JMIR Pediatrics and Parenting最新文献

{"title":"Translation and Validation of the Japanese Version of the University of Washington Caregiver Benefit Scale and the Perception of Benefit-Finding by Caregivers of Children With Spina Bifida and Related Factors: Mixed Methods Research and Comparative Analysis.","authors":"Xinmiao Cui, Tae Kawahara, Akemi Yamazaki","doi":"10.2196/74069","DOIUrl":"10.2196/74069","url":null,"abstract":"<p><strong>Background: </strong>Spina bifida (SB) is a congenital condition that requires long-term multidisciplinary medical collaboration for treatment. Previous research has primarily focused on the negative impacts experienced by caregivers of children with SB. However, with the development of positive psychology, the concept of benefit-finding (BF) has been explored in the context of caregivers of children with various chronic illnesses. Nonetheless, in Japan, BF among caregivers of children with SB remains unexplored, and no appropriate measurement tool has been developed for this population.</p><p><strong>Objective: </strong>This study aimed to translate and validate the Japanese version of the University of Washington Caregiver Benefit Scale (UW-CBS) based on caregivers of children with SB and to examine the characteristics of BF in these caregivers. A comparative analysis with caregivers of able-bodied children was also conducted to elucidate the parenting stress and social support experienced by families rearing children with SB.</p><p><strong>Methods: </strong>This 2-part study was carried out from January 2024 to December 2024. In Study 1, the UW-CBS was translated, then face validity was examined through a pretest (n=6) using cognitive interviews. In the main survey, construct validity, known-groups validity, and retest reliability were evaluated (n=60). In Study 2, the characteristics of BF of caregivers of children with SB were analyzed using data from the main survey. Parents of able-bodied children (n=66) completed the same questionnaire. Parenting stress, BF, and social support scores were then compared between caregivers of children with SB and the parents of able-bodied children.</p><p><strong>Results: </strong>In Study 1, the reliability and validity of the UW-CBS were examined. Internal consistency was high (Cronbach α=0.92), while test-retest reliability had an intraclass correlation coefficient of 0.62 (P=.051). In Study 2, caregivers who had a partner (P=.009) and those who were rearing both a child with SB and a sibling reported higher levels of BF (P=.02). Compared with families rearing able-bodied children, no significant differences emerged in BF or parenting stress, but the level of social support was significantly higher in families of children with SB (P=.005).</p><p><strong>Conclusions: </strong>This study demonstrated the reliability and validity of the Japanese version of the UW-CBS in families rearing children with SB. For caregivers of children with SB, assistance from other family members or shared childcare responsibilities may facilitate positive adjustment. Moreover, the higher level of social support received by caregivers of children with SB may mitigate their parenting stress and foster their perception of benefits.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e74069"},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475687","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":"Mobile Apps and Websites With Breastfeeding-Related Content in Germany: Cross-Sectional and Evaluation Study.","authors":"Monika Ziebart, Vanessa Jäger, Melissa A Theurich, Berthold Viktor Koletzko","doi":"10.2196/78128","DOIUrl":"10.2196/78128","url":null,"abstract":"<p><strong>Background: </strong>Digital technologies with breastfeeding content have become an important source of information for new parents in Germany. However, little is known about the content and quality of digital breastfeeding information sources.</p><p><strong>Objective: </strong>The objective of this paper was to evaluate the scope, content, and quality of free-of-charge smartphone mobile apps and websites with breastfeeding-related content in Germany.</p><p><strong>Methods: </strong>A cross-sectional study of mobile apps and websites was conducted in July 2023. The App Store for iOS and Google Play Store for Android were searched for mobile apps. Bing.de and Google.de were searched for websites. The quality, suitability of information, readability, and coverage of digital information on mobile apps and websites were evaluated. We used the user version of the Mobile Applications Rating Scale, the Health-Related Web Site Evaluation Form, the Suitability Assessment of Materials, and the Flesch Index tool, as well as a self-developed checklist. We report our results according to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement.</p><p><strong>Results: </strong>Eight mobile apps and 13 websites were included. The quality of information sources was generally good for apps (median 83%, IQR 73%-87%) and websites (median 86%, IQR 83%-89%). The suitability of information was good for apps (median 84%, IQR 70%-89%) and websites (median 89%, IQR 78%-94%). The coverage of information was good for apps (median 68%, IQR 59%-86%) and websites (median 82%, IQR 73%-100%). However, digital information was difficult or challenging to read on most apps (median 59%, IQR 53%-68%) and websites (median 58%, IQR 47%-61%). Seven of 8 mobile apps and 9 of 13 websites were commercial, with embedded links to shopping sites without external certificates confirming the trustworthiness of the information.</p><p><strong>Conclusions: </strong>Assertive action from nonprofit and governmental institutions should be provided to support parents with reliable, unbiased, open-access digital breastfeeding information in Germany.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e78128"},"PeriodicalIF":2.3,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481415","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":"Exposure to e-Cigarette Posts Across Social Media Platforms and Its Associations With Susceptibility and e-Cigarette Use: Comparative Cross-Sectional Study of High Schoolers in Jalisco (Mexico) and Southern California (United States).","authors":"Dèsirée Vidaña-Perez, Inti Barrientos-Gutierrez, Rosibel Rodríguez-Bolaños, Evangelina Díaz-Andrade, Diego F Leal, Minji Kim, Jennifer B Unger, Thomas W Valente, Jessica L Barrington-Trimis, James F Thrasher","doi":"10.2196/85376","DOIUrl":"10.2196/85376","url":null,"abstract":"<p><strong>Background: </strong>Adolescents' exposure to electronic cigarette (e-cigarette) content through social media platforms influences their perceptions and behaviors, although cross-country analyses in different regulatory environments are scarce.</p><p><strong>Objective: </strong>This study evaluated the association between e-cigarette exposure on social media platforms and e-cigarette susceptibility and use in Jalisco (Mexico) and Southern California (United States).</p><p><strong>Methods: </strong>In 2022-2023, students from 23 high schools in Jalisco (n=1418) and 11 in Southern California (n=2953) were surveyed with harmonized measures on past-month frequency of social media platform use (ie, YouTube [Google], Instagram [Meta], TikTok [ByteDance], Snapchat [Snap Inc], WhatsApp [Meta], Facebook [Meta], Twitter (now \"X\"), and Twitch [Twitch Interactive]) and seeing e-cigarette posts on each social media platform used; which were recoded to 5-point scores (range 0-4) for social media platforms use and e-cigarette post exposure. Country-stratified logistic models regressed e-cigarette susceptibility (among noncurrent users) and past-month use on social media platform scores, adjusting for age, sex, family affluence, and friends' e-cigarette use.</p><p><strong>Results: </strong>Past-month e-cigarette use was higher in Jalisco (248/1418, 17.5%) than Southern California (139/2953, 4.7%; P<.001). Social media use and e-cigarette exposure on each social media platform differed across samples (P values<.001). In Southern California, more frequent social media use was positively associated with e-cigarette susceptibility (adjusted odds ratio [AOR] 1.83, 95% CI 1.48-2.25), whereas in Jalisco, higher frequency of exposure to e-cigarette content was associated with susceptibility (AOR 1.21, 95% CI 1.02-1.43). Higher frequency of social media use and exposure to e-cigarette content were both positively associated with past-month e-cigarette use in Southern California; in Jalisco, greater exposure to social media platforms and e-cigarette content was associated with past-month use.</p><p><strong>Conclusions: </strong>Frequent social media platform use and e-cigarette exposure through social media platforms appear to be associated with e-cigarette susceptibility and use across contexts. Stronger policies to limit and enforce online exposures are needed.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e85376"},"PeriodicalIF":2.3,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13032094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460506","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":"Febrile Seizures in an App-Based Children's Fever Registry: Mixed Methods Study.","authors":"David Martin, Ricarda Möhler, Christopher B Germann, Moritz Gwiasda, Silke Schwarz, Ekkehart Jenetzky","doi":"10.2196/74933","DOIUrl":"10.2196/74933","url":null,"abstract":"<p><strong>Background: </strong>Febrile seizures, although typically benign, can cause significant emotional distress for parents. Their diverse etiological risk factors underscore the need for further research. Ecological momentary assessment (EMA) offers a cost-effective and timely method for real-time data collection. The FeverApp, an EMA-based registry for fever management, enables parents to document febrile seizures as they occur.</p><p><strong>Objective: </strong>This study systematically investigates febrile seizure records from the FeverApp registry to assess their characteristics and explore the clinical implications of the findings. By providing real-world data on seizure management, this research demonstrates the potential of app-based EMA in pediatric care. Additionally, it offers insights for targeted interventions and improved febrile seizure management.</p><p><strong>Methods: </strong>We used a mixed methods approach. A descriptive qualitative analysis of parental descriptions of 226 seizures belonging to 161 children was conducted. Additionally, a comparative quantitative analysis of group differences was assessed through matched-pair sampling, comparing 114 children. Statistical methods were tailored to the nature of the respective variables, which included prevalence, age, gender, health and febrile history, fever management, temperature, well-being, and parental confidence.</p><p><strong>Results: </strong>Qualitative analyses provided detailed descriptions of seizure symptoms, seizure duration, and seizure management practices. Additionally, the data revealed a high rate of emergency consultations related to febrile seizures. However, there was underreporting of febrile seizures within the FeverApp, with a reported incidence of only 0.4% among febrile children. In a matched sample controlled for gender and age, significant differences were observed between febrile children with and those without febrile seizures in several parameters, including maximum recorded temperature (P<.001), prevalence of chronic diseases (P=.004), parental confidence (P=.01), and frequency of emergency consultations (P<.001).</p><p><strong>Conclusions: </strong>This study offers valuable insights into the characteristics, temporal dynamics, management strategies, and parental responses to febrile seizures in children. Despite the limitation of potential underreporting in an EMA-based registry, the findings highlight the critical importance of parental education and support in managing febrile seizures. Enhancing these areas has the potential to reduce unnecessary medical consultations and improve the overall care of affected children. Furthermore, integrating improvements in the FeverApp's education and documentation system regarding febrile seizures could facilitate better management and support future research efforts.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e74933"},"PeriodicalIF":2.3,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370454","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":"Motives of Children for Digital Gaming and Physical Activity and Their Parents' Perceptions: Cross-Sectional Matched-Pair Study.","authors":"Felix Wachholz, Nicole Gamper, Sarah Kruse, Ruben Maria Anderlan, Martin Schnitzer","doi":"10.2196/80129","DOIUrl":"10.2196/80129","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Physical activity (PA) is essential for the healthy development of children. However, the pervasive presence of digital technologies has made digital gaming (DG) a prominent part of children's everyday lives. As children grow up immersed in these digital environments, concerns about reduced PA have intensified. Given that adults, particularly parents and guardians, play a central role in guiding children's behavior, their understanding of children's motivational drivers for both PA and DG is of particular relevance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to explore the motivational differences underlying children's engagement in either PA or DG. Specifically, the study investigated five distinct motivational scales (recreation, social interaction, coping, competition, and skill) to determine which motives primarily drive behavior in each context. Also, it assessed whether adults accurately perceive these motives in children.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Data were collected during events using an on-site questionnaire based on the Videogaming Motives Questionnaire. Both children and their accompanying adults completed parallel assessments regarding motives for PA and DG. The final sample included 94 participants forming 49 parent-child pairs. A 3-way mixed ANOVA with group as a between-subjects factor and activity and motive as within-subjects factors was conducted to examine group, activity, and motive effects and their interactions. To further explore these effects, a series of 2 × 5 repeated measures ANOVAs were conducted to examine the interaction between activity type and motivational dimension across groups, followed by separate multivariate tests per motive.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A significant interaction effect between activity type and motivational dimension emerged in the children's data (F4,45=3.93, P=.008, partial η²=.259). Further analyses showed that motive competition was rated significantly higher for DG than for PA (F1,48=4.38, P=.04, partial η²=.084). Among adults, separate multivariate tests for each motivational dimension revealed the largest difference in perceived motive coping (F1,48=4.72, P=.01, partial η²=.123), with PA rated higher than DG. Additionally, a significant difference emerged for motive competition (F1,48=4.10, P=.05, partial η²=.079), indicating higher ratings for DG compared to PA.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The findings emphasize the complexity of children's motivational profiles, suggesting that engagement in DG is not necessarily a sign of diminished interest in PA but rather reflects alternative, equally compelling motivations. This nuanced understanding challenges simplistic dichotomies and supports the need for balanced perspectives on children's activity preferences. Importantly, no statistically significant differences were detected between children's self-reported motives and adults' perceptions of their children's motives, suggesting ","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e80129"},"PeriodicalIF":2.3,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436478","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 Wearable Video Cameras to Assess Screen Use Contexts in Preschool-Aged Children: Pilot Observational Study.","authors":"Amanda Machell, Katherine Downing, Simone J J M Verswijveren, Kylie D Hesketh","doi":"10.2196/85215","DOIUrl":"10.2196/85215","url":null,"abstract":"<p><strong>Background: </strong>Wearable video cameras may offer a feasible approach to assess the contexts of screen use (eg, screen content and co-use) among preschool-aged children.</p><p><strong>Objective: </strong>The objective of this study was to assess the contexts of screen use among preschool-aged children using wearable video cameras.</p><p><strong>Methods: </strong>Children aged 2 to 5 years from Melbourne, Australia, wore a video camera for 1 day in the home environment during May 2023. One researcher manually coded video footage second by second; 15% was double coded for reliability. Coding included device type, screen activity, screen content classified using Common Sense Media ratings, streaming service, setting, social interaction, screen multitasking, and concurrent behaviors.</p><p><strong>Results: </strong>A total of 37,944 seconds (10.5 hours) of video camera footage from 8 children were identified and coded as screen use, equating to 21.8% (37,944/174,290) of total camera wear time (range 0.3%-74.0%). Screen use was predominately characterized by program viewing (n=37,461, 98.7% seconds) on televisions (n=34,192, 90.1% seconds) in the lounge room (n=33,710, 88.8% seconds). Programs scored low for educational value (mean 1.7, SD 1.4 of 5 stars), and approximately one-third (3/9, 33.3%) of programs were classified as appropriate for an age older than that of the children in this sample. Screen multitasking was rare (n=46, 0.1% of seconds), and coviewing occurred in approximately one-third of all screen use (n=11,010, 29%).</p><p><strong>Conclusions: </strong>Contexts considered beneficial for development (eg, educational and age-appropriate content) were infrequently observed. This suggests that interventions to equip parents with practical strategies to identify genuine educational content and recognize and avoid age-inappropriate content are warranted. However, our small sample size limits generalizability.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e85215"},"PeriodicalIF":2.3,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310821","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":"Responsive Feeding Practices Among Caregivers of Children Aged 6-35 Months in China: Descriptive Study Involving Survey and Video Observation Methods.","authors":"Dongmei Liu, Yujie Wen, Meijing An, Nan Wu, Xiaojing Ren, Xiyao Liu, Jie Huang, Qianling Zhou","doi":"10.2196/78028","DOIUrl":"10.2196/78028","url":null,"abstract":"<p><strong>Background: </strong>Responsive feeding is an integral component of nurturing care under the umbrella of early childhood development and has been recommended as an optimal feeding practice globally.</p><p><strong>Objective: </strong>This study was conducted to explore responsive and nonresponsive feeding practices among caregivers of children aged 6-35 months in China. Factors influencing responsive/nonresponsive feeding practices were further explored.</p><p><strong>Methods: </strong>This study used a combination of survey and video observation approaches and was conducted in Hebei Province from August to October 2020. A cross-sectional survey (n=409) was conducted to measure caregivers' responsive/nonresponsive feeding practices using a prevalidated scale (5-point Likert scale). The overall and individual dimension scores were calculated. Multiple linear regression was performed to explore the demographic factors associated with responsive/nonresponsive feeding practices. Video observation was conducted among 42 caregiver-child pairs to record the dining episodes of main meals for a day at participants' homes. Videos taken were coded, and the feeding practices were extracted. The occurrence of each feeding practice was calculated. The results from the 2 methods were confirmatory and complementary to each other.</p><p><strong>Results: </strong>Caregivers adopted responsive feeding more frequently than nonresponsive feeding, with a median overall responsive feeding score of 3.52 (IQR 3.36-3.76) in the survey and a higher occurrence in video observation (responsive vs nonresponsive feeding: 75.6%-97.6% vs 0%-46.3%). No significant differences in feeding practices were found across breakfast, lunch, and dinner (all P>.05). Nonparental caregivers (β=0.13, 95% CI 0.05-0.21) and those with a household monthly income of >5000 RMB (>US $721; β=0.07, 95% CI 0.01-0.14) had a higher score for overall responsive feeding, while unemployed caregivers (β=-0.07, 95% CI -0.13 to -0.01) had a lower score.</p><p><strong>Conclusions: </strong>Caregivers appear to be more likely to use responsive feeding practices than nonresponsive feeding practices. Interventions to promote responsive feeding should target parental, unemployed, and low-income caregivers. The findings of this study might serve as a reference for the comprehensive assessment of responsive feeding practices.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e78028"},"PeriodicalIF":2.3,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310823","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":"Health System Community Partnership to Design an Online Resource to Address Perinatal Information Needs for Black Families: Action Research Study.","authors":"Yhenneko J Taylor, Alicia Dahl, McKenzie Isreal, Chelse Spinner, Lisa Sammons, Daniel Fesperman, Racquel Washington, Shivani Mehta, Candace Howell, Jennifer Stamp, Henry Bundy, Pamela Cobb","doi":"10.2196/71161","DOIUrl":"10.2196/71161","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;In the United States, Black mothers and their infants experience higher rates of maternal and infant mortality than other racial or ethnic groups. North Carolina mirrors national trends with worse perinatal outcomes for Black families compared with other groups. Most ongoing efforts to address these disparities focus on policy and systems change. Few initiatives focus on education and resource navigation for families.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to design an online resource hub to provide information to support timely access to care and resources to improve perinatal health outcomes for Black families in Mecklenburg County, the largest metropolitan area in North Carolina.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We used an iterative community-informed process, including focus groups and meetings, to develop and refine the layout and content of an informational website. We conducted focus groups during 2022 and 2023 with Black mothers (n=14) who had given birth in the prior 2 years or were pregnant. A semistructured interview guide explored participant perspectives on (1) information that would be most helpful during the perinatal period, (2) website usability and content, (3) appropriateness of imagery and topics, and (4) effective dissemination strategies. Additionally, the research team met regularly with a multisector community partner group to get feedback on website iterations and solicit community resources to include. All content was reviewed for health literacy. Focus group participants were recruited through local clinics and partnering community-based organizations. Our multisector community partner group included individuals representing public health, patients, providers, social services, and health system leaders. The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework was used for evaluation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Key themes for website focus areas included (1) vetted information presented in lay terminology, with tools to identify local, affordable, and culturally competent care; (2) information related to the week-to-week changes they could expect during pregnancy; and (3) alternative birthing options. The most common suggestions for improvement related to the navigation, amount of text, color scheme, and the use of images. The final Mecklenburg Birthing Connections resource hub provides educational and informative resources for every stage of the perinatal care journey, from preconception to childcare, and links to community resources to address health care and social needs. Results from outreach and marketing efforts to increase awareness of the resource within the community had a broad reach. In-person events attracted &gt;800 community members and social media marketing engaged &gt;145,000 unique accounts. Focus group discussions revealed that Black mothers feel that the website addresses important informational needs for Black families.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conc","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e71161"},"PeriodicalIF":2.3,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285569","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":"Maternal Screen-Related Behaviors, Toddler Screen Use, and Toddler BMI in Mexican American Families: Cross-Sectional Study.","authors":"Darcy A Thompson, Laura K Kaizer, Sarah J Schmiege, Natasha J Cabrera, Lauren Clark, Haley Ringwood, Estefania Miramontes Valdes, Andrea Jimenez-Zambrano, Carol Gorman, Marko Babiak, Jeanne M Tschann","doi":"10.2196/76873","DOIUrl":"10.2196/76873","url":null,"abstract":"<p><strong>Background: </strong>Parents, as the most proximal influence on young children, play an important role in shaping toddler behaviors. Yet, evidence on how parents shape toddler screen use is limited. Little is also known about the relationship between toddler screen use and BMI. Given existing disparities in screen use and early childhood obesity, a focus on Mexican American families with toddlers is warranted.</p><p><strong>Objective: </strong>This study aimed to evaluate the independent contributions of both maternal screen use and screen-related parenting practices with toddler screen use duration, for both TV viewing and mobile device use, and examine the relationship between toddler screen use duration and BMI.</p><p><strong>Methods: </strong>This cross-sectional study enrolled 384 Mexican American mother-toddler dyads recruited from safety net clinics. Enrolled mothers completed 7-day screen use diaries and surveys on screen-related parenting practices, and toddler anthropometrics were obtained. Negative binomial regression models estimated the relationships between screen-related parenting practices and maternal screen use (predictors) with child duration of daily TV use and mobile device use (outcomes). Spearman correlations were calculated to estimate the relationship between toddler screen use duration and age- and sex-specific BMI z scores.</p><p><strong>Results: </strong>Maternal duration of daily TV and mobile device use were associated with toddler duration of daily TV (adjusted rate ratios [aRRs] 1.27-1.28; all P<.001) and mobile device use (aRRs 1.17-1.18; all P<.001), respectively, even after adjusting for maternal screen-related parenting practices. Specific parenting practices, including restriction of TV time (aRR=0.86; P=.01), restriction of mobile device time (aRR=0.80; P=.02), use of TV (aRR=1.27; P=.003) and mobile devices (aRR=1.78; P<.001) for child behavior regulation, and coviewing of mobile devices (aRR=1.51; P<.001), were associated with toddler duration of daily screen use, adjusted for maternal duration of daily screen use. Neither toddler duration of daily TV viewing nor daily mobile device use was correlated with toddler BMI z scores.</p><p><strong>Conclusions: </strong>Both the duration of maternal screen use and screen-related parenting practices, for both TV and mobile devices, should be considered when promoting healthy screen use in toddlers in Mexican American families. Interventionists should consider the family ecology when designing interventions promoting healthy screen use in early childhood.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e76873"},"PeriodicalIF":2.3,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229004","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":"Effects of an App-Based Intervention on Psychological Well-Being Among Young Individuals not in Employment, Education, or Training With and Those Without Disability: Subgroup Analysis of a Randomized Controlled Trial.","authors":"Lisa Blom, Jenny Rickardsson, Fredrik Livheim, Lene Lindberg","doi":"10.2196/71367","DOIUrl":"10.2196/71367","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The population of young individuals not in employment, education, or training (NEET) is highly diverse, but a common problem appears to be their mental health. NEETs due to illness or disability are of particular concern for social exclusion, but little is known of how young individuals who are NEET with and without disability make use of, and gain from, employment interventions. There is also a scarcity of research on psychological interventions and mental health outcomes among young NEETs. Acceptance and commitment therapy (ACT) has shown promising results in psychological outcomes in young adults.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to expand the knowledge on the effects of an app-based intervention built on ACT on NEETs with and without disabilities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A 2-arm randomized controlled trial was conducted in 2021, including 151 young NEETs aged 16-24 years. Participants were recruited mainly via social media platforms and through organizations working with young NEETs. The intervention group (n=77) used an app for psychological well-being with the possibility for digital group meetings for 6 weeks, and the control group (n=74) received film clips once a week. Outcomes were self-assessed through questionnaires. Statistical analyses were made using chi-square, Mann-Whitney U test, general linear model, and logistic regression.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;No differences in effects on mental health were seen between the intervention and control group, neither overall nor between young NEETs with or without disability. Usage data show that 68.8% (53/77) of the participants in the intervention group downloaded the app, and 24.7% (19/77) completed all 6 modules. Effects on employment and education levels were only seen within the intervention group, where those who had completed one or more modules had a higher likelihood of being active in terms of employment and education compared to those who did not complete modules. No significant effects were seen in employment and education levels in relation to disability status. A high proportion of the participants had a disability, few were in contact with a youth employment center, and there was an overrepresentation of young women in general. Participants with disabilities had lower self-esteem, had less frequently completed high school, had less work experience, and a larger proportion had been in the NEET situation for over a year. A higher dropout were seen among participants in the intervention group and among young men.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;No effects of the app-based intervention were seen for psychological well-being between young NEETs with disabilities and those without, but the results showed potential effects on employment and education levels related to engagement in the intervention. NEETs with disabilities are of particular concern and might need additional efforts or other types of interventions th","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e71367"},"PeriodicalIF":2.3,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12946780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182862","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}