{"title":"Development Process of a Learning Program to Improve Health Literacy in Social Eating Situations for Adolescents With Food Allergies.","authors":"Miho Hashimoto, Nobue Nakamura, Noho Sato","doi":"10.1016/j.pedhc.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.005","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to use the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model to clarify the process of developing a learning program for adolescents with food allergies to increase their health literacy in social eating situations.</p><p><strong>Method: </strong>The procedure for developing instructional materials followed the first three stages (Analysis, Design, Development) of the ADDIE model.</p><p><strong>Results: </strong>The need to promote the ability of adolescents with food allergies to build relationships in various dining environments and to utilize and share knowledge about their own condition was analyzed. Subsequently, three units and their lesson plans, as well as teaching materials, were designed. The sub-items of \"attention,\" \"relevance,\" \"confidence,\" and \"satisfaction\" in the ARCS model had an average score of 1.0-5.0 each.</p><p><strong>Discussion: </strong>This learning program may help adolescents with allergies to build relationships, acquire skills to communicate about food allergy, and promote health literacy in social dining situations.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Caregiver Willingness, Pediatric Clinical Research and COVID-19.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1016/j.pedhc.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.007","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multisystem Inflammatory Syndrome in Children: A Case Report on Increased Intracranial Pressure.","authors":"Rachel Collins, Theresa Motley","doi":"10.1016/j.pedhc.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.001","url":null,"abstract":"<p><p>This case study examines the uncommon complication of increased intracranial pressure (ICP) in refractory multisystem inflammatory syndrome in children (MIS-C). Due to the rare condition, there are few cases and randomized control trials that report on the association with increased ICP. This case report discusses the importance of monitoring for symptoms of increased ICP and adverse effects of cyclosporine A, as this agent has been used in some cases of refractory MIS-C. Ultimately the patient in this case study experienced no significant long-term complications. Current clinical recommendations include intravenous immunoglobulins and corticosteroids as the first-line therapy and adding biologic therapies for refractory cases. Patients should be screened for obesity, as it is a risk factor for intracranial hypertension. Lastly, invasive ICP monitoring can be used for severe cases of intracranial hypertension.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karla D Krewulak, Jennifer R Foster, Laurie A Lee, Molly J Ryan, Dana Rhyno, Violetta Reznikov, Daniel Garros, Jamie A Seabrook, Janet Curran, Corey Slumkoski, Martha Walls, Kirsten M Fiest
{"title":"Defining Priorities for Canadian PICU Family Presence Policies Under Changing Contexts: A Qualitative Focus Group Study.","authors":"Karla D Krewulak, Jennifer R Foster, Laurie A Lee, Molly J Ryan, Dana Rhyno, Violetta Reznikov, Daniel Garros, Jamie A Seabrook, Janet Curran, Corey Slumkoski, Martha Walls, Kirsten M Fiest","doi":"10.1016/j.pedhc.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.002","url":null,"abstract":"<p><strong>Introduction: </strong>Recognizing the importance of parental presence for seriously ill children's well-being, many pediatric intensive care units (PICUs) have adopted policies encouraging family presence. However, PICU family presence policies remain varied, with gaps in policy development and implementation across Canadian hospitals. We aimed to determine patient, family, clinician, and policymaker-identified priorities for family presence policies under baseline and emergency (e.g., pandemics, disease outbreaks) contexts.</p><p><strong>Methods: </strong>Between January and August 2023, we conducted focus groups with PICU youth, families, clinicians, and policymakers. Using the Theoretical Domains Framework (TDF) and inductive analysis, we explored key themes.</p><p><strong>Results: </strong>Seven focus groups included youth (n = 4), family members (n = 7), clinicians (n = 14), and policymakers (n = 4). Nearly all TDF domains were significant, leading to three primary categories: policy development (e.g., transparency, adaptability), implementation (e.g., communication, roles), and future lessons.</p><p><strong>Discussion: </strong>Key priorities included bedside access for two people, sibling presence, and flexible, equitable policies developed with diverse community engagement.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Crystal S Lim, Dustin E Sarver, Dustin C Brown, Tre D Gissandaner, Robert D Annett
{"title":"Response to Letter to the Editor from the Authors of the published article, Caregiver Willingness, Pediatric Clinical Research and COVID-19.","authors":"Crystal S Lim, Dustin E Sarver, Dustin C Brown, Tre D Gissandaner, Robert D Annett","doi":"10.1016/j.pedhc.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.006","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeannie Rodriguez, Theresa Motley, Stacy B Buchanan
{"title":"Preclinical Didactic Content Coupled with Simulation Improves Pediatric Nurse Practitioner Student Clinical Confidence and Ensures Obtainment of Beginning-Level Competencies Prior to Initiation of Clinical Rotations.","authors":"Jeannie Rodriguez, Theresa Motley, Stacy B Buchanan","doi":"10.1016/j.pedhc.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.004","url":null,"abstract":"<p><strong>Introduction: </strong>The National Task Force on Nurse Practitioner Quality Education recommends nurse practitioner students meet national competencies before beginning clinical experiences in their nurse practitioner program. This initiative aimed to create a preclinical preparatory program for pediatric nurse practitioner students to boost clinical confidence and document competency achievement.</p><p><strong>Method: </strong>Using a backward design, coursework, and simulations were developed for students to master preclinical competencies. At semester's end, students underwent a summative assessment simulating pediatric primary care scenarios aimed at documenting competency mastery.</p><p><strong>Results: </strong>Students reported increased confidence and preparedness for clinical settings.</p><p><strong>Discussion: </strong>This qualty improvement preparatory program sets students up for success in their first clinical rotation. Further work is planned to link this semester's outcomes with nurse practitioner student clinical performance.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alina Roštšinskaja, Marianne Saard, Liisa Korts, Christen Kööp, Kätlin Kits, Triinu-Liis Loit, Johanna Juhkami, Anneli Kolk
{"title":"Unlocking the Potential of Social Robot Pepper: A Comprehensive Evaluation of Child-Robot Interaction.","authors":"Alina Roštšinskaja, Marianne Saard, Liisa Korts, Christen Kööp, Kätlin Kits, Triinu-Liis Loit, Johanna Juhkami, Anneli Kolk","doi":"10.1016/j.pedhc.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.010","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the child-robot interaction characteristics relevant to the use of robot Pepper as a new tool in neurorehabilitation.</p><p><strong>Method: </strong>The study was conducted at the Children's Clinic of Tartu University Hospital and involved 89 children (aged 4-16 years): 39 healthy children and 50 children with neurological disorders. Forty-nine children interacted with Pepper directly, whereas 40 interacted via video. Interaction was assessed through therapists' observations, self-ratings, and a survey based on four sociocultural concepts.</p><p><strong>Results: </strong>Children quickly engaged with Pepper (M = 2.0 s), and 93.8% maintained eye contact throughout the entire interaction. The children found the robot friendly, thoughtful, intelligent, and safe. Children with neurological disorders perceived Pepper as twice as safe and more anthropomorphic. Communication via video showed less gesticulation and more static postures compared with those of direct interaction (55.9% vs. 80%, respectively).</p><p><strong>Discussion: </strong>Pepper's anthropomorphic design enhances acceptance and is a potential tool for developing children's social skills.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Taylor N Richardson, Melissa C Kay, Amy Corneli, Janna B Howard, Carrie Dombeck, Eliana M Perrin, Charles Wood
{"title":"Barriers and Facilitators Influencing Parents' Willingness to Follow Healthcare Provider Guidance for Addressing Behaviors Linked to Early Childhood Obesity Risk: A Qualitative Descriptive Study.","authors":"Taylor N Richardson, Melissa C Kay, Amy Corneli, Janna B Howard, Carrie Dombeck, Eliana M Perrin, Charles Wood","doi":"10.1016/j.pedhc.2025.02.002","DOIUrl":"10.1016/j.pedhc.2025.02.002","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to assess parents' willingness to modify behaviors associated with obesity risk upon a provider's recommendation in the first six months of life among non-Hispanic Black and Hispanic families.</p><p><strong>Method: </strong>Twenty parents completed a survey about their current infant feeding, sleep, and nutritional behaviors that guided a tailored semistructured interview.</p><p><strong>Results: </strong>Barriers to parents' willingness to modify behaviors associated with obesity risk in infancy included prioritizing perception of infant hunger and relying on parental intuition. Facilitators included understanding the provider's reasoning and trusting the provider's motivations.</p><p><strong>Discussion: </strong>Health care providers are considered trusted sources by most parents and parents are willing to follow professional advice if providers share detailed explanations on the reasoning for behavior change recommendations. Future interventions created by trusted sources, like pediatric primary care providers, offer a promising mechanism for providing education on early life obesity prevention that is tailored to individual family needs.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ji-Mei Wu, Ji-Hong Wu, Dan Liu, Xia Qin, Tu-Hong Yang
{"title":"A Retrospective Cohort Study Using Latent Growth Curve Models for Children With a Diagnosis of Asthma.","authors":"Ji-Mei Wu, Ji-Hong Wu, Dan Liu, Xia Qin, Tu-Hong Yang","doi":"10.1016/j.pedhc.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.003","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined lung function trajectory (FEV1 % predicted) in children with asthma and explored the influence of sex and asthma control on these trajectories.</p><p><strong>Methods: </strong>A retrospective cohort study used a latent growth curve model (LGCM) to analyze the FEV1 trajectory in children with asthma.</p><p><strong>Results: </strong>FEV1 followed a quadratic trajectory with significant individual variability. Males exhibited a significantly slower rate of FEV1 change compared to females (estimate = -1.029, p < .001) but a higher acceleration rate (estimate = 0.269, p < .001). Improved asthma control was associated with a significant enhancement in FEV1 over time (p < .01).</p><p><strong>Discussion: </strong>FEV1 growth followed a curvilinear trajectory, marked by gradual deceleration. Males had slower initial growth but greater acceleration. Asthma control significantly influenced lung function improvement.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of a Brief Educational Intervention on Breastfeeding Knowledge and Intention for Pediatric Primary Care Clinicians.","authors":"Haley Harger, Diana Cartagena","doi":"10.1016/j.pedhc.2025.01.008","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.008","url":null,"abstract":"<p><strong>Introduction: </strong>Pediatric primary care clinicians are ideally situated to support breastfeeding but may lack knowledge and confidence. This study evaluates the impact of a brief educational program on clinicians' breastfeeding knowledge and intention to implement breastfeeding support.</p><p><strong>Methods: </strong>Pre- and post-test study design using a convenience sample of pediatric primary care clinicians (n = 26), who participated in a 25-minute educational program. Paired t-test was used to compare breastfeeding knowledge and intention before and after the program.</p><p><strong>Results: </strong>Breastfeeding knowledge was significantly higher after participation in the program (p < .05). There was no significant change in intention to implement breastfeeding support, perhaps due to high clinician intention prior to participation.</p><p><strong>Discussion: </strong>Findings demonstrate that a brief educational program can increase clinicians' breastfeeding knowledge, which is important for improving evidence-based breastfeeding practices and decreasing disparities. Findings highlight the need for further research into barriers to improving clinicians' intention to implement breastfeeding support and alternative methods to overcome them.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}