Looking for an ordinary life
(Source: Journal of Child Health Care)
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Davies, J., Carter, B. Tags: Editorial Source Type: research
Parental concerns' prevalence and socio-demographic variables in general parenting
The aim of this study was to evaluate parental concerns in general parenting. The participants were 3842 parents of children between 3 and 10 years old, attending public preschools and primary schools, from a stratified random sample of Portuguese parents. Parents completed a parental concerns’ scale that comprises five subscales: family and school problems; eating, sleep and physical complaints; preparation; fears; and negative behaviours. The results reported that 93.4 per cent of parents expressed some concern about the issues presented in the scale. Comparative analysis reported significant differences between mo...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Algarvio, S., Isabel, L., Maroco, J. Tags: Articles Source Type: research
Familial clustering of HBV in families with children who are diagnosed as chronic hepatitis B or inactive carriers of HBV
The aim of this study was to assess and compare the spread of HBV infection in families with children who are diagnosed as chronic hepatitis B or are inactive carriers of HBV. A total of 570 patients aged 2–16 years and 2358 family members were included in the study. Patients were classified as inactive carriers (Group 1, 350 patients) or patients diagnosed as chronic active hepatitis B (Group 2, 220 patients). Demographic features of the families, HBV serological markers and routes of transmission were evaluated. Parental transmission was lower compared to nonparental transmission (34.8% and 65.1%, respectively). HB...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Urganci, N., Akyildiz, B. N., Kalyoncu, D., Gulec, S. G. Tags: Articles Source Type: research
Access to patient-centered medical home among Ohio's Children with Special Health Care Needs
Medical homes deliver primary care that is accessible, continuous, comprehensive, family centered, coordinated, compassionate and culturally effective. Children with special health care needs (CSHCN) require a wide range of support to maintain health, making medical home access particularly important. We sought to understand independent risk factors for lacking access. We analyzed Ohio, USA data from the National Survey of Children with Special Health Care Needs (2005–2006). Among CSHCN, 55.6% had medical home access. The proportion achieving each medical home component was highest for having a personal doctor/nurse ...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Conrey, E. J., Seidu, D., Ryan, N. J., Chapman, D. S. Tags: Articles Source Type: research
Sociodemographic effects on biological, disease care, and diabetes knowledge factors in youth with type 1 diabetes
Sociodemographic risk factors place youth with type 1 diabetes at higher risk for immediate and long-term health complications, yet research has still to disentangle the confounding effects of ethnicity, socioeconomic status (SES), and parental marital status. Group-oriented and variable-oriented analyses were conducted to investigate sociodemographic differences in biological, disease care, and diabetes knowledge factors in youth with type 1 diabetes. The sample included 349 youth, age 9–17 years (79.9% Caucasian, 71.3% lived with two biological parents, M SES = 46.24). Group t-tests confirmed commonly reported ethn...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Powell, P. W., Chen, R., Kumar, A., Streisand, R., Holmes, C. S. Tags: Articles Source Type: research
Family factors associated with children's handwashing hygiene behavior
This study investigated the entire group of sixth-grade students (N = 2323) and their parents (N = 2089) at 11 elementary schools randomly selected from the Seoul Metropolitan Area, Korea. The results show that parents’ handwashing practice, parent and child bonding, and shared time have a significant correlation with children’s hand hygiene practice. The thoroughness of hand cleansing is more likely to be associated with health education, parents’ practice of proper handwashing, greater parent–child bonding, and a greater amount of shared time with parents. Parent–child bonding and shared tim...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Song, I. H., Kim, S.-A., Park, W.-S. Tags: Articles Source Type: research
Paid carers' experiences of caring for mechanically ventilated children at home: Implications for services and training
UK survival rates for long-term mechanically ventilated children have increased and paid carers are trained to care for them at home, however there is limited literature on carers' training needs and experience of sharing care. Using a qualitative abductive design, we purposively sampled experienced carers to generate data via diaries, semi-structured interviews, and researcher reflexive notes. Research ethics approval was granted from NHS and University committees. Five analytical themes emerged - Parent as expert; Role definition tensions; Training and Continuing Learning Needs; Mixed Emotions; Support Mechanisms highlig...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Maddox, C., Pontin, D. Tags: Articles Source Type: research
Contextual and cultural risks and their association with family asthma management in urban children
This study examines the association between caregivers’ perceptions of home and neighborhood safety on family asthma management in the context of cultural risk factors (e.g., discrimination and acculturative stress) in a sample of urban and ethnic minority families. Participants included 147 children (ages 6–13) and their primary caregiver from Latino, African American and Non-Latino White (NLW) backgrounds. When controlling for poverty, caregivers’ perceptions of home and neighborhood safety predicted family asthma management for the overall sample and for the NLW families. Additionally, for caregivers w...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Coutinho, M. T., McQuaid, E. L., Koinis-Mitchell, D. Tags: Articles Source Type: research
Associations between physician financial incentives and the prescribing of anti-asthmatic medications in children in US outpatient settings
This study examined how sociological factors including financial incentives influenced whether asthmatic children received a controller medication, a reliever medication or both. The 2007 National Ambulatory Medical Care Survey was used for this analysis. A logistic regression was applied to capture the physician’s decision-making and to analyze anti-asthmatic medication choice. Children with asthma seeing a pediatrician were approximately 69% more likely than children seeing a family doctor to receive a controller medication than reliever medication (p<0.01). Children with asthma enrolled in a capitated plan were...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Chang, J., Freed, G. L., Prosser, L. A., Patel, I., Erickson, S. R., Bagozzi, R. P., Balkrishnan, R. Tags: Articles Source Type: research
Introducing LAPPS (Liverpool Anticipatory Procedural Pain Score): The pragmatic development of an innovative approach to predicting and treating procedural pain and distress in children
Removal of chest drains is a painful procedure and distresses patients, parents and nurses. To identify problems and improve management we developed a concerted approach to both assessment and treatment using audit. An initial prospective audit of post-op cardiac children undergoing chest drain +/– pacing wire removal was undertaken. A clinical tool was developed, to assess children before procedures and provide a treatment plan aimed at reducing pain and distress. The tool incorporated the intensity of the procedure, the child’s usual response to procedures and previous experience. The treatment protocol inclu...
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Craske, J., Dooley, F., Griffiths, L., McArthur, L., White, E., Cunliffe, M. Tags: Articles Source Type: research
Modernising health visiting practice whilst keeping compassion in care
(Source: Journal of Child Health Care)
Source: Journal of Child Health Care - June 26, 2013 Category: Pediatrics Authors: Whittaker, K., Carter, B. Tags: Editorial Source Type: research
Impact, meaning and need for help and support: The experience of parents caring for children with disabilities, life-limiting/life-threatening illness or technology dependence
This study, which drew upon of the experiences of the parents of 34 children (in 33 families), set out to explore the themes of impact, need for help and support and meaning/sense-making as they were related by parents. Data were collected using semi-structured interviews, and an emerging theoretical framework was validated through the use of a series of mind-maps® which were presented to individual parents as the basis for a second round (verificational) interview. Parents were nominated into the study by health care professions who were asked to identify the subject children to one of three separate sub-groups: child...
Source: Journal of Child Health Care - March 1, 2013 Category: Pediatrics Authors: Whiting, M. Tags: Articles Source Type: research
Enhancing early attachment: Design and pilot study of an intervention for primary health care dyads
The objective of the study wasto design a complex intervention for promoting secure attachment in dyads detected in Primary Health Care with altered patterns of attachment styles. The methodology proposed by the UK Medical Research Council was used: (1) theoretical phase: literature review; (2) modelling phase: the main components of the intervention were defined through qualitative research; and (3) exploration phase: pilot study of the preliminary intervention. The attachment style of the dyads was evaluated using the Massie-Campbell scale prior to and four months after the pilot intervention. The preliminary interventio...
Source: Journal of Child Health Care - March 1, 2013 Category: Pediatrics Authors: Leigh, F. F., Vergara, V. B., Santelices, M. P. Tags: Articles Source Type: research
Moderating effects of gender on the relationship between poverty and children's externalizing behaviors
Previous research suggests that boys are at a greater likelihood of exhibiting externalizing behaviors throughout their childhood than girls. In addition, previous research suggests that children who are born into impoverished conditions are more likely to exhibit externalizing behaviors than their peers who are born into higher socio-economic conditions. The purpose of this study was to investigate and compare the trajectory of externalizing behaviors between boys and girls. In addition, the effects of poverty on externalizing behaviors by gender were also investigated. The findings suggest that in the sample used for thi...
Source: Journal of Child Health Care - March 1, 2013 Category: Pediatrics Authors: Henninger, W. R., Luze, G. Tags: Articles Source Type: research
Screening for anxiety symptoms and social desirability in children and adolescents living with chronic illnesses in Jordan
This research aims to investigate the rate and nature of anxiety symptoms in a group of children and adolescents living with chronic illnesses in Jordan, and their relation to social desirability in a cultural sample not previously researched. Using the Revised Children’s Manifest Anxiety Scale (R-CMAS), anxiety and social desirability data were obtained from 114 children diagnosed with chronic illnesses and 162 healthy control participants. Based on children’s self-report, participants were categorized according to their adaptive style paradigm as either high anxious, low anxious, or repressor. It was proposed...
Source: Journal of Child Health Care - March 1, 2013 Category: Pediatrics Authors: Arabiat, D. H., Jabery, M. A., Wardam, L. Tags: Articles Source Type: research
