Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献

{"title":"Caring at Home for Children with Medical Complexity: A study on Family Caregivers' Burden, Fatigue, and Musculoskeletal Pain","authors":"Gokcen Akyurek Ph.D. (Assoc. Prof.),&nbsp;Vera Tekin OT,&nbsp;Ezginur Gündoğmuş M.Sc., OT","doi":"10.1016/j.pedn.2025.10.031","DOIUrl":"10.1016/j.pedn.2025.10.031","url":null,"abstract":"<div><h3>Background</h3><div>Children with medical complexity (CMC) require intensive, long-term care involving multiple systems, medical technologies, and frequent hospitalizations. This shift of care responsibilities from hospitals to families has increased the physical and psychological burden on caregivers, particularly parents. While literature reports on psychological impacts, fewer studies have simultaneously addressed physical factors such as fatigue and musculoskeletal pain.</div></div><div><h3>Methods</h3><div>In this cross-sectional, descriptive comparative study based on self-report instruments, participants were divided into two groups: caregivers of children with special needs and medical complexity (Group 1, <em>n</em> = 62) and caregivers of children with special needs but without medical complexity (Group 2, <em>n</em> = 73). Participants were recruited through social media platforms targeting caregivers of children with special needs. Data were collected using a sociodemographic form, the BAKAS Care Impact Scale, the Fatigue Severity Scale (FSS), and the Extended Scandinavian Musculoskeletal System Questionnaire. Independent <em>t</em>-tests were used for intergroup comparisons (<em>p</em> &lt; 0.05).</div></div><div><h3>Results</h3><div>Caregivers of children with medical complexity had significantly higher caregiver burden (<em>p</em> = 0.001) and fatigue levels (<em>p</em> = 0.029) compared to the other group. In both groups, the most common musculoskeletal complaint was low back pain, with a higher frequency and severity in Group 1. These results suggest that caregivers of medically complex children experience higher reported burden and fatigue.</div></div><div><h3>Conclusion</h3><div>The study highlights the multifaceted burden experienced by caregivers of CMC children, emphasizing the need for integrated support addressing both physical and emotional health. Ergonomic interventions, respite care access, and psychosocial supports are critical to reducing caregiver strain and ensuring sustainable caregiving.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 215-222"},"PeriodicalIF":2.3,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558139","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}

{"title":"Comparing the effectiveness of cooling and vibrational cooling for pain and fear reduction during insulin injection in children with type 1 diabetes mellitus: A randomized controlled trial","authors":"Mine Nur Temuçin ,&nbsp;Evrim Kızıler ,&nbsp;Mehmet Boyraz","doi":"10.1016/j.pedn.2025.11.021","DOIUrl":"10.1016/j.pedn.2025.11.021","url":null,"abstract":"<div><h3>Purpose</h3><div>This study compared the effectiveness of cooling (CoolSense) and vibrating cooling (Buzzy) in reducing pain and fear during insulin injections in children with type 1 diabetes mellitus (T1DM).</div></div><div><h3>Method</h3><div>This randomized controlled study was conducted in Türkiye from July 2023 to February 2024. Ninety children aged 6–10 years with newly diagnosed T1DM (≤2 weeks) receiving subcutaneous insulin were randomly assigned to Buzzy (<em>n</em> = 30), CoolSense (n = 30), or Control (n = 30) groups. Data were collected using the Child-Parent Information Form, Wong-Baker FACES (WBF), and Children's Fear Scale (CFS).</div></div><div><h3>Results</h3><div>The sample consisted of 53.3 % girls and 46.7 % boys, with a mean age of 8.01 ± 1.45 years. There were no significant differences in demographic or clinical characteristics between the groups prior to the intervention (<em>p</em> &gt; .05). During insulin administration, pain and fear scores reported by children, parents, and observers were significantly lower in the CoolSense and Buzzy groups compared with the control group (<em>p</em> &lt; .001). Post-hoc analyses revealed no statistically significant differences between the CoolSense and Buzzy groups in either pain or fear scores.</div></div><div><h3>Conclusions</h3><div>Both CoolSense and Buzzy effectively reduced pain and fear during insulin injections in children with T1DM, with no statistically significant difference between the two methods.</div><div>Implications to Practice: Given their proven effectiveness and child-friendly nature, pediatric nurses can incorporate either CoolSense or Buzzy into routine insulin administration to enhance children's comfort and minimize needle-related distress. Choice of method may depend on cost, accessibility, and patient preference.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 207-214"},"PeriodicalIF":2.3,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558148","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}

{"title":"Knowledge and attitudes among primary care pediatric nurse practitioners regarding the care of transgender patients","authors":"Deborah Tuffield DNP, APRN, FNP-C,&nbsp;Natasha Smith-Holmquist DNP, APRN, CPNP-PC,&nbsp;Sherry J. McCormick DNP, APRN, FNP-BC,&nbsp;Melissa J. Benton PhD, RN","doi":"10.1016/j.pedn.2025.11.003","DOIUrl":"10.1016/j.pedn.2025.11.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Transgender patients report barriers to accessing care including lack of provider knowledge. This study assessed knowledge and attitudes regarding care of transgender patients among pediatric nurse practitioners.</div></div><div><h3>Design and methods</h3><div>This cross-sectional study recruited primary care pediatric nurse practitioners (<em>N</em> = 244) to answer an online survey between September 2024 and May 2025. Knowledge (5 items) and attitudes (10 items) were measured on a 5-point Likert scale. Higher scores indicated better knowledge and more positive attitudes.</div></div><div><h3>Results</h3><div>Mean scores reflected adequate knowledge (3.9 ± 0.61) and an overall positive attitude (3.59 ± 0.62). The majority of participants (74–91 %) demonstrated understanding of barriers to healthcare access and problems with discrimination, but less than half (33 %) were knowledgeable about health insurance problems. Sixty-nine percent were comfortable treating transgender patients, but only 36 % felt confident treating them. Additionally, 63 % were willing to be listed as transgender-friendly. Seventy-four percent were interested in education about transgender care and 58 % felt it should be mandatory. Age was negatively related to both knowledge and attitudes; years since licensure was negatively related only to attitudes; and highest degree earned was not related to either knowledge or attitudes. Older age predicted less comfort and confidence in treating transgender patients, less willingness to be listed as transgender-friendly, and less interest in education.</div></div><div><h3>Conclusion</h3><div>Pediatric nurse practitioners are generally knowledgeable and have positive attitudes, but report less confidence than expected, indicating the need for education.</div></div><div><h3>Practice implications</h3><div>Assessment of sexual orientation and gender identity should be routinely included on clinic intake forms.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 231-238"},"PeriodicalIF":2.3,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565764","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}

{"title":"Touch-based treatments and infantile colic - Parental perceptions of treatment outcomes related to infants' crying and sleeping","authors":"Leena Hannula ,&nbsp;Sandra Rinne ,&nbsp;Tiina Väänänen ,&nbsp;Pauliina Aarva ,&nbsp;Juulia Suvilehto ,&nbsp;Teemu Kemppainen","doi":"10.1016/j.pedn.2025.11.014","DOIUrl":"10.1016/j.pedn.2025.11.014","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to demonstrate whether touch-based treatments decreased crying and improved sleep among infants suffering infantile colic symptoms. Parent-reported outcomes related to infant crying and sleep were analyzed for two touch-based treatment groups (osteopathy and reflexology), and an affective touch group, receiving three treatments sessions each, compared with a conventional care group.</div></div><div><h3>Design and methods</h3><div>A total of 177 infants diagnosed with colic enrolled, of whom 144 infants, 3–10 weeks old, participated in the study. Parents completed questionnaires before treatments, after the first session, one week after the third session, and three weeks following the third, final session. Primary outcomes were daily crying and sleep duration (in hours), reported for both the preceding 24 h and the preceding week. Mixed model regression analysis was used to compare outcome variations across groups. Secondary outcomes included parent-perceived effectiveness of the treatments on infant crying and sleep quality, measured using Likert scales.</div></div><div><h3>Results</h3><div>No statistically significant reductions in crying hours or increases in sleep hours were detected. However, parents perceived osteopathy and reflexology to be effective in reducing crying and improving sleep quality. All treatments were reported as safe, with no serious adverse events noted.</div></div><div><h3>Conclusions</h3><div>The results rely on parental recall, limiting detection of treatment effects. The discrepancy between the non-significant reduction in IC symptoms and the high perceived effectiveness highlights the value of family-centered approaches. Future research should use more precise measures of infant crying and sleep (e.g., diaries, mobile applications, actigraphy) and apply mixed-methods to explore effectiveness.</div><div><strong>Registration</strong>: ISRCTN registry (ISRCTN15640779).</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 239-249"},"PeriodicalIF":2.3,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565777","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}

{"title":"AI-enhanced, digital psychosocial interventions for pediatric developmental disabilities: A scoping review","authors":"Shima Salahshoor RN, PhD Student,&nbsp;Kalyn M. Renbarger RN, PhD","doi":"10.1016/j.pedn.2025.11.016","DOIUrl":"10.1016/j.pedn.2025.11.016","url":null,"abstract":"<div><h3>Background</h3><div>A variety of challenges exist to the well-being of children and adolescents with developmental disabilities (DDs). Barriers exist to traditional, in-person psychosocial services for many children and adolescents with DDs. Pediatric nurses often have limited time to provide psychosocial support to this population in the clinical setting. Artificial Intelligence (AI)-enhanced, digital psychosocial interventions can help fill this gap by providing tools that support emotional and mental health outside of brief clinical encounters.</div></div><div><h3>Objective</h3><div>This paper mapped the existing literature on the experiences of children and adolescents with DDs with AI-enhanced, digital psychosocial interventions, highlighting intervention types, psychosocial outcomes, challenges, and implications for pediatric nursing.</div></div><div><h3>Methods</h3><div>Using Arksey and O’Malley's scoping review framework, we searched APA PsycINFO, CINAHL, Embase, and PubMed (January 2015–July 2025) for peer-reviewed, English-language studies evaluating AI-enhanced digital psychosocial interventions for children/adolescents with DDs. Eligible interventions included chatbots, neurofeedback, serious games, and apps with adaptive algorithms.</div></div><div><h3>Results</h3><div>Seven studies met inclusion criteria, underscoring an early evidence base at the intersection of pediatric DDs, psychosocial care, and AI. Interventions improved quality of life, emotion regulation, language, and social communication, but challenges included participant dropouts, vocabulary mismatches, and technical issues (e.g., network failures).</div></div><div><h3>Conclusion</h3><div>Artificial intelligence-enhanced, digital psychosocial interventions show promise, but evidence is limited, fragmented, and focused mainly on autism spectrum disorder. Multicenter and cost-effectiveness studies are needed. Pediatric nurses can guide families in selecting and integrating these tools.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 199-206"},"PeriodicalIF":2.3,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558135","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}

{"title":"Self-compassion and secondary traumatic stress in pediatric oncology/hematology nurses","authors":"Tuğba Şahin Tokatlıoğlu ,&nbsp;Perihan Güner","doi":"10.1016/j.pedn.2025.11.015","DOIUrl":"10.1016/j.pedn.2025.11.015","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric oncology/hematology nurses frequently witness the suffering and death of children, placing them at high risk for secondary traumatic stress. Self-compassion has emerged as a protective factor against psychological distress in healthcare professionals.</div></div><div><h3>Methods</h3><div>This descriptive correlational study included 115 nurses in pediatric oncology/hematology units at six hospitals in three major cities. Data were collected using a Personal Information Form, the Self-Compassion Scale, and the Secondary Traumatic Stress Scale. Data were analyzed using descriptive and multiple inferential statistical methods.</div></div><div><h3>Results</h3><div>Nurses reported moderate levels of secondary traumatic stress and self-compassion. A significant negative correlation was found between the total self-compassion scale and secondary traumatic stress scale scores (<em>r</em> = −0.46, indicating a moderate negative correlation, <em>p</em> &lt; 0.01). Subscales of self-kindness, mindfulness, and common humanity were negatively associated with secondary traumatic stress. At the same time, self-judgment and isolation were positively correlated. Multiple regression analysis showed that self-compassion explained a significant portion of variance in secondary traumatic stress scores (R² = 0.31, indicating that 31 % of the variance was explained, <em>p</em> &lt; 0.001).</div></div><div><h3>Discussion</h3><div>The findings suggest that higher self-compassion, particularly self-kindness and mindfulness, may buffer nurses against the adverse effects of secondary trauma. Conversely, self-critical attitudes may heighten vulnerability. These results highlight pediatric oncology nurses' emotional burden and underscore the importance of psychological support.</div></div><div><h3>Conclusion</h3><div>Promoting self-compassion may help reduce secondary traumatic stress and improve well-being among pediatric oncology/hematology nurses. Interventions focused on self-compassion training could serve as a sustainable strategy to support nurses' mental health and care quality.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 191-198"},"PeriodicalIF":2.3,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551386","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}

{"title":"Turkish adaptation and psychometric properties of caring ability of mother with preterm infant scale (CAMPIS)","authors":"Ozge Karakaya Suzan ,&nbsp;Murat Bektaş ,&nbsp;Nursan Cinar ,&nbsp;Hülya Karataş ,&nbsp;Saleheh Tajalli","doi":"10.1016/j.pedn.2025.11.013","DOIUrl":"10.1016/j.pedn.2025.11.013","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to adapt the Caring Ability of Mother with Preterm Infant Scale (CAMPIS) into Turkish and evaluate its psychometric properties.</div></div><div><h3>Methods</h3><div>This methodological and cross-sectional study was conducted with 210 mothers of premature infants in a NICU in Southeastern Türkiye between June and July 2025. Data were collected using a demographic form and the original CAMPIS. Translation procedures followed standard forward–backward techniques, with content validity evaluated by seven experts. Construct validity was examined via exploratory and confirmatory factor analyses (EFA and CFA). Reliability was assessed using Cronbach's alpha, McDonald's omega, item–total correlations, and split-half reliability.</div></div><div><h3>Results</h3><div>The content validity index was 0.98. EFA revealed a three-factor structure—cognitive ability, knowledge and skills abilities, and psychological ability—explaining 45.9 % of the variance. CFA confirmed the structure (χ²/df = 2.466, RMSEA = 0.084, GFI = 0.83, CFI = 0.81, IFI = 0.82, NFI = 0.73, TLI = 0.79), indicating acceptable model fit. CFA showed factor loadings ranging from 0.39 to 0.68 for cognitive ability, 0.39–0.75 for knowledge and skills abilities, and 0.25–0.94 for psychological ability. Cronbach's alpha was 0.792; McDonald's omega was 0.723. Split-half coefficients confirmed internal consistency. Item–total correlations ranged from 0.249 to 0.465. Significant differences between upper and lower 27 % groups supported discriminatory power (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The Turkish version of CAMPIS is a valid and reliable instrument for assessing caregiving ability in mothers of preterm infants.</div></div><div><h3>Implications to practice</h3><div>The Turkish version of CAMPIS can be used by nurses and healthcare professionals to assess caregiving ability in mothers of preterm infants.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 174-181"},"PeriodicalIF":2.3,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551438","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}

{"title":"Implementing family-centred rounds in paediatrics: A formative study using normalisation process theory","authors":"Javier Roberti ,&nbsp;Juan Pedro Alonso ,&nbsp;Natali Ini ,&nbsp;Facundo Jorro-Barón ,&nbsp;Nicolás Monteverde ,&nbsp;Ana Paula Rodríguez ,&nbsp;Michelle Chismechian ,&nbsp;Ezequiel García-Elorrio","doi":"10.1016/j.pedn.2025.11.017","DOIUrl":"10.1016/j.pedn.2025.11.017","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to explore acceptability, appropriateness, and feasibility of implementing a nurse-led FCRs model to inform design and adaptation of a pilot intervention.</div></div><div><h3>Methods</h3><div>We conducted a formative qualitative study in two hospitals in Argentina and Uruguay, involving semi-structured interviews with physicians and nurses and focus groups with parents. Analysis was informed by Normalisation Process Theory. Participants were presented with information about proposed model, Batz paediatric guide drafts and I-PASS communication tool.</div></div><div><h3>Results</h3><div>Twenty-six professionals and 12 parents participated. Most participants recognised communication problems and valued the model's potential to improve coordination and family engagement. Significant barriers were misalignment between proposed rounds and current routines shaped by time pressures and fragmented handovers, hierarchical cultures that marginalise nursing contributions and logistical challenges, including mismatched nurse-physician schedules. The I-PASS tool was viewed positively for structuring interactions and roles. Parents appreciated the prospect of receiving guidance for participation. Parents expressed concerns that documentation requirements in the guide could feel burdensome, prompting revisions. Participants emphasised that successful implementation would require leadership support, mandatory participation, and cultural change to legitimise nursing leadership and family involvement.</div></div><div><h3>Conclusion</h3><div>Implementing nurse-led FCRs offers a promising strategy to improve communication and collaboration. Our findings highlight that this requires addressing well-established hierarchies and ensuring organisational commitment.</div></div><div><h3>Implications for practice</h3><div>Understanding the perspectives of both providers and parents is essential for adapting and implementing this model effectively. Implementation will require addressing work dynamics and ensuring institutional support. Our findings directly informed adaptation for the subsequent implementation.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 182-190"},"PeriodicalIF":2.3,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551711","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}

{"title":"The effect of a mobile application robot developed for Pediatric diabetes management on children's quality of life, diabetes self-management, and physiological parameters","authors":"Merve Aşkın Ceran RN, PhD ,&nbsp;Murat Bektaş RN, PhD ,&nbsp;Beray Selver Eklioğlu MD, PhD","doi":"10.1016/j.pedn.2025.11.012","DOIUrl":"10.1016/j.pedn.2025.11.012","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the effectiveness of a mobile application robot developed to support Type 1 Diabetes Mellitus (T1DM) management in children, by examining its impact on children's quality of life, diabetes self-management, and physiological parameters such as HbA1c and blood glucose levels.</div></div><div><h3>Design and methods</h3><div>A pretest-posttest experimental design with control and intervention groups was used. The sample consisted of 60 children with T1DM, randomly assigned to intervention (<em>n</em> = 30) and control (n = 30) groups. Data were collected using the Socio-Demographic Data Form, Diabetes Self-Management Scale for Children and Parents, and the Quality of Life Scale in Children with Diabetes Mellitus. The intervention group received educational modules and personalized exercise videos via a mobile application robot. Data were analyzed using repeated measures MANOVA, one-way repeated measures ANOVA, and Bonferroni-corrected paired <em>t</em>-tests.</div></div><div><h3>Results</h3><div>There was no significant difference in socio-demographic characteristics between groups (<em>p</em> &gt; .05). Significant improvements were found in diabetes self-management scores in children over time and for the group*time interaction (<em>p</em> &lt; .05). While quality of life scores improved significantly over time (p &lt; .05), there was no significant difference between groups or in group*time interaction (<em>p</em> &gt; .05). Parental self-management scores showed significant differences over time, between groups, and in group*time interaction (<em>p</em> &lt; .05). The intervention group also demonstrated significantly lower mean HbA1c and blood glucose levels over time (p &lt; .05).</div></div><div><h3>Conclusion</h3><div>The mobile application robot positively influenced diabetes self-management and physiological parameters in children with T1DM. The intervention also enhanced parental involvement in diabetes management. These findings highlight the potential of mobile health technologies in pediatric diabetes care.</div></div><div><h3>Practice implications</h3><div>The integration of mobile application robots into routine diabetes education may enhance both self-management behaviors and metabolic control in children with T1DM. Healthcare professionals, particularly pediatric nurses, should consider incorporating such technologies to support comprehensive diabetes care and family-centered interventions. *: refers to group time interaction.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 164-173"},"PeriodicalIF":2.3,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551441","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}

{"title":"Effectiveness of peer-based interventions among adolescents with type 1 diabetes: A systematic review","authors":"Hilda N. Kumoji Ayamsegna,&nbsp;Jill M.G. Bally,&nbsp;Shelley Spurr,&nbsp;Shelley Peacock","doi":"10.1016/j.pedn.2025.11.005","DOIUrl":"10.1016/j.pedn.2025.11.005","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Pediatric type 1 diabetes (T1D) affects adolescents psychologically, socially, and physically necessitating self-management. Stress can arise from difficulties in performing selfcare activities. Peers play an important role in diabetes management and peer-based interventions have shown promise in improving health outcomes. This systematic review (SR) was conducted to assess the effectiveness of peer-based interventions (PBIs) in improving health outcomes among adolescents with T1D and identify future research areas.</div></div><div><h3>Methods</h3><div>Joanna Briggs Institute and the PRISMA 2020 checklist for SRs were used as guides to search seven databases, screen, critically appraise, analyze, and synthesize articles.</div></div><div><h3>Results</h3><div>The primary result was the lack of evidence on the effectiveness of PBIs in adolescents who have T1D. Of the three studies in this SR, two described PBIs that included effective peer interaction and education activities that enhanced learning and retention about diabetes management. These two PBIs resulted in positive clinical (HbA1c control), behavioural (self-care habits), and psychosocial (self-esteem, social support, and knowledge) outcomes. Additionally, a web-based, interactive treatment setting, Sugarsquare, was the only intervention that improved quality of life outcomes. Sugarsquare allowed adolescents with T1D to chat with one another and contact their nurses about everyday T1D management.</div></div><div><h3>Implications and conclusion</h3><div>Through completion of this SR we investigated a complex topic area and provided a synthesis of data indicated that PBIs are effective in supporting management of T1D and positive health outcomes. These results can be used by pediatric nurses for enhanced clinical practice and as a foundation to continue research to develop PBIs for adolescents living with T1D and their families.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 90-104"},"PeriodicalIF":2.3,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520778","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}