Yi Wu, Tian-Xue Long, Jing Huang, Qi Zhang, Angus Forbes, Ming-Zi Li
{"title":"Delivering a Smartphone Serious Game-Based Intervention to Promote Resilience for Adolescents With Type 1 Diabetes: A Feasibility Study","authors":"Yi Wu, Tian-Xue Long, Jing Huang, Qi Zhang, Angus Forbes, Ming-Zi Li","doi":"10.1016/j.pedhc.2024.05.009","DOIUrl":"10.1016/j.pedhc.2024.05.009","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study is to test the feasibility of a smartphone serious game-based intervention to promote resilience for adolescents with type 1 diabetes mellitus (T1DM).</div></div><div><h3>Method</h3><div>A two-arm feasibility study was employed. Adolescents with T1DM were recruited. Adolescents in intervention group completed the serious game (named “<em>WeCan</em>”) in one month. We evaluated feasibility and acceptability using criteria such as the recruitment response rate, the follow-up response rate, and satisfaction.</div></div><div><h3>Results</h3><div>Sixty-one adolescents with T1DM were included in this study. The study had a recruitment response rate of 62.89% (61/97) and an intervention completion rate of 64.52% (20/31). Eighty-two percent of the adolescents were satisfied with <em>WeCan</em>, which they perceived to have the advantages of being a lively format, attractive, and privacy, easy to operate, and improved attitude towards diabetes.</div></div><div><h3>Conclusions</h3><div>These findings suggest that <em>WeCan</em> demonstrated good feasibility among the target population. However, the efficacy of health-related outcomes needs to be clarified in future studies.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 893-902"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460455","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}
Andrea Sebastian DNP, APRN, CPNP-AC/PC, AFN-C, SANE-P, DM-AFN, Erin Wade MD, MS, Lauren Burge MD
{"title":"Managing Pediatric Burns: A Case Report of Fecal Scalding","authors":"Andrea Sebastian DNP, APRN, CPNP-AC/PC, AFN-C, SANE-P, DM-AFN, Erin Wade MD, MS, Lauren Burge MD","doi":"10.1016/j.pedhc.2024.07.002","DOIUrl":"10.1016/j.pedhc.2024.07.002","url":null,"abstract":"<div><div>Scald burns occur when the skin encounters hot liquid or steam. Although most scald burns are accidental, the medical provider must assess for possible abuse. We report a case of a 2-year-old female who presented to the hospital with her parents due to a burn to the buttocks with a history of stool expelling from the anus and becoming trapped against the skin. Medical providers need to consider accidental and inflicted differentials, as accidental injuries do occur in children, and an incorrect diagnosis may have severe medicolegal consequences.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 917-920"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793917","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}
Natasha Smith-Holmquist DNP, APRN, CPNP-PC, Sherry J. McCormick DNP, APRN, FNP-BC, Melissa J. Benton PhD, RN, FACSM, FGSA
{"title":"Behavioral Counseling for Weight Management by Pediatric Nurse Practitioners: A Quantitative Cross-Sectional Study","authors":"Natasha Smith-Holmquist DNP, APRN, CPNP-PC, Sherry J. McCormick DNP, APRN, FNP-BC, Melissa J. Benton PhD, RN, FACSM, FGSA","doi":"10.1016/j.pedhc.2024.06.019","DOIUrl":"10.1016/j.pedhc.2024.06.019","url":null,"abstract":"<div><h3>Introduction</h3><div>This study assessed counseling by pediatric nurse practitioners (PNPs) for management of overweight and obesity.</div></div><div><h3>Method</h3><div>Using a cross-sectional design, 1,058 PNPs completed a one-time survey regarding counseling for healthy body weight, physical activity, and consumption of protein, fruits and vegetables.</div></div><div><h3>Results</h3><div>Study findings suggest PNPs are using behavioral counseling for weight management in pediatric patients. Counseling was more frequent for healthy body weight, fruit and vegetable intake, and physical activity than for protein consumption and muscle strengthening. Furthermore, when PNPs counseled for healthy body weight they were also more likely to counsel for physical activity (OR = 25.99 [95% CI: 19.25, 35.11]), fruit and vegetable intake (OR = 22.35 [95% CI: 16.71, 29.88]), protein intake (OR = 9.82 [95% CI: 7.60, 12.69]), and muscle strengthening (OR = 6.41 [95% CI: 4.98, 8.24]).</div></div><div><h3>Discussion</h3><div>PNPs are counseling for healthy body weight and necessary behavioral tools, but increased emphasis on muscle strengthening may benefit overweight and obese youth.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 823-829"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299702","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":"Decreasing Social Media Use Through Motivational Interviewing: A Pediatric Primary Care Quality Improvement Project","authors":"Jessica Ballesteros-Holmes DNP, APRN, CPNP (Pediatric Nurse Practitioner), Malinda Teague DNP, APRN, CPNP-AC/PC (Pediatric Nurse Practitioner, Assistant Professor), Anne Derouin DNP, APRN, CPNP, PMHS, FAANP (Pediatric Nurse Practitioner, Lead Faculty)","doi":"10.1016/j.pedhc.2024.05.006","DOIUrl":"10.1016/j.pedhc.2024.05.006","url":null,"abstract":"<div><h3>Background</h3><div>Social media use has been correlated to worsening anxiety and depression in teenagers.</div></div><div><h3>Local Problem</h3><div>In the United Staes, social media is frequently used amongst adolescents, and rates of anxiety and depression in this population have increased over time.</div></div><div><h3>Methods</h3><div>A convenience sample of adolescents aged 12 to 18 years old were evaluated using a pre-post design.</div></div><div><h3>Interventions</h3><div>This quality improvement project introduced screen time assessment and motivational interviewing to decrease social media use and improve mental health among adolescents.</div></div><div><h3>Results</h3><div>PHQ-9 scores remained consistent throughout the project. There was an overall decrease in participant SCARED scores and social media use declined over the 12-week period.</div></div><div><h3>Conclusions</h3><div>Results from this project suggest an opportunity for pediatric healthcare providers to standardize social media use screening in adolescent care and utilize motivational interviewing to promote adolescent wellbeing.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 903-911"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373409","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}
Amy Manion PhD, APRN, CPNP-PC, Tiffany St. James DNP, APRN, CPNP-PC
{"title":"Urinary Tract Infection in a Transgender Male: A Primary Care Approach","authors":"Amy Manion PhD, APRN, CPNP-PC, Tiffany St. James DNP, APRN, CPNP-PC","doi":"10.1016/j.pedhc.2024.08.002","DOIUrl":"10.1016/j.pedhc.2024.08.002","url":null,"abstract":"<div><div>Navigating health care as a transgender adolescent presents a multitude of unique challenges that warrant careful consideration. Transgender individuals often encounter barriers such as a lack of knowledgeable health care providers, limited access to gender-affirming care, and concerns about confidentiality, safety, and acceptance. This case report of a transgender male with a history of a urinary tract infection examines the issues facing transgender adolescents in their pursuit of appropriate and sensitive health care and the need for normalizing gender-affirming medical care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 921-924"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057154","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":"NAPNAP Position Statement on Child Health Equity","authors":"","doi":"10.1016/j.pedhc.2024.07.017","DOIUrl":"10.1016/j.pedhc.2024.07.017","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 943-946"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656143","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":"Nonsexual Genital Ulcers Secondary to Epstein-Barr Virus in a Pediatric Patient","authors":"Lien Morcate MD, MPH, Imani Sanders MD, Karen Chen Chen MD, Yurima Strubinger Galavis MD, Ines Villarroya-Marquina MD, Nadia Makkoukdji MD, Maura Alvarez MD, Jonathan Tolentino MD","doi":"10.1016/j.pedhc.2024.05.002","DOIUrl":"10.1016/j.pedhc.2024.05.002","url":null,"abstract":"<div><div><span>This case report focuses on a rare presentation of Epstein-Barr virus as genital ulcers in a 14-year-old girl with no sexual activity history. Despite initial misdiagnosis and failed </span>acyclovir<span> treatment, investigations ruled out sexually transmitted causes but revealed elevated Epstein-Barr virus antibodies<span>. Subsequent treatment with a 14-day prednisone<span> course led to significant improvement. This case emphasizes the importance of considering nonsexual etiologies for genital ulcers to prevent delayed or inappropriate treatment and highlights the need for broader education on such atypical presentations.</span></span></span></div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 925-931"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443668","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}
Nkemjika Okonkwo BA, Erin M. Bergner PhD, MPH, Sarah S. Jaser PhD
{"title":"Changes in Self-Efficacy During COVID-19 Among Adolescents With Type 1 Diabetes Mellitus: A Qualitative Study","authors":"Nkemjika Okonkwo BA, Erin M. Bergner PhD, MPH, Sarah S. Jaser PhD","doi":"10.1016/j.pedhc.2024.07.005","DOIUrl":"10.1016/j.pedhc.2024.07.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The purpose of this longitudinal, qualitative study was to examine the impact of the COVID-19 pandemic on self-efficacy and diabetes management among youth diagnosed with type 1 diabetes mellitus (T1DM).</div></div><div><h3>Methods</h3><div>We conducted two semi-structured interviews with adolescents diagnosed with T1DM (<em>n</em> = 18) and their maternal caregivers (<em>n</em> = 20) over 6–9 months, to understand how their confidence in the adolescent's ability to manage their diabetes changed during the pandemic. Interviews were transcribed and coded by four raters, establishing inter-reliability.</div></div><div><h3>Results</h3><div>Four themes emerged: <em>Preventing Adverse Glycemic Events, Useful Glucose Trend Information, Improved Diabetes Management,</em> and <em>Downsides of Technology</em><strong>.</strong> Most adolescents (63%) reported increased confidence in their ability to manage diabetes during the pandemic. Over half of these adolescents were already using an insulin pump, and a substantial number (33%) updated their insulin delivery method. Both adolescents and caregivers cited diabetes devices as a factor in their self-efficacy for diabetes management.</div></div><div><h3>Discussion</h3><div>Findings illustrate the importance of diabetes management in the daily lives of adolescents diagnosed with T1DM, and the potential benefits of diabetes devices during disruptions to care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 830-835"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mackaully Lucia Parada MSW, LCSW, Juan L. Parada JD, MBA
{"title":"Measuring Toxic Stress in Childhood and Youth: A Systematic Review","authors":"Mackaully Lucia Parada MSW, LCSW, Juan L. Parada JD, MBA","doi":"10.1016/j.pedhc.2024.08.008","DOIUrl":"10.1016/j.pedhc.2024.08.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Toxic stress among children/youth is a significant public health concern that has been linked to serious morbidities and premature mortality in adulthood. Uniformity in measurement of a toxic stress variable for use in scholarly research can aid in a more comprehensive understanding of its indicators and implications.</div></div><div><h3>Method</h3><div>The purpose of this systematic review was to aggregate, organize, and summarize the literature around current practices for operationalizing toxic stress among children/youth. A strategic methodology was conducted according to PRISMA guidelines, and two databases were consulted for relevant studies.</div></div><div><h3>Results</h3><div>Over 30 different measurement tools were identified across 13 included studies, ranging from biomarkers and physiological indicators to scales, diagnoses, and other assessment instruments.</div></div><div><h3>Discussion</h3><div>By synthesizing current measurement methods, this review informs research and clinical communities of different approaches to toxic stress measurement, advances standardization efforts, and justifies the necessity of a singular, scientifically validated tool.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 836-849"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299709","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":"A Professional Home for All APRN’s Caring for Children","authors":"","doi":"10.1016/j.pedhc.2024.08.005","DOIUrl":"10.1016/j.pedhc.2024.08.005","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 6","pages":"Pages 787-788"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656147","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}