JMIR Pediatrics and Parenting最新文献

{"title":"The Role of Early Engagement in a Self-Directed, Digital Mental Health Intervention for Adolescent Anxiety: Moderated Regression Analysis.","authors":"Emma-Leigh Senyard, Arlen Rowe, Govind Krishnamoorthy, Susan H Spence, Caroline Donovan, Sonja March","doi":"10.2196/60523","DOIUrl":"10.2196/60523","url":null,"abstract":"<p><strong>Background: </strong>Digital mental health (dMH) interventions offer the ability to reach many more adolescents with anxiety than face-to-face therapy. While efficacious dMH interventions are available for adolescents, premature dropout and low engagement are common, especially if delivered on a self-help basis without any form of therapist guidance. This is concerning, given that higher engagement, in terms of the number of sessions completed, has been repeatedly associated with improved clinical outcomes. The reasons for poor adolescent engagement in dMH programs are unclear. A clear understanding of when and why disengagement occurs is important in order to seek to improve engagement rates. Contemporary models consider engagement as multifaceted, comprising both \"use\" (eg, amount of content completed, frequency of use, duration spent logged into the dMH program, and depth of use, such as word or character count) and \"user experience\" (eg, interest and satisfaction in the program and affect and attention whilst engaging in the program).</p><p><strong>Objective: </strong>This study investigated the role of demographic and early engagement (EE) factors, specifically program use, in predicting overall program engagement and continued engagement, respectively, in a self-directed, internet-based cognitive behavioral therapy program for adolescent anxiety, namely, BRAVE Self-Help. It examined multiple measures of program use, including task completion, homework completion, and depth of response (character count of responses typed into program tasks). It also examined the moderating role of baseline anxiety severity.</p><p><strong>Methods: </strong>Data collected between July 2014 and May 2020 from 2850 adolescents aged 12 to 18 years who participated in BRAVE Self-Help were analyzed via a series of moderated regressions.</p><p><strong>Results: </strong>Results showed that EE (in terms of program use) was associated with continued engagement, demonstrated by early tasks (tasks completed in the first two sessions; R2=0.035; P<.001) and early depth (characters written in the first two sessions; R2=0.08; P<.001) predicting continued depth of program response (total character count of responses typed into all program tasks from sessions 3 to 10). Demographic factors and anxiety severity did not directly impact adolescents' engagement in BRAVE Self-Help.</p><p><strong>Conclusions: </strong>These findings highlight the need to investigate ways to (1) enhance EE and (2) better understand how to measure and capture all aspects of program engagement.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e60523"},"PeriodicalIF":2.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209794","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":"Impact of COVID-19 on Dutch General Practitioner Prenatal Primary Care: Retrospective, Observational Cohort Study Using an Interrupted Time-Series Approach.","authors":"Wikje Berends-Hoekstra, Maarten Homburg, Anke Oenema, Matthijs Simeon Berends, Lilian Peters","doi":"10.2196/64831","DOIUrl":"10.2196/64831","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The COVID-19 pandemic significantly impacted primary health care-seeking behavior of the general population. The extent to which health care-seeking behavior of pregnant women in general practitioner (GP) care was affected remains largely unknown. The unique health care needs of pregnant women necessitate regular monitoring and care to ensure the well-being of expectant mothers, fetuses, and neonates, as timely interventions and screenings can profoundly influence the long-term health outcomes. Understanding how pandemic-related changes have influenced pregnant women's primary health care-seeking behavior is essential for developing targeted interventions and informing policy decisions to improve health outcomes for expectant mothers, fetuses, and neonates, both during public health emergencies and in routine health care settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to examine the impact of different COVID-19 pandemic phases on health care-seeking behavior among pregnant women in Dutch GP practices throughout 2020 and 2021. By analyzing clinical electronic health record (EHR) GP data, we aim to evaluate the health care consumption, occurrence of pregnancy-relevant symptoms and diagnoses, and types of contact (ie, regular consultations, phone consultations, home visits, and digital consultations) during different pandemic phases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using a retrospective cohort design, EHRs of selected pregnant women from 3 Dutch GP networks between 2019 and 2021 were analyzed, comparing 6 pandemic phases divided into 13 subphases with a prepandemic phase. Contact rates were analyzed by interrupted time-series analyses, pregnancy-relevant symptoms, and diagnoses by comparing the frequency of pregnancy-relevant International Classification of Primary Care (ICPC) code registrations and type of contact by descriptive statistics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 10,985 pregnant women were included, yielding 39,023 patient-GP contacts. Contact rates fluctuated significantly across pandemic phases, with the sharpest declines at the onset and the end of the pandemic. Pregnancy-relevant symptoms and diagnosis in the category related to pregnancy showed the highest variability across the pandemic phases, such as an increase in the frequency of health care consumption concerning gestational diabetes mellitus and nausea or vomiting of pregnancy. Detailed statistical results are reported in the main text. Contacts for symptoms and diagnosis like digestive or urinary tract problems did not fluctuate across the pandemic phases. The number of physical contacts decreased, while telephone contacts increased.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;By analyzing EHR data from over 10,000 pregnant women, this study highlights the pandemic's impact on pregnant women's GP health care-seeking behavior, including declining health care consumption trends during the initial and end phases of the pandemic (2020-","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e64831"},"PeriodicalIF":2.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162699","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":"Hospitalization and Mortality in Brazilian Children and Adolescents Due to COVID-19: Retrospective Study.","authors":"Ana Carolina Pereira de Godoy, Reinaldo Bulgarelli Bestetti","doi":"10.2196/67546","DOIUrl":"10.2196/67546","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 is currently one of the most important medical challenges as it affects the entire population, with children and adolescents being infected as easily as adults.</p><p><strong>Objective: </strong>The objective of this study was to evaluate the prevalence of mortality in children and adolescents aged <19 years, compared to that of adults.</p><p><strong>Methods: </strong>This retrospective, observational study analyzed the medical records of all patients diagnosed with COVID-19 by real-time reverse transcription-quantitative polymerase chain reaction who were hospitalized at Hospital de Base and the Infant and Maternal Hospital of São José do Rio Preto, São Paulo, Brazil. Out of a total of 8986 hospitalized patients who were COVID-19 positive, 383 (4.26%) were children and adolescents aged <19 years (group 1), and 8603 (95.74%) were adults (group 2).</p><p><strong>Results: </strong>Overall, mortality was significantly higher (P<.001) in group 2 (2185/8603, 25.4%) compared to group 1 (12/383, 3.1%). A total of 11 (92%) of the 12 patients in group 1 that died had associated diseases. The mortality rates by age group were as follows: infants aged <1 year, 1.6% (2/123); children aged 1-4 years, 4% (4/95); children aged 5-9 years, 2% (1/47); adolescents aged 10-14 years, 2% (1/40); and adolescents aged 15-19 years, 5% (4/78).</p><p><strong>Conclusions: </strong>Mortality from COVID-19 in children and adolescents was significantly lower than that in adults and was associated with other comorbidities.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e67546"},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12112252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112098","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":"Covid-19 vaccine uptake, sources of information and side effects reported by pregnant women in Western Australia: A cross-sectional cohort survey.","authors":"Nicole Catalano, Shailender Mehta","doi":"10.2196/66645","DOIUrl":"https://doi.org/10.2196/66645","url":null,"abstract":"<p><strong>Background: </strong>Pregnant women are a priority group for COVID-19 vaccination due to their vulnerability as a high-risk cohort. However, the current pregnancy uptake rate for the COVID-19 vaccination in Western Australia remains largely unknown.</p><p><strong>Objective: </strong>This study aimed to explore pregnant women's uptake rates, information sources and experience of vaccination against COVID-19 during pregnancy. We hypothesise that uptake of vaccination among pregnant women is higher than indicated in previous studies given different disease burden and different public health restrictions at time when data was collected.</p><p><strong>Methods: </strong>A cross-sectional survey was administered electronically to maternity patients at a single tertiary metropolitan hospital in Perth, Western Australia.</p><p><strong>Results: </strong>Five hundred and two women participated in the study. Overall, antenatal COVID-19 vaccination rate was 79% [n=398]. One half [51%, n=256] of all the women felt well informed, and information was sourced primarily from their General Practitioner [GP] [60%, n=301], midwives [35%, n=174] and obstetric doctors [13%, n=64]. Women with non-Caucasian ethnicity [34%, n=170 vs. 66%, n=332, p=0.073] and 'country of birth outside Australia' [47%, n=235] reported lower rates of vaccine information provision by hospital staff [34%, n=22 vs 66%, n=42, P = 0.04].</p><p><strong>Conclusions: </strong>The COVID-19 vaccine uptake was encouragingly high in our study with favourable attitudes and acceptance for the vaccine from majority of pregnant women. This self-reported study also identified opportunities for enhanced cultural competence and further education and training for hospital staff on COVID-19 vaccine information provision to ethnically diverse women. Further studies examining such interventions are warranted.</p><p><strong>Clinicaltrial: </strong></p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121011","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":"Assessing the Impact of a Telemedicine Program on Caregivers of Children With Complex Chronic Conditions: Pre-Post Intervention Study.","authors":"Aurora Madrid-Rodríguez, María José Peláez-Cantero, Alfonso Lendínez-Jurado, Ana Suárez-Carrasco, Elena Godoy-Molina, Antonia Gámez-Ruiz, Ana Corripio-Mancera, Yolanda Ramón-Telo, Ana García-Ruiz, Isabel Leiva-Gea","doi":"10.2196/62953","DOIUrl":"10.2196/62953","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic was a paradigm shift in global health care. This situation highlighted the role of telemedicine in adapting to the care requirements of pediatric patients and their families by facilitating remote consultations and ensuring continuity of care.</p><p><strong>Objective: </strong>We aimed to establish the usefulness of a telemedicine program for caregivers of children with complex chronic conditions.</p><p><strong>Methods: </strong>We performed a quasi-experimental pre-post intervention study of a telemedicine program, regarding health care system use and caregiver quality of life while comparing two periods: before and during the COVID-19 pandemic. This study included caregivers of children with complex chronic conditions followed-up in a specialized unit.</p><p><strong>Results: </strong>A total of 34 families were included. The mean number of visits per year was higher in the preintervention period for both primary care consultations (P=.03) and hospital-specialized medical consultations (P=.03). The number of emergency room visits per year was lower in the pandemic period compared to the prepandemic period (P=.01). In both groups, an improvement in caregiver quality of life was detected at 12 months (P=.03). However, the Rosenberg self-esteem scale score for the primary caregiver was significantly lower at 3 months compared to the baseline (P=.03).</p><p><strong>Conclusions: </strong>Our study demonstrates that the use of a telemedicine program resulted in decreased scheduled face-to-face care visits and a reduction in the number of emergency department visits. Regarding the caregiver quality of life, outcomes were poorer among families whose children were affected by neurological conditions or were diagnosed at an older age.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e62953"},"PeriodicalIF":2.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12111483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112078","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":"Using WhatsApp for Nutrition Surveillance Among Children Under 5 Years in West Java, Indonesia: Cross-Sectional Survey and Feasibility Study.","authors":"Dewi Nur Aisyah, Chyntia Aryanti Mayadewi, Astri Utami, Fauziah Mauly Rahman, Nathasya Humaira Adriani, Erlangga Al Farozi, Meldi Hafizh Sayoko, Aulia Chairunisa, Liza Restiana, Logan Manikam, Zisis Kozlakidis","doi":"10.2196/58752","DOIUrl":"10.2196/58752","url":null,"abstract":"<p><strong>Background: </strong>Large-scale programs involving nutrition-specific interventions have been carried out in Indonesia as a community-based approach at the primary care level across cities and districts, throughout the age-specific target population (ie, children under 5 years).</p><p><strong>Objective: </strong>The aim of this paper is to describe the potential use of WhatsApp as a tool for recording and monitoring the growth of children under 5 years by Posyandu (Pos Pelayanan Terpadu or community-based health service post), investigating its potential in enhancing health programs and services.</p><p><strong>Methods: </strong>Data were collected from Posyandu cadres in Bogor District, West Java, from March to June 2022. The anthropometric measurement data were reported in real time through a WhatsApp chatbot, automatically analyzed by the system, and presented in a structured dashboard. A qualitative assessment was carried out using a cross-sectional survey conducted from March to July 2022.</p><p><strong>Results: </strong>The study involved 42 Posyandu in 3 villages, engaging 282 staff, and the WhatsApp chatbot recorded anthropometric data for 4571 children under 5 years. The qualitative assessment indicated widespread system utilization, with 50% (45/90) affirming comprehensive data input. Additionally, 66.4% (83/129) found the system easy to use, and 66.7% (82/123) expressed clarity in comprehending variables. Moreover, 75.6% (93/123) found the data input flow easily understood, and 74% (91/123) suggested that the system contributed to enhancing Posyandu activities and the quality of data reporting. Regarding staff proficiency, 63.5% (80/126) affirmed their adeptness in using the system, and 71% (88/124) asserted their high capability in providing training to colleagues.</p><p><strong>Conclusions: </strong>The potential use of WhatsApp as a surveillance tool for recording children's nutritional status is promising, suggesting broader applications within health programs. Nonetheless, this expansion requires additional improvements, including human resource preparation, Posyandu infrastructure development, and strong regulatory support.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e58752"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081043","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":"Likelihood of Leveraging Augmented Reality Technology to Promote HIV Prevention and Treatment Among Adolescent Girls and Young Women in Cameroon: Cross-Sectional Survey.","authors":"Zhao Ni, Intan Maharani Sulistyawati Batubara, Jackson Jr Nforbewing Ndenkeh, Georges Bediang, Habakkuk Yumo, Xuehong Zhang, Sunyong Oh, Yuchen Zhao, LaRon E Nelson","doi":"10.2196/69471","DOIUrl":"10.2196/69471","url":null,"abstract":"<p><strong>Intro: </strong>Adolescent girls and young women in sub-Saharan Africa (SSA) represent 4 out of every 5 newly diagnosed HIV cases among adolescent girls and young women globally. Leveraging augmented reality (AR) technology for HIV prevention and treatment holds significant potential among young people. However, there is a knowledge gap regarding the acceptance of AR by adolescent girls and young women in SSA.</p><p><strong>Objective: </strong>This study aimed to assess the likelihood of adolescent girls and young women in Cameroon using AR for HIV testing, prevention, and treatment. The study findings will lay the groundwork for developing AR-based interventions to prevent and treat HIV in Cameroon and beyond.</p><p><strong>Methods: </strong>This was a cross-sectional survey conducted in Yaounde, Cameroon, in which 637 adolescent girls and young women were recruited using a combination of multistage cluster and snowball sampling techniques. We used an electronic survey to collect data on participants' knowledge, prior use of AR technology, and likelihood of using AR technology for HIV prevention and treatment, and associated factors. Multivariate ordinal regressions were used to analyze the factors associated with the likelihood of adolescent girls and young women using AR to prevent HIV.</p><p><strong>Results: </strong>The study showed that 84% (536/637) of adolescent girls and young women had never heard of AR before this study, and only 8% (49/637) had prior experience using AR. Participants' median age was 22 (IQR 21-24) years, with the majority (362/637, 56.8%) aged between 21 and 25 years. Despite the low usage rate of AR among participants, there was a high likelihood of using AR to promote HIV prevention and treatment. Specifically, 72% (459/637) of participants reported that they were likely to use AR to visualize the HIV transmission process, while 73% (465/637) and 74% (471/637) reported the likelihood of using AR to learn about pre-exposure prophylaxis (PrEP) and how HIV medication lowers HIV viral load, respectively. More importantly, 54% (342/637) and 50% (319/637) of participants reported that they were extremely likely to use AR to learn the correct way of using condom and self-testing for HIV, respectively. The high likelihood of using AR to prevent and treat HIV was associated with a higher education level (P=.01), having ever tested for HIV (P=.03), and a history of previously using health apps or searching for health information on their phones (P<.001).</p><p><strong>Conclusions: </strong>The likelihood of using AR technology to promote HIV prevention and treatment is high among adolescent girls and young women in Cameroon. Future research should focus on exploring the preferred features of AR-based digital health interventions and consider methods of implementing them in the context of Cameroon or SSA.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e69471"},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12088605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046570","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":"Augmenting Parenting Programs With the Pause Mobile App: Mixed Methods Evaluation.","authors":"Nathan Hodson, Peter Ivor Woods, Stephanie Donohoe, Juan Luque Solano, James Gardner, Manuel Giardino, Michael Sobolev, Domenico Giacco","doi":"10.2196/68807","DOIUrl":"10.2196/68807","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Parenting programs are the recommended treatment for common mental health problems of childhood such as conduct disorder. In the United Kingdom, local authorities have responsibility for providing or commissioning these programs through face-to-face and video call weekly groups and e-learning style asynchronous offerings. However, there has been a shortage of research into the potential of digital resources to augment and enhance parenting groups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This pilot study aimed to explore whether providing digital microinterventions in a mobile app (Pause) to augment parenting programs is a feasible strategy. Pause fits into parenting programs and prompts and supports parents to use each week's new parenting skill at home. Specifically, we want to understand (1) whether parents use Pause, (2) what type of features or tools in Pause are most frequently used for support, and (3) what are the perceived strengths and weaknesses of Pause.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Pause was provided to parents attending 3 of the most common parenting programs delivered across 3 local authorities in the United Kingdom. During weekly sessions, parents were supported to add \"tools\" in the app, which mapped onto the training in their session, for example, distracting their child, setting age-appropriate consequences, and using praise. Preprogram surveys were obtained at the first session. After programs were completed, postprogram surveys were administered to measure app use, gather which tools parents used, and explore the strengths and weaknesses of the app. Participants and practitioners were invited for interviews, where the strengths and weaknesses of augmenting parenting programs with Pause were discussed in more detail.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 53 parents were recruited from groups. A total of 25 of 53 (47%) parents completed postsurveys distributed at their final parenting group session, in keeping with typical rates of attrition in parenting programs. In addition, 7 parents and 3 practitioners agreed to interviews after the program. Most of the parents (23/25, 92%) had used Pause. Other than the journal, used by 17 parents, the most popular tools were the relax tool and praise tool, each used by 10 parents. Survey data revealed specific strengths and weaknesses of the tools in Pause, particularly highlighting that parents wanted Pause to provide more ideas for distraction or relaxation activities. Interviews revealed the challenges parents attending programs face, the range of family members using Pause, and the diverse settings where it was used. Interviews also revealed specific opportunities for improving the user interface and for addressing challenges in the journaling function.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This pilot study found good acceptability and engagement with Pause. Interviews revealed promising evidence, suggesting that Pause may improve family life and aid chil","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e68807"},"PeriodicalIF":2.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001397","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":"Evidence of Interventions for the Prevention of Unintentional Injuries: Scoping Review.","authors":"Sheela Shetty, Baby S Nayak, Anice George, Avinash Shetty, Vasudeva Guddattu","doi":"10.2196/67877","DOIUrl":"https://doi.org/10.2196/67877","url":null,"abstract":"<p><strong>Background: </strong>Unintentional injuries are the leading cause of death and disability among young children. Preventive strategies for unintentional injuries are mainly based on surveillance data and identifying risk factors.</p><p><strong>Objective: </strong>This study aimed to review and synthesize published literature that determined the effectiveness of interventions for preventing unintentional injuries among children.</p><p><strong>Methods: </strong>The methodological framework was supported by The Joanna Briggs Institute Reviewer's Manual - Methodology for JBI Scoping Reviews as well as the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. The inclusion criteria to include the studies in the review were unintentional injuries in children, interventions to prevent injuries, a brief description of the intervention and the outcome of the intervention, and articles published in a peer-reviewed journal and written in the English language.</p><p><strong>Results: </strong>In total, 21 articles were included in the review following the systematic search of key databases such as Web of Science, PubMed/MEDLINE, Scopus, ScienceDirect, and gray literature for studies published between July 2013 and May 2023. Of the 21 articles, 16 were randomized controlled trials, 4 were nonrandomized controlled trials, and 1 was a mixed method study. The findings of the review showed that interventions, either as a single measure (video-based teaching, testimonial story-based teaching, health education, storybook reading) or in combination (knowledge quiz and simulation test, module-based teaching along with personal counseling, and teaching with the help of video and poster), have shown a considerable decline in the number and severity of injuries. The studies included various target populations, including children and adolescents between 0 and 19 years old.</p><p><strong>Conclusions: </strong>The review results indicate the need to plan, implement, and reinforce preventive measures and techniques to reduce unintentional injuries among children. They can also serve as a useful indicator for policymakers.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e67877"},"PeriodicalIF":2.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002095","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":"Developing Digital Mental Health Tools With Culturally Diverse Parents and Young People: Qualitative User-Centered Design Study.","authors":"Isobel Butorac, Roisin McNaney, Joshua Paolo Seguin, Patrick Olivier, Jaimie C Northam, Lucy A Tully, Talia Carl, Adrian Carter","doi":"10.2196/65163","DOIUrl":"https://doi.org/10.2196/65163","url":null,"abstract":"<p><strong>Background: </strong>Approximately 39% of young people (aged 16-24 y) experience mental ill health, but only 23% seek professional help. Early intervention is essential for reducing the impacts of mental illness, but young people, particularly those from culturally diverse communities, report experiencing shame and stigma, which can deter them from engaging with face-to-face services. Digital mental health (DMH) tools promise to increase access, but there is a lack of literature exploring the suitability of DMH tools for culturally diverse populations.</p><p><strong>Objective: </strong>The project was conducted in partnership with a large-scale national DMH organization that promotes evidence-based early intervention, treatment, and support of mental health in young people and their families. The organization wanted to develop a self-directed web-based platform for parents and young people that integrates psychological assessments and intervention pathways via a web-based \"check-in\" tool. Our project explored the views of culturally diverse parents and young people on the opportunities and barriers to engagement with a web-based DMH screening tool.</p><p><strong>Methods: </strong>We conducted a 2-phase qualitative study aiming to identify potential issues faced by culturally diverse communities when engaging with DMH tools designed for the Australian public. We worked with 18 culturally diverse participants (parents: n=8, 44%; young people: n=10, 56%) in a series of design-led workshops drawing on methods from speculative design and user experience to understand the opportunities and barriers that organizations might face when implementing population-level DMH tools with culturally diverse communities. NVivo was used to conduct thematic analyses of the audio-recorded and transcribed workshop data.</p><p><strong>Results: </strong>Five themes were constructed from the workshops: (1) trust in the use and application of a DMH tool, (2) data management and sharing, (3) sociocultural influences on mental health, (4) generational differences in mental health and digital literacy, and (5) stigma and culturally based discrimination in mental health support.</p><p><strong>Conclusions: </strong>The emergent themes have important considerations for researchers wishing to develop more inclusive DMH tools. The study found that healthy parent-child relationships will increase engagement in mental health support for young persons from culturally diverse backgrounds. Barriers to engagement with DMH tools included culturally based discrimination, the influence of culture on mental health support, and the potential impact of a diagnostic label on help seeking. The study's findings suggest a need for culturally safe psychoeducation for culturally diverse end users that fosters self-determination with tailored resources. They also highlight important key challenges when working with culturally diverse populations.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e65163"},"PeriodicalIF":2.1,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002067","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}