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The Relationships Between Trust Beliefs in Physicians by Children With Asthma, Those by Their Mothers and the Children's Medical Health 哮喘儿童、其母亲对医生的信任与儿童医疗健康之间的关系。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-03 DOI: 10.1111/cch.13334
Serena Petrocchi, Ken J. Rotenberg

Background

The study examined whether there were linear and curvilinear relationships between the trust beliefs in physicians by the children, those by their mothers and the children's medical health. The study examined whether there were changes in those relationships across time.

Methods

The data gathered in a previous study were subjected to further analyses. One hundred and forty-three children with asthma (116 males, Mage = 12 years and 7 months) and their mothers were administered standardized scales twice across 1 year. The scales assessed the children's trust beliefs in physicians, the mothers' trust beliefs in physicians, the children's quality of life and the children's adherence to prescribed medical regimes.

Results

Quadratic relationships were found between the children's quality of life and both their and their mothers' trust beliefs in physicians. The quadratic relationship increased over time. Linear relationships were found between trust beliefs in physicians and children's adherence to prescribed medical regimes.

Conclusion

Children with asthma are prone to a lower quality of life when they and their mothers hold very high, as well as hold very low, trust beliefs in physicians. Children's trust beliefs in physicians increase the probability of adherence to prescribed medical regimes.

研究背景该研究探讨了儿童、母亲对医生的信任信念与儿童医疗健康之间是否存在线性和曲线关系。研究还探讨了这些关系在不同时期是否会发生变化:方法:对之前研究中收集的数据进行了进一步分析。研究人员对 143 名哮喘儿童(116 名男性,年龄 = 12 岁零 7 个月)及其母亲进行了为期一年的两次标准化量表测试。量表评估了儿童对医生的信任度、母亲对医生的信任度、儿童的生活质量以及儿童对处方药物的依从性:结果:儿童的生活质量与儿童及其母亲对医生的信任度之间存在二次关系。随着时间的推移,二次关系逐渐增强。在对医生的信任度和儿童对处方药物的依从性之间存在线性关系:结论:当哮喘患儿及其母亲对医生的信任度很高或很低时,他们的生活质量都会下降。儿童对医生的信任度会增加他们遵从医嘱的可能性。
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引用次数: 0
Exploring Parents' Experiences and Needs During Disclosure of a Cerebral Palsy Diagnosis of Their Young Child: A Scoping Review 探索父母在披露幼儿脑瘫诊断期间的经历和需求:范围审查。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-29 DOI: 10.1111/cch.13327
J. van der Kemp, M. Ketelaar, I. C. M. Rentinck, M. P. J. Sommers-Spijkerman, M. J. N. L. Benders, J. W. Gorter

Background

Parents often perceive the news that their child has cerebral palsy (CP) as overwhelming and shocking. They are at increased risk of parental stress and mental health problems, which in turn can affect the interaction between the parent and the child. Parental mental health outcomes are known to be affected by the process of disclosure of a diagnosis. In this study, we aimed to synthesize the current knowledge about parents' experiences and needs regarding communication during the disclosure of the diagnosis of their child with (or at risk of) CP.

Methods

A scoping review following the methodological steps outlined by the Joanna Briggs Institute was performed using PubMed, Embase, CINAHL and PsycINFO. We qualitatively explored parent-reported experiences and needs across included studies, using thematic analysis.

Results

A total of 19 studies were included. Six themes were identified, three in relation to experiences (i.e., preceding experiences and feelings, perceptions of the disclosure and emotional impact) and three in relation to needs (i.e., transparency in information, supportive attitude and having a say). Despite high variability across studies regarding parental needs, most studies reported the need for (i) honest and clear information, (ii) good communication skills amongst professionals and (iii) emotional and practical support after diagnosis.

Conclusions

Our findings suggest that parents' experiences and needs in the period when their child's diagnosis of (high risk of) CP is communicated are highly variable, due to an interplay of personal and contextual factors. To facilitate good communication during disclosure, it is crucial that health care professionals assess and understand this complex process and consider parents' needs for open communication and autonomy in the process. Therefore, professionals need to attune to parents' needs and their individual preferences regarding conversations about their child with (or at risk of) CP.

背景:父母在得知自己的孩子患有脑性瘫痪(CP)时,往往会感到不知所措和震惊。他们面临父母压力和心理健康问题的风险增加,这反过来又会影响父母与孩子之间的互动。众所周知,父母的心理健康结果会受到诊断披露过程的影响。在本研究中,我们旨在综合目前关于父母在公开其患有(或可能患有)CP 的孩子的诊断过程中的沟通经验和需求的知识:按照乔安娜-布里格斯研究所(Joanna Briggs Institute)概述的方法步骤,我们使用 PubMed、Embase、CINAHL 和 PsycINFO 进行了范围综述。我们采用主题分析法对纳入研究的家长报告的经历和需求进行了定性分析:结果:共纳入 19 项研究。共确定了 6 个主题,其中 3 个与经历有关(即之前的经历和感受、对披露的看法和情绪影响),3 个与需求有关(即信息透明度、支持态度和发言权)。尽管关于家长需求的研究之间存在很大差异,但大多数研究都报告了以下需求:(i) 诚实和清晰的信息;(ii) 专业人员之间良好的沟通技巧;(iii) 诊断后的情感和实际支持:我们的研究结果表明,由于个人因素和环境因素的相互作用,父母在其子女被诊断出患有(高风险)CP 时的经历和需求存在很大差异。为促进信息披露期间的良好沟通,医护人员必须评估和理解这一复杂过程,并考虑家长在这一过程中对开放式沟通和自主权的需求。因此,专业人员在与患有(或有可能患有)CP 的儿童进行交谈时,需要关注家长的需求及其个人偏好。
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引用次数: 0
Behavioural Problems in Preadolescence: Does Nutritional Status Have a Role? 青春期前的行为问题:营养状况是否有影响?
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-24 DOI: 10.1111/cch.13328
Bushra Khan, Waqas Hameed, Bilal Iqbal Avan

Introduction

Malnutrition in children and adolescents is a global issue particularly in low- and middle-income countries, while behavioural problems are becoming a growing public health concern in the area of child and adolescent mental health, with very few studies examining their association in preadolescence. This study aimed to assess the epidemiological relationship between malnutrition and behavioural problems in preadolescence.

Methods

A school based, cross-sectional survey was conducted in Karachi, Pakistan. Total 660, 11- to 12-year-old preadolescents were selected from a middle-class, coeducational school chain. Sociodemographic questionnaires and an officially adapted version of Youth Self-Report Form (YSR), which is the child and adolescent reported version of the Child Behavior Checklist (CBCL), were used to collect data, along with anthropometric assessments following the WHO protocol.

Results

Thin and stunted preadolescents had significantly higher odds of internalizing problems (AOR = 2.05, p = 0.003 and AOR = 2.09, p = 0.039, respectively) than normal ones. Overnutrition was not associated with any behavioural issues. According to the Composite Index of Anthropometric Failure, 40% of preadolescents had at least one type of malnutrition and among them about 3% had co-occurring malnutrition (stunted and thin or overweight). They significantly had higher risk of being associated with the internalizing problems (AOR 2.92, p = 0.027). The effect was considerably higher than that associated with stunted or thin only, highlighting the cumulative impact of the co-occurring malnutrition on the internalizing problems.

Conclusion

Our study concludes that overnutrition and undernutrition are prevalent in preadolescents, with significant association of undernutrition with internalizing problems. Moreover, our study is the first that reports that the co-occurrence of malnutrition is significantly associated with increased risk of internalizing problems. This study highlights the importance of the link between physical and mental health and emphasizes the need for holistic interventions and programmes for addressing preadolescents' issues.

引言 儿童和青少年营养不良是一个全球性问题,尤其是在中低收入国家,而行为问题正日益成为儿童和青少年心理健康领域的一个公共卫生问题,但很少有研究探讨两者在青春期前的关系。本研究旨在评估青春期前营养不良与行为问题之间的流行病学关系。 方法 在巴基斯坦卡拉奇进行了一项基于学校的横断面调查。从一所中产阶级男女混合连锁学校中挑选了 660 名 11 至 12 岁的青春期前儿童。调查使用了社会人口学问卷和官方改编版的青少年自我报告表(YSR)(即儿童和青少年报告版的儿童行为检查表(CBCL))来收集数据,并按照世界卫生组织的方案进行了人体测量评估。 结果 瘦弱和发育不良的学龄前儿童出现内化问题的几率(AOR = 2.05,p = 0.003 和 AOR = 2.09,p = 0.039)明显高于正常儿童。营养过剩与任何行为问题无关。根据人体测量不合格综合指数(Composite Index of Anthropometric Failure),40%的学龄前儿童至少有一种营养不良,其中约3%同时存在营养不良(发育迟缓、消瘦或超重)。他们出现内化问题的风险明显更高(AOR 2.92,p = 0.027)。这种影响远远高于仅与发育不良或消瘦相关的影响,突出了同时存在的营养不良对内化问题的累积影响。 结论 我们的研究得出结论,营养过剩和营养不良在青春期前儿童中普遍存在,营养不良与内化问题有显著关联。此外,我们的研究还首次报告了营养不良与内化问题风险增加的显著相关性。这项研究强调了身体健康与心理健康之间联系的重要性,并强调有必要采取综合干预措施和方案来解决学龄前儿童的问题。
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引用次数: 0
Exploring What Motivates Parents of Children Living With Medical Complexity to Participate in Research 探究有复杂病情儿童的家长参与研究的动机
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-19 DOI: 10.1111/cch.13331
Laesa Kim, Anne-Mette Hermansen, Karen Cook, Harold Siden

Background

The study aimed to understand the experience of and identify the motivations for parents participating in health research for their children with medical complexity (CMC). Patient-oriented research strategies are increasingly important in health research to ensure that the voices of patients and parents help shape and direct research programmes. To bring a family-centred and patient-oriented focus to our research and objectives, we asked parents about their experiences when they participated in healthcare research related to their child with CMC.

Methods

A parent partner, who also has a CMC, interviewed 12 parents (11 mothers and 1 father) of children living with medical complexity to understand their motivations to participate in healthcare research for their child. The parent partner conducted and transcribed the interviews and led our data analysis. Interpretive phenomenological analysis (IPA) was used to inform our data coding and analytic process.

Results

Parents described numerous reasons for their participation in research about their children. These motivations landed within four main themes: feeling helpless and hopeful, child-centred motivation, being part of something good and forming a relationship with the research team. In addition to these themes, parents highlighted factors that influenced their ability or desire to participate, such as time, capacity and the level of invasiveness for their child. Ultimately, the reflections by parents emphasized their unique lives in caring for their CMC and the need to integrate their lived experiences with the research they engage in.

Conclusion

This study offers important insights for healthcare teams who want to engage parents of CMC to participate in research. Understanding parents' motivation to participate in research can help researchers create richer engagement and more meaningful experiences for themselves and their participants, thereby bolstering research programmes.

研究背景 该研究旨在了解家长参与复杂病症儿童(CMC)健康研究的经历,并确定家长参与研究的动机。以患者为导向的研究策略在健康研究中越来越重要,以确保患者和家长的声音有助于制定和指导研究计划。为了使我们的研究和目标以家庭为中心、以患者为导向,我们询问了家长在参与与患有复杂性内科疾病儿童相关的医疗保健研究时的经历。 研究方法 由一位同样患有儿童疾病综合症的家长伴侣对 12 位患有儿童疾病综合症的家长(11 位母亲和 1 位父亲)进行了访谈,以了解他们参与儿童医疗保健研究的动机。这位家长伙伴主持并记录了访谈内容,并领导了我们的数据分析工作。我们在数据编码和分析过程中使用了解释现象学分析(IPA)。 结果 家长描述了他们参与有关其子女研究的众多原因。这些动机主要有四个主题:感到无助和充满希望、以儿童为中心的动机、成为美好事物的一部分以及与研究团队建立关系。除了这些主题外,家长们还强调了影响他们参与能力或意愿的因素,如时间、能力和对孩子的侵犯程度。最后,家长们的思考强调了他们在照顾儿童疾病管理中心的独特生活,以及将他们的生活经验与他们所参与的研究相结合的必要性。 结论 本研究为希望让儿童疾病管理中心的家长参与研究的医疗团队提供了重要启示。了解父母参与研究的动机有助于研究人员为自己和参与者创造更丰富的参与和更有意义的体验,从而加强研究计划。
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引用次数: 0
Correction to “Maternal Dispositional Mindfulness and Mother–Child Relationship: The Mediating Role of Emotional Control During Parenting” 更正 "母亲的意念倾向与母子关系:育儿过程中情绪控制的中介作用"
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-09 DOI: 10.1111/cch.13332

Passaquindici, I., Nardozza, O., Sperati, A., Lionetti, F., D'Urso, G., Fasolo, M., & Spinelli, M. (2024). Maternal Dispositional Mindfulness and Mother–Child Relationship: The Mediating Role of Emotional Control During Parenting. Child: Care, Health and Development, 50 (3), e13264, https://doi.org/10.1111/cch.13264.

In Table 1, there is an error in reporting the direction of the bivariate association between maternal dispositional mindfulness and the quality of the mother–child relationship. The reported association is r = −0.39, but the correct value is r = 0.39, suggesting that more mindful mothers reported more satisfaction, confidence and pleasure in interacting with their child.

We apologize for this error.

Passaquindici, I., Nardozza, O., Sperati, A., Lionetti, F., D'Urso, G., Fasolo, M., & Spinelli, M. (2024)。 母亲倾向性正念与母子关系:育儿过程中情绪控制的中介作用》。儿童:Care, Health and Development, 50 (3), e13264, https://doi.org/10.1111/cch.13264. 在表 1 中,母亲的正念倾向与母子关系质量之间的二元关联的方向报告有误。报告中的相关性为 r = -0.39,但正确值为 r = 0.39,这表明正念较强的母亲在与孩子互动时会表现出更多的满足感、自信心和愉悦感。
{"title":"Correction to “Maternal Dispositional Mindfulness and Mother–Child Relationship: The Mediating Role of Emotional Control During Parenting”","authors":"","doi":"10.1111/cch.13332","DOIUrl":"https://doi.org/10.1111/cch.13332","url":null,"abstract":"<p>\u0000 <span>Passaquindici, I.</span>, <span>Nardozza, O.</span>, <span>Sperati, A.</span>, <span>Lionetti, F.</span>, <span>D'Urso, G.</span>, <span>Fasolo, M.</span>, &amp; <span>Spinelli, M.</span> (<span>2024</span>). <span>Maternal Dispositional Mindfulness and Mother–Child Relationship: The Mediating Role of Emotional Control During Parenting</span>. <i>Child: Care, Health and Development</i>, <span>50</span> (<span>3</span>), e13264, https://doi.org/10.1111/cch.13264.\u0000 </p><p>In Table 1, there is an error in reporting the direction of the bivariate association between maternal dispositional mindfulness and the quality of the mother–child relationship. The reported association is <i>r</i> = −0.39, but the correct value is <i>r</i> = 0.39, suggesting that more mindful mothers reported more satisfaction, confidence and pleasure in interacting with their child.</p><p>We apologize for this error.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"50 5","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.13332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142160167","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}
引用次数: 0
Validation of the Parent Version of the Nighttime Fears Scale (NFS-P) for Children Aged 3–8 Years 验证针对 3-8 岁儿童的家长版夜间恐惧量表(NFS-P)。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-08 DOI: 10.1111/cch.13323
Mireia Orgilés, Teresa Galán-Luque, José Pedro Espada, Alexandra Morales

Background

Nighttime fears are highly prevalent in children, ranging from normative fears to triggering fear-related anxiety disorders. The lack of available assessment instruments recently prompted the development of the Nighttime Fears Scale (NFS) for children aged 8–12 years. The present study aimed to adapt and psychometrically evaluate the parent-reported version for children aged 3–8 years (NFS-P) as a complement for younger children.

Methods

Two hundred eighty-four Spanish-speaking parents (47% girls) completed the NFS-P and anxiety measures.

Results

Confirmatory factor analyses supported a four-factor structure of the NFS-P. Strong internal consistency and validity evidence were obtained. No significant differences were found in NFS-P scores between sexes and age groups.

Conclusions

The findings offer support for the use of the NFS-P as a valuable instrument in clinical and research settings, supplementing the NFS for older children. Both scales provide an efficient means to comprehensively assess the presence and intensity of typical nighttime fears across preschool and school years.

背景:夜间恐惧在儿童中非常普遍,从正常的恐惧到引发与恐惧相关的焦虑症,不一而足。由于缺乏可用的评估工具,最近开发了针对 8-12 岁儿童的夜间恐惧量表(NFS)。本研究旨在对家长报告的 3-8 岁儿童版本(NFS-P)进行改编和心理测量学评估,作为对年幼儿童的补充:284 位讲西班牙语的家长(47% 为女孩)完成了 NFS-P 和焦虑测量:结果:确认性因素分析支持 NFS-P 的四因素结构。结果:确认性因素分析支持 NFS-P 的四因素结构,并获得了较强的内部一致性和有效性证据。NFS-P得分在性别和年龄组之间未发现明显差异:结论:研究结果支持将 NFS-P 作为临床和研究环境中的一种有价值的工具,以补充适用于年龄较大儿童的 NFS。这两种量表为全面评估学龄前和学龄期典型夜间恐惧的存在和强度提供了有效的方法。
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引用次数: 0
Proportion, Correlates and the Associations of Meeting 24-h Movement Guidelines With Mental Well-Being and Psychological Distress: A Cross-Sectional Study of 10 589 Chinese Students 符合 24 小时运动准则的比例、相关性及其与心理健康和心理困扰的关系:一项针对 10 589 名中国学生的横断面研究。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-08 DOI: 10.1111/cch.13329
Hao Zhang, Jing Sheng, Xinpei Yue, Hao Lou, Xiaolei Ban, Wencan Wu, Ran Li, Genli Gao, Chongjian Wang, Xiaomin Lou, Xian Wang

Background

The increased trends in psychological distress and mental illness have been of great significance in public health concerns. The study aimed to investigate the proportion and correlates of meeting 24-h movement guidelines (including moderate to vigorous physical activity, screen time and sleep duration) and the associations between 24-h movement guidelines met and mental well-being and psychological distress in a large sample of Chinese students.

Methods

All participants received a physical examination and filled out questionnaires in this study. Chi-square tests were used to analyse the proportion of reaching 24-h guidelines by gender and logistic regression was used to analyse correlates of meeting 24-h guidelines. Two binary logistic regression models were used to analyse the association between meeting 24-h guidelines and mental well-being and psychological distress. The back-propagation artificial neural network was used to describe the importance of the independent variables.

Results

The findings revealed a generally low rate of meeting the 24-h movement guidelines, particularly concerning moderate to vigorous physical activity (16.5%). Meeting all three guidelines was related to better mental health in both boys and girls. Particularly, meeting screen time guideline and meeting sleep duration guideline appeared to be more important on mental outcomes, compared to meeting moderate to vigorous physical activity guideline. Compared with boys, girls were more susceptible to the influences of 24-h movement guidelines on mental health.

Conclusions

Meeting all three components of the 24-h movement guidelines was associated with the most favourable mental health outcomes for both boys and girls. Thus, maintaining a daily balance of sufficient physical activity, limited screen time, and adequate sleep is crucial for enhancing the mental health status of students.

背景:心理困扰和精神疾病的增加趋势一直是公共卫生关注的重要问题。本研究旨在调查大样本中国学生中达到24小时运动指南(包括中强度体育锻炼、屏幕时间和睡眠时间)的比例和相关因素,以及达到24小时运动指南与心理健康和心理困扰之间的关联:方法:所有参与者都接受了体检并填写了调查问卷。采用卡方检验分析不同性别达到 24 小时运动量标准的比例,采用逻辑回归分析达到 24 小时运动量标准的相关因素。研究使用了两个二元逻辑回归模型来分析符合 24 小时指南与精神健康和心理困扰之间的关联。使用反向传播人工神经网络来描述自变量的重要性:研究结果表明,符合 24 小时运动指南的比例普遍较低,尤其是中度至剧烈运动(16.5%)。在男孩和女孩中,符合所有三项指导原则与改善心理健康有关。特别是,与达到中度至剧烈运动标准相比,达到屏幕时间标准和睡眠时间标准似乎对心理健康更为重要。与男孩相比,女孩更容易受到 24 小时运动指南对心理健康的影响:结论:对男孩和女孩而言,满足 24 小时运动量指南的所有三项要求与最有利的心理健康结果相关。因此,保持每天充足的体育锻炼、有限的屏幕时间和充足的睡眠对提高学生的心理健康状况至关重要。
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引用次数: 0
Factors Associated With Screen Time Among Preschool Children in Lima, Peru 秘鲁利马学龄前儿童屏幕时间的相关因素。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-05 DOI: 10.1111/cch.13330
Kiomi Yabiku-Soto, Lorena Saavedra-Garcia, Jamee Guerra Valencia, Akram Hernández-Vásquez, Francisco Diez-Canseco

Objective

This study aims to identify factors associated with excessive screen time among preschoolers in Lima, Peru.

Methods

Cross-sectional analysis from a 2019 panel study in Lima, Peru, was conducted focusing on women, aged 18 and above, who are mothers of 3- to 5-year-olds in mid-high and mid-low districts. There were two outcome variables: excessive TV and excessive electronic devices screen time, defined as ≥ 1 h of screen exposure for each one. Explored factors included the mother’s age, education and wealth index and the children’s age, sex, physical activity, day care attendance and ultra-processed food consumption. Crude (cPR) and adjusted prevalence ratios (aPR) were estimated for the association between associated factors and excessive screen time using the GLM Poisson of with a logarithmic link.

Results

Excessive TV screen time and electronic devices prevalence was 74% and 36.9%, respectively. For TV screen time, a high wealth index (aPR 1.13; 95%CI: 1.03–1.23) and children’s age (aPR 1.18; 95%CI: 1.08–1.29 for 4 years, PR = 1.17; 95%CI: 1.07–1.28 for 5 years) were significant. For electronic devices, significant associations included mothers with more than 3 children (aPR 0.77; 95%CI: 0.62–0.96), being single (aPR 1.27; 95%CI: 1.01–1.58) and a high wealth index (aPR 1.38; 95%CI: 1.13–1.68). Furthermore, significant associations were found between excessive electronic device screen time and consumption of candies and chocolates (aPR 1.38; 95%CI: 1.08–1.77).

Conclusions

Seven out of 10 preschool children exceeded the recommended television screen time. Certain characteristics of the children, their mothers and the family’s socio-economic situation are related to excessive television screen time and excessive electronic device screen time.

研究目的本研究旨在确定秘鲁利马学龄前儿童屏幕时间过长的相关因素:对秘鲁利马的一项 2019 年面板研究进行了横截面分析,重点关注中高区和中低区的 18 岁及以上女性,她们都是 3 至 5 岁儿童的母亲。结果变量有两个:过多的电视时间和过多的电子设备屏幕时间,每个变量的定义是屏幕接触时间≥ 1 小时。探讨的因素包括母亲的年龄、教育程度和财富指数,以及儿童的年龄、性别、体育活动、日托出席率和超加工食品消费量。使用带对数链接的 GLM Poisson 估计了相关因素与过度屏幕时间之间的粗略流行率(cPR)和调整流行率(aPR):结果:过度使用电视屏幕和电子设备的比例分别为 74% 和 36.9%。就电视屏幕时间而言,高财富指数(aPR 1.13;95%CI:1.03-1.23)和儿童年龄(aPR 1.18;95%CI:4 岁为 1.08-1.29;PR = 1.17;95%CI:5 岁为 1.07-1.28)具有显著相关性。就电子设备而言,与下列因素有重要关联的是:母亲有 3 个以上子女(aPR 0.77;95%CI:0.62-0.96)、单身(aPR 1.27;95%CI:1.01-1.58)和财富指数高(aPR 1.38;95%CI:1.13-1.68)。此外,研究还发现,电子设备屏幕时间过长与糖果和巧克力消费量之间存在明显关联(aPR 1.38;95%CI:1.08-1.77):10名学龄前儿童中有7名超过了建议的电视屏幕时间。儿童、其母亲和家庭社会经济状况的某些特征与过长的电视屏幕时间和过长的电子设备屏幕时间有关。
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引用次数: 0
Development and Validation of the Questionnaire of Young People's Participation–Young Adults (QYPP-YA) 青少年参与问卷调查(QYPP-YA)的开发与验证。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-05 DOI: 10.1111/cch.13326
Chirine Cytera, Holger Muehlan, Marion Rapp, Audrey Guyard, Ute Thyen, Silke Schmidt, Henriette Markwart, the TRANS-DISAB Collaborative Group

Background

The Questionnaire of Young People's Participation (QYPP) was developed for use in children and adolescents. To track participation throughout transition from childhood to adulthood, we adapted it for young adults using focus groups. Aim of this study was to validate this measure, the QYPP–Young Adults (QYPP-YA).

Methods

We recruited young adults with cerebral palsy (CP) and a representative, same-aged sample of the general population (GP). The GP-sample was split into two equivalent subsamples, one part to identify the factor structure via exploratory factor analysis and another part to test the resulting model via confirmatory factor analysis. Reliability and different forms of validity were investigated.

Results

The final QYPP-YA includes 17 items assigned to six domains (Autonomy, Independency, Intimate Relationships, Interpersonal Relationships, Social Life, Online Communication). Scales show satisfying internal consistencies in the CP-sample and in the GP-sample, except for ‘Online Communication’. Convergent, divergent and known-group validity were confirmed.

Conclusions

The QYPP-YA instrument features promising psychometric characteristics to assess key domains of participation in healthy and disabled young adults. It provides a multidimensional, economic and sound assessment for use in population surveys and clinical trials.

背景:青少年参与问卷调查(QYPP)是为儿童和青少年开发的。为了跟踪从童年到成年的整个过渡时期的参与情况,我们利用焦点小组对其进行了改编,使其适用于年轻人。本研究的目的是验证这一测量方法,即 QYPP-年轻成年人(QYPP-YA):我们招募了患有脑瘫(CP)的年轻成年人和具有代表性的同龄普通人群(GP)样本。普通人群样本被分成两个等效的子样本,一部分用于通过探索性因子分析确定因子结构,另一部分用于通过确认性因子分析检验得出的模型。对可靠性和不同形式的有效性进行了调查:最终的 QYPP-YA 包括分配给六个领域(自主、独立、亲密关系、人际关系、社会生活、在线交流)的 17 个项目。除 "在线交流 "外,CP 样本和 GP 样本的量表显示出令人满意的内部一致性。结论:QYPP-YA工具具有良好的心理测量特征,可用于评估健康和残疾年轻人参与的关键领域。它为人口调查和临床试验提供了一种多维、经济、可靠的评估方法。
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引用次数: 0
Prevention of Violence Against Children: A Qualitative Exploration of Colombian Policymakers', Programme Facilitators' and Caregivers' Perceptions 预防针对儿童的暴力:对哥伦比亚政策制定者、计划推动者和照顾者看法的定性探索
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-08-28 DOI: 10.1111/cch.13325
Jorge Cuartas, Luciana Beccassino, Helen Baker-Henningham, Oscar Iván Pineda Díaz, María Fernanda Rodríguez

Objective

Violence against children (VAC) is a global public health and human rights issue that can lead to long-lasting negative consequences for individual and societal outcomes. While extensive evidence indicates that parenting programmes might be effective in preventing VAC, there are several unsolved questions on how to ensure interventions are acceptable, feasible, effective and sustainable, particularly in low- and- middle-income countries (LMICs).

Method

In this study, we report findings from a qualitative examination of policymakers' (N = 10), early childhood and parenting programme facilitators' (N = 20) and parents' and other caregivers' (N = 38) perspectives on VAC prevention to examine the implementation ecosystem of parenting programmes in Colombia, including contextual risk and protection factors, features of existing programmes, and stakeholders' needs. We conducted interviews and focus groups using a semistructured format, along with a thematic approach, to analyse the data from each group of participants (i.e., policymakers, facilitators and caregivers) independently.

Results

Overall, the data revealed the critical role of intersecting and interacting factors at the micro (e.g., caregivers' capabilities and beliefs), meso (e.g., programme content and delivery approaches) and macro (e.g., policymakers' vision and existing infrastructure) levels in exacerbating risks/imposing barriers versus protecting/promoting VAC prevention.

Conclusions

These findings provide evidence on the implementation ecosystem of prevention programmes to inform the design of novel strategies and programmes aimed at preventing violence and promoting families' well-being and young children's development.

目标 暴力侵害儿童(VAC)是一个全球性的公共卫生和人权问题,可对个人和社会造成长期的负面影响。虽然有大量证据表明,亲职教育计划可以有效预防暴力侵害儿童行为,但如何确保干预措施是可接受的、可行的、有效的和可持续的,特别是在中低收入国家(LMICs),还有一些问题没有解决。 方法 在本研究中,我们报告了对政策制定者(10 人)、幼儿和育儿计划促进者(20 人)以及父母和其他照护者(38 人)关于预防自愿幼儿保育的观点进行定性研究的结果,以考察哥伦比亚育儿计划的实施生态系统,包括背景风险和保护因素、现有计划的特点以及利益相关者的需求。我们采用半结构化形式进行了访谈和焦点小组讨论,并采用主题方法对每组参与者(即政策制定者、促进者和照顾者)的数据进行了独立分析。 结果 总体而言,数据揭示了微观(如护理人员的能力和信念)、中观(如计划内容和实施方法)和宏观(如政策制定者的愿景和现有基础设施)层面的交叉和相互作用因素在加剧风险/设置障碍与保护/促进预防自愿咨询方面的关键作用。 结论 这些研究结果为预防计划的实施生态系统提供了证据,为设计旨在预防暴力、促进家庭幸福和幼儿发展的新战略和计划提供了参考。
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引用次数: 0
期刊
Child Care Health and Development
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