scholarly journals A Description and Evaluation of the Concussion Education Application HEADS UP Rocket Blades

2018 ◽  
Vol 20 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Jill Daugherty ◽  
Isa Miles ◽  
Kelly Sarmiento ◽  
Cristina Sansone ◽  
Emily Kroshus ◽  
...  

Background. Concussions are responsible for numerous emergency department visits and hospitalizations among children annually. However, there remains a great deal of confusion about how to prevent and manage concussions in youth. To teach children aged 6 to 8 years about concussion safety, the Centers for Disease Control and Prevention (CDC) created a mobile gaming application called HEADS UP Rocket Blades. This report introduces the game and presents findings on its evaluation. Methods. The aim of the game is to teach children what a concussion is, its commons signs and symptoms, how to prevent one, and what to do if one occurs. An early version of the game went through two rounds of usability testing with children and parents to obtain initial impressions and make improvements. Results. The first round of usability testing focused on the mechanics of the game. Based on feedback from this session, CDC and the developers simplified the messaging and adjusted the game’s level of difficulty. The second round focused on the gaming experience. The children indicated that they enjoyed playing, and nearly all were able to relay at least one learning objective. Conclusions. Parents and children rated Rocket Blades as a good learning tool and indicated that they would download it for personal use.

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259576
Author(s):  
Kathryn Hampton ◽  
Elsa Raker ◽  
Hajar Habbach ◽  
Linda Camaj Deda ◽  
Michele Heisler ◽  
...  

The U.S. government forcibly separated more than 5,000 children from their parents between 2017 and 2018 through its “Zero Tolerance” policy. It is unknown how many of the children have since been reunited with their parents. As of August 1, 2021, however, at least 1,841 children are still separated from their parents. This study systematically examined narratives obtained as part of a medico-legal process by trained clinical experts who interviewed and evaluated parents and children who had been forcibly separated. The data analysis demonstrated that 1) parents and children shared similar pre-migration traumas and the event of forced family separation in the U.S.; 2) they reported signs and symptoms of trauma following reunification; 3) almost all individuals met criteria for DSM diagnoses, even after reunification; 4) evaluating clinicians consistently concluded that mental health treatment was indicated for both parents and children; and 5) signs of malingering were absent in all cases.


2021 ◽  
Vol 27 (S1) ◽  
pp. i42-i48
Author(s):  
Barbara A Gabella ◽  
Jeanne E Hathaway ◽  
Beth Hume ◽  
Jewell Johnson ◽  
Julia F Costich ◽  
...  

BackgroundIn 2016, the CDC in the USA proposed codes from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for identifying traumatic brain injury (TBI). This study estimated positive predictive value (PPV) of TBI for some of these codes.MethodsFour study sites used emergency department or trauma records from 2015 to 2018 to identify two random samples within each site selected by ICD-10-CM TBI codes for (1) intracranial injury (S06) or (2) skull fracture only (S02.0, S02.1-, S02.8-, S02.91) with no other TBI codes. Using common protocols, reviewers abstracted TBI signs and symptoms and head imaging results that were then used to assign certainty of TBI (none, low, medium, high) to each sampled record. PPVs were estimated as a percentage of records with medium-certainty or high-certainty for TBI and reported with 95% confidence interval (CI).ResultsPPVs for intracranial injury codes ranged from 82% to 92% across the four samples. PPVs for skull fracture codes were 57% and 61% in the two university/trauma hospitals in each of two states with clinical reviewers, and 82% and 85% in the two states with professional coders reviewing statewide or nearly statewide samples. Margins of error for the 95% CI for all PPVs were under 5%.DiscussionICD-10-CM codes for traumatic intracranial injury demonstrated high PPVs for capturing true TBI in different healthcare settings. The algorithm for TBI certainty may need refinement, because it yielded moderate-to-high PPVs for records with skull fracture codes that lacked intracranial injury codes.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Lauren Alexis De Crescenzo ◽  
Barbara Alison Gabella ◽  
Jewell Johnson

Abstract Background The transition in 2015 to the Tenth Revision of the International Classification of Disease, Clinical Modification (ICD-10-CM) in the US led the Centers for Disease Control and Prevention (CDC) to propose a surveillance definition of traumatic brain injury (TBI) utilizing ICD-10-CM codes. The CDC’s proposed surveillance definition excludes “unspecified injury of the head,” previously included in the ICD-9-CM TBI surveillance definition. The study purpose was to evaluate the impact of the TBI surveillance definition change on monthly rates of TBI-related emergency department (ED) visits in Colorado from 2012 to 2017. Results The monthly rate of TBI-related ED visits was 55.6 visits per 100,000 persons in January 2012. This rate in the transition month to ICD-10-CM (October 2015) decreased by 41 visits per 100,000 persons (p-value < 0.0001), compared to September 2015, and remained low through December 2017, due to the exclusion of “unspecified injury of head” (ICD-10-CM code S09.90) in the proposed TBI definition. The average increase in the rate was 0.33 visits per month (p < 0.01) prior to October 2015, and 0.04 visits after. When S09.90 was included in the model, the monthly TBI rate in Colorado remained smooth from ICD-9-CM to ICD-10-CM and the transition was no longer significant (p = 0.97). Conclusion The reduction in the monthly TBI-related ED visit rate resulted from the CDC TBI surveillance definition excluding unspecified head injury, not necessarily the coding transition itself. Public health practitioners should be aware that the definition change could lead to a drastic reduction in the magnitude and trend of TBI-related ED visits, which could affect decisions regarding the allocation of TBI resources. This study highlights a challenge in creating a standardized set of TBI ICD-10-CM codes for public health surveillance that provides comparable yet clinically relevant estimates that span the ICD transition.


2016 ◽  
Vol 118 (1) ◽  
pp. 83-99 ◽  
Author(s):  
Mohsen Rasouli Valajoozi ◽  
Nosrat Ollah Zangi

Purpose – The purpose of this paper is to compare and find the significance of aesthetic standards related to the packaging design of pure milk among two groups of parents and children in order to help the designers and marketers to identify these two groups of consumers well. Design/methodology/approach – The results of questionnaire were used to get the required data. The selected samples were divided into two groups of 110 parents and children aged between seven and 14 years old who responded to the questions. The subjects were compared and evaluated within the convenience stores in the cosmopolitan city of Tehran based on four independent variables as the influential factors in packaging attractiveness. Data were analyzed through the statistical analysis software using the Independent t-test analysis. Findings – The results of analysis showed that all the variables vary significantly among these two groups. Besides, the importance and priority of variables were determined for each group based on the mean score of each variable. Originality/value – According to the results of this study, it could be concluded that the selection criteria and packaging attractiveness varies among children and parents, and the aesthetic factors of packaging could be used with different priorities for these two groups. And also at the end of research some practical recommendations are presented in order of importance based on parents’ preferences.


Author(s):  
Clive Diaz

This book presents new research on the extent to which parents and children participate in decision making when childcare social workers are involved and it considers two key meetings in depth: child protection conferences and child in care reviews. There is currently a great deal of interest in how social workers can work more effectively with families and in particular give children a voice. There is also considerable public and media interest in the child protection system, in particular relating to how children are safeguarded by social workers. This book will argue that unless we listen to (and act upon whenever possible) the views of children it is very difficult to safeguard and offer them an effective service. The unique selling point of the book will be that it is based on original solid empirical research following interviews with multiple stakeholders across two local authorities in England including children (n=75), parents (n=52), social workers (n=11, independent reviewing officers (n=8) and senior managers (n=7). This book will consider how 10 years of austerity has impacted on the child protection system and it will have a particular focus on how current practice leads to children and parents often feeling oppressed and excluded in decision making about their lives. The book promises to be authoritative and informed on issues on the ground and very relevant to both policy and practice.


2019 ◽  
Author(s):  
Petr Slovak

Although digital technology has the potential to address the challenges of access, engagement, and scalability that psycho-social prevention interventions face when trying to reach families of primary school children, existing research on technology-enabled interventions for families remains limited. The aim of this qualitative pilot study was to investigate the engagement, acceptability, and initial subjective indicators of emotion regulatory effects during 1-week in-situ deployments of a low-cost, bespoke prototype, which has been designed to support children's in-the-moment emotion regulation. This prototype instantiates a novel intervention model that aims to address the existing limitations by delivering the intervention through an interactive object (a `smart toy') sent home with the child, without any prior training necessary for either the child or their carer. Ten families (altogether 11 children aged 6-10 years) were recruited from three underprivileged communities in the UK, and children were given the toy to keep at home for 7-8 days, after which we interviewed each child and their parent about their experience with the toy. Across all 10 families, participants reported that the toy was incorporated into children's emotion regulation practices and engaged with naturally in moments children wanted to relax or calm down. The data suggest acceptability of the toy from both parents and children, strong engagement and indications of emotion-regulatory effects. More broadly, our findings suggest the potential of a technology-enabled shift in how prevention interventions are designed and delivered: empowering children and parents through `child-led, situated interventions', where participants learn through actionable support directly within family life, as opposed to didactic in-person workshops and a subsequent skills application.


2020 ◽  
pp. 146801732094063 ◽  
Author(s):  
Johanna Korpinen ◽  
Tarja Pösö

Summary Competence is an essential part of any decision-making process. In child protection, it is challenged by the controversial nature of child removals and the vulnerable situations which children and parents experience therein. This article examines how and on what grounds social workers view parents and children to be competent to give their informed view in care order proceedings and what they do if doubts about competence arise. The analysis is based on 30 interviews with social workers in Finland. Findings The professional ethos and ethics of social work were embedded in the social workers’ descriptions of children’s and parents’ competence. The social workers were confident that the parents and children (of certain age) were competent to give their informed view about whether to consent to the care order proposal and the proposed substitute home. When they spoke about competence ascribed with hesitation, they described the vulnerability of service users, as well as their attitudes and withdrawal from contact. In the cases, social workers emphasized a strength-based view of children and parents and aimed to ‘talk more’ with them and to ‘give them more time’ to support their right to give an informed view. Applications Social vulnerability and competence should be explored reflectively in relation to decision-making in child protection. A better understanding of their interrelation makes social workers more competent to support the service users’ right to be included in decision-making. Critical awareness is needed to recognize when ‘more talk’ is not enough to realize children’s and parents’ rights.


2020 ◽  
Vol 10 (8) ◽  
pp. 193
Author(s):  
Maureen Kendrick ◽  
Elizabeth Namazzi ◽  
Ava Becker-Zayas ◽  
Esther Nancy Tibwamulala

In this study, we address the research question: “How might child-created billboards about HIV and AIDS help facilitate more open discussions between parents and children?" The premise of our study is that there may be considerable potential for using multimodal forms of representation in makerspaces with young children to create more open dialogue with parents about culturally sensitive information. Drawing on multimodal literacies and visual methodologies, we designed a makerspace in a grade 5 classroom (with students aged 9–10) in a Ugandan residential primary school. Our makerspace included soliciting students’ knowledge about HIV and AIDS as part of a class discussion focused on billboards in the local community and providing art materials for students to explore their understandings of HIV and AIDS through the creation of billboards as public service announcements. Parents were engaged in the work as audience members during a public exhibition at the school. Data sources include the billboards as artifacts, observations within the makerspace, and interviews with parents and children following the public exhibition. The findings show that, for parents and children, the billboards enhanced communication; new understandings about HIV and AIDS were gained; and real-life concerns about HIV and AIDS were made more visible. Although these more open conversations may depend to some degree on family relationships more broadly, we see great potential for makerspaces to serve as a starting point for closing the HIV and AIDS information gap between children and parents.


2019 ◽  
Vol 8 (3) ◽  
pp. 92 ◽  
Author(s):  
Roberta Bosisio ◽  
Manuela Olagnero

The paper presents the findings of a secondary analysis of qualitative research conducted in Turin (Northern Italy) in 2012–2013 on autonomy and responsibility in the relationships between children and parents. A total of 46 parents and 48 children aged 9–13 were interviewed. The secondary analysis focuses on a specific section of the in-depth interview dealing with daily activity contracts. The aim is to investigate children’s participation in everyday life through children’s and parents’ narratives about daily activity contracts. Thematic analysis of this section of the interviews shows that children make room for acquiring such relational and dialogue skills as self-confidence and speaking up, which are recognized to be essential for any level and type of participation. Moreover, children’s and parents’ discourses on daily activity contracts provide an opportunity to “cultivate” participation and autonomy through a sort of alliance between parents and children in decision-making. The question is whether these dialogic attitudes and negotiation abilities are a resource not restricted to the family sphere but which extends to other areas of participation that go beyond the realm of private, protected, and reversible choices.


1993 ◽  
Vol 5 (3) ◽  
pp. 224-233 ◽  
Author(s):  
Penny McCullagh ◽  
Karen T. Matzkanin ◽  
Susan D. Shaw ◽  
Marcela Maldonado

An important issue facing sport psychology researchers as well as practitioners is understanding the motives of children involved in youth sport programs. The present study extended previous work in this area by examining parental perceptions of their children’s motivations and perceived competencies in addition to the typically assessed variables of youth-reported motives and perceived competencies. Eighty-one children and one of their parents from a youth soccer league served as subjects for this study. Results indicated that children and parents alike ranked intrinsic motives such as feeling good and having fun as primary reasons for participation. In addition, both parents and children rated external reasons as the lowest priorities for participation. Multivariate analyses of variance indicated that children rated all the motive subscales more positively than their parents. No significant relationships were found between perceived competencies and motives.


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