3,792 results match your criteria parental responsibility

"All circuits ended": Family experiences of transitioning from pediatric to adult healthcare for young adults with medical complexity in Oregon.

J Pediatr Nurs 2021 Jun 19. Epub 2021 Jun 19.

Oregon Center for Children and Youth With Special Health Needs, Institute on Development and Disability, Oregon Health & Science University, Portland, USA; Oregon Health & Science University-Portland State University School of Public Health, Portland, USA. Electronic address:

Background: Transition to adult health care for young adults with medical complexity (YAMC) is challenging and much work needs to be done in this area. The Oregon Center for Children and Youth with Special Health Needs participates in a federally-funded Collaborative Improvement and Innovation Network (CoIIN) to improve the quality of care for children with medical complexity.

Aims: This study aimed to explore the experiences of Oregon families of YAMC who had recently transitioned to adult health care providers, and obtain recommendations for transition from family members, to inform the development of the CoIIN quality improvement project. Read More

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Paternal Involvement in and Sociodemographic Correlates of Infant and Young Child Feeding in a District in Coastal South India: A Cross-Sectional Study.

Front Public Health 2021 4;9:661058. Epub 2021 Jun 4.

Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.

The feeding practices during first 2 years of life determine the overall health and survival during childhood and beyond. Child nutrition is responsibility of both parents and so far emphasis has been laid mostly on mothers. Fathers' involvement toward Infant and Young child feeding (IYCF) has been proved to be of paramount importance and yet it is given limited importance. Read More

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Financial Support or Emotional Companion: Childbearing Motivations on Children's Development in China.

Front Psychol 2021 4;12:690980. Epub 2021 Jun 4.

Faculty of Management, McGill University, Montreal, QC, Canada.

A preference for having a son has existed among Chinese parents for centuries due to, in part, sons having to provide financial support to elderly parents, while married daughters do not have this responsibility under Confucianism. Thus, this study examined the influence of parents' childbearing motivation (financial support or emotional companion) on children's development (academic performance and well-being) utilizing empirical data from the 2012 China Family Panel Studies. This study included 1,541 children (aged 10-15 years) and their parents who were surveyed a questionnaire. Read More

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Fathers' experiences of feeding their extremely preterm infants in family-centred neonatal intensive care: a qualitative study.

Int Breastfeed J 2021 Jun 17;16(1):46. Epub 2021 Jun 17.

Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Background: Extremely preterm infants need advanced intensive care for survival and are usually not discharged before they reach the time of expected birth. In a family-centred neonatal intensive care unit both parents are involved at all levels of care including the feeding process. However, studies focusing on fathers in this situation are scarce. Read More

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Post-partum Hospital Stay and Mothers' Choices on Breastfeeding and Vaccines: A Chance We Should Not Miss.

Front Public Health 2021 28;9:625779. Epub 2021 May 28.

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, Milan, Italy.

Parents' education and knowledge regarding major topics of children's health, such as nutrition and vaccines, have a paramount role. However, breastfeeding rates in first year of life are lower than recommended, and vaccine hesitancy is progressively spreading. To reverse this harmful trend, healthcare professionals are challenged to promote correct health information. Read More

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Modular intervention to improve paternal involvement and support for better infant and young child feeding in a district of coastal South India:  a randomized controlled trial protocol.

F1000Res 2021 17;10:121. Epub 2021 Feb 17.

Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.

: The major determinant to the well-being of infants and young children (IYC) is their feeding practices. These practices are the responsibility of both parents, meaning that fathers have an equal role to mothers. Fathers' involvement can have an impact on the overall health of the children. Read More

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February 2021

Factors and Growth Trends Associated with the Need for Gastrostomy Tube in Neonates with Congenital Diaphragmatic Hernia.

J Pediatr Gastroenterol Nutr 2021 Jun 10. Epub 2021 Jun 10.

Division of Pediatric Surgery, University of California San Francisco, CA, USA.

Objectives: A third of infants with congenital diaphragmatic hernia (CDH) require a gastrostomy tube (GT) for nutritional support. We compared CDH infants who are GT-dependent to those able to meet their nutritional needs orally, to identify factors associated with requiring a GT and evaluate their long-term growth.

Methods: Patients with CDH repaired at a single institution between 2012-2020 were included. Read More

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Qualitative insights into Australian consumers' views for and against government action on sugary drinks.

Public Health Res Pract 2021 Jun 9;31(2). Epub 2021 Jun 9.

HHealth Policy Centre, South Australian Health and Medical Research Institute, Adelaide; School of Psychology, University of Adelaide, SA, Australia.

Objectives: Despite significant evidence of harms associated with high levels of sugar-sweetened beverage (SSB) consumption, and international moves towards regulation to curb overconsumption of such drinks, Australia has been slow to take policy action. This study provides in-depth insights into consumers' reactions to different SSB policy options.

Methods: Eight focus groups were undertaken with 59 regular SSB consumers and/or household purchasers, stratified by: young adults aged 21-29 years (no children), parents aged 35-50 (with children at home); gender; and socio-economic status. Read More

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The brain oxytocin and corticotropin-releasing factor systems in grieving mothers: What we know and what we need to learn.

Peptides 2021 Jun 6;143:170593. Epub 2021 Jun 6.

Department of Behavioural and Molecular Neurobiology, Regensburg Center of Neuroscience, University of Regensburg, 93053 Regensburg, Germany. Electronic address:

The bond between a mother and her child is the strongest bond in nature. Consequently, the loss of a child is one of the most stressful and traumatic life events that causes Prolonged Grief Disorder in up to 94 % of bereaved parents. While both parents are affected, mothers are of higher risk to develop mental health complications; yet, very little research has been done to understand the impact of the loss of a child, stillbirth and pregnancy loss on key neurobiological systems. Read More

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Strengthening Antenatal Care towards a Salutogenic Approach: A Meta-Ethnography.

Int J Environ Res Public Health 2021 05 13;18(10). Epub 2021 May 13.

Health Care and Health Promotion, Metropolia University of Applied Sciences, P.O. Box 4000, FI-00079 Helsinki, Finland.

The aim was to explore how midwives, public health nurses and nurses view caring in antenatal care (ANC) as provided for mothers and fathers/partners. Based on Noblit and Hare (1988), meta-ethnography was used to address meaning by synthesizing knowledge and understanding inductively through selected qualitative studies ( = 16). Four core themes were identified: (1) supporting the parents to awaken to parenthood and creating a firm foundation for early parenting and their new life situation; (2) guiding parents on the path to parenthood and new responsibility; (3) ensuring normality and the bond between baby and parents while protecting life; and (4) promoting the health and wellbeing of the family today and in the future. Read More

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Promoting corporate image or preventing underage use? Analysis of the advertising strategy and expenditures of the JUUL parent education for youth vaping prevention campaign.

Tob Control 2021 May 31. Epub 2021 May 31.

Public Health, National Opinion Research Center at the University of Chicago, Chicago, Illinois, USA.

Objective: In April 2018, JUUL Labs announced a $30 million investment in efforts to combat underage use of its products through 'independent research, youth and parent education and community engagement'. Prior evidence demonstrates that tobacco industry-funded prevention programmes are ineffective and may work against tobacco control efforts; they do not discourage novices and youth from tobacco use but often improve the tobacco industry's public image. We describe the nature, timing of and expenditures related to the JUUL underage use prevention advertisements across media channels. Read More

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A real-world feasibility study of the PLAYshop: a brief intervention to facilitate parent engagement in developing their child's physical literacy.

Pilot Feasibility Stud 2021 May 26;7(1):113. Epub 2021 May 26.

School of Exercise Science, Physical and Health Education, University of Victoria, Mackinnon 120, PO Box 1700, STN CSC, Victoria, BC, V8W 2Y2, Canada.

Background: Development of physical literacy, defined as "the motivation, confidence, physical competence, knowledge and understanding to value and take responsibility for engagement in physical activities for life," can support children's physically active behaviors and consequent health benefits. Little research has explored interventions to improve children's physical literacy, although substantive evidence shows parents play a key role in children's physically active behaviors and development of fundamental movement skills. The purpose of this study was to explore the feasibility of a novel, physical literacy program (the PLAYshop) designed to build parents' self-efficacy to support their child's physical literacy. Read More

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Early union, 'disgrasya', and prior adversity and disadvantage: pathways to adolescent pregnancy among Filipino youth.

Reprod Health 2021 May 26;18(1):107. Epub 2021 May 26.

Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, 3010, Australia.

Background: Few studies explore what it means to be an adolescent parent in the Philippines from the young parents' perspective. This study sought to improve understanding of how adolescent mothers and young fathers experienced pregnancy in Palawan, Philippines.

Methods: We conducted narrative analysis of 27 semi-structured interviews with 15 Filipino young parents. Read More

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Linking data on women in public family law court proceedings concerning their children to mental health service records in South London.

Int J Popul Data Sci 2021 Feb 24;6(1):1385. Epub 2021 Feb 24.

Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.

Introduction: Maternal mental health problems and substance misuse are key risk factors for child neglect or abuse and court-mandated placement into care. Linkage between mental health records and family court data could raise awareness about parent mental health needs and inform approaches to address them.

Objectives: To evaluate data linkage between administrative family court data and electronic mental health records for a population-based mental health service for 1. Read More

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February 2021

Factors That Influence Maternal Feeding Decisions for Toddlers: Extending the Theory of Planned Behavior.

J Nutr Educ Behav 2021 May 22. Epub 2021 May 22.

Department of Kinesiology and Health Promotion, College of Education, University of Kentucky, Lexington, KY.

Objective: To use the Theory of Planned Behavior (TPB) to assess mothers' behavioral intentions to provide toddlers with a healthy diet and see if the addition of the parental role construction (PRC) variable strengthened the TPB.

Design: An online survey using data gathered from preliminary research and a previously validated survey.

Participants: The final sample consisted of 148 mothers. Read More

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Diet plays a central role in parental self-treatment of children with Hirschsprung's disease-a qualitative study.

Acta Paediatr 2021 May 25. Epub 2021 May 25.

Department of Paediatric Surgery, Skåne University Hospital, Lund, Sweden.

Aim: Hirschsprung's disease is a congenital disorder requiring surgery. Most children operated on for Hirschsprung's disease experience postoperative bowel dysmotility. Although various food is known to influence bowel motility, evidence of diet's role and dietary guidelines in treatment of bowel dysfunction in Hirschsprung's disease is lacking. Read More

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How parents of adolescents and young adults with biliary atresia surviving with native livers transfer the responsibility of medical treatment to their children in Japan.

J Pediatr Nurs 2021 May 20;61:115-121. Epub 2021 May 20.

Division of pediatric surgery, Chiba Children's Hospital, Chiba, Japan.

Background: This study examines how the parents of adolescents and young adults with biliary atresia, surviving with their native livers, transfer medical treatment responsibility to their children, and how becoming a living liver transplant donor affects this process. The basis for the study was that becoming a living liver transplant donor may influence the transfer of responsibility.

Methods: A qualitative, descriptive design was employed using a modified grounded theory approach. Read More

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Family attitudes about and experiences with medical cannabis in children with cancer or epilepsy: an exploratory qualitative study.

CMAJ Open 2021 Apr-Jun;9(2):E563-E569. Epub 2021 May 21.

BC Children's Hospital Research Institute (Gibbard, Mount); Department of Pediatrics (Gibbard, Mount, Rassekh, Siden), Faculty of Medicine, University of British Columbia; BC Children's Hospital (Rassekh, Siden), Vancouver, BC

Background: Cannabis is legal for recreational and medical use in Canada. Our aim was to explore family experiences using medical cannabis for children with severe conditions in the context of legalization.

Methods: We conducted a qualitative study using semistructured interviews between April and July 2019. Read More

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A Qualitative Study of Family Caregiver Perceptions of High-Quality Care at a Pediatric Complex Care Center.

Acad Pediatr 2021 May 18. Epub 2021 May 18.

Palliative Research Center (PaRC), University of Pittsburgh School of Medicine, Pittsburgh, PA; Division of General Internal Medicine, Section of Palliative Care and Medical Ethics; University of Pittsburgh School of Medicine, Pittsburgh, PA.

Objective: - Pediatric complex care centers are an increasingly common approach to address the needs of children with medical complexity (CMC). We sought to better understand CMC caregivers' perceptions of what constitutes high-quality care at a complex care center.

Methods: - We conducted a cross-sectional qualitative study of family caregivers of CMC receiving care at a pediatric complex care center situated within a tertiary-care children's hospital. Read More

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Professionals' motivation to support parental self-management regarding children with physical disability in Dutch rehabilitation services: 'Please mind your gap'.

Child Care Health Dev 2021 May 20. Epub 2021 May 20.

Amsterdam Public Health research institute and Department of Educational and Family studies, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Background: Professionals in child healthcare increasingly endorse the support of self-management in paediatric rehabilitation services for children with physical disability. Less understood though are their views regarding the role of the children's parents, as well as their own role in supporting parents. This study aimed to investigate the motivation of rehabilitation professionals to support self-management of parents regarding their child with physical disability, professionals' beliefs about parental self-management, and the perceptions underlying their motivation. Read More

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Feeling Valued and Adding Value: A Participatory Action Research Project on Co-creating Practices of Social Inclusion in Kindergartens and Communities.

Front Public Health 2021 26;9:604796. Epub 2021 Apr 26.

Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.

Contemporary public health problems connect to the social determinants of health, with a growing recognition of social inclusion as imperative to sustainable development. In this quest for social inclusion, early childhood and families are of particular interest. Although co-creation is suggested as viable path to support well-being, less is known how social inclusion might be co-created in practice. Read More

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Understanding outcomes in family-based treatment for adolescent anorexia nervosa: a network approach.

Psychol Med 2021 05 6:1-12. Epub 2021 May 6.

Stanford University School of Medicine, Division, Stanford, CA, USA.

Background: Family-based treatment (FBT) is the first-line treatment for adolescent anorexia nervosa (AN). Yet, remission is not achieved for about half of adolescents with AN receiving FBT. Understanding patient- and parent-level factors that predict FBT response may inform treatment development and improve outcomes. Read More

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Parental access to hospitalised children during infectious disease pandemics such as COVID-19.

S Afr Med J 2021 01 20;111(2):100-105. Epub 2021 Jan 20.

South African Medical Research Council, Cape Town, South Africa; Department of Paediatrics and Child Health, School of Medicine, Faculty of Health Sciences, University of Pretoria, South Africa.

The COVID-19 pandemic has resulted in many hospitals severely limiting or denying parents access to their hospitalised children. This article provides guidance for hospital managers, healthcare staff, district-level managers and provincial managers on parental access to hospitalised children during a pandemic such as COVID-19. It: (i) summarises legal and ethical issues around parental visitation rights; (ii) highlights four guiding principles; (iii) provides 10 practical recommendations to facilitate safe parental access to hospitalised children; (iv) highlights additional considerations if the mother is COVID-19-positive; and (v) provides considerations for fathers. Read More

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January 2021

Paediatric post-discharge pain and parent perceptions of support from an Australian nurse practitioner led acute pain service.

J Child Health Care 2021 May 3:13674935211014742. Epub 2021 May 3.

School of Psychology, University of Southern Queensland, Australia.

Poorly managed post-operative pain remains an issue for paediatric patients. Post-discharge telephone follow-up is used by an Australian Nurse Practitioner Acute Pain Service (NpAPS) to provide access to effective pain management post-discharge from hospital. This cross-sectional survey design study aimed to determine the pain levels of children following discharge and parent views on participation in their child's pain management and perceptions of support from the NpAPS. Read More

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The male breadwinner nuclear family is not the 'traditional' human family, and promotion of this myth may have adverse health consequences.

Rebecca Sear

Philos Trans R Soc Lond B Biol Sci 2021 Jun 3;376(1827):20200020. Epub 2021 May 3.

London School of Hygiene and Tropical Medicine, London, UK.

The importance of social support for parental and child health and wellbeing is not yet sufficiently widely recognized. The widespread myth in Western contexts that the male breadwinner-female homemaker nuclear family is the 'traditional' family structure leads to a focus on mothers alone as the individuals with responsibility for child wellbeing. Inaccurate perceptions about the family have the potential to distort academic research and public perceptions, and hamper attempts to improve parental and child health. Read More

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The adolescent and young adult self-management and independence scale (AMIS-II): Expanding evidence for validity and reliability.

J Pediatr Rehabil Med 2021 Apr 26. Epub 2021 Apr 26.

Department of Psychology, Loyola University Chicago, Chicago, IL, USA.

Purpose: The purpose of this longitudinal study was to evaluate the internal consistency reliability and construct validity of the Adolescent/Young Adult Self-Management and Independence Scale-II (AMIS-II), an interview-based measure of self-management for youth with chronic health conditions.

Methods: A diverse sample of adolescents and young adults (AYA) with spina bifida (SB) (n = 64 AYA; mean 20.88; age range 18-25 years) completed an AMIS-II interview. Read More

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Gender, Anxiety, and Legitimation of Violence in Adolescents Facing Simulated Physical Aggression at School.

Brain Sci 2021 Apr 3;11(4). Epub 2021 Apr 3.

Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.

We analyzed gender and anxiety differences in middle school students facing a physical peer aggression situation. The participants were 1147 adolescents aged between 12 and 18 years (male: = 479; female: = 668) who watched a 12 s animation representing the situation and filled out a questionnaire to analyze the legitimation of violent behaviors and anxiety levels. We registered their decisions to solve the situation using a categorical scale that included assertive, avoidant, aggressive, submissive, and supportive behaviors. Read More

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Asymptomatic Medial Elbow Ultrasound Abnormality in Youth Baseball Players Is an Independent Risk Factor for Elbow Injury: A Prospective Cohort Study.

Orthop J Sports Med 2021 Apr 14;9(4):2325967120986791. Epub 2021 Apr 14.

Investigation performed at the Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.

Background: Youth baseball players who experience elbow pain during the season frequently exhibit radiographic elbow abnormalities. However, it is unknown whether asymptomatic elbow abnormalities are risk factors for in-season elbow injuries.

Purpose: To determine whether the preseason presence of asymptomatic medial epicondyle apophysitis is a risk factor for in-season elbow injuries in youth baseball players. Read More

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Understanding adolescents' perceived social responsibility: The role of family cohesion, interdependent self-construal, and social trust.

J Adolesc 2021 Jun 16;89:55-62. Epub 2021 Apr 16.

Department of Early Childhood Education and Centre for Child and Family Science, The Education University of Hong Kong, Hong Kong SAR, China.

Introduction: Positive family interactions contribute to the development of social responsibility among adolescents. Interdependent self-construal and social trust, which reflect the perceived relatedness and beliefs towards others, may explain the relation between family cohesion and social responsibility. The present study tested the mediating mechanisms between family cohesion and adolescents' social responsibility via adolescents' interdependent self-construal and social trust. Read More

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Parental Access to Children's Raw Genomic Data in Canada: Legal Rights and Professional Responsibility.

Front Genet 2021 31;12:535340. Epub 2021 Mar 31.

Centre of Genomics and Policy, Faculty of Medicine, McGill University, Montreal, QC, Canada.

Children with rare and common diseases now undergo whole genome sequencing (WGS) in clinical and research contexts. Parents sometimes request access to their child's raw genomic data, to pursue their own analyses or for onward sharing with health professionals and researchers. These requests raise legal, ethical, and practical issues for professionals and parents alike. Read More

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