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1دورية أكاديمية
المصدر: Child and adolescent psychiatric clinics of North America. 32(3)
مصطلحات موضوعية: Humans, Adaptation, Psychological, Anxiety, Anxiety Disorders, Adolescent, Child, Pandemics, COVID-19, SARS-CoV-2, Adolescents, Anxiety disorders, COVID-19 pandemic, Children, Disabilities, Schools, Special populations, System of care, Pediatric, Health Services, Brain Disorders, Mind and Body, Behavioral and Social Science, Mental Health, Clinical Research, 7.1 Individual care needs, Management of diseases and conditions, Mental health, Good Health and Well Being, Clinical Sciences, Developmental & Child Psychology
الوصف: The primary objective of this article is to consider the impact of the coronavirus disease-19 pandemic on pediatric anxiety from both a clinical and system-of-care lens. This includes illustrating the impact of the pandemic on pediatric anxiety disorders and consideration of factors important for special populations, including children with disabilities and learning differences. We consider the clinical, educational, and public health implications for addressing mental health needs like anxiety disorders and how we might promote better outcomes, particularly for vulnerable children and youth.
وصف الملف: application/pdf
الوصول الحر: https://escholarship.org/uc/item/45d5w8qxTest
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2دورية أكاديمية
المؤلفون: Flenik, Tatiana MN, Bara, Tiago S, Cordeiro, Mara L
المصدر: Journal of Autism and Developmental Disorders. 53(6)
مصطلحات موضوعية: Health Services and Systems, Health Sciences, Mental Health, Pediatric, Intellectual and Developmental Disabilities (IDD), Brain Disorders, Autism, Behavioral and Social Science, 2.3 Psychological, social and economic factors, 7.1 Individual care needs, Aetiology, 2.1 Biological and endogenous factors, Management of diseases and conditions, Mental health, Child, Humans, Autism Spectrum Disorder, Brazil, Parents, Autistic Disorder, Adaptation, Psychological, Autism spectrum disorder, Family relationships, Stress, Family Environment Scale, Strengths and Difficulties Questionnaire, Questionnaire on Resources and Stress-Short Form, Questionnaire on Resources and Stress—Short Form, Education, Psychology and Cognitive Sciences, Developmental & Child Psychology, Health sciences, Psychology
الوصف: Autism spectrum disorder (ASD) affects children and their families. We investigated the family environment of children with ASD in Brazil. Twenty-one families participated. Outcome measures administered to parents included the Strengths and Difficulties Questionnaire, Questionnaire on Resources and Stress-Short Form, and the Family Environment Scale. All families reported a number of difficulties, including social interactions and peer relationships, stress levels, and communication difficulties. Families also reported great concern for their child's future. Brazil is a developing country, yet there are few national resources and studies related to ASD. The challenges continue from diagnosis through treatment. Our results emphasize the need to understand the family environment of children with autism and their parents' apprehensions to develop effective coping programs.
وصف الملف: application/pdf
الوصول الحر: https://escholarship.org/uc/item/63v423p6Test
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3دورية أكاديمية
المؤلفون: Dixon, JF, Akins, R, Miller, E, Breslau, J, Gill, S, Bisi, E, Schweitzer, JB
المصدر: Clinical Pediatrics. 62(4)
مصطلحات موضوعية: Paediatrics, Biomedical and Clinical Sciences, Mental Health, Attention Deficit Hyperactivity Disorder (ADHD), Mind and Body, Behavioral and Social Science, Pediatric, Clinical Research, Brain Disorders, Management of diseases and conditions, 7.1 Individual care needs, Child, Humans, Attention Deficit Disorder with Hyperactivity, Pilot Projects, Parenting, Parents, Schools, ADHD knowledge, parenting, treatment acceptance and utilization, Paediatrics and Reproductive Medicine, Pediatrics
الوصف: This pilot study assessed the feasibility and potential effectiveness of a single-session workshop in modifying parental beliefs/knowledge about attention-deficit/hyperactivity disorder (ADHD) in children and impact on treatment acceptance/utilization. Concerns raised by school professionals about lack of treatment follow-through after ADHD diagnosis and parental misinformation about medication usage catalyzed this project. A single-group pre-post quasi-experimental design was used. Sixty-eight parents completed ADHD knowledge/belief scales and stress inventories, and pre-ADHD and post-ADHD information workshop. Follow-up calls were made after the workshop to assess treatment utilization. Parents/caregivers experienced significant knowledge and belief changes regarding medication efficacy, willingness to accept physician treatment recommendations, and rejection of non-empirically based treatments. Follow-up data showed that 41% of contacted participants met with physicians to discuss medication utilization and behavioral treatments. Brief, one-session psycho-educational workshops were feasible and impacted parental beliefs and behaviors regarding scientifically supported interventions for ADHD.
وصف الملف: application/pdf
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4دورية أكاديمية
المصدر: Disability and Health Journal. 16(2)
مصطلحات موضوعية: Health Sciences, Pediatric, Management of diseases and conditions, 7.1 Individual care needs, Adult, Child, Humans, Disabled Persons, Pandemics, Family Characteristics, COVID-19, Poverty, Medical and Health Sciences, Biomedical and clinical sciences, Health sciences
الوصف: BackgroundThe COVID-19 pandemic has disproportionately impacted disabled people, especially those who are members of marginalized communities that were already denied access to the resources and opportunities necessary to ensure health equity before the pandemic.ObjectiveCompare COVID-19 impact on basic needs access among households with and without disabled adults.MethodsAn online survey was distributed to households with children enrolled in one of 30 socially vulnerable elementary or middle schools in San Diego County, California. We measured disability using the single-item Global Activities Limitations Indicator. We measured pandemic impacts on basic needs access using the RADx-UP common data elements toolkit. We then assessed number of impact items reported by household disability using multivariable linear regression, adjusting for household income, household size, education, parent gender, and child's ethnicity.ResultsOf 304 participants, 41% had at least one disabled household member. Participants reporting a disabled household member were more likely to report challenges accessing basic needs, such as food, housing, healthcare, transportation, medication, and stable income during the pandemic (all p
وصف الملف: application/pdf
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5دورية أكاديمية
المؤلفون: Pickard, Katherine, Wainer, Allison, Broder-Fingert, Sarabeth, Sheldrick, R Christopher, Stahmer, Aubyn C
المصدر: Autism. 27(3)
مصطلحات موضوعية: Biomedical and Clinical Sciences, Psychology, Mental Health, Autism, Pediatric, Intellectual and Developmental Disabilities (IDD), Health Services, Clinical Research, Behavioral and Social Science, Brain Disorders, 8.1 Organisation and delivery of services, Management of diseases and conditions, Health and social care services research, 7.1 Individual care needs, Good Health and Well Being, Child, Humans, Child, Preschool, Autism Spectrum Disorder, Early Intervention, Educational, Autistic Disorder, Patient-Centered Care, autism spectrum disorders, early intervention, family-centered care, family functioning and support, fidelity, interventions-psychosocial, behavioral, interventions—psychosocial/behavioral, Specialist Studies in Education, Cognitive Sciences, Developmental & Child Psychology, Biomedical and clinical sciences
الوصف: Lay abstractEarly Intervention systems provide therapeutic services to families of young children birth to 3 years with developmental delays and are considered a natural access point to services for young children and their families. Research studies in the autism field have been interested in training providers to deliver evidence-based practices in Early Intervention systems to increase access to services for young children with an increased likelihood of being autistic. However, research has often overlooked that Early Intervention systems prioritize family-centered care, an approach to working with families that honors and respects their values and choices and that provides supports to strengthen family functioning. This commentary points out that family-centered care deserves greater attention in research being done in Early Intervention systems. We describe how family-centered care may shape how interventions are delivered, and discuss directions for future research to evaluate the impact of family-centered care alongside intervention delivery.
وصف الملف: application/pdf
الوصول الحر: https://escholarship.org/uc/item/4qs0k42cTest
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6دورية أكاديمية
المؤلفون: Chambers, Brittany D, Fontenot, Jazmin, McKenzie-Sampson, Safyer, Blebu, Bridgette E, Edwards, Brittany N, Hutchings, Nicole, Karasek, Deborah, Coleman-Phox, Kimberly, Curry, Venise C, Kuppermann, Miriam
مصطلحات موضوعية: Health Services and Systems, Health Sciences, Infectious Diseases, Coronaviruses, Social Determinants of Health, Minority Health, Health Disparities, Emerging Infectious Diseases, Maternal Morbidity and Mortality, Basic Behavioral and Social Science, Clinical Research, Maternal Health, Women's Health, Behavioral and Social Science, Coronaviruses Disparities and At-Risk Populations, Prevention, Mental Health, Management of diseases and conditions, 7.1 Individual care needs, Reproductive health and childbirth, Good Health and Well Being, Pregnancy, Child, Female, Humans, Adult, Pandemics, Racism, COVID-19, Postpartum Period, Parturition, Black women, Black birthing people, Maternity care, Prenatal care, Birth outcomes, Intersectionality, Medical and Health Sciences, Economics, Studies in Human Society, Public Health, Health sciences, Human society
الوصف: BackgroundRacial inequities in maternal and child health outcomes persist: Black women and birthing people experience higher rates of adverse outcomes than their white counterparts. Similar inequities are seen in coronavirus disease (COVID-19) mortality rates. In response, we sought to explore the intersections of racism and the COVID-19 pandemic impact on the daily lives and perinatal care experiences of Black birthing people.MethodsWe used an intrinsic case study approach grounded in an intersectional lens to collect stories from Black pregnant and postpartum people residing in Fresno County (July-September 2020). All interviews were conducted on Zoom without video and were audio recorded and transcribed. Thematic analysis was used to group codes into larger themes.ResultsOf the 34 participants included in this analysis, 76.5% identified as Black only, and 23.5% identified as multiracial including Black. Their mean age was 27.2 years [SD, 5.8]. Nearly half (47%) reported being married or living with their partner; all were eligible for Medi-Cal insurance. Interview times ranged from 23 to 96 min. Five themes emerged: (1) Tensions about Heightened Exposure of Black Lives Matter Movement during the pandemic; (2) Fear for Black Son's Safety; (3) Lack of Communication from Health Care Professionals; (4) Disrespect from Health Care Professionals; and (5) Misunderstood or Judged by Health Care Professionals. Participants stressed that the Black Lives Matter Movement is necessary and highlighted that society views their Black sons as a threat. They also reported experiencing unfair treatment and harassment while seeking perinatal care.ConclusionsBlack women and birthing people shared that exposure to racism has heightened during the COVID-19 pandemic, increasing their levels of stress and anxiety. Understanding how racism impacts Black birthing people's lives and care experiences is critical to reforming the police force and revising enhanced prenatal care models to better address their needs.
وصف الملف: application/pdf
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7دورية أكاديمية
المؤلفون: Burnell, Kaitlyn, Odgers, Candice L
المصدر: Journal of Youth and Adolescence. 52(2)
مصطلحات موضوعية: Clinical and Health Psychology, Psychology, Mind and Body, Pediatric, Mental Health, Behavioral and Social Science, Clinical Research, Management of diseases and conditions, 7.1 Individual care needs, Mental health, Good Health and Well Being, Adolescent, Child, Female, Humans, Male, Fear, Interpersonal Relations, Psychological Distress, Digital Technology, Digital technology, Problematic digital technology use, Psychological distress, Well-Being, Specialist Studies in Education, Developmental & Child Psychology, Applied and developmental psychology, Clinical and health psychology, Social and personality psychology
الوصف: Fears that digital technologies harm adolescents' mental health abound; however, existing research is mixed. This study examined how perceived technological impairment (i.e., perceptions of digital technology interfering with daily life) related to psychological distress across five years in adolescence. A latent curve model with structured residuals was applied to disentangle between-from within-person associations, in which it was tested whether (a) adolescents who increased in their perceptions of technological impairment over time also increased in psychological distress (between-person) and (b) if an adolescent who reported greater perceptions of technological impairment relative to their underlying trajectory at one wave consequently reported greater distress at the subsequent wave (within-person). These associations were tested in a sample of 2104 adolescents (Mage = 12.36; 52% girls; 48% Non-White). Perceived technological impairment and psychological distress increased together over time. Girls and older adolescents (13-15 at baseline) reported greater initial levels of perceived impairment. Younger adolescents (9-12 at baseline) increased more steeply in perceived impairment over time. There was no evidence of longitudinal within-person associations. The findings suggest that although there is evidence of between-person associations in which increases in perceived technological impairment coincide with increases in psychological distress, the absence of within-person associations cautions against a cause-and-effect narrative between digital technology use and mental health.
وصف الملف: application/pdf
الوصول الحر: https://escholarship.org/uc/item/3v09d892Test
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8دورية أكاديمية
المصدر: Journal of Telemedicine and Telecare. 29(2)
مصطلحات موضوعية: Health Services and Systems, Health Sciences, Health Services, Rural Health, Diabetes, Clinical Research, 7.1 Individual care needs, Management of diseases and conditions, Good Health and Well Being, Child, Humans, Telemedicine, Diabetes Mellitus, Academic Medical Centers, Logistic Models, telehealth, remote consultation, paediatrics, endocrinology, diabetes, paediatrics, endocrinology, diabetes, Information Systems, Biomedical Engineering, Public Health and Health Services, Medical Informatics, Health services and systems, Public health
الوصف: BackgroundChildren in rural communities often lack access to subspecialty medical care. Telemedicine has the potential to improve access to these services but its effectiveness has not been rigorously evaluated for paediatric patients with endocrine conditions besides diabetes.IntroductionThe purpose of this study was to assess the association between telemedicine and visit attendance among patients who received care from paediatric endocrinologists at an academic medical centre in northern California between 2009-2017.MethodsWe abstracted demographic data, encounter information and medical diagnoses from the electronic health record for patients ≤18 years of age who attended at least one in-person or telemedicine encounter with a paediatric endocrinologist during the study period. We used a mixed effects logistic regression model - adjusted for age, diagnosis and distance from subspecialty care - to explore the association between telemedicine and visit attendance.ResultsA total of 40,941 encounters from 5083 unique patients were included in the analysis. Patients who scheduled telemedicine visits were predominantly publicly insured (97%) and lived a mean distance of 161 miles from the children's hospital. Telemedicine was associated with a significantly higher odds of visit attendance (odds ratio 2.55, 95% confidence interval 2.15-3.02, p
وصف الملف: application/pdf
الوصول الحر: https://escholarship.org/uc/item/1wr5g300Test
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9دورية أكاديمية
المؤلفون: Perez-Plazola, Marina, Diaz, Jenna, Stewart, Christine P, Arnold, Charles D, Caswell, Bess L, Lutter, Chessa K, Werner, E Rochelle, Maleta, Kenneth, Turner, Jay, Prathibha, Pradeep, Liu, Xuan, Gyimah, Emmanuel, Iannotti, Lora
المصدر: Scientific Reports. 13(1)
مصطلحات موضوعية: Biomedical and Clinical Sciences, Nutrition and Dietetics, Pediatric, Clinical Research, Clinical Trials and Supportive Activities, Nutrition, Prevention, 7.1 Individual care needs, Prevention of disease and conditions, and promotion of well-being, 3.3 Nutrition and chemoprevention, Management of diseases and conditions, Cardiovascular, Humans, Child, Child, Preschool, Copper, Selenium, Malnutrition, Iron, Zinc
الوصف: Mineral deficiencies are common in children living in low-resource areas. Eggs are a rich source of essential nutrients and have been shown to improve growth in young children, although little is known about their impact on mineral status. Children aged 6-9 months (n = 660) were randomized to receive either one egg/day for 6-months or no intervention. Anthropometric data, dietary recalls, and venous blood were collected at baseline and 6-months follow-up. Quantification of plasma minerals (n = 387) was done using inductively coupled plasma-mass spectroscopy. Difference-in-difference mean plasma mineral concentrations was determined from baseline and follow-up values and assessed between groups by intention-to-treat using ANCOVA regression models. Prevalence of zinc deficiency was 57.4% at baseline and 60.5% at follow-up. Mean difference (MD) of plasma magnesium, selenium, copper, and zinc levels were not different between groups. Plasma iron concentrations were significantly lower in the intervention compared to the control group (MD = - 9.29; 95% CI: - 15.95, - 2.64). Zinc deficiency was widely prevalent in this population. Mineral deficiencies were not addressed with the egg intervention. Further interventions are needed to improve the mineral status of young children.
وصف الملف: application/pdf
الوصول الحر: https://escholarship.org/uc/item/2qj021drTest
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10دورية أكاديمية
المؤلفون: Boutelle, Kerri N, Rhee, Kyung E, Manzano, Michael A, Bernard, Rebecca S, Strong, David R, Eichen, Dawn M, Anderson, Cheryl CA, Marcus, Bess H, Akshoomoff, Natacha, Crow, Scott J
مصطلحات موضوعية: Biomedical and Clinical Sciences, Public Health, Health Sciences, Nutrition and Dietetics, Pediatric, Behavioral and Social Science, Childhood Obesity, Clinical Trials and Supportive Activities, Women's Health, Nutrition, Minority Health, Obesity, Prevention, Health Disparities, Clinical Research, Management of diseases and conditions, 7.1 Individual care needs, Oral and gastrointestinal, Metabolic and endocrine, Child, Humans, Female, Adult, Male, Overweight, Pediatric Obesity, Health Behavior, Parents, Exercise, Weight management, Weight loss, Family -based treatment, Guided self-help, Lifestyle intervention, Family-based treatment, Medical and Health Sciences, General Clinical Medicine, Biomedical and clinical sciences, Health sciences
الوصف: Overweight and obesity affect 45% of children and increases the risk for several negative health sequelae. Family-Based Behavioral Treatment (FBT) is the most efficacious treatment for child weight management and consists of nutrition and physical activity education, behavior change skills and parenting skills training. FBT is time and staff intensive and can include 20, 60-min separate groups for parents and children, as well as 20-min behavior coaching sessions to help problem solve barriers to implementing the skills learned and individualize the program. Guided self-help (GSH) therapies involve providing families a manual to review independently and brief coaching sessions by an interventionist to facilitate adherence. We developed a GSH version of FBT (gshFBT) which provides a manual to both parents and children and includes 14, 20-min coaching sessions over 6-months. The current study randomized 150 children (mean age = 10.1 years (SD = 1.38); mean BMI% = 97.3% (SD = 2.84); mean BMIz = 2.09 (SD = 0.40); 49% female; 43% Hispanic) and one of their parents (mean age = 41.8 years (SD = 6.52); mean BMI = 32.0 (SD = 7.24); 87.3% female; 43% Hispanic) to either a group-based FBT program or a gshFBT program. Assessments are conducted at baseline, post-treatment (6 months), 6-month follow-up (12 months) and 12-month follow-up (18 months). Primary outcomes are child weight change (BMIz) and cost effectiveness. Recruitment occurred between May 2017 and October 2021 and follow-up assessments are underway. Given the public health concern for children with obesity and the low level of access to FBT, gshFBT could prove extremely useful to provide intervention to a greater proportion of the population.
وصف الملف: application/pdf
