by most parents. Themes identified from interviews (n = 13) were: (1) awareness and understanding are fundamental, (2) the importance of the therapeutic relationship, (3) limitations of healthcare systems, and (4) diagnostic labels are meaningful. Findings suggest that achieving person-centered care may broadly improve health care for families with hEDS/HSD.
多动性ehers - danlos综合征(hEDS)和多动性谱系障碍(HSD)是未被诊断的遗传性结缔组织疾病,需要跨专业的医疗保健。采用混合方法,我们探讨了父母如何体验儿童对hEDS/HSD的保健。接受调查的父母(N = 297)报告了不同的经历,尽管大多数父母对专业理解持负面评价。从访谈(n = 13)中确定的主题是:(1)意识和理解是基本的,(2)治疗关系的重要性,(3)医疗保健系统的局限性,(4)诊断标签是有意义的。研究结果表明,实现以人为本的护理可以广泛改善hEDS/HSD家庭的卫生保健。
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引用次数: 7
The impact of trauma exposure on headache outcomes 创伤暴露对头痛结果的影响
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-04-14 DOI: 10.1080/02739615.2021.1913163
Morgan Rittenberger, Sarah Ostrowski-Delahanty, K. Woods
ABSTRACT Limited research exists regarding the relationship between trauma exposure and headache in youth despite the knowledge that pain symptoms often occur with persistent traumatic stress. This study examined the relationship between trauma exposure and headache outcomes in youth via retrospective chart review for 95 participants evaluated through a multidisciplinary headache clinic in a children’s hospital. Youth with trauma exposure were more likely to report chronic and daily headaches, greater severity in headache disability, and more frequent headaches than youth without trauma history. Our results indicate the importance of screening as trauma exposure may contribute to headache outcomes and headache-related disability.
摘要:尽管人们知道持续的创伤压力往往会导致疼痛症状,但关于创伤暴露与青少年头痛之间关系的研究有限。这项研究通过对儿童医院多学科头痛诊所评估的95名参与者的回顾性图表审查,检验了创伤暴露与青少年头痛结果之间的关系。与没有创伤史的年轻人相比,有创伤暴露的年轻人更有可能报告慢性和日常头痛,头痛残疾更严重,头痛更频繁。我们的研究结果表明了筛查的重要性,因为创伤暴露可能会导致头痛结果和头痛相关残疾。
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引用次数: 0
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Childrens Health Care
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