Personal and Contextual Factors Affecting the Functional Ability of Children and Adolescents with Chronic Pain

2016 ◽  
Vol 37 (4) ◽  
pp. 327-342 ◽  
Author(s):  
Cate M. Sinclair ◽  
Pamela Meredith ◽  
Jenny Strong ◽  
Rachel Feeney
2020 ◽  
Vol 25 (1) ◽  
pp. 88-106
Author(s):  
Anna Könning ◽  
Nicola Rosenthal ◽  
Michelle Friese ◽  
Gerrit Hirschfeld ◽  
Donnamay Brown ◽  
...  

2019 ◽  
Vol 67 (7) ◽  
pp. 338-349
Author(s):  
Maryam Afshari ◽  
Jalal Poorolajal ◽  
Forouzan Rezapur-Shahkolai ◽  
Mohammad Javad Assari ◽  
Akram Karimi-Shahanjarini

Farmers in developing countries use harmful pesticides while taking few or no protective measures. There is limited evidence on factors affecting their safety measures. The objective of this study was to identify the underlying factors influencing farmers’ protective behaviors (PBs) and use of personal protective equipment (PPE) during the exposure to pesticides. From April to August 2017, a descriptive study was conducted in Twiserkan County in western Iran among 474 farmers from 104 villages. A questionnaire was developed to measure demographic characteristics and factors suggested in integrated agent-centered (IAC) framework. The questionnaire was validated in terms of content validity through expert reviews and tested for reliability in a group of farmers. Data were collected by face-to-face interviews with farmers. Physiological arousal (β = .154, p < .05), intention (β = .345, p < .05), habit (β = .188, p < .05), and contextual factors (β = .101, p < .05) had a significant and positive impact on farmers engaging in pesticide PBs. Among the assessed factors, only physiological arousal (β = .122, p < .05) and habit (β = .646, p < .05) were found to have a significant and positive effect on the use of PPE, but the intention (β = –.039, p > .05) and contextual factors (β = –.009, p > .05) had no significant relation with the use of PPE. The results of this study identified determinants of farmers’ safety measures. Our results suggest that the IAC framework could serve as a guide to developing a more effective intervention for safety measures of Iranian farmers.


2010 ◽  
Vol 15 (4) ◽  
pp. 238-244 ◽  
Author(s):  
Bruce D Dick ◽  
Rebecca Pillai Riddell

Cognitive function is a critical factor related to a child’s overall developmental trajectory. There is increasing evidence that chronic pain disrupts cognitive function in adults. Little is known about the nature or impact of cognitive disruption in children and adolescents with chronic pain. The present review examines the current literature related to cognitive function in children and adolescents with chronic pain, implications of these findings and future research directions. Nine studies on this topic were found, with a relatively recent increase in publications related to school attendance and subjective studies of school performance. The studies that were found on this topic suggested that chronic pain affects cognitive function in children but the scope of these effects on children’s function and developmental trajectories is not yet clear. While methodological issues surely make it difficult to study cognitive function in children with chronic pain, the potential gains from such research warrant a pursuit of such work. Much remains to be studied on this important topic.


2015 ◽  
Vol 101 (1) ◽  
pp. e1.66-e1
Author(s):  
Rym Boulkedid ◽  
Armiya Yousouf Abdou ◽  
Emilie Desselas ◽  
Marlène Monegat ◽  
Corinne Alberti ◽  
...  

BackgroundApproximately 15 to 30% of children and adolescents suffer from daily pain persistent over more than 3 months and there is evidence supporting that the prevalence of chronic pain is steadily increasing in this population. Chronic pain is known to have a negative impact on children's development and social behaviour, leading often to severe psychological distress and physical disability. We reviewed medical literature to assess the characteristics and quality of randomized controlled trials (RCTs) on pharmacological and non-pharmacological therapies in chronic and recurrent pain in the paediatric population.MethodsWe performed a systematic search of PubMed, Embase and the Cochrane Library up to March 2014. Bibliographies of relevant articles were also hand-searched. We included all RCTs that involved children and adolescents (age 0 to 18 years) and evaluated the use of a pharmacological agent or a non-pharmacological approach in the context of chronic or recurrent pain. The latter was defined as pain persisting for more than 3 months. Methodological quality was evaluated using the Cochrane Risk of Bias Tool. Two reviewers independently assessed studies for inclusion and evaluated methodological quality.ResultsA total of 52 randomized controlled trials were selected and included in the analysis. The majority were conducted in single hospital institutions, with no information on study funding. Median sample size was 45 (34–57) participants. Almost 50% of the RCTs included both adults and children with a median age at inclusion of 13 years. Non-pharmacological approaches were more commonly tested whereas evaluation of pharmacological agents concerned less than 30% of RCTs. Abdominal pain and headache were the most common types of chronic pain experienced among trial participants. Overall, the methodological quality was poor and did not parallel the number of RCTs that increased over the years. The risk of bias was high or unclear in 70% of the trials.ConclusionsThis is the first systematic review of RCTs conducted to evaluate pharmacological and non-pharmacological therapies in chronic and recurrent pain in children and adolescents. Although, management of pain in adults has significantly improved over the years due to the evaluation of numerous analgesic therapies, our results highlight the existing knowledge gap with regards to children and adolescents. Therapeutic strategies, in particular pharmacological agents, applied to relieve chronic or recurrent pain in children and adolescents are not evaluated through high quality RCTs. The need to improve analgesic therapy in children and adolescents with chronic pain is still unmet. We discuss possible research constraints and challenges related to this fact as well as adequate methodologies to circumvent them.


Author(s):  
NOR FAZILAH ABDUL HAMID ◽  
MASHITOH YAACOB ◽  
NOR AZILAH AHMAD ◽  
ZUBAIDAH MOHD NASIR ◽  
NADZIRAH ROSLI

Kebersihan merupakan salah satu aspek yang penting untuk menjadikan negara Malaysia setaraf dengan negara maju. Selain daripada komuniti, penjawat awam juga dilihat mempunyai peranan yang besar untuk memelihara kebersihan persekitaran di tempat kerja melalui penjimatan perbelanjaan bagi urus tadbir negara. Oleh itu, kajian ini dijalankan adalah untuk mengenal pasti tujuh faktor kontekstual yang mempengaruhi amalan kitar semula dalam kalangan penjawat awam di negeri Melaka. Data kuantitatif diperoleh melalui soal selidik manakala data kualitatif adalah melalui temu bual bagi menyokong data kuantitatif. Kajian ini menggunakan kaedah pensampelan bertujuan ke atas 365 orang penjawat awam kerajaan negeri Melaka. Dapatan kajian kuantitatif dianalisis dengan menggunakan perisian SPSS 20. Dapatan kajian menunjukkan faktor kontekstual pengetahuan terhadap amalan kitar semula dalam kalangan penjawat awam kerajaan negeri Melaka adalah tinggi (M=4.41; SP=0.65) diikuti dengan menjaga alam sekitar (M=4.29; SP=0.66), pengasingan sisa pepejal (M=3.75; SP=0.69), kempen kitar semula (M=3.71; SP=0.70), menjana pendapatan sampingan (M=3.59; SP=0.70), pengaruh sosial (M=3.50; SP=0.67) manakala faktor kontekstual kemudahan kitar semula (M=3.35; SP=0.91) adalah yang paling rendah. Penemuan hasil kajian ini dapat membantu organisasi dan jabatan untuk mempelbagaikan promosi, kempen dan aktiviti kitar semula bagi mendorong penjawat awam mengamalkan kitar semula dalam konteks yang lebih luas lagi. Kata kunci: Sisa pepejal; Faktor kontekstual kitar semula; Amalan kitar semula; Pejabat; Penjawat awam


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