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https://www.readbyqxmd.com/read/28423928/engaging-parents-to-promote-children-s-nutrition-and-health
#1
Dipti A Dev, Courtney Byrd-Williams, Samantha Ramsay, Brent McBride, Deepa Srivastava, Ashleigh Murriel, Chrisa Arcan, Anna M Adachi-Mejia
PURPOSE: Using the Academy of Nutrition and Dietetics benchmarks as a framework, this study examined childcare providers' (Head Start [HS], Child and Adult Care Food Program [CACFP] funded, and non-CACFP) perspectives regarding communicating with parents about nutrition to promote children's health. DESIGN: Qualitative. SETTING: State-licensed center-based childcare programs. PARTICIPANTS: Full-time childcare providers (n = 18) caring for children 2 to 5 years old from varying childcare contexts (HS, CACFP funded, and non-CACFP), race, education, and years of experience...
March 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28420945/controversies-and-recent-developments-of-the-low-fodmap-diet
#2
Peta Hill, Jane G Muir, Peter R Gibson
The low-fermentable oligo-, di-, and monosaccharide and polyol (FODMAP) diet is a 2-phased intervention, with strict reduction of all slowly absorbed or indigestible short-chain carbohydrates (ie, FODMAPs) followed by reintroduction of specific FODMAPs according to tolerance. The efficacy of the elimination phase of the FODMAP diet is well established, but the success of maintaining this diet has been shown in only a few observational studies. How the efficacy of the low-FODMAP diet compares with that of other therapies has received limited attention, but recent studies have shown this diet to be comparable or superior to diets that address eating style and choice of food as well as to gut hypnotherapy...
January 2017: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28401847/enhancing-executive-functioning-among-toddlers-in-foster-care-with-an-attachment-based-intervention
#3
Teresa Lind, K Lee Raby, E B Caron, Caroline K P Roben, Mary Dozier
Young children in foster care often experience adversity, such as maltreatment and lack of stability in early caregiving relationships. As a result, these children are at risk for a range of problems, including deficits in executive functioning. The Attachment and Biobehavioral Catch-up for Toddlers (ABC-T) intervention was designed to help foster parents behave in ways that promote the development of young children's emerging self-regulatory capabilities. Participants included 173 parent-toddler dyads in three groups: foster families that were randomly assigned to receive either the ABC-T intervention (n = 63) or a control intervention (n = 58), as well as low-risk parent-toddler dyads from intact families (n = 52)...
May 2017: Development and Psychopathology
https://www.readbyqxmd.com/read/28401844/signs-of-reactive-attachment-disorder-and-disinhibited-social-engagement-disorder-at-age-12-years-effects-of-institutional-care-history-and-high-quality-foster-care
#4
Kathryn L Humphreys, Charles A Nelson, Nathan A Fox, Charles H Zeanah
Two disorders of attachment have been consistently identified in some young children following severe deprivation in early life: reactive attachment disorder and disinhibited social engagement disorder. However, less is known about whether signs of these disorders persist into adolescence. We examined signs of reactive attachment disorder and disinhibited social engagement disorder at age 12 years in 111 children who were abandoned at or shortly after birth and subsequently randomized to care as usual or to high-quality foster care, as well as in 50 comparison children who were never institutionalized...
May 2017: Development and Psychopathology
https://www.readbyqxmd.com/read/28397259/patient-understanding-of-genetic-information-influences-reproductive-decision-making-in-retinoblastoma
#5
A Foster, L Boyes, L Burgess, S Carless, V Bowyer, H Jenkinson, M Parulekar, J Ainsworth, J Hungerford, Z Onadim, M Sagoo, E Rosser, M A Reddy, T Cole
Retinoblastoma is the most common malignant tumour of the eye in childhood, with nearly all bilateral tumours and around 17-18% of unilateral tumours due to an oncogenic mutation in the RB1 gene in the germline. Genetic testing in all cases enables accurate risk assessment and optimal clinical management for the affected individual, siblings, and future offspring. We carried out the first UK-wide audit of understanding of genetic testing in individuals with retinoblastoma. A total of 292 individuals aged 16-45 years were included...
April 11, 2017: Clinical Genetics
https://www.readbyqxmd.com/read/28395193/foster-care-reentry-a-survival-analysis-assessing-differences-across-permanency-type
#6
Emily Smith Goering, Terry V Shaw
Foster care reentry is an important factor for evaluating the overall success of permanency. Rates of reentry are typically only measured for 12-months and are often evaluated only for children who exit foster care to reunification and not across exit types, also known as 'permanency types'. This study examined the odds of reentry across multiple common permanency types for a cohort of 8107 children who achieved permanency between 2009 and 2013. Overall, 14% of children reentered care within 18-months with an average time to reentry of 6...
April 7, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28393533/effect-of-a-parenting-intervention-on-foster-care-reentry-after-reunification-among-substance-affected-families-a-quasi-experimental-study
#7
Becci A Akin, Jody Brook, Margaret H Lloyd, Thomas P McDonald
Although parental substance abuse has been identified as a risk factor for poor foster care outcomes, current research on effective interventions is limited. A few studies have shown that parenting interventions improved parenting skills and family functioning and decreased time to reunification among children in foster care due to parental substance abuse. However, more research is needed to evaluate whether these interventions positively impact reentry rates. Using propensity score analyses to establish a matched comparison group, survival analyses evaluated the relationship between participation in a parenting intervention, the Strengthening Families Program (SFP), and reentry among a sample of 493 children previously reunified with their parents...
January 1, 2017: Child Maltreatment
https://www.readbyqxmd.com/read/28359213/caring-for-perinatally-hiv-infected-children-call-for-mental-care-for-the-children-and-the-caregivers
#8
Kimiyo Kikuchi, Krishna C Poudel, John Muganda Rwibasira, Adolphe Majyambere, Vincent Mutabazi, Simon Pierre Nyonsenga, Ribakare Muhayimpundu, Masamine Jimba
Antiretroviral therapy has dramatically improved the survival rate of perinatally HIV-infected children. For them to thrive, it is necessary to understand better their mental health issues. Caregivers play an important role in children's daily care and caregiver mental health may relate to children's mental health. However, this association has rarely been studied. Accordingly, the present study examined the associations between depression of caregivers and that of perinatally HIV-infected children in Kigali, Rwanda...
March 30, 2017: AIDS Care
https://www.readbyqxmd.com/read/28348199/needs-of-kinship-care-families-and-pediatric-practice
#9
David Rubin, Sarah H Springer, Sarah Zlotnik, Christina D Kang-Yi
As many as 3% of children in the United States live in kinship care arrangements with caregivers who are relatives but not the biological parents of the child. A growing body of evidence suggests that children who cannot live with their biological parents fare better, overall, when living with extended family than with nonrelated foster parents. Acknowledging this, federal laws and public policies increasingly favor kinship care over nonrelative foster care when children are unable to live with their biological parents...
March 27, 2017: Pediatrics
https://www.readbyqxmd.com/read/28342618/a-realist-synthesis-of-social-connectivity-interventions-during-transition-to-parenthood-the-value-of-relationships
#10
Claudine T Bennett, Judy L Buchan, Nicole Letourneau, Stuart G Shanker, Anne Fenwick, Brenda Smith-Chant, Cyndi Gilmer
BACKGROUND: Social connections are important during the transition to parenthood. A wide body of literature suggests that these connections enhance health and contribute to wellbeing. In the case of parents and families, social connections can influence child development. Nurses and public health agencies are in a unique position to advocate for resources and approaches to enhance social connectivity for parents during this important life transition. OBJECTIVES: The aim of this review was to identify the universal social connectivity interventions that work, and the conditions that foster social connections for parents and enhance child development...
April 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28329212/clinical-status-of-adolescents-with-perinatal-hiv-at-transfer-to-adult-care-in-the-uk-ireland
#11
Intira Jeannie Collins, Caroline Foster, Anna Tostevin, Pat Tookey, Andrew Riordan, David Dunn, D M Gibb, Ali Judd
Background.: Increasing numbers of children infected perinatally with human immunodeficiency virus (HIV) are surviving to adolescence and transitioning to adult care, yet there are scarce data on their clinical status at transfer. Methods.: We analyzed prospective cohort data from the UK/Ireland national Collaborative HIV Pediatric Study (CHIPS). Clinical status at last pediatric clinic visit prior to transfer was described. Factors associated with higher CD4 cell count and viral load (VL) suppression<400 c/mL among patients on antiretroviral therapy (ART) at transfer were assessed using linear and logistic regression, respectively...
April 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28328786/high-quality-randomized-controlled-trials-in-pediatric-critical-care-a-survey-of-barriers-and-facilitators
#12
Mark Duffett, Karen Choong, Jennifer Foster, Maureen Meade, Kusum Menon, Melissa Parker, Deborah J Cook
OBJECTIVES: High-quality, adequately powered, randomized controlled trials are needed to inform the care of critically ill children. Unfortunately, such evidence is not always available. Our objective was to identify barriers and facilitators of conducting high-quality randomized controlled trials in pediatric critical care, from the perspective of trialists in this field. DESIGN: Self-administered online survey. Respondents rated the importance of barriers and effectiveness of facilitators on seven-point scales...
March 21, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28320870/clinical-considerations-related-to-the-behavioral-manifestations-of-child-maltreatment
#13
Robert D Sege, Lisa Amaya-Jackson
Children who have suffered early abuse or neglect may later present with significant health and behavior problems that may persist long after the abusive or neglectful environment has been remediated. Neurobiological research suggests that early maltreatment may result in an altered psychological and physiologic response to stressful stimuli, a response that deleteriously affects the child's subsequent development. Pediatricians can assist caregivers by helping them recognize the abused or neglected child's emotional and behavioral responses associated with child maltreatment and guide them in the use of positive parenting strategies, referring the children and families to evidence-based therapeutic treatment and mobilizing available community resources...
March 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28318309/the-moderating-effect-of-risk-exposure-on-an-efficacious-intervention-for-maltreated-children
#14
Lindsey M Weiler, Heather N Taussig
The current study extends research on the impact of the Fostering Healthy Futures program (Taussig & Culhane, 2010), a 9-month mentoring and skills group preventive intervention for maltreated children, by examining whether the effect of Fostering Healthy Futures is moderated by children's baseline risk exposure (i.e., number of adverse childhood experiences). Participants included 156 racially and ethnically diverse children (ages 9-11, 50.7% female) recently placed in foster care due to maltreatment who were randomized to intervention or control conditions...
March 20, 2017: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/28301971/medicaid-managed-care-and-the-health-care-utilization-of-foster-children
#15
Makayla Palmer, James Marton, Aaron Yelowitz, Jeffery Talbert
A recent trend in state Medicaid programs is the transition of vulnerable populations into Medicaid managed care (MMC) who were initially carved out of such coverage, such as foster children or those with disabilities. The purpose of this article is to evaluate the impact of the transition of foster children from fee-for-service Medicaid coverage to MMC coverage on outpatient health care utilization. There is very little empirical evidence on the impact of managed care on the health care utilization of foster children because of the recent timing of these transitions as well as challenges associated with finding data sets large enough to contain a sufficient number of foster children for such analysis...
January 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/28282245/live-with-the-disease-like-you-used-to-before-you-knew-you-were-infected-a-qualitative-study-among-10-year-survivors-living-with-hiv-in-haiti
#16
Samuel Pierre, Vanessa Riviera, Circee Phara Jean, Marie Jude Jean Louis, Lindsey K Reif, Patrice Severe, Vanessa Rouzier, Warren D Johnson, Jean W Pape, Daniel W Fitzgerald, Margaret L McNairy, Carla Boutin-Foster
In 2003, the Haitian Study Group on Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), a nonprofit organization, began administering antiretroviral therapy (ART) to its patients. This practice transformed HIV from a fatal disease to a more manageable chronic condition. However, relatively few studies focus on the experiences of survivors. This study provided a unique opportunity to interview patients who survived at least 10 years after being treated with ART at GHESKIO. The goal of the study was to elicit from patients their perspectives on what enabled them to survive with AIDS...
March 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28277096/fostering-secure-attachment-experiences-of-animal-companions-in-the-foster-home
#17
Sam Carr, Ben Rockett
This study sought to use attachment theory as a lens through which to explore children's relationships with animal companions in the context of long-term foster care. Inductive and deductive thematic analyses of longitudinal case study data from eight children and their foster families suggested (a) that children's relationships with animal companions satisfied attachment-related functions in their own right and (b) that animal companions also helped to soften perceptions of foster caregivers, facilitating opportunities for the development of closeness...
February 7, 2017: Attachment & Human Development
https://www.readbyqxmd.com/read/28267483/when-is-too-little-care-too-much-harm-in-cystic-fibrosis-psychological-and-ethical-approaches-to-the-problem
#18
John Massie, Alice Morgan, Lynn Gillam
Some parents of children with cystic fibrosis (CF) do not adhere to treatments recommended by the CF team. This can be a challenging issue for CF clinicians and can create conflict between the parents and treating team. Both parents and treating team believe they are acting in the best interests of the child, but do not share a common opinion as to what that entails. In this paper we present an understanding of the psychological framework of parents' illness representation that may foster a better understanding by CF clinicians of how to approach parents who hold a conflicting opinion regarding optimal care...
March 2017: Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society
https://www.readbyqxmd.com/read/28261867/suicidal-ideation-depressive-symptomatology-and-self-concept-a-comparison-between-mexican-institutionalized-and-noninstitutionalized-children
#19
Ana-Maria Chavez-Hernandez, Fredi-Everardo Correa-Romero, Irma-Beatriz Acosta-Rojas, Karen-Viviana Cardoso-Espindola, Gustavo M Padilla-Gallegos, Isabel Valadez-Figueroa
Previous research reports a significant prevalence of child depression worldwide and self-concept as a predictor of depression and suicide behavior. Although suicide in children is an increasing problem in Mexico, there are scarce studies reporting risk factors and none of children in foster care institutions. This was a comparative, ex post facto study whose aim was to analyze associations between suicidal ideation, depression, and self-concept in two paired samples of Mexican children (83 institutionalized and 83 noninstitutionalized)...
March 6, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/28254689/environmental-and-individual-attributes-associated-with-child-maltreatment-resulting-in-hospitalization-or-death
#20
Holly Thurston, Bridget Freisthler, Janice Bell, Daniel Tancredi, Patrick S Romano, Sheridan Miyamoto, Jill G Joseph
Maltreatment continues to be a leading cause of death for young children. Researchers are beginning to uncover which neighborhood attributes may be associated with maltreatment outcomes. However, few studies have been able to explore these influences while controlling for individual family attributes, and none have been able to parse out the most severe outcomes-injuries resulting in hospitalization or death. This study utilizes a retrospective, case-control design on a dataset containing both individual and environmental level attributes of children who have been hospitalized or died due to maltreatment to explore the relative influence of attributes inside and outside the household walls...
March 2, 2017: Child Abuse & Neglect
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