JMIR Pediatrics and Parenting最新文献

{"title":"Generative AI Engagement and Perceived Nutrition-Oriented Feeding Practices Among Urban Indonesian Mothers: Mixed Methods Study.","authors":"Lia Nur Amalina, Ferdi Antonio, Surya Adiwena, Dewi Wuisan, Roy Glenn Massie","doi":"10.2196/100061","DOIUrl":"10.2196/100061","url":null,"abstract":"<p><strong>Background: </strong>The Asia-Pacific region faces an escalating double burden of malnutrition, with childhood obesity now affecting more than 113 million children aged 0-19 years. A demographic of highly educated, digitally literate urban mothers-referred to in this study using the descriptive label \"Alpha Mother\"-increasingly draws on generative AI as a source of toddler nutrition information. Yet, whether this shift empowers or undermines quality feeding practices remains empirically untested.</p><p><strong>Objective: </strong>This study examined how generative artificial intelligence (AI) engagement is associated with perceived nutrition-oriented feeding practices among urban Alpha Mothers in Indonesia, with cognitive empowerment and parental self-compassion as intervening variables, and eHealth self-efficacy as a moderator. The study contextually refined 5 AI engagement dimensions, organized through an AI parenting nutrition alignment approach.</p><p><strong>Methods: </strong>An exploratory sequential mixed methods design was used. Phase 1 comprised semistructured interviews with 10 Alpha Mothers and used hybrid deductive-inductive thematic analysis to contextually refine 5 literature-informed AI engagement constructs: AI algorithmic trust, AI health information quality, AI personalization fit perception, AI information-seeking intensity, and AI social proof sensitivity. These informed a survey instrument developed through the qualitative phase and refined against previously validated scales in phase 2, recruiting 442 respondents across 4 Indonesian urban centers. A 14-hypothesis structural model was tested using PLS-SEM (partial least squares-structural equation modeling).</p><p><strong>Results: </strong>Twelve of 14 hypotheses were supported. The model demonstrated substantial explanatory power for cognitive empowerment (<i>R</i>²=0.661) and parental self-compassion (<i>R</i>²=0.719), while perceived nutrition-oriented feeding practices yielded a more modest value (<i>R</i><sup>2</sup>=0.280). This result reflects the multifactorial nature of self-reported nutrition-oriented feeding practices, which is shaped by numerous personal, cultural, and situational factors beyond AI engagement. AI algorithmic trust showed the strongest association with parental self-compassion (<i>β</i>=.479; <i>P</i><.001), while AI personalization fit perception most strongly predicted cognitive empowerment (<i>β</i>=.275; <i>P</i><.001). Both intervening variables were significantly associated with nutrition-oriented feeding practices, with cognitive empowerment (<i>β</i>=.232; <i>P</i>=.003) outperforming parental self-compassion (<i>β</i>=.165; <i>P</i>=.009). eHealth self-efficacy moderated the cognitive empowerment pathway (<i>β</i>=.124; <i>P</i>=.02) but not the self-compassion pathway.</p><p><strong>Conclusions: </strong>The findings suggest that generative AI engagement is associated with perceived nutrition-oriented feeding practices via 2 di","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e100061"},"PeriodicalIF":2.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018035","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":"Parental Media Literacy and Children's Epistemic Curiosity in Screen-Based Media Use: Cross-Sectional Survey Study.","authors":"Yoojin Chung, Peter J Schulz","doi":"10.2196/89929","DOIUrl":"10.2196/89929","url":null,"abstract":"<p><strong>Background: </strong>Research on children's media use has traditionally focused on risks and negative outcomes. However, screen-based media may also provide opportunities for learning and curiosity-driven exploration. As young children increasingly engage with digital media within family contexts, parental media literacy may represent an important competency associated with children's media experiences and developmental outcomes.</p><p><strong>Objective: </strong>This study examined the associations between parental media literacy and children's epistemic curiosity during screen-based media use. Specifically, it investigated how 4 dimensions of parental media literacy-technological use, critical understanding, self-expression, and norm compliance-were associated with 2 dimensions of children's epistemic curiosity: interest-type and deprivation-type curiosity.</p><p><strong>Methods: </strong>Between July 31, 2024, and August 21, 2024, we conducted an online cross-sectional survey of 1020 parents of children aged 7 to 9 years in South Korea, including 340 parents in each age group. Household income, parental media literacy, and children's epistemic curiosity were assessed using validated 5-point Likert scales. Separate structural equation models were estimated to examine the direct associations between parental media literacy and children's epistemic curiosity and the indirect associations between household income and children's epistemic curiosity through parental media literacy.</p><p><strong>Results: </strong>Technological use was positively associated with both interest-type (β=.32; <i>P</i><.001) and deprivation-type (β=.18; <i>P</i><.001) curiosity. Critical understanding, self-expression, and norm compliance were also positively associated with both interest-type (β=.20 to .26; <i>P</i><.001 in all cases) and deprivation-type (β=.21 to .23; <i>P</i><.001 in all cases) curiosity. Household income showed significant indirect associations with interest-type curiosity through all 4 dimensions of parental media literacy (β=.005 to .009; <i>P</i><.05 in all cases), whereas indirect associations with deprivation-type curiosity were observed only through critical understanding (β=.007; <i>P</i>=.003), self-expression (β=.011; <i>P</i><.001), and norm compliance (β=.004; <i>P</i>=.03).</p><p><strong>Conclusions: </strong>The findings suggest that parental media literacy may extend beyond an individual competency and be associated with children's curiosity-driven engagement with digital media. By highlighting parental media literacy as a potentially modifiable factor, this study underscores the importance of supporting parents as active participants in children's digital learning environments.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e89929"},"PeriodicalIF":2.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977948","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":"\"Daily Growth\" Parenting Program Delivered via Ecological Momentary Intervention: Pilot Randomized Controlled Trial of a Prototype.","authors":"Stefanie Ewald, Tomer Savariego Berkowitz, Storm Hiskens-Ravest, Kelsie Bufton, Maria Bates, Eric O, Matthew Fuller-Tyszkiewicz, Gabriella Louise King, Elizabeth Mary Westrupp","doi":"10.2196/87917","DOIUrl":"10.2196/87917","url":null,"abstract":"<p><strong>Background: </strong>Despite evidence showing that parenting interventions reduce rates of child mental health problems, their reach and engagement remain low. Daily Growth is a digital parenting program designed to improve parent and child emotion regulation using an ecological momentary intervention (EMI) approach. Daily Growth sends twice-daily prompts and delivers 3-minute videos tailored to a recent parenting situation, offering 2 program types (Emotion Coaching and Active Play) to meet different parent preferences. EMI has rarely been tested with parenting programs.</p><p><strong>Objective: </strong>This pilot aimed to assess the feasibility and acceptability of the EMI design and a prototype of Daily Growth, offering the 2 programs via 10 of 60 planned videos.</p><p><strong>Methods: </strong>A pilot randomized controlled trial recruited 189 Australian parents of children aged 2-4 years, randomized to either intervention (n=94) or active control (n=95). Participants completed a 25-minute online survey at baseline and at conclusion of the program period. In the intervening 2 weeks, participants received twice-daily 1-minute pre-EMI surveys via email. Participants who reported any parent or child negative affect or emotion dysregulation received a resource. Participants in the intervention condition were randomized in the moment to receive a 3-minute Emotion Coaching or Active Play video, while participants in the control condition received a link to a parenting website. Participants were sent a 1-minute post-EMI survey. For both conditions, parenting support was tailored to 1 of 5 predefined parenting situations.</p><p><strong>Results: </strong>Overall, 71% (135/189) of participants completed the 2-week post survey, and over two-thirds completed at least half of the daily pre-EMI surveys. Despite technical issues, most participants would recommend Daily Growth to other parents (53/67, 79%), use the skills learned (46/67, 69%), reported it as easy to use (45/67, 67%), and were satisfied with Daily Growth (40/67, 60%).</p><p><strong>Conclusions: </strong>This pilot evaluated whether brief EMI resources could engage parents in real time. Findings suggest that the Daily Growth prototype was feasible and well received, supporting further implementation in a larger trial.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e87917"},"PeriodicalIF":2.3,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971631","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":"Family Experiences of the Strong Families Program in Thailand: Prospective Mixed Methods Cohort Study.","authors":"Nida Buawangpong, Jacqueline E Hackett, Pasiri Singhasiri, Nopakoon Nantsupawat, Pimpisa Chomsri, Chaisiri Angkurawaranon, Apinun Aramrattana, Amalee McCoy, Erika Lisette Roach, Wachiranun Sirikul, Wichuda Jiraporncharoen","doi":"10.2196/98447","DOIUrl":"10.2196/98447","url":null,"abstract":"<p><strong>Background: </strong>The Strong Families (SF) Program, developed by the United Nations Office on Drugs and Crime, is an evidence-informed family skills intervention designed to support caregivers and children in low-resourced, high-stress circumstances. Following a pilot phase, we revised the program materials according to the expert trainers' suggestions to best reflect the needs of the target population.</p><p><strong>Objective: </strong>This study aimed to evaluate the feasibility, effectiveness, and cultural adaptability of the second phase of the SF Program expansion in northern Thailand.</p><p><strong>Methods: </strong>This prospective mixed methods pretest-posttest feasibility cohort study involved 68 families (caregivers and children as 1:1) from Chiang Mai, Lamphun, and Chiang Rai-3 provinces in northern Thailand. The applied intervention consisted of a 3-week program with both separate and joint sessions for caregivers and children. Quantitative data were collected using the Parent and Family Adjustment Scales, Strengths and Difficulties Questionnaire, and Child and Youth Resilience Measure-Revised-Person Most Knowledgeable About the Child. Data were analyzed using linear mixed-effects regression. Qualitative data were gathered through semistructured interviews with 19 families and analyzed using content analysis to identify key themes.</p><p><strong>Results: </strong>Quantitative analysis using linear mixed-effects regression revealed significant improvements in coercive parenting (β=-0.10; <i>P</i>=.003), child conduct problems (β=-0.04; <i>P</i>=.002), and peer relationship problems (β=-0.04; <i>P</i>=.048) for parents and in emotional (β=-0.05; <i>P</i>=.01) and conduct (β=-0.04; <i>P</i>=.02) behavior for children. However, scores for positive encouragement (β=0.05; <i>P</i>=.009) and parent-child relationship (β=0.28; <i>P</i><.001) significantly declined, a discrepancy that may be due to response shift bias, in which participants adopt stricter self-evaluation standards after the intervention. Qualitative findings showed 5 themes that highlighted improved family atmosphere, better emotional regulation, and successful translation of knowledge into practice to better develop protective factors for young people. Participants viewed the program as feasible and culturally appropriate but recommended extending the duration and increasing paternal involvement for more significant, sustainable outcomes.</p><p><strong>Conclusions: </strong>The SF Program is a culturally adaptable and effective intervention for improving family dynamics in low-resource settings.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e98447"},"PeriodicalIF":2.3,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913414","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":"Infant Feeding Apps and Digital Parenting in Australia: Qualitative Study.","authors":"Diana Arabiat, Harrison See, Lisa Whitehead","doi":"10.2196/95934","DOIUrl":"10.2196/95934","url":null,"abstract":"<p><strong>Background: </strong>Parents are increasingly using infant feeding apps (IFAs) for information and decision-making related to breastfeeding and other aspects of their baby's care. Few studies have explored how users conceptualize data privacy risks in relation to IFAs and how concerns are balanced with app use.</p><p><strong>Objective: </strong>This qualitative study forms part of the Infant Feeding App project exploring how IFAs influence parent-child communication in Australian families. A focus of this investigation was to explore mothers' understanding of the terms and conditions associated with the use of IFAs and their data privacy concerns.</p><p><strong>Methods: </strong>We included first-time parents of children aged 0 to 4 years who were breastfeeding at the time of the first interview and previously or currently used 1 or more IFAs. Twenty-four participants completed the first-round interview; of those, 22 returned for a second-round interview approximately 6 months later, and 7 participated in the focus group discussion. Reflexive thematic analysis was used to analyze the data.</p><p><strong>Results: </strong>This paper draws primarily on findings from the key category of \"Data and/or Privacy Practices.\" This category was further refined into 2 main themes: lack of awareness or acceptance of the terms and conditions associated with the mobile app and the risk mitigation behaviors mothers took to protect their privacy.</p><p><strong>Conclusions: </strong>Although mothers were aware of the privacy risks associated with IFAs, they nonetheless continued to engage with them, reflecting the broader growth in digital technology use. This paper has highlighted that privacy, a fundamental human right, is at risk when mothers share personal and child-related data through digital apps. Importantly, mothers' willingness to use these applications despite perceived concerns highlights the tension between perceived utility and potential risks. A call for a move toward privacy by design, transparency in privacy policies, and an approach of nonalienation in the use of data is called for.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e95934"},"PeriodicalIF":2.3,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913437","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":"Comparison of Capturing Children's Technology Use Using Wearable Camera and Fixed Room Video: Experimental Laboratory Study.","authors":"Amber Beynon, Charlotte Lund Rasmussen, Danica Hendry, George Thomas, Paul Davey, Juliana Zabatiero, Andrew L Rohl, Amity Campbell, Leon Straker","doi":"10.2196/91113","DOIUrl":"10.2196/91113","url":null,"abstract":"<p><strong>Background: </strong>Technology use by children has implications for their physical, mental, and social health and development. There are many challenges in measuring modern screen use by children. To better understand the potential impact of technology on children, it is crucial to have robust methods to measure technology use. Visual recording data may be particularly well suited to capture modern digital technology use (eg, rapid transitions, multitasking, and device switching). It would be valuable to directly compare the 2 commonly used methods (wearable camera images and room video frames) to determine what is captured best by each and how they compare when both are coded by human annotation.</p><p><strong>Objective: </strong>This study aimed to compare wearable camera images and room video frames to understand what can be captured from each source.</p><p><strong>Methods: </strong>In a laboratory study, children (aged 3-14 years) performed various tasks while wearing a wearable camera and being video recorded by room video cameras. Comparisons between the coding of the wearable camera images and room video frames were performed on a second-by-second basis. Confusion matrices were generated to identify patterns of differences in classifications between wearable camera images and room video frame coding. Percent agreement between the wearable camera image and room video frame coding was calculated based on the confusion matrix.</p><p><strong>Results: </strong>Across 44 participants, 182,451 contemporaneous wearable camera images and room video frames were coded and merged. There were generally low levels of agreement between the codes. The highest agreement was found for \"desktop\" and \"handheld gaming,\" and the lowest agreement was found for \"smartwatch.\" The wearable camera and room video methods varied in sampling rate, camera movement, and field of view, leading to differences in what was captured.</p><p><strong>Conclusions: </strong>Room video might better capture technology that is within a set space and the context of the technology use, while wearable cameras could better capture active technology use, the content of technology, and different locations. Capturing technology use by children is difficult, with no gold standard and no one ideal method.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e91113"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876056","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":"Global Prevalence and Associated Factors of Medication Errors in Hospitalized Pediatric Patients: Systematic Review and Meta-Analysis.","authors":"Xiuwen Chen, Yuan Meng, Xueyi Wei, Ailian Li, Jiqun He, Liqing Yue","doi":"10.2196/100070","DOIUrl":"10.2196/100070","url":null,"abstract":"<p><strong>Background: </strong>Medication errors represent a major patient safety concern among hospitalized children due to developmental variability, weight-based dosing, and limited communication capacity. However, the global burden and determinants of pediatric inpatient medication errors remain insufficiently characterized.</p><p><strong>Objective: </strong>This study aims to estimate the worldwide prevalence of medication errors in hospitalized pediatric patients and to identify factors associated with their occurrence.</p><p><strong>Methods: </strong>A systematic review and meta-analysis was conducted using Embase, MEDLINE, Web of Science, PubMed, and the Cochrane Library from database inception to June 2025. Observational studies involving pediatric inpatients younger than 18 years were included. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. Data were pooled using a DerSimonian-Laird random-effects model, with subgroup and sensitivity analyses performed to explore heterogeneity.</p><p><strong>Results: </strong>A total of 61 studies from 29 countries or regions were included. The pooled prescribing error rate was 28%, the pooled administration error rate was 32%, and 54% of the hospitalized pediatric patients experienced at least one medication error. Prescribing error rates were higher in lower-middle-income countries (44%), intensive care units (34%), antibiotic prescriptions (30%), and studies conducted between 2013 and 2025 (32%). The proportion of patients experiencing medication errors was the highest in upper-middle-income countries (64%), whereas administration error rates were the highest in low-income countries (71%), although these subgroup findings should be interpreted cautiously because of limited numbers of studies and wide CIs. Factors associated with medication errors included intravenous administration (odds ratio [OR] 6.86, 95% CI 3.17-14.83), hospital stay longer than 5 days (OR 1.94, 95% CI 1.33-2.81), and prescription of 3 or more medications (OR 2.12, 95% CI 1.66-2.70).</p><p><strong>Conclusions: </strong>Medication errors are highly prevalent among hospitalized children worldwide, with substantial variation by region, income level, care setting, and time period. Errors are closely associated with treatment-related factors, underscoring the need for targeted system-level strategies to improve pediatric medication safety.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e100070"},"PeriodicalIF":2.3,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881745","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":"Caregiver Perspectives on Electronic Portal Use in Integrated Primary Care: Qualitative Study.","authors":"Elizabeth Therese Koval, Tiffany G Munzer, Bryanne M Caldwell, Teryn P Bruni, Sharnita D Harris","doi":"10.2196/84778","DOIUrl":"10.2196/84778","url":null,"abstract":"<p><strong>Background: </strong>Pediatric patient care portals through electronic health records (EHRs) provide opportunities to enhance patient care. However, challenges exist for making portals usable, and few studies have examined qualitative experiences of caregivers when using integrated primary care (IPC) services for their children.</p><p><strong>Objective: </strong>This study aimed to qualitatively examine barriers to and facilitators of using electronic patient portals in integrated behavioral health care.</p><p><strong>Methods: </strong>Data were collected from 7 caregivers of pediatric patients (0-7 years old) during focus groups. Interview data were analyzed qualitatively and coded by an interdisciplinary group. An iterative approach identified overarching themes within the following Consolidated Framework for Implementation Research (CFIR) domains: outer setting, inner setting, and characteristics of individuals.</p><p><strong>Results: </strong>Overall, caregivers found the portal beneficial. Six themes emerged during thematic analysis. Outer setting themes were \"lags and barriers to care\" and \"connections with outside providers.\" Inner setting themes were \"putting the 'human' in 'human-centered design'\" and \"virtual access to information.\" Characteristics of individuals themes were \"flexibility\" and \"personalization.\"</p><p><strong>Conclusions: </strong>The current study sheds light on caregiver perceptions of electronic portal use. Patient portals are an effective and well-received tool for patients with developmental delays and families accessing behavioral health information. Future targets for improvement include personalization, equitable access, and reach beyond single institutions.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e84778"},"PeriodicalIF":2.3,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13545531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798615","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":"Examining the Characteristics of Adolescents Recruited to a Novel Digital Treatment for Eating Disorders: Baseline Assessment in an Open Feasibility Trial.","authors":"Guri Holgersen, Emilie Sektnan Nordby, Irene Bircow Elgen, Ester Marie Stornes Espeset, Tine Nordgreen","doi":"10.2196/93431","DOIUrl":"10.2196/93431","url":null,"abstract":"<p><strong>Background: </strong>Digital interventions for eating disorders have the potential to increase access to care and broaden the range of treatment options for adolescents. However, little is known about the characteristics of those who seek these interventions. Identifying such characteristics will help ensure that these interventions meet the needs of the target population, highlight potentially underrepresented groups, and support clinicians in assessing clinical suitability for individual patients.</p><p><strong>Objective: </strong>This study aimed to examine the characteristics of adolescents seeking digital treatment for eating disorders within routine clinical care and to explore whether the key components of the novel digital treatment align with the characteristics of the adolescents it is designed to support.</p><p><strong>Methods: </strong>This study used baseline data from an open feasibility trial of a novel digital treatment for eating disorders within routine clinical care. Participants were adolescents aged 15 to 18 years with a diagnosis of atypical anorexia nervosa, atypical bulimia nervosa, binge-eating disorder, or eating disorder, unspecified. Baseline assessment included demographic characteristics, eating disorder symptomatology, psychosocial impairment, emotional dysregulation, anxiety, depression, negative self-evaluation, and motivational factors.</p><p><strong>Results: </strong>A total of 25 adolescents participated in the study, all of whom were women. The mean age was 16 (SD 0.87) years. Half of the adolescents had previously received face-to-face treatment for an eating disorder. The sample was transdiagnostic with some variation in distribution. The adolescents reported severe eating disorder symptoms, marked psychosocial impairment, emotional difficulties, elevated negative self-evaluation, and high levels of internal pretreatment motivation.</p><p><strong>Conclusions: </strong>The findings from this study underscore the relevance of digital interventions to complement or extend traditional eating disorder care for adolescents. This study emphasizes the importance of designing digital treatments that are sensitive to normative biases, address the multifaceted nature of eating disorders, and are tailored to the needs and preferences of a transdiagnostic population. The present findings are important insofar as they may inform whether the key treatment components align with the characteristics of adolescents seeking digital treatment for eating disorders within routine clinical care.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e93431"},"PeriodicalIF":2.3,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814456","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":"Caring for a Child With Cerebral Palsy: Cross-Sectional Study.","authors":"Anwar B Almutairi, Zainab Jasem, Amneh Sadeq, Maraheb Alkhalidi","doi":"10.2196/89774","DOIUrl":"https://doi.org/10.2196/89774","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of children with cerebral palsy (CP) encounter unique challenges that are not common in typical families. The distress of these families starts in the diagnosis period, which is marked by a \"wait and see\" approach, and continues because of the lack of a clear prognosis.</p><p><strong>Objective: </strong>This study aimed to identify the level of perceived ease of care faced by families of children with CP in Kuwait and its effect on their satisfaction with daily activities.</p><p><strong>Methods: </strong>This cross-sectional study recruited caregivers of children with CP aged 5 to 16 years. The Ease of Caregiving for Children (ECC) scale, the self-care domain of the Child Engagement in Daily Life Measure (CEDLM), and the Satisfaction with Daily Occupations (SDO) questionnaire were used.</p><p><strong>Results: </strong>Fifty-three caregivers participated (mean age 39.77, SD 7.56 years; children's mean age 8.04, SD 2.57 years; Gross Motor Function Classification System: level I, n=18; level II, n=10; level III, n=13; level IV, n=5; and level V, n=7). ECC score was significantly correlated with SDO score (<i>P</i>=.03) and the participation score in the self-care scale of the CEDLM (<i>P</i>=.001).</p><p><strong>Conclusions: </strong>Challenges of caring for a child with CP are positively correlated with caregivers' satisfaction with daily activities and the child's self-care abilities. Regular check-ins with caregivers and the establishment of support groups for caregivers would help with providing help sooner. Qualitative assessment is needed to explore these challenges in this region.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"9 ","pages":"e89774"},"PeriodicalIF":2.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798599","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}