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1.
Zhonghua Yu Fang Yi Xue Za Zhi ; 54(3): 283-288, 2020 Mar 06.
Artículo en Chino | MEDLINE | ID: mdl-32187933

RESUMEN

Objective: To explore the effect of parental rearing patterns and their consistency on the emotional and behavioral problems of preschool children. Methods: From October to November 2017, 27 987 children aged 3 to 6 years old from 109 kindergartens in 11 cities of Hubei, Anhui and Jiangsu Provinces were selected by using the cluster sampling method. A total of 27 200 valid questionnaires which were completed by subjects' parents were collected. The emotional and behavioral problems of preschool children were collected by "strengths and difficulties questionnaire" and the parental rearing patterns were evaluated by the "Parental Behavior Scale". The differences in emotional and behavioral abnormality rates of preschool children with different characteristics were analyzed; with emotional and behavioral problems as dependent variables and parental support/participation and compulsion/hostility as independent variables, the multivariate logistic regression model was used to analyze the effect of parental rearing patterns and their consistency on the emotional and behavioral problems of preschool children. Results: The age of children was (4.35±0.96) years old, and 51.4% of children were 13 975 males. There were 24 634 (90.6%) urban children and 17 916 (65.9%) only children. Both parents with strong support/participation accounted for 14.9%, and those with poor support/participation accounted for 11.9%; both parents with strong compulsion/hostility accounted for 15.2%, and those with low compulsion/hostility accounted for 11.3%. The rates of emotional symptoms, conduct behavior, hyperactive behavior, peer interaction, total difficulty score, and abnormal prosocial behavior of preschool children were 9.5%, 9.5%, 18.2%, 24.5%, 11.2%, and 10.2%, respectively. The multivariate logistic regression model analysis showed that after adjusting for gender, only child, living area, family economic status, mother's age and education level, father's education level, and other factors, compared with fathers/mothers with strong support/participation and low compulsion/hostility and parents with strong support/participation and low compulsion/hostility, preschool children who had fathers/mothers with poor support/participation and strong compulsion/hostility or parents with poor support/participation and strong compulsion/hostility were more likely to have emotional symptoms, conduct behavior, hyperactive behavior, peer interaction, total difficulty score, and abnormal prosocial behavior (P<0.05). Conclusions: Parental rearing patterns and their consistency are related to the emotional and behavioral problems of preschool children.


Asunto(s)
Síntomas Afectivos , Conducta Infantil/psicología , Salud Mental/estadística & datos numéricos , Relaciones Padres-Hijo , Responsabilidad Parental , Padres/psicología , Problema de Conducta , Niño , Preescolar , Femenino , Humanos , Modelos Logísticos , Masculino , Factores Socioeconómicos , Encuestas y Cuestionarios
2.
J Sports Sci ; 38(6): 669-675, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32013766

RESUMEN

Initial research suggests that parental perfectionism is central to the development of athlete perfectionism. However, it is unclear whether perceived or actual parental perfectionism is most important. The present study aimed to address this issue in two ways. First, we re-examined the predictive ability of actual versus perceived parental perfectionism on athlete perfectionism. Second, for the first time, we tested whether perceived parental perfectionism mediated the relationship between actual parental perfectionism and athlete perfectionism. A sample of 150 junior athletes and their parents completed measures of perfectionism (perfectionistic strivings and perfectionistic concerns). Junior athletes completed two measures, one of their own perfectionism and one of perceptions of their parents' perfectionism. Parents completed one measure of their own perfectionism. Regression analyses showed that perceived parental perfectionism predicted athlete perfectionism over and above actual parental perfectionism. Mediation analyses provided support for our proposed model. Overall, the findings suggest that both actual and perceived parental perfectionism are important in the development of perfectionism in junior athletes.


Asunto(s)
Atletas/psicología , Rendimiento Atlético/psicología , Relaciones Padres-Hijo , Padres/psicología , Perfeccionismo , Adolescente , Humanos , Persona de Mediana Edad , Percepción , Estrés Psicológico
3.
J Sports Sci ; 38(6): 682-691, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32050850

RESUMEN

This study aimed to verify the effect of a multicomponent intervention on cardiometabolic risk factors (CMRF), and to determine the prevalence of responders on CMRF among children and adolescents with overweight/obesity. This is a quasi-experimental study, developed with 35 children and adolescents with overweight/obesity (control group (CG) = 18; intervention group (IG) = 17), aged between 7 and 13 years. Participants in IG underwent a multicomponent intervention for 12 weeks. The following variables were evaluated: anthropometric measures, maturational stages and CMRF (body fatness, HOMA-IR, triglycerides, high-density and low-density lipoprotein) (HDL-C, LDL-C), total cholesterol (TC), aspartate aminotransferase (AST), alanine aminotransferase (ALT) and AST/ALT ratio. Mixed analysis of variance and the prevalence of responders were used for statistical analysis. There was a significant time x group interaction on body fatness (p < 0.001), HOMA-IR (p = 0.01), HDL-C (p < 0.001), LDL-C (p = 0.009) and TC (p < 0.001). The prevalence of responders for CMRF in IG and CG was respectively: body fatness (47%; 0%; p = 0.04), HOMA-IR (58.8%; 16.6%; p = 0.04); triglycerides (17.6%; 5.5%; p = 0.31); HDL-C (76.4%; 5.5%; p = 0.01), LDL-C (35.3%; 5%; p = 0.08), TC (64.7%; 5%; p = 0.01), AST (5.8%; 0%; p = 0.87), ALT (29.4%; 11.1%; p = 0.24) and AST/ALT ratio (24.4%; 22.2%; p = 0.67). Multicomponent intervention induced positive changes on CMRF along with a higher prevalence of positive adaptations in IG than the CG in some of the cardiometabolic outcomes assessed.


Asunto(s)
Ejercicio , Sobrepeso/prevención & control , Padres/psicología , Obesidad Pediátrica/prevención & control , Apoyo Social , Adolescente , Alanina Transaminasa/sangre , Aspartato Aminotransferasas/sangre , Distribución de la Grasa Corporal , Niño , Colesterol/sangre , HDL-Colesterol/sangre , LDL-Colesterol/sangre , Femenino , Homeostasis , Humanos , Resistencia a la Insulina/fisiología , Masculino , Factores de Riesgo , Triglicéridos/sangre
4.
Am J Occup Ther ; 74(1): 7401205040p1-7401205040p14, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32078515

RESUMEN

IMPORTANCE: Play is essential to children and provides opportunities to promote their health and well-being. Children living with life-threatening and life-limiting conditions experience deprivation in play. OBJECTIVE: To conduct a scoping review of studies that examined play of children with a life-threatening or life-limiting condition to explore their play characteristics and possible factors influencing their participation in play. DATA SOURCES: A search of literature published between 1990 and 2017 was conducted in the health, social care, and built-environment fields. The scoping review included multiple searches in electronic databases, a gray literature search, and manual searches of relevant journals and reference lists of included articles. STUDY SELECTION AND DATA COLLECTION: Defined criteria were used to select articles describing studies that examined the daily play of children ages 5-11 yr with life-threatening and life-limiting conditions; articles that focused on play as therapy or that used parents' accounts of a service were excluded. The identified articles were critically appraised with the Critical Appraisal Skills Programme and the Joanna Briggs Institute Critical Appraisal Tools. FINDINGS: Thirteen articles were reviewed. The findings indicate that children's play is influenced by their health conditions and play opportunities and by the limited availability of appropriate play equipment and spaces allowing play and social interaction. CONCLUSIONS AND RELEVANCE: Available appropriate play opportunities need to be maximized for children living with life-threatening and life-limiting conditions. This goal can be achieved by understanding and considering the needs of these children and by facilitating environmental enablers and limiting barriers. WHAT THIS ARTICLE ADDS: Promoting the participation in play of children who live with life-threatening and life-limiting conditions is important to their health and well-being and can be achieved by targeting the cultural, social, and physical environmental factors that shape the children's play.


Asunto(s)
Relaciones Interpersonales , Padres , Niño , Preescolar , Humanos , Padres/psicología
5.
Orv Hetil ; 161(9): 323-329, 2020 Mar.
Artículo en Húngaro | MEDLINE | ID: mdl-32088978

RESUMEN

Relation between the treating physician, the child with cancer and his/her parents is decisive in the field of pediatric oncology. Medical communication plays a crucial role in this relation. The quality of communication is particularly emphasized during the phase of palliative care in the case of children with incurable malignant disease. The proper medical communication during pediatric palliative care is subject of intensive research which is hindered by the sensitivity of the topic and the difficulties with inclusion of parents whose child has been lost or receiving palliative treatment and of health-care providers, respectively. In the present work, we review the publications focusing on palliative care in the field of pediatric oncology. Despite extensive research, only few investigations focus on the practical aspects of medical communication. Reports on the effectiveness of practical implementation of the existing theories are lacking. Drawing general conclusions is highly hindered by socio-cultural differences, including the diverse parental expectations towards doctors in different cultural and religious settings. However, there is a general agreement that early, simultaneous integration of palliative care at the time of diagnosis sharing is crucial. With the current knowledge, it is essential to conduct further research in this field considering the different socio-cultural backgrounds as well. Orv Hetil. 2020; 161(9): 323-329.


Asunto(s)
Comunicación , Neoplasias/terapia , Cuidados Paliativos , Padres/psicología , Relaciones Médico-Paciente , Niño , Humanos , Oncología Médica , Pediatría
6.
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
7.
Lancet ; 395(10220): 264-265, 2020 01 25.
Artículo en Inglés | MEDLINE | ID: mdl-31982059
9.
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
10.
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
11.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 420-426, jan.-dez. 2020. ilus
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1052907

RESUMEN

Objetivo: levantar na literatura os critérios para preparo dos pais para alta do RNPT e propor um protocolo para este fim. Metodologia: revisão bibliográfica integrativa, qualitativa e exploratória. Resultados: Emergiram da busca três categorias: educação dos pais quanto aos cuidados ao recém-nascido; limitações e desafios enfrentados pela equipe para o preparo dos pais e estratégias utilizadas pela equipe para o preparo dos pais. Propôs-se o protocolo com orientações sobre alimentação, banho, sono, cuidados com a pele e sinais de alerta. Discussão: Os resultados apontam a importância do preparo dos pais para a alta do pré-termo, evidenciando que a manutenção da saúde quando em domicilio, terá direta relação com tal preparo. Considerações finais: Diante do discutido, há necessidade de se estabelecer um processo sistemático, para a implementação de tal ação


Objective: to raise in the literature the criteria for preparing the parents for discharge from the PTNB and to propose a protocol for this purpose. Methodology: qualitative and exploratory bibliographical review. Results: Three categories emerged from the search: parent education for newborn care, limitations and challenges faced by the parenting team and the strategies used by the parenting team. The protocol for the preparation of parents with guidelines on feeding, bathing, sleeping, skin care and warning signs was proposed. Discussion: The results point out the importance of parents' preparation for high preterm, evidencing that the maintenance of health when at home, will have a direct relation with such preparation. Final considerations: Before the discussion, there is a need to establish a systematic process for the implementation of such action


Objetivo: levantar en la literatura los criterios para la preparación de los padres para el alto del RNPT y proponer un protocolo para este fin. Metodología: revisión bibliográfica integrativa, cualitativa y exploratória. Resultados: emergieron de la búsqueda tres categorías: educación de los padres en cuanto a los cuidados al recién nacido; limitaciones y desafíos enfrentados por el equipo para la preparación de los padres y estrategias utilizadas por el equipo para la preparación de los padres. Se propuso el protocolo orientaciones sobre alimentación, baño, sueño, cuidados de la piel y señales de alerta. Discusión: Los resultados apuntan la importancia de la preparación de los padres para el alta del pre-término, evidenciando que el mantenimiento de la salud cuando en domicilio, tendrá una directa relación con tal preparación. Consideraciones finales: Ante la discusión, hay una necesidad de establecer un proceso sistemático, para la implementación de tal acción


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Relaciones Padres-Hijo , Padres/educación , Padres/psicología , Alta del Paciente/tendencias , Recien Nacido Prematuro , Estrés Psicológico , Unidades de Cuidado Intensivo Neonatal
12.
Support Care Cancer ; 28(1): 303-308, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31044306

RESUMEN

PURPOSE: To analyse the preference of end of life care place in paediatric oncology patients, and to understand the end of life care needs and regrets among the care givers. METHOD: This was an observational qualitative study. Parents of in-curable paediatric malignancy patients who died during the years 2016-2018 were interviewed using a pre-formed open-ended questionnaire. Fears during the last phase of child's life, most disturbing symptoms, choice of end of life care plan, regret of care givers and reasons for such choices were noted and analysed. RESULT: Twenty six families were interviewed. A median of 3 months of discordance was noted between declaration of in-curability and acceptance of the same by the family. During terminal months, pain (84.62%) was described as the most bothersome symptom followed by respiratory distress (73.08%). Eighteen families (69%) opted for home-based terminal care, 8 (31%) for hospital-based terminal care. Regret of choice was noted in 62.5% families of the hospital-based care group (separation from home environment being the main reason) and 38.89% of the home-based care group (lack of access to health care personnel and pain medication being the main reasons). CONCLUSION: Home-based care is the preferred option for end of life care by the care givers. Lack of community-based terminal care support system and availability of analgesics are the main areas to work on in India.


Asunto(s)
Actitud Frente a la Muerte , Servicios de Salud del Niño , Emociones , Neoplasias , Padres/psicología , Cuidado Terminal/psicología , Adolescente , Adulto , Conducta , Cuidadores/psicología , Cuidadores/estadística & datos numéricos , Niño , Preescolar , Femenino , Servicios de Atención de Salud a Domicilio/estadística & datos numéricos , Cuidados Paliativos al Final de la Vida/psicología , Cuidados Paliativos al Final de la Vida/estadística & datos numéricos , Humanos , India/epidemiología , Masculino , Persona de Mediana Edad , Neoplasias/mortalidad , Neoplasias/psicología , Neoplasias/terapia , Cuidados Paliativos/psicología , Cuidados Paliativos/estadística & datos numéricos , Relaciones Padres-Hijo , Aceptación de la Atención de Salud/psicología , Encuestas y Cuestionarios , Cuidado Terminal/estadística & datos numéricos
13.
Dev Neurorehabil ; 23(1): 64-67, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31411516

RESUMEN

Objective: To explore the effects of a web platform, aiming to support parents of children 5-12 years old with suspected or diagnosed developmental coordination disorder (DCD), on parental knowledge and skills.Method: A randomized pilot trial was undertaken (Clinical trial NCT03141333). Parents of the intervention group (n = 15) had access to a web platform (including resources, forum and virtual interactions) for three months. The control group (n = 13) only had access to resources. The primary outcome was measured pre- and post-intervention with the Parent Knowledge and Skills Questionnaire. Pre- post-questionnaires evaluated secondary outcomes (parents' sense of competence, children's strenghts and difficulties, and occupational performance).Results and discussion: All outcome measures improved over time for the intervention group. However, those improvements were not clinically or statistically significant (p 0.08-0.41).Conclusion: Web platforms supporting parents of children with DCD need further evaluation. Especially, usability of web platforms and new outcome measures should be explored.


Asunto(s)
Trastornos de la Destreza Motora/rehabilitación , Rehabilitación Neurológica/métodos , Padres/psicología , Apoyo Social , Niño , Preescolar , Femenino , Humanos , Masculino , Encuestas y Cuestionarios
14.
BMC Psychol ; 7(1): 76, 2019 Nov 29.
Artículo en Inglés | MEDLINE | ID: mdl-31783784

RESUMEN

BACKGROUND: Extremely premature infants (those born before 28 weeks' gestational age) are highly immature, requiring months of care at a neonatal intensive care unit (NICU). For parents, their child's grave medical condition and prolonged hospitalization are stressful and psychologically disruptive. This study aimed at exploring the needs of psychosocial support of parents of extremely premature infants, and how the NICU as an organization and its staff meets or fails to meet these needs. METHOD: Sixteen open-ended interviews were conducted with 27 parents after their infant's discharge from the NICU. Inductive content analysis was performed. RESULTS: Four themes were identified: Emotional support (with subthemes Empathic treatment by staff, Other parents as a unique source of support, Unclear roles of the various professions); Feeling able to trust the health care provider; Support in balancing time spent with the infant and other responsibilities; Privacy. Parents of extremely premature infants needed various forms of emotional support at the NICU, including support from staff, professional psychological help and/or companionship with other patients' parents. Parents were highly variable in their desire to discuss their emotional state with staff. The respective roles of nursing staff, social workers and psychologists in supporting parents emotionally and identifying particularly vulnerable parents appeared unclear. Parents also needed to be able to maintain a solid sense of trust in the NICU and its staff. Poor communication with and among staff, partly due to staff discontinuity, damaged trust. Parents struggled with perceived pressure from staff to be at the hospital more than they could manage and with the limited privacy of the NICU. CONCLUSIONS: The complex and individual psychosocial needs of parents of extremely preterm infants present many challenges for the NICU and its staff. Increasing staffing and improving nurses' competence in addressing psychosocial aspects of neonatal care would help both nurses and families. Clarifying the roles of different professions in supporting parents and developing their teamwork would lessen the burden on nurses. Communicating with parents about their needs and informing them early in their NICU stay about available support would be essential in helping them cope with their infant's hospitalization.


Asunto(s)
Recien Nacido Extremadamente Prematuro/psicología , Cuidado Intensivo Neonatal/psicología , Padres/psicología , Sistemas de Apoyo Psicosocial , Adulto , Femenino , Humanos , Lactante , Cuidado del Lactante/psicología , Recién Nacido , Unidades de Cuidado Intensivo Neonatal , Método Madre-Canguro/psicología , Masculino , Relaciones Padres-Hijo , Investigación Cualitativa
15.
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
16.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(11): 1376-1380, 2019 Nov 10.
Artículo en Chino | MEDLINE | ID: mdl-31838807

RESUMEN

Objective: To establish the model of the self-confidence, motivation and authoritative advice factors influencing the use of child restraint and use structural equation model to test it to provide scientific basis for promoting the advocacy of use of child restraint. Methods: Using multi-stage cluster random sampling method, 9 112 parents from the family with one or more private cars and 0-6 years old children in Shanghai and Shenzhen were investigated about the use of child restraint. A theoretical model of the self-confidence, motivation and authoritative advice factors influencing the use of child restraint was constructed. The theoretical model was validated and quantitatively analyzed by structural equation model. Results: The overall model accords with the expected theoretical model, and the goodness of model fit was fine. The indicators had met the standard. RMSEA=0.03, CFI=0.97. The standardization coefficients of each route showed statistical significance (P<0.05). The standardization coefficients of the influence of authoritative suggestions and motives on self-confidence were 0.45 and 0.30 respectively, and the standardization coefficients of the influence of self-confidence on the use of child restraint was 0.40. The standardization coefficient of the influence of authoritative suggestions on motivation was 0.61. Conclusions: In the advocacy of the use of child restraint, we should attach importance to the use of recommendations from experts and organizations with professional authority, good credibility and public welfare. We should take the status of children's road traffic safety and the mechanism of the role of child restraint as one of the key points of propaganda.


Asunto(s)
Accidentes de Tránsito/prevención & control , Sistemas de Retención Infantil , Motivación , Padres/psicología , Administración de la Seguridad/métodos , Autoimagen , Automóviles , Niño , Preescolar , China , Femenino , Humanos , Lactante , Recién Nacido , Embarazo , Cinturones de Seguridad/estadística & datos numéricos
17.
Health Qual Life Outcomes ; 17(1): 183, 2019 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-31842888

RESUMEN

BACKGROUND AND AIMS: Health-related quality of life (HRQOL) has garnered increasing interest especially for health care providers and researchers. The study aims to evaluate the HRQOL in parents of congenital heart disease (CHD) children, and to clarify the effect of the disease severity on the outcome of the HRQOL perception. Also, to analyze the internal consistency of the Arabic version of the World Health Organization (WHO) QOL-BREEF tool in order to determine whether the tool had good validity for the target population. METHODS: A cross-sectional study. The HRQOL perception was evaluated using WHOQOL-BREF questionnaire, and the internal consistency of the tool was tested using Cronbach's alpha (α-C), RESULTS: The study sample consisted of 200 individuals, 120 parents of CHD children, compared to 80 parents of children with minor illnesses (mean age of participating parents = 35.1 ± 9.8 years). While evaluating the HRQOL, the group of parents of children with minor illnesses had higher scores than the total group of parents of CHD children in all domains, indicating a better HRQOL. Class-IV subgroup of parents of CHD children showed the most significant lower total score of domains between all classes (44.47 ± 12, p < 0.001). With respect to the internal consistency of the WHOQOL-BREF, estimation of α-C values were 0.84 points for the group of parents of CHD children, and 0.87 for the group of parents of children with minor illnesses. CONCLUSIONS: This short-term study emphasized that, HRQOL scores among parents of CHD children are compromised, and the severity of their children illness significantly affect the total score of domains in their HRQOL perception. Furthermore, the tool showed to be practical and efficient to evaluate the QOL of parents of CHD children in our population in future researches.


Asunto(s)
Cardiopatías Congénitas/psicología , Padres/psicología , Calidad de Vida , Encuestas y Cuestionarios/normas , Adulto , Estudios de Casos y Controles , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Arabia Saudita , Índice de Severidad de la Enfermedad
19.
Artículo en Inglés | MEDLINE | ID: mdl-31861100

RESUMEN

The mental health of birth parents has gained attention due to the serious negative consequences for personal, family, and child outcomes, but depression and anxiety in adoptive parents remains under-recognized. Using a prospective, longitudinal design, we investigated anxiety and depression symptoms in 96 British adoptive parents over four time points in the first four years of an adoptive placement. Depression and anxiety symptom scores were relatively stable across time. Growth curve analysis showed that higher child internalizing scores and lower parental sense of competency at five months post-placement were associated with higher initial levels of parental depressive symptoms. Lower parental sense of competency was also associated with higher initial levels of parental anxiety symptoms. Parents of older children and those with higher levels of parental anxiety and sense of competency at five months post-placement had a steeper decrease in depressive symptoms over time. Support for adoptive families primarily focuses on child adjustment. Our findings suggest that professional awareness of parental mental health post-placement may be necessary, and interventions aimed at improving parents' sense of competency may be beneficial.


Asunto(s)
Adopción/psicología , Ansiedad/etiología , Depresión/etiología , Padres/psicología , Adulto , Niño , Preescolar , Trastorno Depresivo , Femenino , Humanos , Lactante , Modelos Lineales , Estudios Longitudinales , Masculino , Salud Mental , Persona de Mediana Edad , Estudios Prospectivos , Reino Unido , Adulto Joven
20.
BMC Public Health ; 19(1): 1740, 2019 Dec 27.
Artículo en Inglés | MEDLINE | ID: mdl-31881955

RESUMEN

BACKGROUND: Establishing healthy nutrition, activity, and sleep behaviours early in life is a key strategy in childhood obesity prevention. Parents are the primary influence on the development and establishment of obesity-related behaviours in young children. There is evidence that autonomy supporting parenting practices are crucial for the development of self-regulation and the internalisation of healthy behaviours in children. It is therefore imperative that parenting practices are targeted as part of an obesity prevention intervention. However, there is limited understanding of barriers and facilitators to parents using autonomy supporting parenting practices with their children aged 0-5 years. Therefore, the aim of the study was to identify barriers and facilitators to using autonomy supporting parenting practices. A secondary aim was to determine parent preferences in respect to an intervention program to be delivered in community playgroups. METHODS: Parents were recruited through Playgroup Queensland (PGQ), a not-for-profit organisation in Brisbane, Australia, to attend a focus group during their usual playgroup session. The focus group interview guide was designed to promote discussion among the participants in respect to their shared experiences as parents of young children. The focus group transcripts were coded and analysed using qualitative content analysis. Five focus groups with parents (n = 30) were conducted in May 2018. Most of the participants were mothers [1], and the majority (76%) had a child at playgroup aged between 2 and 4 years. RESULTS: The support and guidance received from other parents at playgroup was a facilitator to autonomy supporting parenting practices. Barriers included beliefs around the need to use rewards to encourage child eating, beliefs around the need for screens as babysitters, and feeling disempowered to change sleep behaviours. Parents were enthusiastic about a potential program that would leverage off the existing playgroup support networks, but they did not want to be "educated", or to lose their "playgroup time" to an intervention. Rather they wanted strategies and support to deal with the frustrations of food, screen and sleep parenting. CONCLUSION: These results will be used to inform the development of a childhood obesity prevention intervention to be delivered in a community playgroup setting.


Asunto(s)
Estilo de Vida Saludable , Padres/psicología , Obesidad Pediátrica/prevención & control , Juego e Implementos de Juego , Adulto , Preescolar , Femenino , Grupos Focales , Humanos , Lactante , Recién Nacido , Relaciones Interpersonales , Masculino , Responsabilidad Parental/psicología , Autonomía Personal , Investigación Cualitativa , Queensland
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