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1
Pickering, Kristina Marie. "Pediatric Behavioral Health Best Practices in the Children's Emergency Department." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7057.
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Emergency department (ED) use for behavioral-health-associated diagnoses has steadily increased in adult and pediatric populations, accounting for 1 out of every 8 ED visits. The increase in pediatric behavioral health ED visits, combined with limited resources for treatment, has created a challenge for EDs faced with extended boarding and constant observation of this population. The generalized behavioral health guidelines used at the practice site have not been adapted for the pediatric population. This project focused on providing age- and developmentally appropriate best practice guidelines for children under constant observation in the children's emergency department (CED) using Havelock's theory of planned change as the framework. Practice in the CED was compared to best practice recommendations identified in the literature and community standards including workflow, defined roles and responsibilities, addressing the needs of the parent/guardians, and defined outcomes. These best practices were incorporated in a guideline developed to provide age- and developmentally appropriate recommendations. An expert panel comprising the behavioral health nurse manager and children's emergency department nurse manager reviewed the guideline using the AGREE II tool, and the guideline was revised based on the composite results from the 6 domains in the AGREE II tool. Based on these composite results and panel feedback, domain 5 was revised to include an auditing and monitoring plan. In addition to improving the safety and care for the CED patient population, this project also serves to increase awareness of the topic while emphasizing on the need for additional research and evidence-based practice focused on pediatric behavioral health patients.
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Shah, Phalguni S. "Children's preventive health care center with aspect of play for a child." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/897516.
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Children are the most important asset for the society's future. They develop into maturity depending upon how they are moulded by their families, society, and the environment. They are very sensitive and could easily get influenced or affected by the slightest change. Therefore it is important to maintain a normal set-up for them under all of their routine and disturbed mental and physical conditions.Sickness and hospitals are one thing that affect a child's psychology. Children dread to get into the harsh technological environments of today's medical environments. Hospitals are constantly evolving to keep pace with the latest medical technologies. Additions or refurbishments or a totally new set-up usually focuses on the technological requirements rather than the human element of such an undertaking. The Riley Hospital for Children in Indianapolis presents an architectural opportunity to incorporate psychology of the environment into the design and construction of a new outpatient unit. By balancing the technological requirements with the physical and pschological needs of a child patient, one can create a healing environment more conducive to a rapid recovery. This thesis explores one of the possibilities of creating such an environment.Department of Architecture
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Betts, Paul David. "Children's Oncology Group Hospital Membership and Survival of Pediatric Lymphoblastic Leukemia." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3862.
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Acute lymphoblastic leukemia (ALL) predominates in children ages 0-14 years and has an excellent prognosis for cure with 5-year survival exceeding 90% in the United States. However, not all children experience such positive outcomes. The purpose of this quantitative, retrospective cohort study was to evaluate differences in survival of ALL among children who reside in the 32-county Texas-Mexico border region. While factors such as poverty and health insurance have been strongly associated with poorer cancer outcomes, additional factors such as geographic isolation and treatment disparities are not as well-documented in children. This study examined the association between use of Texas Children's Oncology Group (COG) pediatric research facilities and survival among children in Texas diagnosed with ALL. This study used cancer incidence data 1995-2009 from the Texas Cancer Registry. Differences in survival and use of COG facilities were investigated between children who reside within the 32-county Texas-Mexico border region and the combined remaining 222 Texas counties. Chi-square was used to analyze area of residence, gender, race/ethnicity, and poverty status between COG and non-COG reported cases. Logistic regression was used to examine ALL survival differences between COG and non-COG facilities controlling for multiple variables. COG affiliation alone was not a significant predictor of survival. An interaction between race/ethnicity, region, poverty status, and COG facility affiliation was observed as a significant predictor of poorer survival. The results of this study have the potential to promote positive social change by implementing interventions addressing access to equivalent pediatric cancer care in the 32-county Texas-Mexico border area.
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Lilley, Christine Megan. "Psychological predictors of children's pain and parents' medication practices following pediatric day surgery." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ56577.pdf.
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Roberts, Kathryn Martinez. "Children's Oral Health Quality of Life in a Community Setting." VCU Scholars Compass, 2006. http://scholarscompass.vcu.edu/etd_retro/73.
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The purpose of this study was to assess the baseline oral health quality of life of high-risk children and examine differences in oral health quality of life according to the child's treatment needs at an oral screening exam. We hypothesized that a child's oral health related Quality of Life (QOL) would be correlated with dental treatment needs. This study was a cross-sectional design with subjects who were 8-14 year old patients of Virginia Commonwealth University and/or members of the Boys and Girls Club of Metro Richmond. The oral health quality of life was measured using the Child Perception Questionnaire (CPQ). It is a multidimensional scale that includes items concerning functional aspects including oral pain and discomfort, but also includes psychological and social aspects. The four domains tested are: oral symptoms, functional limitations, emotional well-being and social well-being. The children were asked to report on these domains as they related to their oral health in the past 3 months. The dental treatment needs of the children were categorized as (0) no future needs, or (1) restorative or orthodontic needs. Those with no future needs were scheduled for a 6 months periodic exam and prophylaxis (cleaning). The children in need of restorative treatment were scheduled for such (restorations, stainless steel crowns, extractions), and those in need of orthodontics were referred for consult to an orthodontist. The final sample population consisted of 107 children, predominately African American (84%). The intra-oral screenings revealed 75% of children required future dental treatment, specifically 84% restorative and 12% orthodontic work and 25% in need of preventative recall (cleaning and exam at 6 months). Overall, children reported high levels of oral health quality of life. When asked about the overall health of their teeth, lips, jaws and mouth, 39 % (n=42) reported excellent or very good, 50% (n=53) reported good, and 9% (n=10) reported fair or poor. When asked how "overall life" was affected by oral health, 72% (n=77) reported very little or not at all, 13% (n=14) reported some, and 15% (n=16) reported a lot or very much. There were no significant correlations between the oral health quality of life domains and the children's dental treatment needs.
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Mattila, Marja-Leena. "Quality-related outcome of pediatric dental health care." Turku : Turun Yliopisto, 2001. http://catalog.hathitrust.org/api/volumes/oclc/48714198.html.
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Givan, Veronica L. "Parent/Patient Satisfaction and Physician/Nurse Interaction at a Children's Hospital." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7800.
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Walden University
College of Health Sciences
This is to certify that the doctoral dissertation by
Veronica Laviece Givan
has been found to be complete and satisfactory in all respects,
and that any and all revisions required by
the review committee have been made.
Review Committee
Dr. Diana Naser, Committee Chairperson, Health Services Faculty
Dr. Nicoletta Alexander, Committee Member, Health Services Faculty
Dr. Michael Brunet, University Reviewer, Health Services Faculty
The Office of the Provost
Walden University
2019
Parent/patient satisfaction surveys are important tools used to measure quality of health care provided by physicians, nurses, and hospitals. Research has been conducted on patient satisfaction in adult settings; however, a gap exists in the research about pediatric patient satisfaction in relationship to nurse interactions and interactions with physicians in various clinical settings. The purpose of this descriptive quantitative study was to determine whether a significant difference exists in overall parent/patient satisfaction scores and interaction of patients with nurses, and physicians, as well as interaction with anesthesiologists in terms of pain management in the pediatric surgical service in comparison to the medical inpatient unit and intensive care unit. Watson's caring science theory served as the framework for this study. Research questions evaluated parent/patient satisfaction scores and tested interactions between the parent/patient and the physicians, nurses, and anesthesiologists in a children's hospital. A total of 675 parent/patient satisfaction surveys from a children's hospital were analyzed using an independent samples t test, Levene's test, and regression analysis. The data analysis revealed a significant difference between overall parent/patient satisfaction scores (p = .021) in the pediatric surgical service as compared with the medical unit and for the parent/patient satisfaction survey responses (p = .004) for the interaction with nurses and physicians in the pediatric surgical service as compared with intensive care units. The potential social change that could result from this study is that health care organizations should record patient experiences to facilitate and improve the quality of care, interactions with physicians and nurses, and clinical outcomes
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Taylor, Maggie S. "Too Close to the Knives| Children's Rights, Parental Authority, and Best Interests in the Context of Elective Pediatric Surgeries." Thesis, The George Washington University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1588855.
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This thesis paper defends a novel conception of the child's best interest in regard to elective pediatric surgeries (EPS). First, children's capacity for decision-making is examined, and the best decision-making model for EPS is identified as the Best Interest Standard. What follows is a discussion of the interests of children in EPS, the correlation of fundamental interests to rights, and guidelines for weighing children's competing interests. Next, the role of families is considered, especially the rights and duties of parents. Finally, a reinterpretation of the Best Interest Standard is proposed, identifying as paramount a child's ability to make elective medical decisions for herself when she reaches maturity.
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Espinoza, Felix. "Rotavirus in pediatric gastroenteritis in Nicaraguan children /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-140-7/.
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Dalton, William T., Karen E. Schetzina, Deborah T. Pfortmiller, Deborah L. Slawson, and William S. Frye. "Health Behaviors and Health-Related Quality of Life Among Middle School Children in Southern Appalachia: Data from the Winning with Wellness Project." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/5104.
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Health-related quality of life (HRQoL) is linked to health status in a variety of conditions. Less is known about the relation between quality of life and modifiable health behaviors, especially among medically underserved populations.ObjectiveThe purpose of the current study was to examine HRQoL as it relates to physical activity, sedentary behavior, and eating patterns in youth residing in Southern Appalachia.MethodsThe Pediatric Quality of Life Inventory and questions on physical activity and eating behaviors was completed by 152 sixth grade students in a regional sample of schools participating in the Winning with Wellness child obesity prevention project.ResultsThe current study found higher physical activity levels and lower levels of screen time to be associated with reports of more positive HRQoL.ConclusionsA more comprehensive understanding of factors surrounding health behavior may hold implications for obesity prevention/intervention programs.
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Drury, Donna. "Vitamin D and K status and bone health in pediatric cystic fibrosis patients." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=101116.
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The objective of this study was to investigate the extent to which vitamin D and K are associated with bone health in pediatric cystic fibrosis (CF) patients. We hypothesized that: (1) the prevalence of vitamin D and K deficiencies would be high despite routine vitamin therapy, (2) bone health would be reduced and (3) vitamin K and D status would be associated with bone health.Our results showed poor bone mineral mass in these CF children despite mild disease and good nutritional status. Neither vitamin K nor D was a predictor of bone health but weight and height Z-scores, fat-free mass, physical activity and lung function were all consistent predictors.
These results indicate that nutritional status as well as physical activity are key determinants of bone health in CF children and offer a unique opportunity in the prevention of CF-related bone disease. Further vitamin intervention research needs to be done in this population.
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Lavery, Amy Marie. "Tobacco Smoke Exposure and Pediatric Multiple Sclerosis." Diss., Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/399410.
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Public HealthPh.D.
Introduction: Multiple sclerosis (MS) is a chronic inflammatory disease which affects approximately 2.5 million people worldwide, including approximately 7,000 children. The etiology of MS is unclear, although researchers generally agree that both environmental and genetic factors are involved. It is also unclear why some patients may only have one demyelinating event (acquired demyelinating syndrome, or ADS) and others develop chronic demyelinating disease (MS). Recent evidence suggests an association between smoking and multiple sclerosis (MS) in adults. A question remains if there is a similar association between secondhand tobacco smoke exposure and MS in children. The purpose of this study is to explore the association between tobacco smoke exposure (TSE) and MS risk in a cohort of children with demyelinating disease. Methods: Data was obtained from the Canadian National Demyelinating Disease Study. This study included two disease groups, which are distinguished by a single (ADS) versus chronic demyelinating attacks (MS). Parents’ self-report of their child’s exposure to smoke in the home, as well as biomarker verification by serum cotinine, classified a child as exposed or not exposed. Logistic regression models were created to determine the association between TSE and the odds of MS compared to healthy controls, the odds of ADS compared to healthy controls, and the odds of MS compared to patients with ADS. In order to determine factors and exposures which distinguish MS from ADS, an assessment of interaction was performed to examine the relationship between TSE and MS risk genes, TSE and serum vitamin D levels, and TSE and prior Epstein Barr Virus exposure on the odds for developing MS compared to ADS patients.. Finally, serum cotinine levels were compared to neurologic functional scores in order to assess if a dose response mechanism exists creating impaired function for pediatric MS. Results: TSE was not significantly associated with increased odds for MS compared to healthy controls (OR= 1.84; 95%CI 0.86, 3.95) but was significantly associated with higher odds of monophasic ADS compared to healthy controls (OR=2.24; 95%CI 1.08, 4.63). TSE alone was not associated with increased odds for MS compared to ADS; however, the presence of both TSE and HLA alleles increased the odds for MS by 3.2 (95%CI 1.04, 9.79) when compared to ADS patients. An additive effect was also found between TSE and lower vitamin D, which together increased the odds for MS compared to patients with monophasic ADS (OR=2.89; 95%CI 1.21, 7.46). EBV was individually associated with MS compared to ADS (OR=4.12; 95%CI 1.62, 10.9) and odds for MS appeared to increase further with the addition of TSE (OR=5.13; 95%CI 1.79, 14.9), however sample size limited interpretation of the interaction analysis. TSE had minimal impact on neurological functional score measures, although long-term follow up with regard to exposure could not be properly assessed. Conclusion: Exposure to tobacco smoke through secondhand sources was not related to MS but TSE may increase the odds of monophasic demyelinating disease occurrence (ADS). The finding of additive effects between TSE and other disease modifying factors (HLA, vitamin D) may provide valuable insight into why some children have only one demyelinating attack (monophasic ADS) while others have multiple attacks and are diagnosed with MS. These effects should be further explored in a larger population of pediatric patients and compared to healthy children. Intervention methods should be tailored to help explain to parents the benefits of reducing their child’s exposures to environmental tobacco smoke.
Temple University--Theses
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Foster, Latrice. "ORAL HEALTH STATUS OF CHILDREN IN THE CHILD HEALTH INVESTMENT PARTNERSHIP (CHIP) PROGRAM." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2144.
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Purpose: The purpose of this study is to describe children’s dental disease status and functional health literacy of families enrolled in the Child Health Investment Partnership program in Roanoke Valley. Methods: This was a prospective cohort study of children (n=166) enrolled in the Child Health Investment Partnership of Roanoke Valley, Virginia (CHIP). The parents of the 166 children completed the Life Skills Progression (LSP) survey at enrollment between September 2004 and September 2008 to assess their functional health literacy levels. Their LSP scores were used to determine their subsequent health care literacy (HCL), personal health literacy (PHL), and dental-child utilization (LSP22) scores. Descriptive statistics were recorded and a paired t-test was used to determine a relationship between the three measures of functional health literacy at baseline and at their most recent literacy assessment. Dental disease status was determined by an epidemiological dental exam and evaluated using d1d2-3f criteria. This was a visual exam that measured the presence of frank (d2-3) and non-cavitated carious lesions (d1), as well as filled teeth. Results: Descriptive analysis of the cohort reveals: 58% of the children enrolled had no carious teeth at the dental screening exam. The average mean of LSP scores for all three scales: HCL, PHL, and LSP22 were significantly different from baseline: p<.0001, p<.0009, and p<.0001, respectively. Conclusion: An improvement of parental functional health literacy has been documented in a low-income pediatric dental population when preventative efforts and education is delivered within the context of a home-visitation health program. The population of high-risk children had low levels of dental disease.
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Whittington, Stacy Dawn. "Initial assessment/treatment of pediatric overweight in rural-based Appalachia a qualitative investigation /." Huntington, WV : [Marshall University Libraries], 2005. http://www.marshall.edu/etd/descript.asp?ref=598.
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Legro, Amanda B. R. "Nutrition support and clinical outcomes of children in a pediatric intensive care unit." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527973.
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The purpose of this thesis was to investigate the impact of enteral nutrition (EN) support factors on days of mechanical ventilation (MV) and length of stay (LOS) in a pediatric intensive care unit (PICU) among subjects age 3 7 weeks to 21 years. Specifically, nutrition support factors included a) days to reach prescribed calories, b) days to reach prescribed protein, c) percentage of prescribed calories received, and d) percentage of prescribed protein received through the use of EN.
Purposive sampling was used to select subjects that received nutrition support in the PICU. Data was collected via chart review within the time frame January 1, 2011 to August 1, 2013.
The results demonstrated MV days and LOS were significantly different for patients who reached prescribed calories and protein within 72 hours of admission. LOS was also significantly different for patients who received at least 80% prescribed calories.
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O'Reilly, Glenda. "Families in today's health care system : the experience of families during pediatric admission." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=78189.
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The purpose of this study was to explore the experiences and needs of families during the admission of a child to a paediatric ward in an acute care hospital. Qualitative research methods were used to access the caregivers' and professionals' perceptions of the culture that families experience in a paediatric in-patient setting. For this project, data collection methods included a review of the literature in the area, individual interviews with caregivers, and focus groups with paediatric health care professionals.In the study, both parents and paediatric professionals described a multitude of experiences and needs of families during a child's admission to a paediatric ward in an acute care setting. Understanding the experiences and needs of families is important for professionals. The information collected in this study provides some insight into the culture that families experience when their child is admitted to a paediatric ward in an acute care hospital.
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Beard, Lorraine Joyce. "IgG subclass concentrations in children in health and disease /." Title page, contents and summary only, 1990. http://web4.library.adelaide.edu.au/theses/09MD/09mdb368.pdf.
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Qu, Wenyu. "Effectiveness of oral health prevention programs in school age children." Thesis, Boston University, 2013. https://hdl.handle.net/2144/21240.
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(Thesis: M.A.)In 2000, US Surgeon General David Satcher released a report on the severity of oral health disease in the high risk demographic. His grave report ushered in an era of oral health prevention programs utilizing a combination of education, mouth rinses, fluoride varnishes, dental sealants, and more invasive procedures. Given this wide range of acceptable treatment interventions available, the aim of this paper is to evaluate the effectiveness of certain treatments both by themselves and in tandem with one another on target high risk school age children. The first program we analyzed was a fluoride mouth rinse program based in North Carolina. While we found that although this program may have positive impacts on school age children in the future, it did not currently provide statistically significant benefits to these children. Access to Baby and Child Dentistry, a program in Washington State that used a multi-pronged prevention program involving education, fluoride varnishes, and glass ionomer sealants provided a much clearer benefit to reducing the overall dental caries experience in target school age children. Lastly, the ForsythKids Program, based in Massachusetts which utilized a comprehensive care model of caries prevention was shown to be effective in reducing the number of new caries in school age children. Their comprehensive care model consisted of providing the children with fluoride toothpaste, applying fluoride varnish, fitting glass ionomer sealants and temporary restorations. Armed with this information and based on a model involving four steps and two factors crucial in the successful implementation of an oral health prevention program, we hope to offer a foundation for future forays into both installing and maintaining an oral health prevention program.
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Reedy, Adriana. "Effects of Manganese Exposure on Cardiovascular Health in Children." University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1416230898.
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Lachman, Peter Irwin. "Referral patterns to the Red Cross War Memorial Children's Hospital." Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/26634.
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This prospective descriptive study describes the referral patterns to the Red Cross War Memorial Children's Hospital. The study was conducted from 1st July to 31st December 1987 and entailed the collection of all referral letters presented (9288) to the hospital and the analysis of a sample of these letters (4702). The results indicated: * The patients are similar in terms of age and sex to those attending the Outpatients Department except that relatively fewer referred patients are Black. * The private sector, i.e. general practitioners, is the largest referral agency followed by Day Hospitals. * Most patients were ref erred to the Outpatients Department without an appointment. * Of the specialist clinics, the surgical clinics, i.e. Ophthalmology and Ear, Nose and Throat Clinics, were utilised the most. * The majority of patients (84,90%) were not admitted. * The contact made by the hospital with referral agents was poor (only in 30,30%). * The quality of information in referral letters was generally poor and did not contribute to patient care. Recommendations are made to the hospital and relevant health authorities.
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Bradley, April. "Pain Control in Pediatric Patients with Cancer: Recognition and Treatment." Honors in the Major Thesis, University of Central Florida, 2004. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/434.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Nursing
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Kleinhans, Alicia. "The effects of home health care on psychosocial adaptation of families to pediatric cancer." Honors in the Major Thesis, University of Central Florida, 2000. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/196.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Health and Public Affairs
Nursing
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Cligrow, Carrie M. "Pediatric Chronic Illness: How East Indian Children and Their Mothers Negotiate Culture and Hospitalization." Ohio University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1269884573.
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Schwarzkopf, Nancy Denise. "A descriptive study of childhood obesity monitoring practices used by Montana pediatric providers." Thesis, Montana State University, 2008. http://etd.lib.montana.edu/etd/2008/schwarzkopf/SchwarzkopfN0508.pdf.
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INTRODUCTION: The global prevalence of childhood obesity is increasing. Overweight children face risks of compromised physical and mental well being, increased incidence of disease processes, and increased risk of adult obesity. Pediatric providers play a unique role in reversing the prevalence of obesity, yet there is little understanding of what practices are utilized to monitor children\'s weight. PROBLEM: Identifying children who are obese or are at risk for becoming obese may rely on evidence based weight monitoring practices. For many providers there may be a gap in knowledge regarding recommended practices for measuring growth in children. The purpose of this study was to describe current practices for monitoring obesity of children used by Montana primary pediatric providers. METHODS: A descriptive, cross-sectional study was conducted using a mailed pencil and paper survey, sent to 300 primary pediatric providers in Montana selected from 900 Child Health Insurance Plan (CHIP) providers. Eighty-five surveys were returned for a response rate of 28%. Data analysis utilized SAS software; results were analyzed using frequencies and percentages. RESULTS: A total of 85.7% of respondents offered care in family practice settings; 17.6% are pediatric specialists, 31.8% are practicing rurally and 57.6% of providers saw 5 or fewer children/per day. Over 95% of providers measured height and weight, 61.2% calculated body mass index (BMI). Just 55.8% of those who measure BMI accurately plotted it on age/gender specific chart, or 34% of total respondents. All respondents perceived childhood obesity as a concern, with patient/parent resistance cited as the most common barrier to treatment. CONCLUSION: Health disparities in Montana associated with rural populations include fewer pediatric specialists, fewer child healthcare visits, and barriers of access, education level and money for patient and their families. In Montana, height and weight measurements are used predominately to monitor children\'s growth; BMI was accurately used by one third of respondents which may interfere with the provider\'s ability to accurately identify adiposity. These findings suggest a focus area for provider education, promoting BMI guidelines for children. Perceptions of barriers: patient/parent resistance, time constraints, and reimbursement; suggest treatment protocols could improve outcomes for childhood obesity.
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Walter, April. "A Meta-Analytical Study of Pediatric Bipolar Disorder: Symptomology and Comorbidity." Antioch University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1274739011.
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Chiou, Chiun-Fang. "Developing an effectiveness measure for pediatric medicine and health service programs : case study for children with asthma /." Thesis, Connect to this title online; UW restricted, 1999. http://hdl.handle.net/1773/7414.
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Saunders, Travis J. "The Health Impact of Sedentary Behaviour In Children and Youth." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/26178.
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Emerging evidence suggests that sedentary behaviour is independently associated with cardiometabolic disease risk in school-aged children and youth. This thesis includes 4 related studies in the pursuit of 2 objectives: 1) To determine the cross-sectional association of sedentary time, interruptions in sedentary time, sedentary bout length, and total movement variability with markers of cardiometabolic disease risk among children and youth, and 2) To examine the impact of 1-day of prolonged sedentary behaviour, with and without interruptions or structured physical activity, on markers of cardiometabolic disease risk, hunger, food intake and spontaneous physical activity levels in children and youth. In Study 1, we found that interruptions in sedentary time and short bouts of sedentary time were beneficially associated with clustered cardiometabolic disease risk in boys and girls aged 8-11 years, independent of total sedentary time, moderate-and-vigorous physical activity (MVPA), and other confounders (all p<0.05), while the opposite was true for screen based sedentary behaviours. In Study 2, we found that movement variability (minute-to-minute changes in movement intensity) was negatively associated with clustered cardiometabolic disease risk and systolic blood pressure independent of MVPA, sedentary time and other covariates in a representative sample of American children and youth aged 12-17 years (all p<0.05). In Studies 3 and 4, we found that prolonged sitting, with or without interruptions and structured MVPA did not result in acute changes in markers of cardiometabolic disease risk, nor subsequent ad libitum food intake or physical activity levels in healthy children aged 10-14 years (all p ≥0.05). Taken together, the studies that make up this thesis suggest that optimal levels of cardiometabolic disease risk are most likely to be seen in children who limit their time engaging in screen-based sedentary behaviours, who frequently interrupt their sedentary time, and who have high levels of variability in their movement behaviours.
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Singh, Charleen. "The Impact of Nursing Interventions on Pediatric Pressure Injuries." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3542.
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Hospitalized children are vulnerable to pressure injuries. Multiple methods are available to decrease pressure injuries. One specific method is the pediatric pressure injury prevention bundle, which includes device rotation, moisture management, positioning, skin assessment, and support surface management. Although this prevention bundle is available nationwide, it is not known if this type of bundled methodology helps decrease pressure injuries in hospitalized children. Secondary data regarding nursing interventions implemented as a bundle and pressure injury rates from a large pediatric hospital consortium were used to address this gap in the literature. The research questions explored the impact of the pressure injury prevention bundle on pressure injury rates over time and further dissected the data to determine the significance of each intervention in the treatment bundle. Benoit and Mion's model for performance improvement along with the continuous quality improvement model used by the hospital consortium guided the study. The secondary data sample included 102 children's hospitals participating in the national initiative Solutions for Patient Safety. Pearson correlation statistics revealed a significant inverse relationship between nursing interventions and pressure injury rates for hospitalized children. The findings indicated a 57% reduction in rates of pressure injuries over 5 years with nursing participation in implementing the pediatric pressure injury prevention bundle. The impact of any one intervention over the bundle was inconclusive. Positive social change is seen in the ability to decrease pressure injuries in hospitalized children by nurses' implementation of a pediatric pressure injury prevention bundles.
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Taylor, Heather Michele. "Pediatric and Adolescent Fabry Disease: A Quality of Life Study." Cincinnati, Ohio : University of Cincinnati, 2006. http://www.ohiolink.edu/etd/view.cgi?acc_num=ucin1148308994.
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Thesis (M.S.)--University of Cincinnati, 2006.Advisor: Dr. Robert J. Hopkin. Title from electronic thesis title page (viewed June 5, 2009). Includes abstract. Keywords: Fabry disease; children and adolescents; quality of life. Includes bibliographical references.
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Strong, Heather. "Examining Health Behaviors in Urban Preschool Age Children." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1446546860.
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Huston, Amanda K. "Screening of Children Study." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1337914539.
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Thomason, Lisa K. "Perceptions of Pediatric Overweight and Weight Management: A Comparison of Parents and Physicians." TopSCHOLAR®, 2004. http://digitalcommons.wku.edu/theses/236.
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Pediatric overweight is of paramount importance in Kentucky, as studies show prevalence rates are higher in the state than the national average. Research suggests that comprehensive treatments involving diet training, exercise training, and psychological counseling are most effective at reducing overweight in children. Little research has been done, however, to compare parents' and physicians' perceptions of obesity, its treatment, or barriers to weight management.
The purpose of this study is to examine differences in attitudes toward pediatric obesity and weight management among parents and physicians, specifically related to the importance of diet training, exercise training, and psychological counseling. Surveys were sent to a population of pediatricians and family practitioners serving pediatric patients in the ten-county Barren River Area Development District of south-central Kentucky and to a convenience sample of 160 parents, identified when they brought their child(ren) to a physician for an office visit.
Data were analyzed 1) descriptively and 2) inferentially to test hypotheses. Frequencies and measures of central tendency were conducted on categorical and continuous data. A series of t-tests were conducted at a 95% confidence interval to determine if differences existed between parents and physicians concerning the importance of 1) diet training, 2) exercise training, or 3) psychological counseling to pediatric weight control.
Results showed a 42.9% prevalence of overweight among the children of sampled parents. Results also showed that physicians rated the three treatment modalities under study as significantly more important than did parents. Additionally, parents and physicians identified different barriers to the successful treatment of child overweight. While physicians felt child and family adherence issues presented the largest barriers, parents cited cost and self-esteem concerns as larger barriers to pediatric weight management.
This study has many public health implications, including potential benefits from awareness efforts and educational training related to the identification of child overweight and the importance of a comprehensive treatment strategy. Additionally, physicians who are aware of parents' concerns related to finances and their child's self-esteem might be able to tailor their educational efforts to address those concerns, thus increasing treatment adherence.
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Orellana, Colleen C. "A Review of Pediatric General Anesthesia Combination Cases in the Special Health Care Needs Population." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469059968.
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Voss, Horrell Sarah Christine. "Primary care physicians' management of depression in pediatric patients patterns of collaboration with mental health professionals /." Laramie, Wyo. : University of Wyoming, 2008. http://proquest.umi.com/pqdweb?did=1771527581&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.
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Sye, Jill. "A fine balance." Click here to access this resource online, 2008. http://hdl.handle.net/10292/387.
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The aim of this study is to analyse the discourses drawn upon by community paediatric nurses in relation to children’s rights to health. The philosophy of Michel Foucault has been used to underpin the analysis of the interviews and exemplars of five experienced community nurses, revealing conflicting power relationships and discourses. Rights are formalised morality and so from a children’s rights perspective, discourses reflect both the moral and ethical positions of the nurses. Children are constructed as developing human beings whose moral status gradually changes and who, through a lack of developmental autonomy, entrust their decision-making to their representatives (parents and caregivers) as their trustees. Rights are correlative with the obligations and duties toward children by both families and society. Society constructs legislative and politically organised structures to govern raising children because children are an intrinsic social concern. Whilst representing society’s interest in children’s rights to health, nurses in the home act as a conduit for multiple governing structures. The nurses in this study construct their “truths” and knowledge about children’s health rights from nursing, medicine, law, education, and social policy. However, the values of individual parents can conflict with universal values for children’s health and wellbeing. Therefore representing society positions nurses as “agents of the state”, a role that potentially holds power over parents and children and leads to the epithet of “the health police”. Within the institution of the family, and in the privacy of the home, there are also mechanisms of power that can resist the mechanisms of the state and its representatives. Therefore the discourse “it takes a village to raise a child” competes with the “my home is my castle” discourse. Nurses negotiate a fine balance between these power relations. Nurses are challenged with using power productively to promote children’s rights whilst respecting the role of parents and families. I argue that children’s rights are central to the moral and ethical work of nurses but that such work is often obscured and invisible. I propose that children’s community nurses are excellent at negotiating networking and connecting at a micro level, but need to create a more sophisticated and cohesive entity at a macro level to become fully political children’s rights advocates.
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Carlson, Jacqueline Marie, and Hilda Mercedes Galan. "An Exploration Of Creative Arts Therapies In Pediatric Hospitals." Digital Commons at Loyola Marymount University and Loyola Law School, 2016. https://digitalcommons.lmu.edu/etd/293.
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This research paper explores the use of creative arts therapies with children and families in a pediatric hospital setting as experienced by the therapists who provide these services. The research investigates art therapy, music therapy and dance/movement therapy at Children’s Hospital Los Angeles (CHLA), with an in depth consideration of the role of art therapy services in this setting. The researchers reviewed general literature regarding hospitalization, specifically its effects on children and families, availability and role of psychosocial services and the intensive care units (ICU). Literature discussing creative arts therapies (art therapy, music therapy and dance/movement therapy) was also reviewed, with a focus on art therapy and its role in medical settings with children/families, with pediatric cancer patients and in psychosocial services. Based on information gleaned from the literature review, the researchers crafted an online survey utilized to gather information regarding the experience of providing creative arts therapies in a pediatric hospital setting. The researchers conducted in-depth interviews with three selected survey respondents to further explore these experiences through interview questions and art making. The qualitative data from survey/interview responses, including the art, was reviewed and analyzed by the researchers. Analysis of the data resulted in five prominent themes from the online survey data: being present, family, support, change and identity. Four prominent themes emerged from the interview data: empowerment, culture, being present and identity. The researchers then examined these themes in the context of the general and art therapy literature. The meanings derived from these findings demonstrate the importance of continued and expanded use of creative arts therapies in pediatric hospitals.
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Koo, Sergio Don. "Quality of life in children with chronic allergic respiratory disease a population-based child health survey in Hong Kong /." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B42931538.
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Hurtado, Maria R. "PEDIATRIC PALLIATIVE CARE: UNMET NEEDS FOR MENTAL HEALTH RESOURCES OF PARENTS OF CHILDREN WITH LIFE-THREATENING DISEASES." CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/208.
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Due to the demanding structure of caring for a child with a life-threatening disease (LTD), parents experience psychosocial distress. Studies have shown that stress in parents of children with LTDs can be increased by unmet needs or fragmented care and may be mitigated by coordinated and comprehensive care. Limited literature exists about unmet needs of parents of children with LTDs and the barriers they encounter to accessing mental health resources within pediatric palliative care (PPC) programs. This research study applied quantifiable descriptive methods including a purposive sample of ninety-eight (98) PPC and other pediatric practitioners through the distribution of anonymous online surveys in order to examine unmet needs for mental health resources as they relate to parents of children with LTDs who experience psychological distress exacerbated from psychosocial stressors of care giving. Influenced by Andersen’s predisposing, enabling, and need factors, this study found that PPC practitioners perceived parents encountering waitlists and/or denials when referred to community mental health resources as demonstrating resistance against seeking help.
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Harris, James Mitchell II. "The Effect of Pediatric Hospital Specialization on Patient Safety and Effectiveness of Care." VCU Scholars Compass, 2007. https://scholarscompass.vcu.edu/etd/1347.
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Provider specialization is an area of interest in health care as patients, payers and policy makers are now demanding better performance and demonstrated proof of the benefits of specialization. While previously ignored in the specialization debate, now even the hospitals focusing on pediatric care (i.e. children's hospitals) are experiencing pressure to demonstrate their value. The current study attempts to answer the questions: do hospitals specializing in pediatric care provide better quality pediatric inpatient care; and do they do so for differing types of patient outcomes and across different levels of care complexity? Contingency Theory is used to develop and assess a theoretical framework to see if pediatric hospital specialization is associated with improved outcomes for pediatric inpatient care. The theory suggests that not all ways of organizing are equally effective, and that organizational performance is maximized when there is alignment between organizational structure (specialization) and external contingencies (care complexity). A sample of 1,317 U.S. hospitals was included in the study. Data from two sources - the 2003 Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID) and the American Hospital Association's (AHA) Annual Survey Database for fiscal year 2003 - was used in a factor analysis to generate a measure of hospital pediatric specialization. The results of the factor analysis were then used in regression models to examine the effect hospital pediatric specialization had on patient safety and effectiveness of care at multiple levels of care complexity. Results suggest that there are two dimensions of hospital pediatric specialization - a pediatric focused element and a complex pediatric care element - and that these dimensions appear to have opposing influences on measures of inpatient care quality. Focusing primarily on the treatment of pediatric patients seems to improve the level of care provided, but specializing in the care of complex pediatric conditions has a small but significant association with higher patient safety event rates and longer than expected lengths of stay.
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Linam, William Matthew. "Risk Factors Associated with Surgical Site Infection after Pediatric Posterior Spinal Fusion Procedure." University of Cincinnati / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243362179.
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Vindrola, Padros Cecilia. "The Participation Of NGOs In Healthcare: The Case Of Pediatric Cancer Treatment In Argentina." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0002864.
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Fries, Melissa. "FUNCTIONAL HEALTH LITERACY AND THE USE OF DENTAL SERVICES IN YOUNG CHILDREN." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1710.
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Purpose: The purpose of this study is to examine parental Functional Health Literacy and their child’s subsequent utilization of dental services. Methods: This was a prospective cohort study of children (n=1175) enrolled in the Child Health Investment Partnership of Virginia (CHIP). Descriptive statistics and separate multivariate logistic regressions were used to determine the relationship between functional health literacy measures; 1) Health Care Literacy (HCL), 2) Personal Health Literacy (PHL), and 3) LSP 22 scale, with utilization as measured as number of dental visit/s. Results: Descriptive analysis of the cohort reveals: 45% black, 40% white, 10% Hispanic, 5% other, 41% of parents not having a high school diploma or GED, >75% were enrolled in CHIP by the age of one, 90% had Medicaid, 80% lived in Roanoke City, 87% had a normal birth weight, 86% were term pregnancies, and 91% did not have asthma. All literacy measures, PHL, HCL, LSP 22, and LSP 22 Target Range were positively associated with having dental utilization. Hispanic race had a less likely chance of having multiple dental visits even when within target range of LSP 22. Conclusion: Parents of children enrolled in CHIP with higher levels of functional health literacy as measured by the Life Skills Progression Instrument demonstrated an increased likelihood of dental utilization for their children.
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Robinson, Lenora M. "Posthurricane Environment's Impact on Childhood Cancer Rates in Louisiana, 2004-2010." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4556.
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Childhood cancer is the second leading cause of death in children aged 0-19 years. Research efforts to identify factors associated with or influencing this growing health problem are limited. The purpose of this research study was to examine, in reference to Louisiana during the period 2004-2010, the annual number of children diagnosed with cancer; the types of cancers; the possible effects of the environmental aftermath resulting from Hurricanes Katrina, Rita, and Gustav; and any correlation between environmental contaminants following these hurricanes with the number of children diagnosed with cancer. This study employed correlational quantitative methodology using archival data from the Louisiana Tumor Registry that identified childhood cancer types and incidence for the years 2004-2010. Data were analyzed using logistic regression. Data analysis demonstrated statistically significant differences in the number of children diagnosed with cancer in Louisiana following Hurricanes Katrina, Rita, and Gustav, more specifically between the northern (p = .011) and southern (p =.013) regions. However, this may have no or limited practical significance. The sample size was large in this study, and given a large enough sample, regardless of insignificant population differences, almost any difference or any correlation will be statistically significant. The positive social change implication of this study is that it may lead to the development of preventive tools/measures for healthcare professionals and parents to help reduce childhood cancers associated with exposure to adverse environmental factors.
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Patel, Ajit A. "PCR Detection of Streptococcus Mutans and Streptococcus Sobrinus in Dental Plaque Samples from Low, Moderate, and High Caries Risk Children." VCU Scholars Compass, 2004. http://hdl.handle.net/10156/1668.
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Bouton, Anabel, W. Andrew Clark, Jo-Ann Marrs, Arsham Alamian, and Jonathan M. Peterson. "Study of the Associations of Metabolic Hormones and Metabolic Syndrome in a Pediatric Hispanic Population in Northeast Tennessee." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1390.
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East Tennessee has one of the most rapidly growing Hispanic population in the country. Further, it has been previously reported that this population is at an increased risk for developing metabolic syndrome (MetS), which is characterized by central obesity, abnormal blood lipids, hypertension, insulin resistance, and glucose intolerance. Our collaborators at the Johnson City Community Health Center (JCCHC) observed these indicators of MetS even in young children, between the ages of two and ten. The principle objective of this research project was to examine the prevalence of risk factors for MetS and establish an expanded metabolic profile of young Hispanic children. These factors have not been previously examined in this population. Our working hypothesis is that even at a young age markers of MetS, specifically dysregulated hormone levels, are present in this pediatric population. Methods: In this cross-sectional analysis, a total of 118 Hispanic children between 2-10 years of age (Mean 6.4 ± 2.7, 45% male) age adjusted anthropometric measurements and blood samples were obtained. Blood samples were analyzed for glucose, and lipids (triglycerides, LDL (low density lipoprotein) and HDL (high density lipoprotein) cholesterol) and C-reactive protein through ETSU clinical labs. Insulin, adiponectin, leptin, ghrelin, CRP, IL-6, and TNF-a levels were measured using commercially available assays (Bio-Rad® Multiplex Immunoassay System). Results: There was a significant positive correlation with leptin and adiponectin levels and BMI. Further, children with 2 or more risk factors for metabolic syndrome (as determined by age- and sex-specific: waist circumference, blood pressure, HDL, and triglyceride measures) had significantly elevated leptin levels. The proportional relationship between these metabolic hormone levels and the central obesity indicator confirms that metabolic abnormalities are present in the pediatric Hispanic population at a young age in Northeast Tennessee. The predisposition for this demographic developing metabolic syndrome is evident with indicators being present so early in life. With Tennessee being ranked third in the nation for Hispanic population growth rate, these findings indicate a need for early age intervention protocols for Hispanic children in order to reduce their risk of developing metabolic syndrome.
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Quinoy, Alexis. "STAKEHOLDER VIEWS ON BEHAVIORAL HEALTH CARE IN THE PEDIATRIC PRIMARY CARE SETTING: A QUALITATIVE APPROACH TOWARDS INTEGRATION OF CARE." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3948.
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The pediatric primary care setting has been discussed as playing a central role for the identification and treatment of behavioral and mental health disorders in youth. Although this setting is in a unique position to provide these services, there are many barriers to the integration of mental health care and pediatric primary care. The aim of this study is to examine perspectives of multiple stakeholders (i.e., patient, parent, nurse, resident, faculty, clinic director) in a pediatric primary care setting to explore barriers, behavioral and mental health needs, and facilitators to the integration and provision of mental health care for children and families in pediatric primary care. The study involved both focus group and individual interviews with a total of 36 stakeholders (patient n = 2; parent n = 7; nurse n = 4; resident n = 16; faculty n = 5; clinic director n = 2). A grounded theory approach was used to analyze the focus group and interview data. Barriers to integration and consequences of these barriers are presented, as well as facilitators identified by stakeholders to overcome these obstacles. Identified behavioral and mental health needs will also be presented. Limitations of the study and future directions are discussed.
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Boman, Åse. "Fathers involved in children with type 1 diabetes : finding the balance between disease control and health promotion." Doctoral thesis, Högskolan Väst, Avd för vårdvetenskap på avancerad nivå, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-5808.
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Background: Type I diabetes is a chronic disease that places great demands on the child and family. Parental involvement has been found to be essential for disease outcome. However, fathers’ involvement has been less studied, even though high paternal involvement has been correlated with less disease impact on the family and higher quality of life among adolescents. Aim: The overall aim of the study was to explore and analyze constructions of fathers’ involvement in their child’s everyday life with type 1 diabetes from an ecological and health promotion perspective. Four specific aims were applied: 1) explore and describe discourses in health care guidelines for children with type 1 diabetes in Nordic countries, focusing on parents' positioning (I), 2) analyze how Swedish pediatric diabetes teams perceived and discussed fathers’ involvement in the care of their child with type 1 diabetes, and to discuss how the teams’ attitudes toward the fathers’ involvement developed during a focus group process (II), 3) explore and discuss how fathers involved in caring for their child with type 1 diabetes experience support from their pediatric diabetes team in everyday life with their child (III), and 4) analyze how involved fathers to children with type 1 diabetes understand their involvement in their child’s daily life and to discuss their perceptions from a health promotion perspective (IV). Material and methods: A qualitative and inductive approach was applied. Data were collected and analyzed during 2010-2012. The sample consisted of three pediatric guidelines originating from Norway, Denmark and Sweden (I), three Swedish pediatric diabetes teams (PDTs) (II), and 11 (III) and 16 (IV) fathers of children with type 1 diabetes who scored high involvement on the Parental Responsibility Questionnaire. Data were collected through repeated focus group discussions with the PDTs (II), online focus group discussions (III) and individual interviews (III, IV) with the fathers. Three analysis methods were applied: analysis of discourses (I), Constructivist Grounded Theory (II, III) and content analysis (IV). Findings: The findings illuminated the complex interaction between the pediatric guidelines, the PDTs and the fathers. Fathers highly involved in their child’s daily life experienced different levels of tension between the general recommendations and their personal experiences of living with a child with type 1 diabetes (III). The fathers regarded their involvement in their child’s diabetes care as additional to their general parenting, and a fine balance was identified between a health promotion perspective and a controlling involvement. The common denominator between the highly involved fathers was their use of parental leave (IV). The PDTs initially perceived fathers’ involvement as gendered and balanced on the mother’s agement, but as focus was set on fathers’ engagement the PDTs increased their awareness of this and started to identify and encourage their engagement II). At the macro-level, parents’ voices were diminished in Nordic pediatric diabetes guidelines in favor of an expert discourse (I). Conclusions: Fathers’ involvement concerning a child with type 1diabetes is constructed in a complex way, based on an interaction between the fathers’ perceptions of their additional involvement and the support provided by the PDTs; the PDTs’ perceptions of the fathers’ involvement; and how parents/fathers are constructed in pediatric diabetes guidelines. In order to promote the health and well-being of children with type 1 diabetes, fathers’ involvement needs to be taken into account in the pediatric guidelines as well as in clinical practice.
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Ngo, Christine. "Experiences of Pediatric Parenting Stress and Family Support for Caregivers of Children with Special Health Care Needs or Developmental Disabilities." Thesis, University of Oregon, 2018. http://hdl.handle.net/1794/23157.
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Serving children with special health care needs (SHCN) or developmental disabilities (DD) and their families is an important public health issue (Healthy People, 2020). The prevalence of children with special health care needs or developmental disabilities is significant and increasing (Boyle et al., 2011). Caregivers of children with SHCN or DD and their families demand clinical and research attention given the potential range of health and well-being outcomes that are associated with their children’s developmental or medical complexity. The purpose of this dissertation study was to use a quantitative descriptive research design to examine the experiences of pediatric parenting stress and family support for a sample of caregivers of children representing diverse special health care needs or developmental disabilities. Data were collected at four agencies that provide a range of services to children with SHCN or DD and their families. The data for 167 caregiver participants were used for the preliminary and main statistical analyses. Statistical analyses including pearson product moment correlations, independent-samples t-tests, one-way analysis of variance (ANOVA) tests, internal consistency reliability analyses, and factor analyses. Present study findings revealed that (a) the Pediatric Inventory for Parents (PIP) and Family Support Scale (FSS) measures did not appear to be internally consistent for this study sample; (b) the existing PIP and FSS factor structures did not fit the present study data well; (c) the present study sample had higher levels of pediatric parenting stress and lower levels of family support overall as compared to previous study samples of caregivers for children with chronic conditions; (d) the current study sample’s experiences of pediatric parenting stress and family support differed significantly by several caregiver, child, and family correlates; and (e) the current study sample’s levels of pediatric parenting stress and family support had a positive, significant association. Study findings emphasized the potential roles of stress and support in the caregiving experiences for children with SHCN or DD. Recommendations for further study of this caregiving population and their families are discussed.
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Bishop, Michael W. M. D. "Therapy-Related Events and Health-Related Quality of Life for Children with Leukemia and Lymphoma." University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1342544150.
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古修齊 and Sergio Don Koo. "Quality of life in children with chronic allergic respiratory disease: a population-based child health survey inHong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B42931538.
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