JMIR Pediatrics and Parenting最新文献

{"title":"Feasibility, Barriers, and Facilitators of Long-Term Physical Activity Tracking During Treatment: Interview Study Among Childhood Cancer Patients.","authors":"Emma den Hartog, Wim J E Tissing, Sebastian B B Bon, Patrick van der Torre, Emma J Verwaaijen","doi":"10.2196/75322","DOIUrl":"10.2196/75322","url":null,"abstract":"<p><strong>Background: </strong>Children with cancer are at risk of reduced physical activity. Gaining insight into physical activity using smartwatches could improve understanding of individual potential during treatment, support early recognition of aberrant physical activity, and enable tailored support.</p><p><strong>Objective: </strong>This study aimed to explore the feasibility, barriers, facilitators, and considerations of long-term physical activity tracking using a smartwatch during childhood cancer treatment.</p><p><strong>Methods: </strong>In this prospective study, 30 children (age 8-18 years) under active cancer treatment were included in 2 phases. During phase 1, 15 children wore a smartwatch daily for 12 consecutive weeks, and in-depth interviews were conducted to identify principal considerations used to optimize wearability and the methods for phase 2. In phase 2, another 15 children wore the smartwatch, and semistructured interviews were conducted at weeks 1, 3, 6, and 12. These interviews were thematically analyzed to identify barriers and facilitators. An iterative process of alternating data collection and analysis allowed for ongoing method refinement and deepening thematic analysis during the study period.</p><p><strong>Results: </strong>Key considerations for improvement identified in phase 1 led to refinements in phase 2, including enhanced engagement, regular prompts, customized plans, personalized setup, and improved aesthetics and comfort. The interviews conducted during phase 2 identified barriers and facilitators. The 4 most prominent themes were burden and resilience, motivational drivers and perception, insight and evaluation, and user experience and functionality. Feasibility was influenced by the child's physical state and perceived burden. Motivation, perceived value, and expectations played crucial roles in sustaining adherence, while also the balance between positive reinforcement and potential confrontation affected long-term use. User experience, including attractiveness, comfort, and usability, impacted acceptance.</p><p><strong>Conclusions: </strong>Real-time and long-term physical activity tracking using a smartwatch in children during cancer treatment was not feasible in our cohort. A personalized approach, incorporating individual preferences and physical condition, is essential to support adherence.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e75322"},"PeriodicalIF":2.3,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972153","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":"Content Development for a Multilevel Intervention to Operationalize Behavior Change Theory and Improve Parenting Behaviors for Physical Activity: Descriptive Study.","authors":"Breanne C Wilhite, Erin Hennessy, Christina Economos, Jennifer Sacheck, Rachel Zive, Christine Odalen, Stephanie Herrick, Daniel P Hatfield","doi":"10.2196/73510","DOIUrl":"10.2196/73510","url":null,"abstract":"<p><strong>Background: </strong>Theory-informed strategies for engaging parents in children's physical activity (PA) promotion show promise. However, behavior-change interventions must become more rigorous in both their application of theory and the reporting of its use to continue to advance the field.</p><p><strong>Objective: </strong>This study aims to elucidate how 2 behavior change theories were used to develop parent communication materials in a 20-week communications campaign, nested within a multilevel (school-home) intervention to promote children's PA. The innovation described in this study is derived from the Supporting Physical Literacy at School and Home (SPLASH) feasibility study (2021-2022).</p><p><strong>Methods: </strong>A team of 7 experts, including graduate students, researchers, faculty, and child PA specialists, collaboratively designed the process used to develop the intervention content. With experience in theory-informed interventions and health-related communication campaigns, they held recurring meetings to refine the approach.</p><p><strong>Results: </strong>A four-step process was used to develop the theory-informed parent communication materials: (1) establish a theoretical foundation for communication materials (ie, social cognitive theory and self-determination theory) and conduct focus groups with the priority population; (2) identify and select PA parenting behaviors aligned with evidence and behavioral theories to form PA parenting objectives that advance children's PA; (3) identify theoretical determinants of parent behavior change and outline methods for applying determinants to address PA parenting objectives; (4) operationalize theory-informed strategy and draft, review, and finalize materials. Parent communications were delivered through print materials and electronic channels, including email, text messages, Facebook (Meta Platforms, Inc), and activity videos.</p><p><strong>Conclusions: </strong>This descriptive study advances progress in the development of school-based PA promotion efforts seeking to incorporate parent engagement strategies by detailing how behavior-change theories can be operationalized to improve PA parenting behaviors. This methodology is valuable for others seeking to translate theoretical constructs into behavior-change communication messages.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e73510"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972582","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":"Understanding the Implications of mHealth Technology in Collaborative Care Programs and Its Role in Supporting Postpartum Care: Qualitative Interview Study of the Baby2Home Intervention Using the Parallel Journeys Framework.","authors":"Chryselle Rego, Joshua E Santiago, Emily S Miller, Craig F Garfield, Jacqueline Gollan, Kathleen O'Sullivan, Dinah Williams, Enid Montague, Young Seok Lee","doi":"10.2196/70936","DOIUrl":"10.2196/70936","url":null,"abstract":"<p><strong>Background: </strong>The postpartum period represents a critical period for both birthing and nonbirthing parents due to mental health concerns and new caregiving demands. Collaborative care models aim to address these needs, but postpartum care remains fragmented, lacking continuity and holistic support. Baby2Home (B2H) is a digital intervention rooted in the collaborative care model, specifically designed to support parents through their transition into parenthood by addressing their physical, emotional, and psychosocial needs. This intervention seeks to close the gaps left by traditional care models by providing continuous, organized, and accessible support throughout the postpartum period. In our qualitative study of the B2H intervention, we reference the parallel journeys framework and use it as a part of our analysis to evaluate whether mobile health (mHealth) technology addresses the holistic needs (postpartum and psychosocial) of new parents.</p><p><strong>Objective: </strong>We aimed to assess how the B2H app supports the holistic needs of new parents and addresses care gaps identified in traditional postpartum services.</p><p><strong>Methods: </strong>We conducted semistructured interviews with 20 birthing and nonbirthing parents selected through purposive sampling based on their app use. Data were analyzed using the postpartum parallel journeys framework and inductive coding.</p><p><strong>Results: </strong>Our findings demonstrate the comprehensive impact of the B2H intervention in addressing both the physical and psychosocial needs of new parents. B2H supported postpartum care by helping parents navigate uncertainties, enhancing health care provider-parent communication, promoting self-care, and increasing parental self-efficacy. Psychosocial support included symptom identification, timely care manager assessments, coordinated treatment, and transition resources. The app also addressed care gaps by promoting inclusivity for nonbirthing parents, bridging screening and treatment, supporting real-time treatment navigation, and ensuring continuity of care.</p><p><strong>Conclusions: </strong>We demonstrate that the use of mHealth technology such as the B2H app can effectively support the multifaceted needs of new parents during their postpartum care period. By applying the parallel journeys framework, the research also identifies gaps in care that are addressed by the B2H app, presenting unique opportunities for future development and research.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e70936"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972161","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 Cold and Vibration on Venipuncture Pain Management in Children Aged 2-7 Years Old: Randomized Controlled Trial.","authors":"Zi-Yun Zhou, Long-Yi Hu, Ming-Li Wang, Si-Qi Li, Le-Shan Zhou","doi":"10.2196/67918","DOIUrl":"10.2196/67918","url":null,"abstract":"<p><strong>Background: </strong>The pain resulting from venipuncture is one of the primary sources of stress during childhood and can have adverse effects on children. The Buzzy device can play an important role in alleviating the pain of venipuncture in children.</p><p><strong>Objective: </strong>The aim of this study is to investigate the independent and combined effects of cold and vibration in reducing venipuncture pain and resistance behavior in children aged 2-7 years.</p><p><strong>Methods: </strong>A total of 130 children who underwent venipuncture were randomly assigned to 4 groups: 32 in the control group, 30 in the external cold group, 37 in the vibration group, and 31 in the cold combined with vibration group. The cold, vibration, and cold combined with vibration interventions used the Buzzy device. Nurses used the Face, Legs, Activity, Cry, Consolability Pain Behavior Scale and the Children's Behavior Scale to assess pain and resistance behaviors before and during the venipuncture.</p><p><strong>Results: </strong>Compared with the control group, the cold group, vibration group, and cold combined with vibration group experienced milder pain and demonstrated weaker resistance behavior (P<.05). Pairwise comparison results showed that the combination group was superior to the vibration group (P<.05).</p><p><strong>Conclusions: </strong>External cold and vibration are effective in reducing procedural pain and improving compliance in children aged 2-7 years undergoing venipuncture. The cold combined with vibration has a synergistic effect, and the effect is better than vibration only.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e67918"},"PeriodicalIF":2.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971642","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":"Evaluating a Digital Intervention to Reduce Aggression and Pro-Firearm Violence Attitudes Among Young Black Males: Pretest-Posttest Feasibility Study.","authors":"Chuka Emezue, Jessica Bishop-Royse, Andrew Froilan, Tara Wilkes, Niranjan S Karnik, Wrenetha A Julion","doi":"10.2196/70048","DOIUrl":"10.2196/70048","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Pediatric and adolescent firearm injuries and fatalities in the United States have surged to levels not seen since the mid-1990s, marking a critical public health inflection point. Young Black males (ages 15-24) experience firearm-related fatality rates 24 times higher than their White peers. Despite this disproportionate risk, they are less likely to participate in traditional firearm violence prevention programs. This disparity highlights the urgent need for innovative, culturally responsive approaches that address the emotional, behavioral, and social determinants of violence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This pilot study aims to evaluate the preliminary effects of BrotherlyACT, a culturally responsive, trauma-informed, multicomponent mobile and web-based intervention designed to support young Black males (ages 15-24) in navigating and preventing community violence, substance use, and mental health challenges. The intervention aims to increase access to precrisis support and mental health resources for youth living in low-resource, high-violence settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Seventy young Black males with Serious Fighting, Friend Weapon Carrying, Community Environment, and Firearm Threats (SaFETy) scores between 1 and 5 (indicating low-to-moderate firearm violence risk) were enrolled in this prospective pretest-posttest study. Participants completed a psychoeducational component of the BrotherlyACT intervention, consisting of 7 video-based modules. Surveys were administered at baseline and again 4 weeks later to assess changes in attitudes toward guns and violence (Attitudes Toward Guns and Violence Questionnaire), reactive and proactive aggression (Reactive-Proactive Aggression Questionnaire), psychological distress (Kessler Psychological Distress Scale), and depressive symptoms (8-item Patient Health Questionnaire). Paired t tests were conducted to analyze pre-post differences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 70 young Black males (mean age 20.97 years, SD 2.44 years) participated in the study. Nearly half reported recent physical fights (48/70, 69%), gun threats (39/70, 56%), or hearing gunshots in their neighborhood (63/70, 90%). More than 50% (39/70, 56%) reported illicit drug use, and 32 out of 70 (46%) reported substance-related violence. SaFETy scores revealed heterogeneous but elevated exposure to firearm risk factors, particularly in community violence and firearm threats. Postintervention, participants demonstrated a statistically significant reduction in attitudes toward guns and violence (Attitudes Toward Guns and Violence Questionnaire; mean 29.8-26.1, P&lt;.001, d=0.53), with the largest shift observed in \"Aggressive Response to Shame\" (28% reduction). Reactive aggression significantly declined (mean 10.48-8.67, P=.008, d=0.37), whereas proactive aggression remained stable. Psychological distress and depressive symptoms remained stable. Nearly all participants (68/70, 97%) ","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e70048"},"PeriodicalIF":2.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972243","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":"Development and Implementation of a Birth Forecasting Tool to Optimize Resources in Obstetrical Care During the COVID-19 Pandemic: Mixed-Methods Study.","authors":"Huibert-Jan Joosse, Karin Jongsma, Marcel Moes, Kitty W Bloemenkamp, Wouter M Tiel Groenestege, Wouter W van Solinge, Saskia Haitjema, Maarten B Kok","doi":"10.2196/68284","DOIUrl":"10.2196/68284","url":null,"abstract":"<p><strong>Background: </strong>Medical resource allocation is important to ensure availability of care, especially in challenging circumstances like a pandemic. In fields of unpredictable care demand such as obstetrics, forecasting may help manage scarce resources.</p><p><strong>Objective: </strong>The development, validation, and implementation of a regional birth forecasting tool to support obstetrical staff planning in the Utrecht region during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We combined predicted birth dates retrieved from Saltro, a large regional primary care laboratory, with data from the Dutch national perinatal registry (Perined) and Statistics Netherlands for model development. We created and implemented an HTML tool visualizing these forecasts, which were discussed during the regional acute obstetric health care network meetings. Six months after implementation, we assessed the impact of the tool using an evaluative stakeholder meeting.</p><p><strong>Results: </strong>We achieved a performance accuracy (R) of 0.45, 0.61, and 0.67 (all actual number of births within 95% CI) forecasting the number of births in the region, pooled in 1-, 2-, and 3-weekly bins, respectively. After presenting these findings to stakeholders, we implemented a forecasting tool using the 2-week bin model. The evaluative stakeholder meeting proved that the tool improved communication, awareness of health care need, and collaborations among health care providers in the Utrecht region. Additionally, stakeholders identified additional applications, such as communication with patients and training of obstetric health care providers.</p><p><strong>Conclusions: </strong>Implementation of a forecasting tool for the number of births based on available data across the health care system added value to obstetrical care by providing insight into care demand, and increasing communication, awareness, and collaboration between health care providers. Further research should aim at improving regional obstetric acute care by fostering data sharing in order to improve health care demand forecasts.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e68284"},"PeriodicalIF":2.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972642","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":"Usability Testing of an Internet-Based Responsive Parenting Program for Caregivers of Young Survivors of Childhood Cancer Living in Rural and Appalachian Communities: Mixed Methods Study.","authors":"Emily L Moscato, Eva Darow, Jessica Quach, Adrien M Winning, Matthew Schmidt, Shari L Wade, Cynthia A Gerhardt, Emre Sezgin","doi":"10.2196/70055","DOIUrl":"10.2196/70055","url":null,"abstract":"<p><strong>Background: </strong>Young survivors of childhood cancer diagnosed and treated before the age of 7 years are at heightened risk of developmental difficulties. As a result, their caregivers may experience stress as they navigate various educational and health care systems while advocating for their child's needs. To our knowledge, there are no tailored early interventions or support programs to address the unique and multifaceted needs of young survivors of childhood cancer and their caregivers. Digital platforms can provide anticipatory guidance and developmental resources, which may be especially impactful for families at increased risk for health and educational disparities, particularly in underserved rural and Appalachian areas.</p><p><strong>Objective: </strong>This mixed methods study describes the usability testing of an internet-based responsive parenting program for caregivers of young survivors of childhood cancer, called the Preparing for Life and Academics for Young Survivors (PLAY) program.</p><p><strong>Methods: </strong>Twelve caregivers of young survivors of childhood cancer (9 biological parents, 2 grandfathers, and 1 legal guardian; 33% rural, 33% Appalachian, and 83% White) participated in an online usability session with a task-based, think-aloud method. This session was followed by completion of the System Usability Scale (SUS), responses to reaction cards to describe their experiences with the platform, and a semistructured interview. Two trained coders used rapid analysis and consensus methods to identify themes.</p><p><strong>Results: </strong>Overall, caregivers found the platform easy to use (92% SUS >68; mean 82.2, SD 14.45). Most caregivers provided positive feedback in response to reaction cards (eg, useful, appealing, and valuable) to describe the platform. Qualitative findings highlighted that most caregivers perceived the platform as \"easy to use,\" and several participants described it as a helpful educational tool. Participants noted that potential platform improvements should include accessibility features (eg, closed captioning for videos), more tailored content, and usability on mobile devices.</p><p><strong>Conclusions: </strong>With further improvements, digital platforms such as PLAY may be a promising avenue to bridge access to care for high-need groups and ultimately improve child neurodevelopmental outcomes.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e70055"},"PeriodicalIF":2.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12516296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790228","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":"Validation and Acceptability of the Mobile App Version of the Control of Allergic Rhinitis and Asthma Test for Children (CARATKids): Cross-Sectional Study.","authors":"Dulce Abreu da Mata, Inês Pais-Cunha, Sandra Catarina Ferraz, Daniela da Rocha Couto, Catarina Ferraz, Sónia Silva, José Carlos Valente, Pedro Vieira-Marques, João A Fonseca, Inês Azevedo, Cristina Jácome","doi":"10.2196/73531","DOIUrl":"10.2196/73531","url":null,"abstract":"<p><strong>Background: </strong>The electronic version of the Control of Allergic Rhinitis and Asthma Test for Children (CARATKids) has the potential to enhance pediatric telemonitoring but has not yet been validated.</p><p><strong>Objective: </strong>This study aimed to validate the electronic version of CARATKids against the paper-based version.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between April and December 2024 in a tertiary hospital in northern Portugal. Children with asthma or allergic rhinitis and their caregivers were recruited during pulmonology outpatient appointments. CARATKids comprises 13 yes or no questions, 8 addressed to the child and 5 to the caregiver, and the total score ranges from 0 to 13. The electronic CARATKids was made available through a mobile app. Both paper and electronic versions were administered in a randomized order before and after the appointment. In addition, participants' preferences between the two administration versions were assessed. Internal consistency (Cronbach α), reliability (intraclass correlation coefficient [ICC], Bland-Altman analysis), and convergent validity (Spearman coefficient) were analyzed following COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.</p><p><strong>Results: </strong>A total of 51 children (median 9, IQR 8-11 years; n=29, 57% male) and respective caregivers (median 41, IQR 7-45) years were included. The CARATKids total score was similar across the paper (median 5, IQR 3-8) and electronic (median 5, IQR 3-7) versions. The internal consistency was 0.79 for the paper version and 0.83 for the electronic version. The reliability between the two versions was excellent (ICC 0.95, 95% CI 0.91-0.97). The Bland-Altman analysis showed strong agreement between the two versions, with a mean difference of 0.04 (95% CI -1.99 to 2.07). The Spearman correlation between the two versions was 0.95 (P<.001). In total, 63% (n=32) of children and 61% (n=31) of caregivers were indifferent to the version used, while 33% (n=17) and 35% (n=18), respectively, preferred the electronic version.</p><p><strong>Conclusions: </strong>The electronic version of CARATKids appears to be equivalent to the paper-based version of the questionnaire, with good acceptance by children and caregivers. CARATKids implementation in mobile health technologies has the potential to enhance remote child monitoring and optimize the management of asthma and allergic rhinitis.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e73531"},"PeriodicalIF":2.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761574","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":"Parent-Child Mutual Influences on Sugar-Sweetened Beverage Consumption Behaviors: Actor-Partner Analysis.","authors":"May O Lwin, Allison Seet, Seraphina Leo, Peter J Schulz","doi":"10.2196/76943","DOIUrl":"10.2196/76943","url":null,"abstract":"<p><strong>Background: </strong>Childhood obesity remains a significant global public health issue, with consumption of sugar-sweetened beverages (SSBs) recognized in scientific studies as a key contributing factor. While family influences on children's dietary behaviors and their effects on obesity risk are well-documented, the dynamics between parents and children in shaping SSB consumption remain underexplored.</p><p><strong>Objective: </strong>Drawing on social influence theory, this study examines how parent-child perceptions and consumption intentions regarding SSBs are interrelated and the potential mediating role of attitudes. We also studied how engagement with food-related content on social media may relate to consumption intentions.</p><p><strong>Methods: </strong>We conducted a face-to-face survey of 250 parent-child dyads (N=500) living in public housing in Singapore, a country tackling overweight in its population. Dichotomous items were used to measure cognitive perceptions and attitudes toward SSBs. Both parent and child participants self-reported their intention to consume SSBs. Based on the World Health Organization (WHO) definition of SSBs, visuals of culturally relevant drink products were used in the survey to visualize SSBs. Dyadic data analysis using the MEDYAD tool was conducted to test the actor-partner interdependence model (APIM) and examine the impact of the parent-child dyadic relationship on individuals' intention to consume sugary drinks.</p><p><strong>Results: </strong>Pearson correlation results indicated positive associations between parent and child cognitive perceptions and intentions to consume SSBs. Path analysis revealed strong actor effects with both parents' (β=.52, P<.001) and children's (β=.43, P<.001) own perceptions predicting their attitudes and subsequent intentions to consume SSBs (parent: β=.32, P<.001; child: β=.31, P<.001). Partner effects also emerged: parental perceptions influenced children's intentions (β=.20, P=.01), while children's perceptions shaped parental attitudes (β=.20, P=.02), highlighting the reciprocal nature of influence. While digital food media engagement was positively associated with consumption intentions, its effects were relatively modest and not central to the dyadic pathways.</p><p><strong>Conclusions: </strong>Our study findings highlight the reciprocal effects of both parents and children in influencing healthier behaviors and hence provide insights to aid obesity prevention efforts. By addressing the interdependent associations of parent-child dynamics, this research bridges theory and health communication practice, offering a novel framework for combating obesity through family-centered approaches.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e76943"},"PeriodicalIF":2.3,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699785","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":"Leveraging AI to Investigate Child Maltreatment Text Narratives: Promising Benefits and Addressable Risks.","authors":"Wilson Lukmanjaya, Tony Butler, Sarah Cox, Oscar Perez-Concha, Leah Bromfield, George Karystianis","doi":"10.2196/73579","DOIUrl":"10.2196/73579","url":null,"abstract":"<p><strong>Unlabelled: </strong>The trove of information contained in child maltreatment narratives represents an opportunity to strengthen the evidence base for policy reform in this area, yet it remains underutilized by researchers and policy makers. Current research into child maltreatment often involves the use of qualitative methodologies or structured survey data that are either too broad or not representative, thereby limiting the development of effective policy responses and intervention strategies. Artificial intelligence (AI) approaches such as large language models (AI models that understand and generate language) can analyze large volumes of child maltreatment narratives by extracting population-level insights on factors of interest such as mental health and treatment needs. However, when applying such methods, it is useful to have a framework on which to base approaches to the data. We propose a seven step framework: (1) data governance; (2) researcher vetting; (3) data deidentification; (4) data access; (5) feasibility testing of baseline methods; (6) large-scale implementation of black box algorithms; and (7) domain expert result validation for such exercises to ensure careful execution and limit the risk of privacy and security breaches, bias, and unreliable conclusions.</p>","PeriodicalId":36223,"journal":{"name":"JMIR Pediatrics and Parenting","volume":"8 ","pages":"e73579"},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12288702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}