The association of childrens distress during venepuncture with parent and staff behaviours
This study therefore examined the effect of adults’ verbal and non-verbal behaviour on children’s distress during venepuncture. Participants comprised 51 child and carer dyads and 10 staff members. Child anxiety was measured before the procedure. The procedure was recorded. The resulting audio-visual data were coded using the Child–Adult Medical Procedure Interaction Scale–Revised. Correlation analysis identified variables that were significantly associated with child distress: child anxiety, carer distress-promoting behaviour, staff distress-promoting behaviour and intimate distance. These were inc...
Source: Journal of Child Health Care - August 23, 2016 Category: Pediatrics Authors: Thompson, S., Ayers, S., Pervilhac, C., Mahoney, L., Seddon, P. Tags: Articles Source Type: research

Perseverance and parents of children with complex: Unsung heroes
(Source: Journal of Child Health Care)
Source: Journal of Child Health Care - August 23, 2016 Category: Pediatrics Authors: Carter, B. Tags: Editorial Source Type: research

Oral health status, knowledge, attitudes and behaviours among marginalized children in Addis Ababa, Ethiopia
Data on oral health status in Ethiopia are scarce. We assessed the prevalence of dental decay and gum disease and oral health practices and its barriers. We performed a cross-sectional study using comprehensive questionnaires and oral examination of 132 children aged 6–15 years in Addis Ababa. Mean age was 10 years and 50% were females. A significant number of children were HIV positive and orphaned. Forty-eight percent did not brush teeth and 43% brushed only once daily. The majority consumed sugary food despite knowing its relationship with dental decay. Seventy-four percent had between 1 and 13 dental caries and 5...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Burnett, D., Aronson, J., Asgary, R. Tags: Articles Source Type: research

Teacher-reported prevalence and management of child health problems at primary school
We explored primary school teacher-reported experiences, prevalence and management of child health and developmental problems and medication administration from one multi-ethnic urban community in England. A survey was delivered to 90 reception class teachers in 45 primary schools, and semi-structured interviews were conducted with a purposive sample of eight respondents. Fifty-six percent of teachers completed the questionnaire. Findings suggest that teachers and school staff may represent an underused resource for identifying children with developmental and health conditions and that the connections formed between school...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Leyland, A. F., Pickett, K. E., Barber, S., McEachan, R., Wright, J. Tags: Articles Source Type: research

Afrikaans-speaking parents perceptions of the rights of their children with mild to moderate intellectual disabilities: A descriptive investigation
This study aimed to describe the perceptions of Afrikaans-speaking parents regarding the human rights, as defined by the United Nation’s Convention on the Rights of the Child (CRC), of their children, aged between 8.0 and 14.11 (years/months), with mild to moderate intellectual disabilities. The underlying premise is that the CRC defines the rights of children, whereas the International Classification of Functioning, Disability and Health, Child and Youth version (ICF-CY) can provide the framework for documenting a deprivation of rights and the conditions under which those rights can be realized. Forty-seven Afrikaan...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Erasmus, A., Bornman, J., Dada, S. Tags: Articles Source Type: research

Strategies that assist children with communicative disability during hospital stay: Parents perceptions and ideas
There is a lack of research on the use of augmentative and alternative communication (AAC) in paediatric care, despite the fact that most children in need of AAC frequently need to visit hospitals and sometimes have to stay for long periods. The aim of this study was to investigate parents’ experiences of the hospital visits with their children with communicative disabilities and to collect their ideas about how to optimize communication in this situation. Ten parents who had children with communicative disability took part in three focus group interviews. The analysis had a retrospective qualitative content theory. ...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Thunberg, G., Buchholz, M., Nilsson, S. Tags: Articles Source Type: research

The content, format and timing of a preparation for childhood hospitalization booklet: An action research project
This article analyses the evaluation of the preparation booklet that led to a finding that collaboration among health-care professionals enables improved practice and shared professional power and responsibility. (Source: Journal of Child Health Care)
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Gordon, B. K., Crisp, J. Tags: Articles Source Type: research

Transition from paediatric to adult health services in Scotland for young people with cerebral palsy
This study aimed to establish what provisions are currently available in Scotland for transition of young people with cerebral palsy and what some clinicians believe future provisions should involve. Semi-structured interviews were conducted with 13 community paediatricians (or equivalents in health boards without community paediatricians) from 12 different Scottish health boards. Interviews were audio recorded, transcribed and analysed thematically using framework analysis. Both current transition provision and the areas that the clinicians felt needed improvement varied greatly between health boards. Key areas in need of...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Wright, A. E., Robb, J., Shearer, M. C. Tags: Articles Source Type: research

Can we improve service efficiency in CAMHS using the CAPA approach without reducing treatment effectiveness?
This article describes a pragmatic multi-method evaluation of a CAMHS service reporting service outcomes (client satisfaction, waiting times, and patient flow) and clinical outcomes (clinician-rated clinical outcomes and goals achieved by families). Results showed improved service outcomes (high levels of client satisfaction and reduced waiting times) and an increase in patient flow (49 cases increased to 72 cases over an equivalent time period). Clinical outcomes showed no reduction in effectiveness and a significant improvement against the agreed goals of the intervention. The evaluation suggested that a well-structured ...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Fuggle, P., McHugh, A., Gore, L., Dixon, E., Curran, D., Cutinha, D. Tags: Articles Source Type: research

Access to care for children with emotional/behavioral difficulties
This article builds on this research by examining disparities in access to medical care for children with EBD. From 2008 to 2011, using data from the US National Health Interview Survey (N = 31,631) on sample children aged 4–17, we investigate (1) whether having EBD affects access to care (modeled as delayed care due to cost and difficulty making an appointment) and (2) the role demographic characteristics, health insurance coverage, and frequency of service use play in access to care for children with EBD. Results indicate that children with EBD experience issues in accessing care at more than twice the rate of chil...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Henning-Smith, C., Alang, S. Tags: Articles Source Type: research

Comparison of psychological functioning in children and their mothers living through a life-threatening and non life-threatening chronic disease: A pilot study
Childhood chronic illness is a potential source of distress and can be a traumatic experience both for the child and for the family. Several studies highlighted the importance of integrating psychosocial care and standard medical practice in the child’s care. The current pilot study is the first investigation that compared distress in children and their mothers living through a life-threatening illness (cancer) and a non life-threatening (juvenile rheumatoid arthritis) chronic disease. Findings show that there are differences in the psychological functioning in children with respect to age. Moreover, the presence of ...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Graziano, S., Rossi, A., Spano, B., Petrocchi, M., Biondi, G., Ammaniti, M. Tags: Articles Source Type: research

Psychologists in preoperative programmes for children undergoing surgery
This study aimed to verify whether psychologists and game activities could reduce preoperative anxiety and promote compliance in paediatric patients. More specifically, we sought to evaluate whether it would be better to propose contextualized games or just distracting activities. A total of 104 children undergoing surgery were assigned to the following 4 conditions of treatment: (1) contextual games and psychological accompaniment, (2) only contextual games, (3) distracting activities, and (4) only psychological accompaniment. Observed children’s anxiety was assessed using modified Yale Preoperative Anxiety Scale an...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Cuzzocrea, F., Costa, S., Gugliandolo, M. C., Larcan, R. Tags: Articles Source Type: research

Physicians perceptions of mobile technology for enhancing asthma care for youth
This study assessed physicians’ receptivity to using mobile technology as a strategy in patient care for adolescents with asthma. Understanding physicians’ perceived barriers and benefits of integrating mobile technology in adolescents’ asthma care and self-management is an initial step in enhancing overall patient and disease outcomes. We conducted in-depth interviews with second- and third-year pediatric residents and attending physicians who oversee pediatric residents in training (N = 27) at an academic medical center in the southeastern United States. We identified both benefits from and barriers to ...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Schneider, T., Panzera, A. D., Martinasek, M., McDermott, R., Couluris, M., Lindenberger, J., Bryant, C. Tags: Articles Source Type: research

Improving and validating childrens nurses communication skills with standardized patients in end of life care
Children’s nurse education is experiencing increases in recruitment targets at the same time that clinical placements are decreasing. With regard to end-of-life care, it is has become a challenge to ensure that all students come into contact with a satisfactory range of experience as part of the requirement for competency at the point of registration. The aim of our study was to find out if students at the end of their course were able to use communication skills acquired in their three years of training and adapt and transfer them to a specific palliative care context even if they had never worked in that area of ca...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Kenny, G., Cargil, J., Hamilton, C., Sales, R. Tags: Articles Source Type: research

Understanding health-care access and utilization disparities among Latino children in the United States
It is important to understand the source of health-care disparities between Latinos and other children in the United States. We examine parent-reported health-care access and utilization among Latino, White, and Black children (≤17 years old) in the United States in the 2006–2011 National Health Interview Survey. Using Blinder-Oaxaca decomposition, we portion health-care disparities into two parts (1) those attributable to differences in the levels of sociodemographic characteristics (e.g., income) and (2) those attributable to differences in group-specific regression coefficients that measure the health-care &lsq...
Source: Journal of Child Health Care - May 12, 2016 Category: Pediatrics Authors: Langellier, B. A., Chen, J., Vargas-Bustamante, A., Inkelas, M., Ortega, A. N. Tags: Articles Source Type: research