JMIR Pediatrics and Parenting最新文献

{"title":"Parent-Child Mutual Influences on Sugar-Sweetened Beverage Consumption Behaviors: Actor-Partner Analysis.","authors":"May O Lwin, Allison Seet, Seraphina Leo, Peter J Schulz","doi":"10.2196/76943","DOIUrl":"10.2196/76943","url":null,"abstract":"<p><strong>Background: </strong>Childhood obesity remains a significant global public health issue, with consumption of sugar-sweetened beverages (SSBs) recognized in scientific studies as a key contributing factor. While family influences on children's dietary behaviors and their effects on obesity risk are well-documented, the dynamics between parents and children in shaping SSB consumption remain underexplored.</p><p><strong>Objective: </strong>Drawing on social influence theory, this study examines how parent-child perceptions and consumption intentions regarding SSBs are interrelated and the potential mediating role of attitudes. We also studied how engagement with food-related content on social media may relate to consumption intentions.</p><p><strong>Methods: </strong>We conducted a face-to-face survey of 250 parent-child dyads (N=500) living in public housing in Singapore, a country tackling overweight in its population. Dichotomous items were used to measure cognitive perceptions and attitudes toward SSBs. Both parent and child participants self-reported their intention to consume SSBs. Based on the World Health Organization (WHO) definition of SSBs, visuals of culturally relevant drink products were used in the survey to visualize SSBs. Dyadic data analysis using the MEDYAD tool was conducted to test the actor-partner interdependence model (APIM) and examine the impact of the parent-child dyadic relationship on individuals' intention to consume sugary drinks.</p><p><strong>Results: </strong>Pearson correlation results indicated positive associations between parent and child cognitive perceptions and intentions to consume SSBs. Path analysis revealed strong actor effects with both parents' (β=.52, P<.001) and children's (β=.43, P<.001) own perceptions predicting their attitudes and subsequent intentions to consume SSBs (parent: β=.32, P<.001; child: β=.31, P<.001). Partner effects also emerged: parental perceptions influenced children's intentions (β=.20, P=.01), while children's perceptions shaped parental attitudes (β=.20, P=.02), highlighting the reciprocal nature of influence. While digital food media engagement was positively associated with consumption intentions, its effects were relatively modest and not central to the dyadic pathways.</p><p><strong>Conclusions: </strong>Our study findings highlight the reciprocal effects of both parents and children in influencing healthier behaviors and hence provide insights to aid obesity prevention efforts. By addressing the interdependent associations of parent-child dynamics, this research bridges theory and health communication practice, offering a novel framework for combating obesity through family-centered approaches.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e76943"},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699785","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":"Leveraging AI to Investigate Child Maltreatment Text Narratives: Promising Benefits and Addressable Risks.","authors":"Wilson Lukmanjaya, Tony Butler, Sarah Cox, Oscar Perez-Concha, Leah Bromfield, George Karystianis","doi":"10.2196/73579","DOIUrl":"10.2196/73579","url":null,"abstract":"<p><strong>Unlabelled: </strong>The trove of information contained in child maltreatment narratives represents an opportunity to strengthen the evidence base for policy reform in this area, yet it remains underutilized by researchers and policy makers. Current research into child maltreatment often involves the use of qualitative methodologies or structured survey data that are either too broad or not representative, thereby limiting the development of effective policy responses and intervention strategies. Artificial intelligence (AI) approaches such as large language models (AI models that understand and generate language) can analyze large volumes of child maltreatment narratives by extracting population-level insights on factors of interest such as mental health and treatment needs. However, when applying such methods, it is useful to have a framework on which to base approaches to the data. We propose a seven step framework: (1) data governance; (2) researcher vetting; (3) data deidentification; (4) data access; (5) feasibility testing of baseline methods; (6) large-scale implementation of black box algorithms; and (7) domain expert result validation for such exercises to ensure careful execution and limit the risk of privacy and security breaches, bias, and unreliable conclusions.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e73579"},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699784","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":"The Added Value of Parents Practicing in Virtual Reality to Illustrate the Use of Innovative Methods in Parent-Child Interaction Therapy: Single-Case Experimental Design.","authors":"Iza C A Scherpbier, Mariëlle E Abrahamse, Samantha Bouwmeester, Robert G Belleman, Arne Popma, Ramón J L Lindauer","doi":"10.2196/60752","DOIUrl":"10.2196/60752","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Throughout years of research, the well-known behavioral parent training program, Parent-Child Interaction Therapy (PCIT), has been adapted and enhanced to tailor the treatment to the needs of families in community-based clinical care. This study wished to evaluate an add-on to PCIT that could be engaging for parents. As a way to enlarge practice opportunity and potentially allow parents to achieve positive treatment effects sooner, this study added virtual reality (VR) to PCIT.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to increase positive parenting skills at a faster pace with the use of PCIT-VR, on the basis that practicing positive parenting skills in the VR tool would increase parents' overall practice time, thus leading to more confidence in their skills, which could consequently increase the pace of skill acquisition. Furthermore, we hypothesized that due to the overall increase in positive parenting skills, PCIT treatment effects such as diminishment of child disruptive behavior and parenting stress would decrease at a faster pace when VR was introduced.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Families were recruited from a specialized child and adolescent psychiatry clinical practice in the Netherlands. Using a single-case experimental design, 11 families, equating to 18 participants, signed informed consent forms and received the staggered introduction of VR to treatment. As is common with a single-case experimental design, visual inspection analyses and randomization tests were conducted. Group differences were evaluated with nonparametric tests and reliable change indices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Overall, our study reaffirmed that PCIT is an effective intervention for this population as there were positive treatment effects found in almost all cases. Nevertheless, there did not seem to be a clear relationship between the use of the VR tool and PCIT treatment effects, although positive parenting skills seemed to increase when VR was introduced to treatment for some parents. For all parents, questions and comments decreased with the introduction of VR. These findings tentatively suggest that practicing with VR could potentially increase positive parenting skills and also have an impact on other treatment-related outcomes, such as child disruptive behavior and parenting stress.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This was the first time that PCIT has been supplemented with VR. We provide preliminary evidence of its added value. We cautiously suggest that VR could provide added value to PCIT and increase confidence in parenting skills for certain parents, although there are complex factors that play into treatment success that must simultaneously be considered. These factors include parents having the motivation and mental capacity to change and the complex psychological problems some families face. Although promising, we believe that due to the novelty of our VR practice tool and the variety of res","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e60752"},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691851","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":"Correction: Digital Health Program to Support Family Caregivers of Children Undergoing Growth Hormone Therapy: Qualitative Feasibility Study.","authors":"Alba Jiménez-Díaz, Maitena Pierantonelli, Patricia Morte Coscolín, Amaia Salinas-Uhalte, Silvia Quer-Palomas, Octavio Rivera-Romero, Rocío Herrero, Luis Fernández-Luque, Rosa Baños, Ricardo C Berrios, Antonio de Arriba Muñoz","doi":"10.2196/76508","DOIUrl":"https://doi.org/10.2196/76508","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2196/55023.].</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e76508"},"PeriodicalIF":2.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664064","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":"Empowering Caregiver Well-Being With the Adhera Caring Digital Program for Family Caregivers of Children Living With Type 1 Diabetes: Mixed Methods Feasibility Study.","authors":"Antonio de Arriba Muñoz, Elisa Civitani Monzon, Maria Pilar Ferrer, Marta Ferrer-Lozano, Silvia Quer-Palomas, Joia Nuñez, Alba Xifra-Porxas, Francesca Aimée Mees Mlatiati, Ioannis Bilionis, Ricardo C Berrios, Luis Fernández-Luque","doi":"10.2196/66914","DOIUrl":"10.2196/66914","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of children living with type 1 diabetes (T1D) face multiple challenges that significantly impact their mental health and quality of life. The well-being of caregivers directly affects the management of the child's condition. The Adhera Caring Digital Program (ACDP) is a comprehensive, digitally delivered program, designed to support family caregivers in enhancing self-management and well-being. This study aims to assess how the ACDP influences caregivers' mood, emotional well-being, and health-related quality of life within the context of T1D.</p><p><strong>Objective: </strong>This study aimed to evaluate the impact of ACDP on caregivers' psychological well-being and caregiving outcomes.</p><p><strong>Methods: </strong>This was a two-step, prospective, mixed methods study targeting caregivers of children living with T1D who were under the care of a pediatric endocrinologist at Miguel Servet Children's University Hospital in Zaragoza, Spain. In substudy 1 (SS1), qualitative and quantitative data were collected to optimize the ACDP. In substudy 2 (SS2), caregivers used the optimized ACDP for three months. Psychometric assessments were conducted at baseline and follow-up to evaluate positive mood states, general well-being, self-efficacy, and lifestyle behaviors. This paper focuses on SS2.</p><p><strong>Results: </strong>Ninety caregivers participated in SS2. Positive affect significantly increased (P<.001), and negative affect decreased (P<.001) on the Positive and Negative Affect Schedule (PANAS). Depression, anxiety, and stress scores were reduced (P<.001) on the Depression, Anxiety and Stress Scale-21 Items (DASS-21). General well-being, measured by the Mental Health Continuum-Short Form (MHC-SF) and self-efficacy, assessed using General Self-Efficacy Scale (GSE), improved significantly (P<.001). Health-related quality of life (HrQoL) scores and Mediterranean Diet Quality Index scores increased modestly (P=.03, and P=.04, respectively).</p><p><strong>Conclusions: </strong>The ACDP intervention improved caregivers' psychological well-being and self-efficacy. These findings highlight the potential of digital solutions to support caregiver mental health and positively influence diabetes management. Future research should explore long-term outcomes and scalability.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e66914"},"PeriodicalIF":2.1,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601782","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":"The Neo-MILK Web App as a Health Technology to Support Mothers of Preterm and Sick Neonates During Lactation: Usability Study.","authors":"Isabella Schwab, Tim Ohnhaeuser, Roxane Lee Rothe, Till Dresbach, Katharina Schmitz, Natalie Tutzer, Nicola Gabriela Dymek, Juliane Köberlein-Neu, Nadine Scholten","doi":"10.2196/69079","DOIUrl":"10.2196/69079","url":null,"abstract":"<p><strong>Background: </strong>Mothers of sick and preterm infants need support to establish and maintain lactation. Although many health technologies on breastfeeding are available, most lack in evidence-based information and are therefore not appropriate for educating mothers. Furthermore, they do not focus on the special challenges of mother-infant separation during lactation in mothers of sick or preterm infants.</p><p><strong>Objective: </strong>The aim of this study is to examine the usability and perceived usefulness of the evidence-based information about lactation and documentation tools contained in the Neo-MILK web app.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted among mothers of sick and preterm infants admitted to a neonatal intensive care unit in Germany. Descriptive statistics were calculated for the System Usability Scale (SUS) and for self-developed items pertaining to overall satisfaction and perceived usefulness of the app. These included items on evidence-based information and the usability of tracking functions.</p><p><strong>Results: </strong>Of 341 mothers who were contacted, 80 responded (response rate, 23.4%), and data from 63 mothers were analyzed. The mean SUS score was 76.4. The overall satisfaction rate was high, with 84% (n=53) of respondents indicating that they were either satisfied or very satisfied. Further, 82% (n=52) were inclined to recommend the web app to other parents. On average, the evidence-based information was perceived as helpful, more detailed, and not contradictory compared to information provided at the hospital. At the same time, most of the users reported that the Neo-MILK web app did not exert pressure to provide breast milk to their infants. Approximately 71% (n=45) of the mothers used the documentation tool in the web app several times per week to track their milk volumes.</p><p><strong>Conclusions: </strong>By combining evidence-based information and useful tools to document milk volume, the Neo-MILK web app was high rated in usability and perceived usefulness. Considering the limitations of the study, this web app appears to be a valuable tool for educating and supporting pump-dependent mothers of sick and preterm infants during lactation.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e69079"},"PeriodicalIF":2.1,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601783","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":"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":"10.2196/60355","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561408","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":"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":"10.2196/65754","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to examine the application of CS theory on parents of children with disabilities in Saudi Arabia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;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&lt;.001). Lastly, the study found no relationship between CS and time elapsed since parents received their child's diagnosis (r=-0.009; P=.94).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555216","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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12236638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545130","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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530056","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}