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JMIR Pediatrics and Parenting (JPP) is a new sister journal of JMIR (the leading open-access journal in health informatics (Impact Factor 2017: 4.671), with a unique focus on technologies, medical devices, apps, engineering, informatics applications for patient/parent education in pediatrics, training/counselling and behavioral interventions, preventative interventions and clinical care for children and adolescent populations or child-parent dyads. JPP recognizing that pediatrics in the 21st century should be a participatory process, involving parents and informal caregivers, and using information and communication technologies.
As an open access journal, we are read by clinicians and patients alike and have (as all JMIR journals) a focus on readable and applied science reporting the design and evaluation of health innovations and emerging technologies. We publish original research, viewpoints, and reviews (both literature reviews and medical device/technology/app reviews).
During a limited period of time, there are no fees to publish in this journal. Articles are carfully copyedited and XML-tagged, ready for submission in PubMed Central.
Be a founding author of this new journal and submit your paper today!
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Background: Birth stories provide an intimate glimpse into women’s birth experiences, in their own words. Understanding the emotions elicited in women by certain types of behaviors during labor and...
Background: Birth stories provide an intimate glimpse into women’s birth experiences, in their own words. Understanding the emotions elicited in women by certain types of behaviors during labor and delivery could help those in the healthcare community provide better emotional care for laboring women. Objective: The objective of the study was to understand which supportive reactions and behaviors contributed to negative or positive emotions among women in regards to their labor and delivery experience. Methods: We sampled ten women’s stories from a popular blog that described births that strayed from the plan. Ninety challenging events that occurred during labor and delivery were identified. Each challenge had an emotionally positive, negative, or neutral evaluation by the woman. We classified supportive and unsupportive behaviors in response to these challenges and examined their association with the woman’s emotional appraisal of the challenges. Results: Four types of behaviors were identified: informational inclusion, decisional inclusion (mostly by healthcare providers), practical support, and emotional support (mostly by partners). Supportive reactions were not associated with emotional appraisal; however, unsupportive reactions were associated with women appraising the challenge negatively (Fisher Exact Test, P = .02). Conclusions: While supportive behaviors did not elicit any particular emotion, unsupportive behaviors did cause women to view challenges negatively. Patients should be encouraged to express their needs at every opportunity, particularly when challenges present themselves during labor, and healthcare professionals should strive to cater to them.
Background: Youth with disabilities are at high risk of unemployment compared to youth without disabilities. They often encounter challenges in accessing vocational programs that meet their needs. One...
Background: Youth with disabilities are at high risk of unemployment compared to youth without disabilities. They often encounter challenges in accessing vocational programs that meet their needs. One promising approach that could help to address barriers that youth encounter while also enhancing social support is through electronic mentoring (e-mentoring). Although there is an increase in e-mentoring for youth with disabilities, little is known about their impact for youth with physical disabilities. Objective: This study assessed the acceptability and initial impact of an online peer e-mentor employment intervention for youth with physical disabilities. Methods: The ‘Empowering youth towards employment’ intervention was evaluated using a pilot randomized controlled trial. Youth, aged 15-21 with physical disabilities were randomly assigned to an experimental (i.e., mentored) or control (i.e., non-mentored) group. Trained mentors (i.e., near peers) with a physical disability led the online discussion forums and provided peer support and resources for 12 modules (1 topic per week over 12 weeks). Primary outcomes focused on self-determination, career maturity and social support. Results: Thirteen youth (mean age 17.3 1.88 (SD), 54% female) completed in the RCT (intervention n= 9, control n=4). Participants reported satisfaction with the program and that it was feasible and acceptable. Participants mean engagement level with the program was 5.22/10 (SD 2.48) for the experimental group and 5.40 (SD 4.56) for controls. Participants in the intervention demonstrated significant improvements in self-determination, t 2.49 (p<0.04) compared to the control group. No adverse events were reported. Conclusions: The ‘Empowering youth towards employment’ is a promising intervention that enhances self-determination among youth with physical disabilities. Clinical Trial: Clinicaltrials.gov NCT02522507; https://clinicaltrials.gov/ct2/show/NCT02522507 (Archived by WebCite at http://www.webcitation.org/6uD58Pvjc)
Background: Background: Nearly half of the unintentional injuries in children happen in and around the home; many of these injuries are preventable. Providing parents and caregivers with the proper in...
Background: Background: Nearly half of the unintentional injuries in children happen in and around the home; many of these injuries are preventable. Providing parents and caregivers with the proper injury prevention information that is easily accessible may help them make their homes safer for children. Objective: Objective: The objective of this study was to evaluate parental injury prevention awareness and home safety behaviors, motivations for and challenges to taking injury prevention and safety actions for parents as well as user experience following the use of the Make Safe Happen® mobile app. Methods: Methods: Forty parents of children 0-12 years of age living in Columbus, Ohio participated in one of five focus group discussions following the completion of a pretest survey, use of the Make Safe Happen® app, and a posttest survey. Results: Results: Following the use of the Make Safe Happen® app, parents reported a significant increase in injury prevention awareness and completed 45% more home safety behaviors in and around their homes. Nearly all of the parents felt the app provided them with the information needed to make their home safer for their children; the great majority of parents intended to make such changes in the future. Conclusions: Conclusions: The combination of the qualitative and quantitative data collection allowed for a rich data capture and provided a deeper understanding of parent’s safety knowledge, behaviors, app use, and decision making regarding child injury prevention in and around the home. The Make Safe Happen® app provides the information and motivation parents and caregivers need to help them take steps to prevent child injuries that may in and around their homes.
Background: An MRI is a diagnostic test which requires patients to sit still for prolonged periods within a claustrophobic and noisy environment. This can be difficult for children to tolerate and oft...
Background: An MRI is a diagnostic test which requires patients to sit still for prolonged periods within a claustrophobic and noisy environment. This can be difficult for children to tolerate and often general anaesthetic (GA) is required at considerable cost and detriment to patient safety. Virtual reality (VR) is a newly emerging technology which can be implemented at low cost within a healthcare setting. It has been shown to reduce fear associated with a number of high anxiety situations and medical procedures. Objective: To develop a virtual reality resource to prepare paediatric patients for MRI helping to reduce anxieties in children undergoing the procedure. Methods: A free VR app was developed to prepare paediatric patients for their upcoming MRI. The app displays a series of panoramic 360 videos of the entire MRI journey, including footage from within the bore of the scanner. Deployed to the Android play store and iOS app store it can be viewed on most mobile phones allowing a child to experience an MRI in VR using an inexpensive Google Cardboard headset. The 360 videos are contained within an animated, interactive virtual reality interface designed for 7-12yr olds. For younger children a preparation book was developed to be used in conjunction with the app. The resource was evaluated on 23 patients (4-12yrs) and feedback was obtained from 10 staff. In 5 patients the app was evaluated as a tool to prepare patients for an awake MRI whom otherwise were booked to have an MRI under GA. Results: The VR preparation resource has been successfully implemented at 3 UK institutions. Of the 23 patients surveyed, on a scale of 1-10 the VR resource was rated with a median score of 9 for “enjoyment”, 8 for “helpfulness” and 10 for “ease of use”. All patients agreed that it made them feel more positive about their MRI and all suggested they would recommend the resource to other children. Of the 10 staff surveyed, when considering their experiences of using the resource with paediatric patients, on a scale of 1-10 they rated the VR resource with a median score of 9 for “enjoyment”, 9 for “helpfulness” and 9 for “ease of use”. All staff believed it could help prepare children for an awake MRI, thus avoiding general anesthetic (GA). A successful awake MRI was achieved in 4 of the 5 children for whom routine care would have resulted in an MRI under GA. Conclusions: Our Virtual reality resource was able to relieve anxieties and better prepare patients for an awake MRI. The resource has potential to avoid general anesthetic through educating the child about the MRI process.
This manuscript needs more reviewersPeer-Review Me
Background: The increasing prevalence of excessive screen time (ST) among children is a growing public health concern due the associated risk of overweight and obesity in children. Increasing ST among...
Background: The increasing prevalence of excessive screen time (ST) among children is a growing public health concern due the associated risk of overweight and obesity in children. Increasing ST among preschool-age children (2-5 years of age) has prompted several countries including the United States (US) to develop ST guidelines. In 2016, the American Academy of Pediatrics (AAP) released updated guidelines that encourage parents of preschool-age children to limit ST to < 1 hour per day. Objective: To explore the beliefs, attitudes, and practices of Brazilian-born immigrant mothers’ living in the US related to their preschool-aged children’s ST. Methods: Qualitative study with seven focus group discussions (FGDs) conducted with Brazilian immigrant mothers to gain an in-depth understanding of the research topics. All FGDs were audio-recorded and professionally transcribed verbatim. The Portuguese transcripts were analyzed using thematic analysis. Results: In total, 37 women participated in the FGDs. Analyses revealed that although most mothers expressed concerns for their children’s ST, nearly all viewed ST as an acceptable part of children’s daily lives. Furthermore, mothers perceived more benefits than disadvantages associated with ST. Mothers’ positive beliefs (e.g., educational purposes, entertainment) and their perceived functional benefits of ST (e.g., ability to keep children occupied so tasks can be completed, regular communication with family outside the US) contributed to their acceptance of ST for their young children. Nevertheless, most mothers spoke of the need to find a balance between their children’s ST and other activities, and reported using several parenting practices to manage ST including monitoring time and content, setting limits and rules, and prompting their children to do something else. Conclusions: The present study provides new information on the beliefs, attitudes, and practices of Brazilian immigrant mothers living in the US related to their preschool-aged children’s ST. Study findings revealed several potentially modifiable maternal beliefs and parenting practices that may provide important targets for parenting- and family-based interventions aimed at promoting adequate preschool-age children’s ST. Clinical Trial: n/a
Background: Dipstick urinalysis (DU) utilizes a reagent strip as a diagnostic chemical examination of the urine to determine the pathological changes in the urine that may result from a systemic and/o...
Background: Dipstick urinalysis (DU) utilizes a reagent strip as a diagnostic chemical examination of the urine to determine the pathological changes in the urine that may result from a systemic and/or a metabolic disease and/or the diseases of the kidney and the urinary tract. DU is cheap, non-invasive, easy and quick to perform, widely available, and can be done by the bed-side. Objective: Unfortunately, DU is undervalued in sub-Saharan Africa because clinicians are ignorant of its diagnostic values and the broadness of its usefulness Methods: For each of the common ten (pH, specific gravity, glucose, ketone, protein, blood, nitrite, leucocyte esterase, bilirubin and urobilinogen) analytes detectable by DU, this article reviews the pathophysiology of each analyte; it describes the principle of the chemical reaction for each analyte; it summarizes the interpretation of the test result and the possible causes of false positives and false negatives for each test. In addition, the article underscores the usefulness of DU in aiding the management of prematurity, pneumonia, diarrhoea, sepsis and malaria, the common childhood killer diseases in sub-Saharan Africa. Results: This article should arouse the interest of clinicians working in developing countries to see DU as an invaluable diagnostic tool in resource-constrained settings of the world Conclusions: It is expected that the clinicians working in developing countries will see this article as a quick reference guide when interpreting DU results of the child under their care