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1.
Soins Pediatr Pueric ; 41(317): 43-46, 2020.
Artigo em Francês | MEDLINE | ID: mdl-33308802

RESUMO

When a pathology is diagnosed at the birth of a child, the parents are confronted with an overwhelming life ordeal they have to face. A discussion group for these mothers and fathers of newborn babies who have needed a digestive stoma allows them to discuss their daily lives and share common concerns, to be reassured by the difficulties encountered, to gain confidence in the care provided and to project themselves into the future more serenely.


Assuntos
Anormalidades do Sistema Digestório/psicologia , Pais/psicologia , Grupos de Autoajuda , Apoio Social , Pai/psicologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Recém-Nascido , Masculino , Mães/psicologia
2.
Rev. enferm. UERJ ; 28: e43407, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1119599

RESUMO

Objetivo: analisar as representações sociais da presença do genitor no pré-natal para as mulheres gestantes. Método: estudo descritivo e qualitativo, fundamentado na Teoria da Representações Sociais. Contribuíram com o estudo 28 gestantes que realizavam as consultas do pré-natal e responderam a um roteiro de entrevista em profundidade contendo três questões abertas, cujas respostas foram submetidas à Análise de Conteúdo Lexical, possibilitada pelo software IRAMUTEQ. Resultados: a análise aponta a palavra 'não" como a mais latente no sistema cognitivo das gestantes, sendo percebida a alta frequência no Dendograma de Classes, presença no eixo de intersecção entre as ordenadas e abscissas no Mapa Fatorial de Correspondência, além de ser central e fazer as maiores forças de conexidade com as demais palavras na árvore máxima de similitude. Conclusão: as representações sociais das gestantes sobre a presença do genitor durante as consultas de pré-natal foram elaboradas a partir da negação, evidenciadas nos discursos do grupo no termo "não".


Objective: to examine social representations held by pregnant women of the fathers' presence in prenatal care. Method: this qualitative, descriptive study, based on Social Representations Theory, involved 28 pregnant women undergoing prenatal consultations, who answered an in-depth, scripted interview containing three open questions. Their responses were analyzed using Lexical Content Analysis, made possible by IRAMUTEQ software. Results: the analysis pointed to the word "no" as the most latent in the pregnant women's cognitive system: it was found at high frequency in the Dendrogram of Classes, was present at the axis of intersection between ordinates and abscissas on the Factorial Correspondence Map, besides being central and showing strongest connectedness with the other words in the similarity tree. Conclusion: the pregnant women's social representations of the fathers' presence at prenatal appointments were elaborated on the basis of denial, evidenced in the group's discourse in the term "no".


Objetivo: analizar las representaciones sociales que tienen las mujeres embarazadas sobre la presencia del padre en la atención prenatal. Método: este estudio cualitativo, descriptivo, basado en la Teoría de las Representaciones Sociales, involucró a 28 gestantes en consulta prenatal, quienes respondieron una entrevista en profundidad y guionizada que contenía tres preguntas abiertas. Sus respuestas se analizaron mediante el análisis de contenido léxico, posible gracias al software IRAMUTEQ. Resultados: el análisis apuntó a la palabra "no" como la más latente en el sistema cognitivo de la gestante: se encontró con alta frecuencia en el Dendrograma de Clases, estuvo presente en el eje de intersección entre ordenadas y abscisas en el Mapa de Correspondencia Factorial , además de ser central y mostrar una conexión más fuerte con las otras palabras en el árbol de similitudes. Conclusión: las representaciones sociales de las mujeres embarazadas sobre la presencia de los padres en las citas prenatales se elaboraron sobre la base de la negación, evidenciada en el discurso del grupo en el término "no".


Assuntos
Humanos , Feminino , Gravidez , Adolescente , Adulto , Adulto Jovem , Cuidado Pré-Natal/psicologia , Gestantes/psicologia , Relações Pai-Filho , Pai/psicologia , Brasil , Epidemiologia Descritiva , Pesquisa Qualitativa , Teoria Social , Enfermagem Obstétrica
3.
Prax Kinderpsychol Kinderpsychiatr ; 69(7): 625-642, 2020 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-33146086

RESUMO

Parental Resolution of the Child's Disability Diagnosis in the Reaction to Diagnosis Interview (RDI) and Effects on the Play Interaction with the Child Examining 37 qualitative interviews with mothers and fathers of a child with intellectual disability it was observed that the emotions and traumatic experiences, associated with the child's diagnosis, still burden the relationship with the child even after several years, so that many affected cannot come to resolution. On the other hand, resolution of the diagnosis was indicated for 65 % of the parents, enabling them to reclaim lost space for building a relationship with their child. While these parents significantly more often report purposeless and responsive play interaction with their children, non-resolved parents still seem to be driven to counteract the disability by playing educational games or playing games, which promote the development. In a parallel music therapeutic study, the effects of parental resolution also are monitored in children's free play interaction: Children of resolved parents interact more often in a dialogic relationship, whereas children of non-resolved parents are less able to balance dyadic turn-taking and interaction control in free music play.


Assuntos
Crianças com Deficiência/psicologia , Relações Pais-Filho , Pais/psicologia , Jogos e Brinquedos/psicologia , Criança , Emoções , Pai/psicologia , Feminino , Humanos , Masculino , Mães/psicologia
4.
Z Psychosom Med Psychother ; 66(3): 243-258, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32876552

RESUMO

Objectives: Addressing the lack of population-based data, the purpose of this representative study was to assess sex- and age-specific associations of maternal and paternal rearing behavior with depressiveness and anxiety controlling for sociodemographic and somatic variables. Methods: 8,175 subjects participating in a population-based study completed standardized questionnaires measuring Recalled Parental Rearing Behavior and distress. Results: Women recalled their fathers as more controlling and warmer, and their mothers as more rejecting than men. Comparisons between age groups (≤ 60 vs. > 60 years) revealed that younger participants recalled more parental control and emotional warmth. In addition to sociodemographic and somatic risk factors, paternal rejection and maternal control were associated with depressiveness and anxiety both for women and men (OR 1.58-1.96; OR 1.37-1.66). Maternal warmth was negatively related to distress (OR 0.66-0.69). Conclusions: Findings suggested sex- and age-specific differences in recalled maternal and paternal rearing behavior. The current results highlighted the important role of recalled parental rearing behavior besides sociodemographic factors and somatic diseases for the occurrence of depression and anxiety symptoms across the age groups.


Assuntos
Ansiedade/psicologia , Educação Infantil , Depressão/psicologia , Rememoração Mental , Mães/psicologia , Inquéritos e Questionários , Adulto , Fatores Etários , Transtornos de Ansiedade/psicologia , Criança , Transtorno Depressivo/psicologia , Pai/psicologia , Feminino , Humanos , Masculino , Características de Residência , Fatores Sexuais
5.
Soins Pediatr Pueric ; 41(315): 42-45, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32951696

RESUMO

Premature birth is a test for fatherhood's process: it may hinder the ability to feel like a father or like a good father, and the ability to make the baby be part of the family line. A clinical research did explore how care givers in neonatal services may deploy psychic functions which support and revitalize a process of fatherhood which is potentially disturbed.


Assuntos
Pai/psicologia , Neonatologia/organização & administração , Paternidade , Nascimento Prematuro , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez
6.
Artigo em Inglês | MEDLINE | ID: mdl-32796623

RESUMO

BACKGROUND: Sleep regulation and consolidation represent critical developmental processes that occur in the first years of life. Recent studies have highlighted the contribution of caregivers to sleep development. However, the majority of them have primarily focused on maternal behaviors, overlooking fathers. The main goal of the present study was to investigate the associations between paternal and maternal involvement in children's sleep care and the number of night awakenings reported by both parents in infants and toddlers. METHODS: One-hundred-and-one families of infants aged 8 to 12 months and 54 families of toddlers aged 18 to 36 months filled out the following self-report questionnaires: The Brief Infant Sleep Questionnaire and an ad hoc questionnaire to assess parental involvement in sleep care for children. A moderate actor-partner interdependence (APIM) with path analysis was performed to test the predictive role of parental involvement on the children's sleep (no. of nocturnal awakenings) and the moderation role of age on these relationships. RESULTS: Paternal involvement in children's sleep care was associated with the number of night awakenings reported by both parents. Moreover, a significant interaction effect emerged between the children's age and paternal involvement in children's sleep care for predicting nocturnal awakenings. CONCLUSIONS: The main outcomes of this study point to the protective role of paternal involvement in children's sleep during the first years of life.


Assuntos
Cuidado da Criança/métodos , Pai/psicologia , Mães/psicologia , Sono/fisiologia , Cuidadores , Saúde da Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Relações Pais-Filho , Inquéritos e Questionários
7.
PLoS One ; 15(7): e0236107, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32649702

RESUMO

BACKGROUND AND OBJECTIVES: Globally, studies have shown associations between maternal stimulation and early child development. Yet, little is known about the prevalence of paternal and other caregivers' stimulation practices, particularly in low- and- middle-income countries (LMICs). METHODS: Data from the Multiple Indicators Cluster Survey (MICS) and the Demographic and Health Survey (DHS) were combined across 62 LMICs (2010-2018). The sample included 205,150 mothers of children aged 3 and 4 years. High levels of stimulation were defined as caregiver engagement in at least 4 out of 6 possible activities with the child. The proportion of mothers, fathers, and other caregivers providing high levels of stimulation was calculated by country, region, and for the whole sample. Socioeconomic disparities within and between countries were estimated. RESULTS: On average, 39.8% (95% CI 37.4 to 42.2) of mothers, 11.9% (95% CI 10.1 to 13.8) of fathers, and 20.7% (95% CI 18.4 to 23.0) of other adult caregivers provided high levels of stimulation. Stimulation varied by region, country income group, and Human Development Index (HDI), with higher levels of maternal and paternal-but not other caregivers'-stimulation in high-income and high-HDI countries. Within countries, stimulation levels were, on average, lower in the poorest relative to the richest households, and some but not all countries exhibited differences by child sex (i.e., boys vs. girls) or area (i.e., urban vs. rural). CONCLUSIONS: Results suggest a need for intervention efforts that focus on increasing caregiver stimulation in LMICs, particularly for fathers and in low-income contexts.


Assuntos
Cuidadores/psicologia , Desenvolvimento Infantil , Países em Desenvolvimento/estatística & dados numéricos , Pai/psicologia , Mães/psicologia , Pré-Escolar , Relações Pai-Filho , Feminino , Humanos , Masculino , Relações Mãe-Filho , Inquéritos e Questionários
8.
J Evid Based Soc Work (2019) ; 17(5): 558-575, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32589105

RESUMO

PURPOSE: This study aimed to examine (1) the effects of early exposure to neighborhood disorder and fathers' early involvement on children's long-term internalizing and externalizing problems, and (2) whether fathers' early involvement buffered effects of early exposure to neighborhood disorder on children's internalizing and externalizing problems. METHOD: We used five waves of Fragile Family and Child Wellbeing study data and conducted multi-level longitudinal mixed-effects models to examine relationships among early exposure to neighborhood disorder, fathers' early involvement, and children's internalizing and externalizing problems. RESULTS: Results indicated that early exposure to neighborhood disorder was associated with increased children's internalizing and externalizing problems, while fathers' early involvement was associated with decreased children's internalizing and externalizing problems. However, fathers' early involvement did not buffer the negative effects of early exposure to neighborhood disorder on children's internalizing and externalizing problems. DISCUSSION: The findings suggest the importance of neighborhood order and fathers' early involvement in decreasing children's internalizing and externalizing problems. Developing neighborhood-level interventions and improving fathers' involvement in early childhood are potential strategies to prevent children's behavioral problems in the long term.


Assuntos
Comportamento Infantil/psicologia , Conflito Familiar/psicologia , Relações Pai-Filho , Pai/psicologia , Poder Familiar/psicologia , Características de Residência/estatística & dados numéricos , Violência/psicologia , Adolescente , Adulto , Criança , Transtornos do Comportamento Infantil , Pré-Escolar , Feminino , Humanos , Masculino
9.
J Clin Nurs ; 29(15-16): 2886-2896, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32497394

RESUMO

OBJECTIVE: Empowering parents as health promoters may contribute to decrease the costs associated with prematurity. In Portugal, 8% and 1% of the births occurring in 2018 were preterm and very preterm, respectively. This study aimed to assess prematurity-related knowledge with regard to its prevalence, causes and consequences, according to sociodemographic, obstetric and offspring's characteristics, among mothers and fathers of very preterm infants. METHODS: Between May and July 2017, mothers and fathers of very preterm infants were invited to participate through the Portuguese association of parents for support to the premature baby, with 196 parents being included. Knowledge on prematurity (prevalence, causes and consequences) was collected through a structured online questionnaire. Reporting of this research follows STROBE guidelines for cross-sectional studies. RESULTS: Parents estimated a median prevalence of preterm and of very preterm delivery in Portugal of 15% and 8%, respectively. However, approximately 20% did not provide an estimate. More than 90% of the participants acknowledged placental complications, hypertensive disorders of pregnancy, multiple pregnancy and intrauterine growth restriction as causes of preterm delivery, whereas only 24.2% identified low socioeconomic status. Cardiac complications and respiratory morbidity were recognised as the main consequences of prematurity by more than 80% of the parents. Overall, parents with a higher socioeconomic status tended to provide correct responses more frequently than those with a low socioeconomic status. CONCLUSIONS: The results revealed the existence of knowledge gaps regarding the prevalence, causes and consequences of premature delivery. Understanding the main facilitators and barriers to the achievement of prematurity-related knowledge may contribute for the global improvement of preventing this condition. RELEVANCE TO CLINICAL PRACTICE: It is crucial to include the improvement of parents' knowledge about prematurity as a complementary dimension during the provision of medical care, with nurses playing a key role as main sources of information.


Assuntos
Pai/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Mães/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Masculino , Portugal/epidemiologia , Gravidez , Nascimento Prematuro/epidemiologia , Nascimento Prematuro/etiologia , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários
10.
J Clin Nurs ; 29(17-18): 3373-3381, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32498120

RESUMO

AIMS AND OBJECTIVES: To report the views and experiences of fathers following their child's diagnosis of an intellectual and developmental disability (IDD). BACKGROUND: There is a growing interest in understanding the experiences of fathers of children with IDD given the transformation of the structural change of fathers' roles within the family and wider society. DESIGN: A qualitative design was used to elicit the view and experiences of fathers. METHODS: A total of ten Irish fathers participated in face-to-face interviews. The data were thematically analysed. The COREQ guidelines for reporting qualitative studies were used in the development of this paper. RESULTS: The key themes that emerged were (a) the confirmation of the child's diagnosis (b) the impact of the diagnosis and (c) father's motivation to participate in disability research. CONCLUSIONS: This study informs and develops a further understanding of the international evidence base of fathers receiving a confirmation of a child's diagnosis of an intellectual and developmental disability, the impact of the diagnosis on fathers and their motivation to share their stories to add to the disability research. Health and social care practitioners have important contributions to make in meeting the needs of fathers. There are specific areas to consider in terms of practice, education and research that require further attention and development to ensure fathers' distinct needs regarding their child's diagnosis of IDD are known and responded to effectively. RELEVANCE TO CLINICAL PRACTICE: This study highlights that when the child's disability is confirmed, fathers experience a diverse range of mixed emotions. Health and social care practitioners including nurses need to be aware of the impact of the diagnosis upon fathers. There is scope to develop the knowledge, skills and confidence of health and social care practitioners regarding the experiences of fathers and how they can further support fathers and their families during the critical time of a disability disclosure.


Assuntos
Deficiências do Desenvolvimento/psicologia , Pai/psicologia , Deficiência Intelectual/psicologia , Adulto , Atitude do Pessoal de Saúde , Criança , Pré-Escolar , Deficiências do Desenvolvimento/diagnóstico , Feminino , Humanos , Deficiência Intelectual/diagnóstico , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
11.
Int J Pediatr Otorhinolaryngol ; 134: 110076, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32388081

RESUMO

OBJECTIVES: Stuttering is one of the most common speech disorders with many negative effects on children and their parents. The parents play a very important role in the treatment and management of children's stuttering. The parents' reactions to children's stuttering are pivotal in the exacerbation or improvement of stuttering. The present study aimed to investigate the parents' reactions to their children's stuttering using the Persian version of Reaction to Speech Disfluency Scale (RSDS). METHODS: The present study was conducted in two stages; phase 1: translation and cultural adaptation of RSDS into Persian and phase 2: investigation of the reaction of parents to children's stuttering using the RSDS. The first phase of the study included the following steps, forward translation, backward translation, content validity, face validity, and reliability of the scale using internal consistency and test-retest reliability. The second phase of the study was to examine the reactions of 110 parents of 3-6-year-old children who stutter by using the RSDS. Data were analyzed using SPSS software. RESULTS: The results of translation and cultural adaptation of the RSDS showed that the Persian version of RSDS has suitable validity. The internal consistency (Cronbach's alpha = 0.94) and the test-retest reliability (ICC = 0.98) were also appropriate for this scale. The most reactions of parents to children's stuttering were cognitive, emotional, and behavioral, respectively. The results of evaluating the maternal and paternal reactions separately indicated that the highest value of paternal reaction score was cognitive, behavioral and emotional reactions, respectively, while the highest value of maternal reaction score was cognitive, emotional and behavioral reactions, respectively. Differences between fathers and mothers were statistically significant only in emotional reaction subscale (P < 0.001). The mean overall score of the RSDS for all parents was 29, as well as 27.72 and 30.27 in fathers and mothers groups, respectively, but this differences between groups not statistically significant (P = 0.12). Comparing the scores between parents of boys and girls who stutter showed that the mean overall scores of cognitive, emotional, and behavioral subscales, and overall scores in the parents of girls who stutter was higher than in the parents of boys who stutter, and this difference was statistically significant in the emotional subscale and the overall score between the two groups (P < 0.05). CONCLUSION: The parental cognitive and behavioral reactions to children's stuttering had the maximum and minimum frequency, respectively. The paternal reactions to their children's stuttering were different from maternal reactions. The parents of girls who stutter in all subscales had a greater reaction compared to the parents of boys who stutter. Given the importance of the reactions of parents to their children's stuttering, the results of the present study can help to complete the information of therapists and researchers in this field.


Assuntos
Pai/psicologia , Mães/psicologia , Gagueira , Criança , Pré-Escolar , Emoções , Feminino , Humanos , Irã (Geográfico) , Masculino , Psicometria , Reprodutibilidade dos Testes , Gagueira/classificação , Gagueira/psicologia , Inquéritos e Questionários , Traduções
12.
BMC Public Health ; 20(1): 621, 2020 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-32375840

RESUMO

BACKGROUND: Sugira Muryango is a father-engaged early child development and violence-prevention home-visiting programme delivered by trained lay workers. This cluster-randomised trial evaluates whether families living in extreme poverty (Ubudehe 1, the poorest category in the Government of Rwanda's wealth ranking) who receive Sugira Muryango in combination with a government-provided social protection programme demonstrate greater responsive, positive caregiving, nutrition, care seeking, hygiene, and father involvement compared with control families receiving usual care (UC). METHODS: Using detailed maps, we grouped closely spaced villages into 284 geographic clusters stratified by the type of social protection programmes operating in the village clusters; 198 clusters met all enrolment criteria. Sugira Muryango was delivered to n = 541 families in 100 treatment clusters with children aged 6-36 months living in extreme poverty. We assessed changes in outcomes in intervention and n = 508 UC control families using structured surveys and observation. Analyses were intent to treat using mixed models to accommodate clustering. RESULTS: Families receiving Sugira Muryango improved on core outcomes of parent-child relationships assessed using the Home Observation for Measurement of the Environment (Cohen's d = 0.87, 95% CI: 0.74, 0.99) and the Observation of Mother-Child Interaction (Cohen's d = 0.29, 95% CI: 0.17, 0.41). We also saw reductions in harsh discipline on items from the UNICEF MICS (OR = 0.30: 95% CI: 0.19, 0.47) and in violent victimisation of female caregivers by their partners (OR = 0.49, 95% CI: 0.24, 1.00) compared with UC. Moreover, children in families receiving SM had a 0.45 higher increase in food groups consumed in the past 24 h (Cohen's d = 0.35, 95% CI: 0.22, 0.47), increased care seeking for diarrhoea (OR = 4.43, 95% CI: 1.95, 10.10) and fever (OR = 3.28, 95% CI: 1.82, 5.89), and improved hygiene behaviours such as proper treatment of water (OR = 3.39, 95% CI: 2.16, 5.30) compared with UC. Finally, Sugira Muryango was associated with decreased caregiver depression and anxiety (OR = 0.58, 95% CI: 0.38, 0.88). CONCLUSIONS: Sugira Muryango led to improvements in caregiver behaviours linked to child development and health as well as reductions in violence. TRIAL REGISTRATION: ClinicalTrials.gov number NCT02510313.


Assuntos
Pai/psicologia , Visita Domiciliar , Relações Pais-Filho , Pobreza/psicologia , Política Pública , Violência/prevenção & controle , Adulto , Agressão/psicologia , Ansiedade/epidemiologia , Ansiedade/psicologia , Cuidadores/psicologia , Desenvolvimento Infantil , Pré-Escolar , Análise por Conglomerados , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Lactente , Masculino , Avaliação de Programas e Projetos de Saúde , Ruanda/epidemiologia , Inquéritos e Questionários , Violência/psicologia
14.
Prax Kinderpsychol Kinderpsychiatr ; 69(3): 236-251, 2020 May.
Artigo em Alemão | MEDLINE | ID: mdl-32394822

RESUMO

Down Syndrome: Perception of Mothers and Fathers About Parenting a Child with Intellectual Disability Parents of children with intellectual disabilities report increased stress levels as well as experiences of personal growth and a positive impact on family relationship. 30 mothers and fathers of children with Down syndrome in school age complete questionnaires on the family impact of childhood disability, parental stress and child behavioral symptoms. Mothers as well as fathers report more positive than negative perceptions of the impact on the family. Negative impact is associated with the subjective level of stress. Mothers report more symptoms of stress than fathers. Behavioral problems of the child - as perceived by the parents - does not appear as a significant predictor of parenting stress in this sample. The results of a regression analysis suggest a significant contribution of paternal stress to the level of maternal stress. The results may help to understand family coping processes in the case of Down syndrome.


Assuntos
Síndrome de Down , Pai/psicologia , Mães/psicologia , Poder Familiar/psicologia , Adaptação Psicológica , Criança , Feminino , Humanos , Masculino , Estresse Psicológico , Inquéritos e Questionários
15.
PLoS One ; 15(5): e0232190, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32374739

RESUMO

OBJECTIVES: Fathers of infants admitted to Neonatal Intensive Care Unit (NICU) play an important role and have individual needs that are often not recognised. While there is considerable evidence regarding mothers' needs in the NICU, information about fathers' is particularly limited. This study identifies the needs of fathers of newborns admitted to NICU for general surgery of major congenital anomalies, and whether health-care professionals meet these needs. METHODS: Forty-eight fathers of infants admitted for surgery between February 2014 and September 2015 were enrolled in a prospective cohort study. Fathers completed the Neonatal Family Needs Inventory comprising 56 items in 5 subscales (Support, Comfort, Information, Proximity, Assurance) at admission and discharge and whether these needs were met; as well as the Social Desirability Scale. RESULTS: Responses showed Assurance was the most important subscale (M 3.8, SD .26). Having questions answered honestly (M 3.9, SD .20) and knowing staff provide comfort to their infant (M 3.94, SD .24) were fathers' most important needs. By discharge, fathers expressed a greater importance on being recognised and more involved in their infant's care. More than 91% indicated their ten most important needs were met by the NICU health-care professionals, with no significant changes at discharge. Clergical visits (M 2.08, SD 1.21) were least important. CONCLUSIONS: Reassurance is a priority for fathers of neonates in a surgical NICU, particularly regarding infant pain management and comfort. It is important that health-care professionals provide reliable, honest information and open-access visiting. Notably, fathers seek greater recognition of their role in the NICU-beyond being the 'other' parent.


Assuntos
Pai/estatística & dados numéricos , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Determinação de Necessidades de Cuidados de Saúde , Adolescente , Adulto , Estudos de Coortes , Pai/psicologia , Pessoal de Saúde , Humanos , Masculino , Adulto Jovem
16.
Pediatrics ; 145(6)2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32424076

RESUMO

BACKGROUND AND OBJECTIVES: Previous research has demonstrated associations between maternal experience of intimate partner violence (IPV) and a range of adverse outcomes among women and their young children. However, few studies have examined the associations between maternal experience of IPV and early child development (ECD) outcomes in low- and middle-income countries (LMIC). Our objectives in this study were to examine the association between IPV victimization and ECD and assess whether the association was mediated by maternal and paternal stimulation. METHODS: We combined cross-sectional data from the Demographic and Health Surveys for 15 202 households representing mothers and fathers of children aged 36 to 59 months in 11 LMIC. We used multivariable linear regression models to estimate the association between IPV victimization in the year preceding the survey and ECD, which we measured using the Early Child Development Index. We used path analysis to determine if the association between IPV victimization and ECD was mediated through maternal and paternal stimulation. RESULTS: After adjusting for sociodemographic variables, IPV victimization was negatively associated with ECD (ß = -.11; 95% confidence interval = -.15 to -.07). Path analysis indicated that the direct association between IPV victimization and ECD was partially and independently mediated through maternal and paternal stimulation. CONCLUSIONS: Interventions that include components to prevent IPV may be effective for improving ECD in LMIC.


Assuntos
Desenvolvimento Infantil/fisiologia , Pai/psicologia , Inquéritos Epidemiológicos/métodos , Violência por Parceiro Íntimo/psicologia , Mães/psicologia , Poder Familiar/psicologia , Adulto , Criança , Pré-Escolar , Estudos Transversais , Feminino , Inquéritos Epidemiológicos/tendências , Humanos , Violência por Parceiro Íntimo/tendências , Masculino , Poder Familiar/tendências
17.
PLoS One ; 15(5): e0233344, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32437387

RESUMO

Female genital mutilation is a harmful traditional practice that violates girls' right to health and overall well-being. Most research cites social acceptance, marriageability, community belonging, proof of virginity, curbing promiscuity, hygiene, and religion as motivations for the practice. It is generally assumed that individual attitudes of parents and other family members have an impact on decisions related to the cutting of girls, and that such attitudes are influenced by social norms. The aim of this study is to understand how parental attitudes towards the practice of female genital mutilation influence decision making related to the cutting of girls. Data from 15 Demographic and Health Surveys were analyzed to assess whether couples with at least one living daughter aged 0 to 14 years share the same opinions about the continuation of the practice, and to what extent couples' opinions are associated with the risk of daughters being cut. The analysis reveals that a significant percentage of couples hold discordant opinions on the continuation of the practice including in countries where the practice is very common. While a daughter's likelihood of being cut is much higher when both parents think the practice should continue, the analysis also shows that many cut girls have parents who oppose the practice. It further suggests that female genital mutilation is more prevalent among daughters whose mothers want the practice to continue and whose fathers are opposed or undecided, compared to daughters with fathers who are the sole parent supporting its continuation. Understanding the extent to which parental opinions influence decisions and which girls are most likely to be cut is essential for developing appropriate interventions aimed at promoting the abandonment of the practice.


Assuntos
Circuncisão Feminina/psicologia , Relações Pai-Filho , Relações Mãe-Filho , Núcleo Familiar/psicologia , Adolescente , Criança , Pré-Escolar , Circuncisão Feminina/efeitos adversos , Circuncisão Feminina/estatística & dados numéricos , Pai/psicologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Mães/psicologia , Distância Social , Normas Sociais , Inquéritos e Questionários
18.
PLoS One ; 15(5): e0232939, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32437360

RESUMO

BACKGROUND: Male involvement in maternal health has been linked to positive health outcomes for women and children, as they control household resources and make significant decisions, which influence maternal health. Despite of the important role they have in maternal health care, their actual involvement remains low. The objective of this study was to explore community perspectives on potential barriers to men's involvement in maternity care in central Tanzania. METHODS: Qualitative research methods were used in data collection. We conducted 32 focus group discussions (16 FGDs with men and 16 FGDs with women) and 34 in-depth interviews with community leaders, village health workers and health care providers. Interview guides were used to guide the focus group discussions and in-depth interviews. The interviews and discussions were audio recorded, transcribed and translated into English and imported into QSR NVivo 9 software for thematic analysis. Three themes emerged from the data; men's maternity care involvement indicators, benefits of men's involvement in maternity health care services and barriers to men's involvement in maternity health care services. RESULTS: Both men and women participants acknowledged the importance of men's involvement in maternity health care services, even though few men actually got involved. Identified benefits of men's involvement in maternity health care services include: Learning any risk factors directly from the health care providers and getting prepared in addressing them; and reinforcing adherence to instruction received from the health care provider as family protectors and guardians. Barriers to men's involvement in maternity health care services are systemic; starting from the family, health care and culture-specific gender norms for maternity related behaviour as well as healthcare facilities structural constrains inhibiting implementation of couple-friendly maternity health care services. CONCLUSIONS: Men's involvement in maternity care is influenced by culture-specific maternity-related gender norms. This situation is compounded by the conditions of deprivation that deny women access to resources with which they could find alternative support during pregnancy. Moreover, structures meant for maternal health care services lack privacy, thus inhibiting male partners' presence in the delivery room. Intervention to increase men's involvement in maternity care should address individual and systemic barriers to men's involvement.


Assuntos
Serviços de Saúde Materna/tendências , Homens/psicologia , Cuidado Pré-Natal/tendências , Adulto , Pai/psicologia , Feminino , Grupos Focais , Identidade de Gênero , Educação em Saúde/métodos , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde , Humanos , Masculino , Saúde Materna/tendências , Pessoa de Meia-Idade , Obstetrícia , Gravidez , Cuidado Pré-Natal/métodos , Pesquisa Qualitativa , Parceiros Sexuais , Tanzânia
19.
Infant Behav Dev ; 59: 101444, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32244071

RESUMO

BACKGROUND: The birth of a premature infant is both a stressful event for both parents and associated with an increased rate of postnatal depression (PND). Additionally some mothers may have delayed feelings of attachment to their babies because of the medical procedures or possible medical complications. Social support is known as an important factor for well-being in the postnatal period. However there is scarce data about these factors for fathers. We aimed to identify the impact of parental PND, attachment style and social support on premature infant development considering the prematurity degree and risk groups. METHODS: This prospective study was conducted by including 96 infants who were born preterm. Mothers and fathers were given Edinburgh Postnatal Depression Scale (EPDS), Adult Attachment Style Scale (AASS), and Multidimensional Scale of Perceived Social Support (MSPSS) to fill out when their infants' corrected age was 3 months. The developmental evaluation was conducted with Bayley III at the corrected 6 months and 18 months of age. RESULTS: Postnatal depression scores were more in mothers than fathers, the rates of secure attachment and social support were similar between mothers and fathers. Factors associated with the neurodevelopmental outcomes including prematurity degree and risk groups, EPDS, AASS and MSPSS scores were analyzed for both parents. In multivariate analysis, fathers' depression scores were inversely associated with cognitive development (p = 0.030, R2 = 0.080, B=-0.283) and mothers' anxious/ambivalent attachment style was inversely associated with language development (p = 0.011, R2 = 0.108, B=-0.329) at the age of corrected 6 months old. CONCLUSIONS: Our findings underscore that the efforts to improve developmental outcomes of premature infants should include parental well-being taking into account new fathers' depressive symptomatology and maternal anxious/ambivalent attachment.


Assuntos
Desenvolvimento Infantil , Depressão Pós-Parto/psicologia , Recém-Nascido Prematuro/psicologia , Apego ao Objeto , Pais/psicologia , Apoio Social , Adulto , Desenvolvimento Infantil/fisiologia , Depressão Pós-Parto/diagnóstico , Pai/psicologia , Feminino , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro/fisiologia , Estudos Longitudinais , Masculino , Mães/psicologia , Estudos Prospectivos , Fatores de Risco
20.
Int J Behav Nutr Phys Act ; 17(1): 52, 2020 04 21.
Artigo em Inglês | MEDLINE | ID: mdl-32316983

RESUMO

BACKGROUND: Healthy Dads Healthy Kids (HDHK) is a unique lifestyle obesity intervention for fathers and children that demonstrated weight loss among the fathers and behavior change among fathers and children in Australia. The program is gender-tailored to specifically target fathers for weight loss and 5-12 year old children for obesity prevention. The aim of this formative study was to examine an Expert Panel's and Hispanic Family Panel's perceptions about the program and suggestions for the cultural adaptation of HDHK for Hispanic families in southwestern US. METHODS: Forty-four Hispanic participants (22 fathers, 13 mothers and 9 children) made up the Family Panel. They participated in 1-5 study contacts (focus groups, online survey, and/or interviews). The scripts and qualitative guides assessed participants' perceptions of the HDHK content and material using the Ecological Validity Model. Studies were conducted in English or Spanish, depending on the preference of the participant. Focus groups and interviews were audio-recorded, transcribed, translated, and thematically coded. Findings were reviewed with the Expert Panel who helped inform the cultural adaptation. RESULTS: 80% of parents were foreign-born, 57% spoke only Spanish at home, and 60% did not graduate from high school. Several themes emerged to inform the cultural adaptation of the program. Parents agreed with the HDHK goals and recommended the program place greater emphasis on parenting and limiting children's screen time. Some mothers and fathers wanted greater mother engagement. Weekly videos and a Facebook group emerged as favorite alternative options to engage mothers. Greater promotion of familism (inclusion and impact on whole family) was recommended for the program goals and activities. Gender roles for mothers and fathers, and differences in how fathers interact with male and female children, emerged and should be considered in program activities. Several barriers to father engagement surfaced, including lack of time due to work schedules, physically demanding jobs, concerns of caring for children without mother, fathers' current fitness/weight, and lack of knowledge of how to eat more healthfully. The reading level of the HDHK materials was too high for some parents. CONCLUSION: Findings from these formative qualitative studies informed the cultural adaptation of HDHK for Hispanic families, to account for literacy level, cultural values, and barriers to participation and engagement.


Assuntos
Família/etnologia , Relações Pai-Filho , Pai/psicologia , Estilo de Vida/etnologia , Obesidade Pediátrica/prevenção & controle , Perda de Peso , Adulto , Criança , Pré-Escolar , Feminino , Grupos Focais , Hispano-Americanos , Humanos , Alfabetização , Masculino , Mães/psicologia , Poder Familiar/etnologia , Desenvolvimento de Programas , Fatores Socioeconômicos , Inquéritos e Questionários , Texas/epidemiologia
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