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1.
J Clin Pediatr Dent ; 44(1): 8-14, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31995424

RESUMEN

Aim: The present study aimed to evaluate the association between parenting styles, child's behavior in dental setting and dental caries status. Study design: Children aged 3-7 years on their first dental visit were included in the study. Their parents were asked to complete Parenting Style Dimension Questionnaire (PSDQ) to assess their parenting style. Oral prophylaxis was performed for the children and their behavior was assessed using Frankl behavior rating scale. Their caries status was recorded using DMFT/deft index. Results: Out of 315 parents, 240 parents exhibited authoritative parenting style, 45 exhibited permissive and 30 exhibited authoritarian parenting style. Permissive parenting was associated with four-fold increase in the child's negative dental behavior and authoritarian parenting showed two-fold increase in the negative behavior of children compared to authoritative parenting. Children of both authoritative and authoritarian parents showed less caries status and the permissive parenting depicted threefold increase in the caries status compared to authoritative parenting. Conclusion: Children of both the permissive and authoritarian parents showed more negative dental behavior than children of authoritative parents. Children of permissive parents showed increased caries status compared to the children of authoritative parents.


Asunto(s)
Caries Dental , Responsabilidad Parental , Niño , Conducta Infantil , Preescolar , Estudios Transversales , Humanos , Relaciones Padres-Hijo , Padres
2.
BMJ ; 368: l6768, 2020 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-31924664

RESUMEN

The studyCabral C, Horwood J, Symonds J, et al. Understanding the influence of parent-clinician communication on antibiotic prescribing for children with respiratory tract infections in primary care: a qualitative observational study using a conversation analysis approach. BMC Fam Pract 2019;20:102.This project was funded by the NIHR School for Primary Care Research Programme (project number SPCR204).To read the full NIHR Signal, go to: https://discover.dc.nihr.ac.uk/content/signal-000829/gps-assessment-not-parental-expectation-drives-antibiotic-prescribing.


Asunto(s)
Antibacterianos , Infecciones del Sistema Respiratorio , Niño , Humanos , Motivación , Padres , Atención Primaria de Salud
3.
Prax Kinderpsychol Kinderpsychiatr ; 69(1): 3-21, 2020 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-31918650

RESUMEN

Parents' and Childcare Teachers' Agreement on Mental Health Problems, Psychosocial Ressources and Need for Action Young Children with mental health problems rarely receive professional help. Recognising a problem is one key factor for mental health care utilisation in kindergarten age. In this study psychosocial problems and ressources of 255 children (age 3,0-6,6 years) were assessed by parents and childcare teachers with the instrument "Verhaltensskalen für das Kindergartenalter" (VSK, Koglin u. Petermann, 2016). Subjective need for action was also measured. Teachers announced a need for action in 19.8 % of the children, while parents did so for 17.3 % of the children, but they agreed only for 18.9 % of these children. So agreement on need for action was low (κ = .16). Agreement was also low for psychosocial problems (Median ICC = .32), and very low with respect to the borderline/clinical range (κ = .13). No agreement was found for psychosocial ressources. Results underline the importance for Early Education and Care professionals to cooperate with institutions like social-pediatric centers to avoid blind spots in the identification of mental health problems in preschool age.


Asunto(s)
Trastornos de la Conducta Infantil , Salud Mental , Maestros , Niño , Trastornos de la Conducta Infantil/diagnóstico , Trastornos de la Conducta Infantil/terapia , Preescolar , Humanos , Padres
4.
Biomed Instrum Technol ; 54(1): 22-27, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31961735

RESUMEN

Smartphones increasingly are used to facilitate the delivery of healthcare. Earlier studies assessing patient perceptions on smartphone use were performed before the emergence of broad clinical mobility platforms, and these studies did not distinguish potential differences related to smartphone device types. The current study evaluated the perceptions of neonatal intensive care unit parents on two different smartphone devices (personal phone and industrial phone) in the setting of an established clinical mobility platform. A total of 59 parents completed a multiple-choice survey exploring respondents' beliefs regarding whether smartphones could help care for their child, concerns regarding privacy/security, and perceived functionality of each smartphone. For both devices, most participants believed that smartphones were clearly used to help in the care of their child. However, respondents reported greater comfort with the industrial phone (P < 0.05). Respondents were more likely to express concern that the personal phone could compromise their child's personal/private information (P < 0.05). Respondents were more likely to believe that the industrial phone could receive emergency alerts/alarms compared with the personal phone (P < 0.05). Parental perceptions of smartphones generally were positive; however, perceived differences were found between devices, and smartphone functionality was underestimated. This suggested that education interventions addressing the value of smartphones for clinical mobility are warranted.


Asunto(s)
Teléfono Inteligente , Niño , Humanos , Padres , Encuestas y Cuestionarios
5.
JAMA ; 323(4): 339-351, 2020 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-31990315

RESUMEN

Importance: Public health screening for type 1 diabetes in its presymptomatic stages may reduce disease severity and burden on a population level. Objective: To determine the prevalence of presymptomatic type 1 diabetes in children participating in a public health screening program for islet autoantibodies and the risk for progression to clinical diabetes. Design, Setting, and Participants: Screening for islet autoantibodies was offered to children aged 1.75 to 5.99 years in Bavaria, Germany, between 2015 and 2019 by primary care pediatricians during well-baby visits. Families of children with multiple islet autoantibodies (presymptomatic type 1 diabetes) were invited to participate in a program of diabetes education, metabolic staging, assessment of psychological stress associated with diagnosis, and prospective follow-up for progression to clinical diabetes until July 31, 2019. Exposures: Measurement of islet autoantibodies. Main Outcomes and Measures: The primary outcome was presymptomatic type 1 diabetes, defined by 2 or more islet autoantibodies, with categorization into stages 1 (normoglycemia), 2 (dysglycemia), or 3 (clinical) type 1 diabetes. Secondary outcomes were the frequency of diabetic ketoacidosis and parental psychological stress, assessed by the Patient Health Questionnaire-9 (range, 0-27; higher scores indicate worse depression; ≤4 indicates no to minimal depression; >20 indicates severe depression). Results: Of 90 632 children screened (median [interquartile range {IQR}] age, 3.1 [2.1-4.2] years; 48.5% girls), 280 (0.31%; 95% CI, 0.27-0.35) had presymptomatic type 1 diabetes, including 196 (0.22%) with stage 1, 17 (0.02%) with stage 2, 26 (0.03%) with stage 3, and 41 who were not staged. After a median (IQR) follow-up of 2.4 (1.0-3.2) years, another 36 children developed stage 3 type 1 diabetes. The 3-year cumulative risk for stage 3 type 1 diabetes in the 280 children with presymptomatic type 1 diabetes was 24.9% ([95% CI, 18.5%-30.7%]; 54 cases; annualized rate, 9.0%). Two children had diabetic ketoacidosis. Median (IQR) psychological stress scores were significantly increased at the time of metabolic staging in mothers of children with presymptomatic type 1 diabetes (3 [1-7]) compared with mothers of children without islet autoantibodies (2 [1-4]) (P = .002), but declined after 12 months of follow-up (2 [0-4]) (P < .001). Conclusions and Relevance: Among children aged 2 to 5 years in Bavaria, Germany, a program of primary care-based screening showed an islet autoantibody prevalence of 0.31%. These findings may inform considerations of population-based screening of children for islet autoantibodies.


Asunto(s)
Autoanticuerpos/sangre , Diabetes Mellitus Tipo 1/epidemiología , Islotes Pancreáticos/inmunología , Tamizaje Masivo , Enfermedades Asintomáticas/epidemiología , Enfermedades Asintomáticas/psicología , Preescolar , Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/psicología , Femenino , Estudios de Seguimiento , Alemania/epidemiología , Humanos , Masculino , Padres , Encuestas y Cuestionarios
6.
Lancet ; 395(10220): 264-265, 2020 01 25.
Artículo en Inglés | MEDLINE | ID: mdl-31982059
7.
Medicine (Baltimore) ; 99(1): e18078, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31895765

RESUMEN

Sun protection early in life is an essential issue for primary prevention of skin cancers. The Il Sole per Amico was an educational campaign among 66 Italian primary schools. A total of 12,188 questionnaires were completed at baseline. Overall, 9.4% children reported >1 sunburn during the last year and 44.7% parents a use of sunlamps. Independent factors associated with sunburns were: age, lower level of parents' education, light eye and skin color, freckles, nevi on arms, intense sun exposure during the last year, sporadic use of sunscreens, and parental use of sunlamps. A total of 7280 (59.7%) questionnaires were completed at the end of the educational intervention. No significant difference was documented about behavior between the pre- and post-intervention periods. A significant reduction was instead found in both prevalence of recent sunburns and total number of sunburn episodes after comparison with the data obtained by identical questionnaire in the same geographic areas in the "Sole Si Sole No" project in 2001.


Asunto(s)
Quemadura Solar/epidemiología , Protectores Solares/administración & dosificación , Niño , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Italia , Masculino , Padres/psicología , Evaluación de Programas y Proyectos de Salud , Neoplasias Cutáneas/prevención & control , Estudiantes/estadística & datos numéricos , Quemadura Solar/prevención & control , Encuestas y Cuestionarios
8.
J Homosex ; 67(2): 159-173, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-30403564

RESUMEN

Studies of adults who experienced sexual orientation change efforts (SOCE) have documented a range of health risks. To date, there is little research on SOCE among adolescents and no known studies of parents' role related to SOCE with adolescents. In a cross-sectional study of 245 LGBT White and Latino young adults (ages 21-25), we measured parent-initiated SOCE during adolescence and its relationship to mental health and adjustment in young adulthood. Measures include being sent to therapists and religious leaders for conversion interventions as well as parental/caregiver efforts to change their child's sexual orientation during adolescence. Attempts by parents/caregivers and being sent to therapists and religious leaders for conversion interventions were associated with depression, suicidal thoughts, suicidal attempts, less educational attainment, and less weekly income. Associations between SOCE, health, and adjustment were much stronger and more frequent for those reporting both attempts by parents and being sent to therapists and religious leaders, underscoring the need for parental education and guidance.


Asunto(s)
Homosexualidad/psicología , Padres , Conducta Sexual/psicología , Adulto , Estudios Transversales , Depresión/psicología , Relaciones Familiares , Femenino , Humanos , Masculino , Salud Mental , Padres/psicología , Minorías Sexuales y de Género , Ideación Suicida , Intento de Suicidio , Adulto Joven
9.
Arch Dis Child Fetal Neonatal Ed ; 105(1): 4-7, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31666312

RESUMEN

OBJECTIVE: There is a paucity of data about normal blood metabolite concentrations in healthy babies, in part because of a reluctance to undertake non-therapeutic invasive testing in newborns. The Glucose in Well Babies study (GLOW) sought to describe blood glucose, lactate and beta-hydroxybutyrate concentrations in healthy term babies over the first 5 postnatal days. We also sought to understand both parents' experience of participation in this invasive non-therapeutic study. DESIGN, SETTING, PATIENTS AND INTERVENTIONS: Eligible babies were healthy, term, appropriately grown singletons born in a birthing centre, hospital or home within the greater Hamilton area and then discharged home. Babies had subcutaneous continuous glucose monitoring placed soon after birth, up to 14 heel-prick blood samples, twice-daily home visits and parents were asked to record all feeds. At study completion, both parents were asked to independently complete a questionnaire about their experience. RESULTS: All eligible babies completed the study and every parent completed the questionnaire (65 fathers, 66 mothers). Parents reported they liked contributing to improving healthcare (126/131, 96%) and support from the GLOW team (119/131, 91%). Nearly all (127/131, 97%) would participate in GLOW again if they had another eligible baby, and all would recommend GLOW to family and friends. Two-thirds of parents (87/131, 66%) reported that participation had made them more likely to contribute to clinical research in the future. CONCLUSIONS: Non-therapeutic studies involving invasive procedures in healthy term babies are feasible, and parents were positive about their experience.


Asunto(s)
Ácido 3-Hidroxibutírico/sangre , Actitud Frente a la Salud , Glucemia/análisis , Ácido Láctico/sangre , Experimentación Humana no Terapéutica , Padres , Adulto , Recolección de Muestras de Sangre , Femenino , Cuidados de Enfermería en el Hogar , Humanos , Recién Nacido , Masculino , Monitoreo Fisiológico , Nueva Zelanda , Estudios Prospectivos , Valores de Referencia , Encuestas y Cuestionarios
12.
Int J Dent Hyg ; 18(1): 3-16, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30941877

RESUMEN

AIM: To synthesize the literature on the influence of family/parents characteristics on periodontal diseases in children and adolescents. METHODS: An electronic search for relevant literature published between 2007 and 2017 was undertaken in PubMed, Embase, Cinahl and Cochrane databases; the search was updated in April 2018. Two reviewers independently reviewed the abstracts of these; of which, 43 articles were reviewed in full. RESULTS: Of the 746 retrieved titles, 649 remained after removing duplicates. Thirty articles met the inclusion criteria, and 13 were excluded. Also, two were included from the updated search. Data from the reviewed articles indicate that all three indicators of parent's socioeconomic status (income, education and occupation) are significantly associated with periodontal diseases in children. Better periodontal status was observed in children of parents with higher SES than those whose parents were of lower SES. Although the association between parent's smoking practices, level of periodontal diseases and children's periodontal status was explored only in few studies, findings indicate that children exposed to passive smoking and having parents with periodontal diseases are more likely to present with periodontal diseases as well. CONCLUSIONS: Most of the studies considered socioeconomic factors and had not attempted to explore the impact of parental psychosocial variables on periodontal diseases in children. The literature indicates that these variables significantly influence health practices, including oral hygiene practices, which could ultimately affect periodontal health. More studies are required to explore the association of these variables with periodontal outcomes in children.


Asunto(s)
Composición Familiar , Enfermedades Periodontales , Adolescente , Niño , Humanos , Higiene Bucal , Padres , Factores Socioeconómicos
13.
Int J Paediatr Dent ; 30(1): 75-84, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31408252

RESUMEN

BACKGROUND: Oral disease is one of the most prevalent chronic health conditions affecting children. Twice-daily toothbrushing is recommended to promote good oral health; however, a large proportion of Australian families are not meeting this recommendation. AIM: This study aimed to identify important barriers to regular toothbrushing for young children. DESIGN: In this study, 239 parents of 0- to 4-year-old children completed an online survey that investigated child, family, and parent factors associated with child toothbrushing. Hierarchical linear regression was used to identify predictors of toothbrushing frequency in children and perceived difficulty of the task by parents. RESULTS: We found that parent factors, specifically oral health knowledge, were the most significant predictors of toothbrushing frequency. Conversely, parent factors did not contribute significantly to the prediction of perceived difficulty of toothbrushing once family and child factors were taken into account. Oral health knowledge and use of routines were identified as the most important predictors of toothbrushing frequency, whereas resistant child behaviour and household organisation were found to be the most important predictors of perceived difficulty of regular toothbrushing. CONCLUSIONS: The findings of the study have implications for behavioural interventions to support parents, as well as directions for future research.


Asunto(s)
Responsabilidad Parental , Cepillado Dental , Australia , Niño , Conducta Infantil , Preescolar , Humanos , Lactante , Recién Nacido , Padres
14.
Odontology ; 108(1): 109-116, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31444594

RESUMEN

The aim was to explore the predictive value of objective treatment need, impaired quality of life, and parental influence on orthodontic treatment demand in preadolescents and adolescents. A secondary goal was to validate 16-item Child Perceptions Questionnaire for the 11-14 year age group (CPQ11-14): item-impact and stepwise-regression short-forms. A convenience sample of 287 participants (55% female) was used for validation. Internal consistency, test-retest reliability, and convergent validity were evaluated. Predictors of treatment demand were explored in 197 orthodontic patients: 93 preadolescents (51% females), 104 adolescents (55% females). Hierarchical linear regression and multilevel logistic regression models were used to explore the predictive power of age, gender, objective treatment need, impaired quality of life and parental influence on treatment demand. CPQ11-14 regression short-form had acceptable psychometric properties. Significant linear predictors of treatment demand were impaired emotional well-being (EW) (ß = 0.335, p = 0.002), parental influence (ß = 0.221, p = 0.002), and malocclusion severity (ß = 0.152, p = 0.025). In logistic regression, parental influence was revealed as the most important predictor of treatment demand in preadolescents, OR = 7.7 (95% confidence interval CI 2.4-25.1; p = 0.001); objective treatment need in adolescents, OR = 4.5 (95% CI 1.5-12.9; p = 0.006). The increase of impairment in EW by one scalar point increased treatment demand by 1.4 (95% CI 1.1-1.9; p = 0.017) in preadolescents; 1.3 (95% CI 1.0-1.7; p = 0.021) in adolescents. Greater parental agreement and motivation for treatment could result in higher preadolescents' cooperation. Orthodontic treatment in adolescents might be more effective with the patient-oriented approach.


Asunto(s)
Maloclusión , Calidad de Vida , Adolescente , Niño , Femenino , Humanos , Masculino , Padres , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
15.
Z Kinder Jugendpsychiatr Psychother ; 48(1): 57-75, 2020 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-30526289

RESUMEN

Quality criteria of internet-based cognitive-behavioral interventions for children and adolescents and their parents - A systematic review Abstract. Introduction: This study provides an overview of existing internet-based evidence-based cognitive behavioral interventions (iCBT) for children/adolescents and their parents. The studies were evaluated based on preliminary defined quality criteria regarding their usability in the healthcare system. Methods: The review was performed according to PRISMA guidelines and evaluated the scientific literature concerning to iCBT. We conducted a comprehensive literature search of PubMed, PsychINFO, PsychARTICLES, PsychNDEX and Science Direct using relevant keywords. Studies were rated according to 10 previously predefined quality measures. Results: A total of 4,479 articles were screened, 62 of which were selected for further analysis. Thereof, 24 international iCBT programs with 50 randomized controlled trials (RCTs) were evaluated and met the quality criteria (M = 7.25, SD = 1.07). Further 13 publications showed preliminary efficacy for another 11 international iCBT programs and met the quality criteria (M = 7.45, SD = .82). There was no significant difference between programs evaluated within and without RCTs t(33) = -.56, p = .58. Conclusions: Our results indicate that multiple international iCBT programs exist. Because in Germany the waiting time for psychotherapeutic or psychiatric treatment is still about five months, iCBT programs have the potential to reduce this gap.


Asunto(s)
Terapia Cognitivo-Conductual/normas , Internet , Padres/psicología , Adolescente , Niño , Alemania , Humanos
16.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1048054

RESUMEN

Objetivo: compreender a contribuição da consulta de enfermagem para a educação em saúde dos familiares de crianças em tratamento quimioterápico ambulatorial. Método: pesquisa de campo de abordagem qualitativa, realizada no interior do estado de São Paulo com 15 famílias atendidas na consulta de enfermagem, por meio de entrevista semiestruturada. Os dados foram analisados com a técnica de análise de conteúdo. Resultados: identificou-se uma categoria temática central "A consulta de enfermagem como ferramenta para o empoderamento dos pais", subsidiada pelos seguintes núcleos de sentido: fundamental, apoio, acolhimento, relação de confiança e vínculo, aprendizado e segurança. Conclusão: a consulta de enfermagem foi revelada como um espaço que proporciona o empoderamento da família por meio da aquisição do conhecimento sobre o diagnóstico, o tratamento e a forma de lidar com a criança oncológica, o que possibilita aos pais maior segurança para cuidarem do filho


Objective: to understand the contribution of the nursing consultation to the health education of the relatives of children undergoing outpatient chemotherapy. Method: a qualitative field survey was carried out at in a town in the State of Sao Paulo with 15 families seen at the nursing consultation. Data collection was performed through a semi-structured interview and analyzed through content analysis technique. Results: a central thematic category was identified: "The nursing consultation as a tool for empowering the parents", supported by the nuclei of meaning: fundamental, support, reception, trust and bonding, learning and confidence. Conclusion: the nursing consultation was revealed as a moment for providing empowerment for the child's family through knowledge acquisition regarding the diagnosis, treatment and way of coping with the oncological child, which provides the parents with greater confidence to care for their child


Objetivo: comprender la contribución de la consulta de enfermería para la educación en salud de familiares de niños en tratamiento ambulatorio de quimioterapia. Método: estudio de campo de enfoque cualitativo, realizado en el interior de São Paulo, con 15 familias atendidas en consulta de enfermería, por medio de entrevista semiestructurada. Los datos fueron analizados con la técnica de análisis de contenido. Resultados: se identificó una categoría temática central "La consulta de enfermería como herramienta para empoderamiento de los padres", auxiliada por los siguientes núcleos de sentido: fundamental, apoyo, acogida, relación de confianza y vínculo, aprendizaje y seguridad. Conclusión: la consulta de enfermería fue revelada como un espacio que proporciona el empoderamiento de la familia por medio de adquisición de conocimiento sobre el diagnóstico, el tratamiento y la forma de tratar con el niño oncológico, lo que les propicia a los padres mayor seguridad para cuidar del hijo


Asunto(s)
Humanos , Masculino , Niño , Adulto , Padres/educación , Enfermería de Consulta , Oncología Médica/educación , Relaciones Profesional-Familia , Familia , Salud del Niño , Investigación Cualitativa , Atención Ambulatoria
17.
Psychiatr Hung ; 35(1): 20-29, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31854319

RESUMEN

BACKGROUND: The measure of health-related quality of life (HRQoL) among children with mental disorders is still in early ages, even though the worldwide-pooled prevalence of psychiatric diagnoses among children and adolescents is around 13%. Several studies confirmed that these children have impaired social and school functioning and low HRQoL. Mental disorders among children often remain undiagnosed or diagnosed too late, in that case additional negative effects could be expected. The aim of the current study was to identify psychiatric disorders in children who participated in a clinical study as a "healthy" control group and measure its effects on HRQoL. METHODS: The inclusion criteria for control participated children were not having ongoing or previous psychiatric or psychological treatment. In the second step control children (n=79, age range 6-15) were divided into two subgroups according to achieved diagnostic criteria. Measures were Mini International Neuropsychiatric Interview Kid and Inventory for the Assessment of the Quality of Life in Children and Adolescents. For data analyzing due to unequal sample sizes robust Welch t-test with omega squared, Spearman's rank correlation coefficients and logistic regression were applied. RESULTS: According to the children and parents control group with diagnoses have lower HRQoL in school, peer relationships and mental health dimensions than control group without diagnoses. Furthermore, by the children's report this difference exists in the domain of time spent alone, by the parent proxy report exist in the somatic health and general dimensions. An increasing number of diagnoses decreased HRQoL in most areas. The presence of psychiatric diagnoses by children increase 8 times more likely to have low HRQoL in the domain of school and 4 times in the domain of time spent alone. CONCLUSIONS: These results draw attention to the relative high ratio of undiagnosed mental disorders in the control group and for the low HRQoL of these children. Screening of psychiatric disorders in schools should be crucial and the earliest recourse of treatment in the identified children. The findings of this study also underline the importance of assessing HRQoL from different perspectives.


Asunto(s)
Grupos Control , Estado de Salud , Trastornos Mentales/diagnóstico , Trastornos Mentales/psicología , Calidad de Vida/psicología , Adolescente , Niño , Humanos , Padres
18.
Presse Med ; 48(12): e369-e381, 2019 Dec.
Artículo en Francés | MEDLINE | ID: mdl-31785940

RESUMEN

BACKGROUND: In 2015, the vaccine against human Papillomavirus (hPV) was recommended in France for children from 11 to 14 years-old. This study assessed the knowledge of parents from Normandy about this vaccine and measured the impact of an information campaign on their intent to have their children vaccinated. METHODS: Parents from Normandy with children in sixth-grade class, aged 10 to 11, during the 2015-2016 school year were included. The secondary schools were selected in collaboration with academic institutions. The intent to have their child vaccinated was measured with a questionnaire distributed to children in April 2016 and collected from May to June 2016 by school nurses. RESULTS: Among the 16 selected secondary schools, 1428 questionnaires were distributed and 864 (60.5 %) were collected regardless of the gender of the child. Among the 439 girls, 85.9 % were not vaccinated against hPV. The intent to vaccinate was higher when the parent who responded was the mother (P<0.001). Among the parents who took note of the information booklet, 73.7 % found this information useful. There was a significant association between the knowledge about the vaccine against hPV and the intent to vaccinate (P<0.001). The percentage of vaccinated girls was significantly higher when their parents were informed (10.9 % versus 3.2 %). We noticed a significant rise of the intent to vaccinate children when information booklets were distributed (P<0.001). CONCLUSION: The vaccination rate after specific information about vaccination against hPV was significantly higher. The information campaign has thus a significant positive impact.


Asunto(s)
Intención , Infecciones por Papillomavirus/prevención & control , Vacunas contra Papillomavirus/uso terapéutico , Padres , Vacunación/estadística & datos numéricos , Adolescente , Adulto , Niño , Femenino , Francia/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Historia del Siglo XXI , Humanos , Masculino , Persona de Mediana Edad , Relaciones Padres-Hijo , Padres/educación , Padres/psicología , Aceptación de la Atención de Salud/psicología , Aceptación de la Atención de Salud/estadística & datos numéricos , Servicios de Salud Escolar/historia , Instituciones Académicas/estadística & datos numéricos , Factores Socioeconómicos , Encuestas y Cuestionarios , Vacunación/psicología
19.
Harefuah ; 158(12): 783-786, 2019 Dec.
Artículo en Hebreo | MEDLINE | ID: mdl-31823530

RESUMEN

BACKGROUND: Discharge against medical advice (DAMA) in pediatrics may endanger the child, increase the rate of complications, morbidity or mortality. Despite the prevalence of this phenomenon in the world, we found only one study that examined the DAMA phenomenon in Israel. The study examined the phenomenon in one ER in general and did not distinguish between adults and children. OBJECTIVES: To describe the characteristics of children and parents who left the ER against medical advice for hospitalization and to examine the reasons given by the parents, and factors associated with this phenomenon. METHODS: A prospective study involving parents who refused to hospitalize their children despite a medical recommendation. Data was collected from medical records and telephone interviews after discharge. RESULTS: During the study, there were 16,376 visits to the pediatric ER, 3288 recommendations for hospitalization (20.07%) and 200 DAMA (6%). Reasons for parents refusing hospitalization can be categorized according to: child's health reasons, parents personal reasons and reasons related to the health system`s function. A total of 22 of the children returned to the ER for the same complaint and 12 of them were hospitalized (7.9% of the children who completed their participation in the study). DISCUSSION: Refusal of medical care for children is a disturbing phenomenon due to the negative consequences that may result from this. In order to minimize the extent of DAMA and its damage, it is very important to recognize the extent and understand the factors associated with this phenomenon.


Asunto(s)
Medicina de Emergencia , Hospitalización , Alta del Paciente , Negativa del Paciente al Tratamiento , Adulto , Niño , Humanos , Israel , Padres , Estudios Prospectivos
20.
Harefuah ; 158(12): 795-798, 2019 Dec.
Artículo en Hebreo | MEDLINE | ID: mdl-31823533

RESUMEN

INTRODUCTION: Pediatric rheumatic illnesses are not well known nor easily diagnosed, resulting in a long passage of time before diagnoses by a pediatric rheumatologist and the beginning of appropriate treatment. Early detection usually provides a better prognosis, whereas delay, misdiagnosis and subsequent mistreatment can aggravate damage and pain caused by the illness. To combat this problem, the European Society for Pediatric Rheumatologists, PReS and the European Parent/Patient Association ENCA, have jointly inaugurated WORD Day, "WOrld Young Rheumatic Disease Day" annually, on March 18th. The objectives of this day are to raise parental and professional awareness to these illnesses by giving parents and physicians necessary tools to recognize symptoms which require rheumatological attention. This day, as a joint cooperative venture of pediatric rheumatologists and parent associations, joins the progression towards increased cooperation between pediatric rheumatologist and parent associations. This cooperation, which asserts itself in many fields including research, educational activity and setting criteria for optimal care, is born of the belief that optimal patient care must take into account not only the medical knowledge that doctors have to offer, but also the attitudes and needs of the patients. Care formulated through this type of co-operation can significantly increase both the quality of care and patient compliance to treatment. This article describes the nature of this cooperation with an emphasis both on the structure of the cooperation utilized for the awareness day and its educational goals and tools.


Asunto(s)
Médicos , Enfermedades Reumáticas , Reumatología , Niño , Humanos , Padres , Atención al Paciente
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