JMIR Pediatrics and Parenting最新文献

{"title":"Early Digital Engagement Among Younger Children and the Transformation of Parenting in the Digital Age From an mHealth Perspective: Scoping Review.","authors":"Nafisa Anjum, Md Mehedi Hasan, Nursat Jahan, Sheikh Iqbal Ahamed, Allison Garefino, Nazmus Sakib","doi":"10.2196/60355","DOIUrl":"https://doi.org/10.2196/60355","url":null,"abstract":"<p><strong>Background: </strong>Evidence identifies that excessive screen time consumption during the crucial stage of life (0-3 years) significantly affects children's holistic development over time. In today's intricate socioeconomic setting, parents, especially working parents, face challenges in constantly supervising their children's activities, often turning to digital devices as a suitable substitute to keep them occupied. To address these issues, a mobile health (mHealth) app can emerge as a feasible solution to help parents manage digital habits for their infants while minimizing the harmful effects.</p><p><strong>Objective: </strong>The aim of this scoping review from an mHealth viewpoint is to raise awareness among parents about the detrimental effects of unwarranted screen exposure in children younger than 3 years and recommend effective strategies for redirecting them to alternative developmental activities, promoting balanced digital engagement for their infants and toddlers within their domestic landscape.</p><p><strong>Methods: </strong>A systematic search of academic databases, including Google Scholar, PubMed, IEEE Xplore, and Elsevier, was conducted. To discover existing child screen monitoring apps, searches were conducted in the Google Play Store and Apple App Store through specific keywords across regional marketplaces. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to organize the literature search process. Data collected from the studies were organized into a predeveloped Excel spreadsheet to facilitate analysis. Synthesized data were scrutinized to detect patterns, variances, and reasonable recommendations.</p><p><strong>Results: </strong>While parents acknowledge the negative impacts of young children's excessive screen time, their dependence on digital devices survives due to today's modern lifestyle commands. In total, parents' insights were clustered into 9 separate categories, highlighting that parents often believe smart devices are beneficial for their children. A total of 6 intervention approaches for parents and 3 for pediatricians were summarized. A significant finding was parents' unawareness of the association between their own screen time and their toddlers' interactions with screen media. Additionally, parents also perceived existing intervention strategies positively and acknowledged them as helpful solutions. However, they also recognized that inadequate tools and insufficient time for execution caused the gap in these approaches.</p><p><strong>Conclusions: </strong>The findings of this study underline the need for an empathetic tool to help parents manage their children's screen time efficiently. The development of a holistic mHealth app is presented that considers awareness, practical guidance, and personalized interventions to balance children's digital device use. The proposed solution could incorporate four essential features: (1) screen time t","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e60355"},"PeriodicalIF":2.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of Chronic Sorrow Among Parents of Children With Disabilities: Cross-Sectional Study.","authors":"Samaa Al Anazi, Naseem Alhujaili, Dina Sinqali, Ftoon Al Heej, Lojain Al Somali, Samaher Khayat, Talah Ramboo","doi":"10.2196/65754","DOIUrl":"https://doi.org/10.2196/65754","url":null,"abstract":"<p><strong>Background: </strong>Parents of children with disabilities face many challenges when providing care, along with persistent worry and fear about the child's health outcomes and the impact of the disability on their lives. These parents experience stressful situations and face many emotions, one of which is chronic sorrow (CS). Therefore, the theory of CS was introduced to examine and measure feelings of CS among parents. Little research has been conducted with Saudi parents with a child with disabilities and the utilization of CS theory in this population is limited.</p><p><strong>Objective: </strong>This study aims to examine the application of CS theory on parents of children with disabilities in Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional design was used to obtain data from 89 participants who are parents of children with disabilities. A web-based questionnaire was distributed to measure CS.</p><p><strong>Results: </strong>The study examined the concepts within CS theory. The concept of loss experience yielded a moderately high score (mean 3.3, SD 1.10); of all the variables measuring loss experience, parents scored high in feeling sad when thinking about their child's disability (mean 3.9, SD 1.24). Parents also reported a moderately high score (mean 3.3, SD 1.06) for the concept of disparity, specifically when their child does not meet the same developmental milestones as their peers (mean 3.8, SD 1.30). Feelings of CS also displayed a moderately high score (mean 3, SD 0.87), with the periodic nature of CS scoring the highest within the concept of CS (mean 3.6, SD 1.16). In addition, internal and external management methods that parents believe are effective were examined. Internal management of CS was believed to be of high importance (mean 4.6, SD 0.33), specifically the belief of fatalism (mean 4.8, SD 0.50). Parents also viewed external management as important in navigating their emotions (mean 4.5, SD 0.42), specifically social support from family and the community (mean 4.7, SD 0.55). This study identified strong positive relationships between sorrow and loss experience and disparity (both r=0.765 and P<.001). Lastly, the study found no relationship between CS and time elapsed since parents received their child's diagnosis (r=-0.009; P=.94).</p><p><strong>Conclusions: </strong>This study applied the theory of CS to the parents of children with disabilities and they reported feelings of loss, disparity, and CS. Therefore, this population should be screened and provided with parental emotional care. Interventions to enhance parental mental health and well-being and support CS management should be developed and used by health care workers. Parental acceptance of their child's disability does not mean the absence of CS, as it is part of the normal grieving process. Anticipating CS triggers and applying internal and external management are essential to improving parental mental health and child health outcomes.","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e65754"},"PeriodicalIF":2.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Acceptance and Opportunities of Using a Specific Generative AI Chatbot to Assist Parents in Managing Pediatric Rheumatological Chronic Health Conditions: Mixed Methods Study.","authors":"Cheryl W Y Lau, Klaudia Kupiec, Polly Livermore","doi":"10.2196/70409","DOIUrl":"https://doi.org/10.2196/70409","url":null,"abstract":"<p><strong>Background: </strong>Health care chatbots can be used to support patients and their families with everyday decision-making. While there is some research on integrating artificial intelligence into pediatric care, no study has focused on the opportunity of implementing a generative artificial intelligence chatbot for pediatric rheumatology. Pediatric rheumatology conditions require intense family input, which can often leave families struggling to navigate disease flares, pain, fatigue, medication side effects and adherence, and support of their child, often when pediatric rheumatology departments are shut. Understanding how we can support families better, without the need for increased personnel, will have implications for the health care systems.</p><p><strong>Objective: </strong>The study aimed to explore parental and children and young people's acceptance of chatbot use in a pediatric context, and understand how a chatbot could be specifically used for managing a child's chronic health condition.</p><p><strong>Methods: </strong>This study was a mixed methods design, using both a family workshop and a subsequent questionnaire.</p><p><strong>Results: </strong>In total, 22 participants contributed to the qualitative design using the world café methodology at a workshop, and 47 participants (36 parents and 11 children and young people) completed quantitative data via a questionnaire. Participants expressed their likelihood of using chatbot technology, including ChatGPT, due to its accessibility. However, participants had significantly greater intention (parents: P<.001; children and young people: P=.006) to use a specific chatbot over ChatGPT, due to increased trust, credibility, and specificity in design. Children and young people and parents should be distinguished as 2 user groups in chatbot design, reflecting their specific needs in chatbot features and personalization.</p><p><strong>Conclusions: </strong>Overall, the study reinforced the need for a specialized and trusted chatbot designed with input from health professionals to assist families in managing complex chronic health conditions to support families in between appointments and complement existing face-to-face care. Future research should evaluate users' engagement with a functional prototype to investigate its usefulness and explore its implementation into families' everyday lives. Importantly, the current findings have broader implications for the field of pediatric health care, as similarly tailored chatbot interventions could benefit families who are managing other chronic health conditions.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e70409"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"eHealth Literacy and Adolescent Health in Japanese Female High School Students in Sendai: Cross-Sectional Study.","authors":"Takashi Takeda, Kana Yoshimi, Sayaka Kai, Fumi Inoue","doi":"10.2196/73237","DOIUrl":"https://doi.org/10.2196/73237","url":null,"abstract":"<p><strong>Background: </strong>In the digital age, adolescents increasingly rely on online sources for health-related information. eHealth literacy-defined as the ability to find, evaluate, and apply online health information-plays a crucial role in health outcomes. However, limited research exists on eHealth literacy among Japanese high school students, particularly on its association with menstrual health and psychological well-being.</p><p><strong>Objective: </strong>This study aimed to assess the eHealth literacy of Japanese female high school students and examine its association with premenstrual symptoms, psychological distress, loneliness, and self-esteem.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey was conducted in December 2024 among 1607 female students from 2 public high schools in Sendai, Japan. A total of 909 students with regular menstrual cycles completed all survey items. The survey included the eHealth Literacy Scale (eHEALS), Premenstrual Symptoms Questionnaire, Kessler Psychological Distress Scale (K6), Revised UCLA Loneliness Scale, Rosenberg Self-Esteem Scale, and a numerical rating scale for menstrual pain. Statistical analyses, including Student t tests, chi-square tests, correlation analyses, and logistic regression analyses, were used to examine the relationships between eHealth literacy and various health outcomes.</p><p><strong>Results: </strong>The mean eHEALS score was 22.8 (SD 7.3), with 32.1% (292/909) of participants classified as having high eHealth literacy (eHEALS≥26). Students with higher eHealth literacy reported significantly lower levels of loneliness and higher self-esteem. The severity of premenstrual symptoms, particularly feeling overwhelmed, was significantly lower in the high eHealth literacy group. Additionally, interpersonal difficulties related to premenstrual symptoms were less prevalent among students with high eHealth literacy. Pearson correlation analysis indicated negative associations between the eHEALS score and psychological distress (K6) and loneliness, whereas a positive association was observed with self-esteem. Logistic regression analysis showed that high self-esteem was significantly associated with high eHealth literacy.</p><p><strong>Conclusions: </strong>This study highlights the importance of eHealth literacy in adolescent health care. Higher eHealth literacy is linked to lower levels of loneliness, higher self-esteem, and reduced premenstrual symptom severity, particularly feeling overwhelmed. Although the cross-sectional design limits causal conclusions, these findings suggest that higher eHealth literacy is associated with better mental and reproductive health in adolescents. Future research should adopt longitudinal designs, include more diverse populations-such as male adolescents-and explore additional contributing factors to better elucidate these associations.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e73237"},"PeriodicalIF":2.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary Effectiveness of a Postnatal mHealth and Virtual Social Support Intervention on Newborn and Infant Health and Feeding Practices in Punjab, India: Quasi-Experimental Pre-Post Pilot Study.","authors":"Garima Singh Verma, Lakshmi Gopalakrishnan, Alison El Ayadi, Nadia Diamond-Smith, Rashmi Bagga, Shashi Kant Dhir, Pushpendra Singh, Navneet Gill, Vaibhav Miglani, Naveen Mutyala, Ankita Kankaria, Jasmeet Kaur, Alka Ahuja, Vijay Kumar, Mona Duggal","doi":"10.2196/65581","DOIUrl":"10.2196/65581","url":null,"abstract":"<p><strong>Background: </strong>We evaluated a pilot mobile health (mHealth) intervention aimed at improving postnatal maternal and infant health. The intervention featured provider-led group sessions for education, health care communication, in-person care referrals, and virtual mHealth support for postpartum mothers through weekly calls, texts, interactive voice response (IVR), and a phone app.</p><p><strong>Objective: </strong>We aimed to assess the preliminary effectiveness of the pilot mHealth intervention, MeSSSSage (Maa Shishu Swasthya Sahayak Samooh, which means maternal and child health support group), on infant health knowledge, behaviors, and outcomes at 6 months post partum. We focus on maternal knowledge of infant danger signs and optimal young child feeding practices at 6 months post partum and also evaluate maternal care-seeking behaviors for infants, adherence to age-appropriate immunization, and infant and young child feeding practices such as early initiation of breastfeeding and complementary feeding.</p><p><strong>Methods: </strong>We evaluated the preliminary effectiveness of an intervention on maternal health knowledge among 135 participants in Punjab, India, who completed pre- and postintervention surveys. The intervention, led by research personnel with backgrounds similar to community health officers, aimed to empower society and support universal health coverage if successful. We assessed changes in knowledge of maternal danger signs and the appropriate age for introducing different food groups over 6 months post partum. Additionally, we examined postintervention differences in health-seeking behavior for infants, adherence to age-appropriate immunizations, and adoption of breastfeeding and complementary feeding practices among women in the synchronous (group call), asynchronous (IVR and app), and control arms.</p><p><strong>Results: </strong>Of 12 infant risk factors, maternal knowledge of infant danger signs remained low (mean range: 1.85-2.31 preintervention and 1.81-2.22 postintervention). Participants in the synchronous arm had a statistically significant higher mean increase (mean difference: 0.87, 95% CI 0.06-1.69) compared to the control arm. Participants in synchronous arms had nearly 3-fold increased odds of infant health checkup by a clinical provider than asynchronous arm participants (odds ratio [OR] 2.72, 95% CI 1.02-7.23). No significant differences were noted in age-appropriate vaccine coverage among infants between arms, though vaccination coverage was more than 80% across all arms. Early initiation of breastfeeding remained low across all arms (~47%).</p><p><strong>Conclusions: </strong>Our pilot study on group-based mHealth education and virtual social support during the postnatal phase showed modest yet promising results. Rigorous testing is crucial to strengthening the limited evidence base for group-oriented mHealth approaches.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e65581"},"PeriodicalIF":2.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Differences in the Joint Trajectories of Depressive Symptoms and Body Mass Index from Adolescence to Early Adulthood: Longitudinal Observational Study.","authors":"Jing Chen, Rui Shan, Wen Yuan, Qiong Wu, Yang Yang, Yi-Hang Yang, Jing-Yao Liu, Wu-Cai Xiao, Shang-Hang Zhang, Li-Ming Wen, Xiao-Rui Zhang, Zheng Liu, Yi Song","doi":"10.2196/72722","DOIUrl":"https://doi.org/10.2196/72722","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is a critical transitional period between childhood and adulthood, marked by dramatic changes in physical and psychosocial health. Adolescents are vulnerable to both depression and adiposity, but how these conditions evolve over time from adolescence to early adulthood and whether sex differences exist remained unclear.</p><p><strong>Objective: </strong>To first identify the population heterogeneity in the joint trajectories of depressive symptoms and body mass index (BMI) from adolescence to early adulthood and then explore the sex differences in the joint trajectories.</p><p><strong>Methods: </strong>In this study, we adopt the latent class trajectory modeling to identify the combined trajectories of depressive symptoms and BMI from adolescence at baseline to early adulthood at follow ups using a longitudinal study (2010-2020y). We used the multinomial logistic regressions to examine the sex-specific associations with the trajectory classifications.</p><p><strong>Results: </strong>Our results found that individuals' depressive symptoms and BMI might not always change parallelly from adolescence to early adulthood, instead, some individuals appeared to be prone to depressive symptoms or elevated BMI only while others were multimorbid by both of them. Moreover, our study identified a clear sex-specific pattern in the joint trajectories of depressive symptoms and BMI: the females were at a higher risk of developing depressive symptoms but remained relatively stable weight status over time (odds ratio (OR), 95% CI: 0.68, 0.52 to 0.89), while the males were at a lower risk of developing depressive symptoms but with an increasing risk of developing adiposity over time (OR, 95% CI: 1.83, 1.35 to 2.49).</p><p><strong>Conclusions: </strong>Depressive symptoms and BMI might not always change parallelly from adolescence to early adulthood, and there is a clear sex-specific pattern in the joint trajectories of depressive symptoms and BMI. This will inform the design of future sex-specific interventions that match the distinguished profiles in males and females during the period of adolescence and early adulthood, respectively, thus maximizing the intervention effects in preventing both depression and adiposity in early life.</p><p><strong>Clinicaltrial: </strong></p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Impact of Pediatric Digital Mental Health Care on Caregiver Burnout and Absenteeism: Longitudinal Observational Study.","authors":"Darian Lawrence-Sidebottom, Kelsey McAlister, Aislinn Brenna Beam, Rachael Guerra, Amit Parikh, Monika Roots, Donna McCutchen, Landry Goodgame Huffman, Jennifer Huberty","doi":"10.2196/67149","DOIUrl":"10.2196/67149","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of children with mental health challenges are at heightened risk for burnout and absenteeism. This strain affects both their well-being and work performance, contributing to widespread workplace issues. Digital mental health interventions (DMHIs) are increasingly used to support pediatric mental health, but their impact on caregiver outcomes remains underexplored.</p><p><strong>Objective: </strong>This study aimed to explore the associations between caregiver burnout, absenteeism (ie, missing work), comorbid symptoms, and child mental health problems, and to assess whether caregiver burnout and absenteeism improved as their child participated in a pediatric DMHI.</p><p><strong>Methods: </strong>This retrospective study included 6506 caregivers whose children (aged 1-17 years) received care from Bend Health, Inc, a pediatric DMHI providing digital-based therapy and coaching, digital content, and caregiver support. Caregiver burnout, absenteeism, comorbid symptoms, and child mental health symptoms were measured by monthly assessments. Cumulative link models were used to assess the associations of between child symptoms and caregiver outcomes and to assess changes in caregiver outcomes over the course of the DMHI. Analyses of baseline associations included the full sample (n=6506), while analyses of pre-post changes in caregiver outcomes were conducted in caregivers with elevated burnout (n=2121) and absenteeism (n=1327) who had an assessment after starting care.</p><p><strong>Results: </strong>At baseline, 45.96% (2990/6506) of caregivers reported elevated burnout and 28.96% (1884/6506) reported elevated absenteeism. More severe burnout was associated with having a child with elevated symptoms of any type (all P<.01). More severe absenteeism was significantly associated with having a child with elevated symptoms of depression (z=3.33; P<.001), anxiety (z=3.96; P<.001), inattention (z=2.48; P=.013), and hyperactivity (z=2.12; P=.03). Burnout decreased for 68.64% (1456/2121) and absenteeism decreased for 87.26% (1158/ 1327). Greater months in care was associated with less severe caregiver burnout (z=-5.48; P<.001) and absenteeism (z=-6.74; P<.001).</p><p><strong>Conclusions: </strong>DMHIs for children may reduce caregiver burnout and absenteeism. These findings emphasize the value of employers offering pediatric DMHIs as part of employee benefits, potentially enhancing workplace outcomes.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e67149"},"PeriodicalIF":2.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Effect of eHealth Use on the Associations Between Social Supports and Well-Being in Japanese Employed Women Providing Childcare or Care: Bayesian Structural Equation Modeling Study.","authors":"Noyuri Yamaji, Daisuke Yoneoka, Daichi Suzuki, Kiriko Sasayama, Erika Ota, Etsuko Nishimura, Hisateru Tachimori, Eiko Saito","doi":"10.2196/68119","DOIUrl":"https://doi.org/10.2196/68119","url":null,"abstract":"<p><strong>Background: </strong>The increasing prevalence of information and communication technologies has made health-related information and social support more accessible on the web. However, limited evidence exists on how eHealth and social support affect the well-being of employed women who also serve as caregivers in Japan.</p><p><strong>Objective: </strong>This study aimed to assess the relationship between social support and well-being among employed Japanese women providing childcare or caregiving and explore eHealth use's role in enhancing this relationship.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using secondary data analysis from a nationwide web-based questionnaire survey of 10,000 employed women aged 20-65 years, administered from February 28, 2023, to March 7, 2023. The primary study used a quota random sampling approach based on age and geographic area from the research company's panel. For this analysis, we focused on a subgroup of 2456 women who reported either caring for children less than 7 years old or providing other caregiving responsibilities. We employed a Bayesian structural equation model to estimate the enhancing effect of eHealth on the relationship between social support and 4 well-being indicators: life satisfaction, worthwhileness, happiness, and anxiety.</p><p><strong>Results: </strong>Among the 2456 employed women included, 1784 (72.6%) received social support and 1635 (66.6%) obtained health-related information via eHealth. Bayesian structural equation model analysis revealed that the standardized total effects of social support on well-being were 0.20 (95% CI 0.13-0.27) in the group without eHealth use and 0.47 (95% CI 0.45-0.50) in the group with eHealth use.</p><p><strong>Conclusions: </strong>The findings suggest that eHealth may enhance the positive impact of social support on the well-being of employed Japanese women providing childcare or caregiving. This study highlights the potential of eHealth interventions in supporting social support and well-being among working women with caregiving responsibilities in Japan.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e68119"},"PeriodicalIF":2.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Service Users' Experiences of a Community-Based Intervention to Improve Follow-Up at Bharatpur Eye Hospital in Nepal: Qualitative Study.","authors":"Manisha Shrestha, Gopal Bhandari, Sadhan Bhandari, Gudlavalleti Venkata Satyanarayana Murthy, Ruchi Priya, Binod Pandey, Daya Shankar Chaudhary, Puspa Giri, Sureshkumar Kamalakannan","doi":"10.2196/65023","DOIUrl":"https://doi.org/10.2196/65023","url":null,"abstract":"<p><strong>Background: </strong>Follow-up to eye care services for children, especially in the context of Nepal, is essential for ensuring a continuum of care. Hence, as a continued effort, we designed this study to explore the service users' experience of a community-based intervention to improve follow-up at Bharatpur Eye Hospital (BEH) in Nepal.</p><p><strong>Objective: </strong>This study aimed to explore service users' experiences and perceptions of the community-based follow-up intervention for eye care services implemented by BEH in Nepal.</p><p><strong>Methods: </strong>A qualitative study using an in-depth interview approach was used. Participants were purposively selected for this research study. Participants who were part of a quasi-experimental study conducted to improve follow-up services in BEH and their service catchment area were chosen. Participants who had not attended even a single follow-up visit and participants who attended at least one follow-up were recruited for this qualitative study. Based on the distance from the base hospital and the follow-up status, 65 participants were initially found eligible for the qualitative study. However, only 17 participants were available and consented. Topic guides were developed for the purpose of in-depth interviews specifically for participants who had not attended even the first follow-up visits and those who attended at least one follow-up visit. A total of 2 ophthalmic assistants, who were not a part of the main intervention study, conducted the interviews.</p><p><strong>Results: </strong>In total, 17 service users whose children were receiving services from BEH participated in the qualitative study. We identified 4 key themes that provided invaluable information about the barriers and facilitators to follow-up as well as the experiences (positive or negative) of the participants that need to be considered in any future initiatives to improve follow-up in Nepal.</p><p><strong>Conclusions: </strong>This study highlights the need for systematic development of interventions to address the unmet need for eye care services in the community through innovative, scalable solutions. As a next step, the BEH team will be working to develop such scalable solutions for Nepal. Such interventions will also need to be optimized for similar settings and countries to meet the goals of universal health coverage, vision 2030, and sustainable development goals worldwide.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e65023"},"PeriodicalIF":2.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Low-Cost, Social Media-Supported Intervention for Caregivers to Enhance Toddlers' Language Learning: Mixed Methods Feasibility and Acceptability Study.","authors":"Mollie Romano, Diana Abarca, Frances Baehman","doi":"10.2196/66175","DOIUrl":"https://doi.org/10.2196/66175","url":null,"abstract":"<p><strong>Background: </strong>Widely accessible, cost-effective early language development interventions for caregivers of young children are needed to promote optimal outcomes in children in the United States. Social media short-form videos, such as those on TikTok, may be a natural fit for delivering this type of intervention.</p><p><strong>Objective: </strong>This study aims to examine the feasibility and acceptability of a low-intensity, short-term social media intervention for caregivers of young toddlers.</p><p><strong>Methods: </strong>In total, 25 caregivers of children aged between 12 and 18 months participated in this study. We shared 32 short-form videos via TikTok over an 8-week period to help increase caregivers' knowledge about early childhood communication. We examined metrics to characterize participant engagement, explored measures of changes in caregivers' knowledge, and conducted a qualitative analysis of caregiver interviews after the intervention.</p><p><strong>Results: </strong>Results indicated that most caregivers were able to consistently view the videos, with approximately 75% (16/21) viewership per video (mean 15.75 likes out of 21 possible likes), and caregivers reported positive effects of the intervention on their knowledge of how to support their child's communication. The results of the exploratory measure of change in caregiver knowledge were positive but not statistically significant (t₂₁=-1.357; P=.09). Caregivers offered suggestions for content and enhancements to videos for future investigations.</p><p><strong>Conclusions: </strong>Low-cost, short-term social media interventions could be an effective means to equip caregivers with the information they need to advance their children's language abilities, particularly for families from lower-income backgrounds whose access to health information about their young children may be limited.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e66175"},"PeriodicalIF":2.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}