scholarly journals Involving Parents in Promoting Healthy Energy Balance-Related Behaviors in Preschoolers: A Mixed Methods Impact and Process Evaluation of SuperFIT

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1605
Author(s):  
Lisa S. E. Harms ◽  
Sanne M. P. L. Gerards ◽  
Stef P. J. Kremers ◽  
Kathelijne M. H. H. Bessems ◽  
Carsten van Luijk ◽  
...  

Parental involvement is an essential component of obesity prevention interventions for children. The present study provides a process and impact evaluation of the family component of SuperFIT. SuperFIT is a comprehensive, integrated intervention approach aiming to improve energy balance-related behaviors (EBRBs) of young children (2–4 years). A mixed methods design combined in-depth interviews with parents (n = 15) and implementers (n = 3) with questionnaire data on nutritional and physical activity-related parenting practices (CFPQ and PPAPP), the physical home environment (EPAO_SR) (n = 41), and intervention appreciation (n = 19). Results were structured using the concepts of reach, adoption, implementation, and perceived impact. Findings indicated that the families reached were mostly those that were already interested in the topic. Participants of the intervention appreciated the information received and the on-the-spot guidance on their child’s behavior. Having fun was considered a success factor within the intervention. Parents expressed the additional need for peer-to-peer discussion. SuperFIT increased awareness and understanding of parents’ own behavior. Parents made no changes in daily life routines or the physical home environment. Translating knowledge and learned strategies into behavior at home has yet to be achieved. To optimize impact, intervention developers should find the right balance between accessibility, content, and intensity of interventions for parents.

2021 ◽  
Vol 30 (8) ◽  
pp. 490-496
Author(s):  
Joanne Garside ◽  
John Stephenson ◽  
Jean Hayles ◽  
Nichola Barlow ◽  
Graham Ormrod

Background: Nurse shortage is an international issue that has adverse effects on health and the quality of care of whole populations. Aims: The study aimed to explore attrition experienced by return-to-practice students attending higher education institutions in England. Methods: A mixed-methods design, involving questionnaires (n=114) and in-depth interviews (n=20), was used. Findings: Just over half (52%) of respondents left nursing after ≥10 years. Most of these (84%) stayed in alternative employment during their break from nursing. There were two distinct reasons for leaving nursing: the inability to maintain a positive work/life balance and a lack of opportunity for career advancement while retaining nursing registration. Respondents reflected positively on their nursing experience yet frequently reported significant personal or professional incidents prompting their decision to leave. Conclusion: The reasons nurses leave are complex. Professional bodies and managers need to work together to address concerns many nurses have during their careers that lead to them deciding to leave the profession.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e053099
Author(s):  
Elizabeth Rapa ◽  
Jeffrey R Hanna ◽  
Catriona R Mayland ◽  
Stephen Mason ◽  
Bettina Moltrecht ◽  
...  

ObjectiveThe objectives of this study were to investigate how families prepared children for the death of a significant adult, and how health and social care professionals provided psychosocial support to families about a relative’s death during the COVID-19 pandemic.Design/settingA mixed methods design; an observational survey with health and social care professionals and relatives bereaved during the COVID-19 pandemic in the UK, and in-depth interviews with bereaved relatives and professionals were conducted. Data were analysed thematically.ParticipantsA total of 623 participants completed the survey and interviews were conducted with 19 bereaved relatives and 16 professionals.ResultsMany children were not prepared for a death of an important adult during the pandemic. Obstacles to preparing children included families’ lack of understanding about their relative’s declining health; parental belief that not telling children was protecting them from becoming upset; and parents’ uncertainty about how best to prepare their children for the death. Only 10.2% (n=11) of relatives reported professionals asked them about their deceased relative’s relationships with children. This contrasts with 68.5% (n=72) of professionals who reported that the healthcare team asked about patient’s relationships with children. Professionals did not provide families with psychosocial support to facilitate preparation, and resources were less available or inappropriate for families during the pandemic. Three themes were identified: (1) obstacles to telling children a significant adult is going to die, (2) professionals’ role in helping families to prepare children for the death of a significant adult during the pandemic, and (3) how families prepare children for the death of a significant adult.ConclusionsProfessionals need to: provide clear and honest communication about a poor prognosis; start a conversation with families about the dying patient’s significant relationships with children; and reassure families that telling children someone close to them is dying is beneficial for their longer term psychological adjustment.


2019 ◽  
Vol 11 (2) ◽  
pp. 28-40 ◽  
Author(s):  
Kate Wilson ◽  
Kate F Wilson

First year is a delicate time for students. Many have little idea what to expect of university, and their sense of identity as tertiary students is fragile. A diagnostic assessment early in first semester may reassure students that they have chosen the right path. However, some academics, particularly in engineering, argue that this early assessment should be very demanding – so tough, in fact, that some students fail - in order to alert students to the hard work required to pass the course. This study uses a mixed methods design (weekly surveys and in-depth interviews) to explore the effects of a purposefully tough early assessment on first year engineering students at an Australian university. We find that, across the cohort, the high failure rate was not associated with a significant slump or spike in motivation. Although some students were initially dismayed by their results, most went on to address their study with resilience, and appreciated the “kick up the bum”, as they described it.


2019 ◽  
Vol 61 (1) ◽  
pp. 105-128
Author(s):  
Megan Moskos ◽  
Linda Isherwood

With projected future demand severely outstripping the current workforce size, it is crucial for the Australian aged care sector to develop strategies to encourage non-traditional workers (such as men) into the sector. Yet despite some recent progress, there is still surprisingly little empirical evidence about how to attract and retain men into gender atypical occupations such as aged care. This article offers an in-depth and innovative investigation into male aged care workers, their experience of the work and future employment plans. Using a mixed methods design, this article combines the findings from an analysis of the Australian National Aged Care Workforce Census and Survey with the findings arising from 51 in-depth interviews conducted with male aged care workers. The integration of these findings allows us to understand the determinants of men’s representation in the aged care sector so that workforce strategies and policies can be generated about how the sector can best attract and retain male workers to meet current and future skill shortages.


2021 ◽  
Vol 1 (1) ◽  
pp. 40-66
Author(s):  
Maulana Hazmi

This research is based on the researcher's interest in how the relationship between men and women in polygamous marriages. This study aims to describe what makes women willing to be polygamous and what kind of relationship exists between husband and wife in a polygamous family. This research uses a qualitative approach with a case study method. Data collection techniques used are through observation techniques, in-depth interviews, documentation and literature study on related documents. The results showed that in a polygamous family there is a discourse battle, this discourse battle is won by the husband, so that the husband has the right to determine the values ​​used in the family. In polygamous marriages, religion is used and believed to be the dominant discourse. Capital accumulation also affects the position of husband and wife in the family, including economic, social, cultural and symbolic capital. This form of domination carried out by the husband and not being aware of the domination by the wife who works subtly is called by Bourdieu as a form of symbolic violence.


2018 ◽  
Author(s):  
Esther Chor Leng Goh ◽  
Wan Har Chong ◽  
Jayashree Mohanty ◽  
Evelyn Chung Ning Law ◽  
Chin-Ying Stephen Hsu ◽  
...  

BACKGROUND This study aims to examine the adaptive process of children and mothers from multistressed low-income families in Singapore. It aims to bridge the knowledge gap left by existing poverty studies, which are predominately risk focused. Through a sequential longitudinal mixed-methods design, we will differentiate children and mothers who demonstrate varied social, developmental, and mental health trajectories of outcomes. Through utilizing the Latent Growth Curve Model (LGCM), we aim to detect the development and changes of the positive Family Agency and adaptive capacities of these families over time. The construct of Family Agency is underpinned by the theoretical guidance from the Social Relational Theory, which examines child agency, parent agency, relational agency, and the interactions among these members. It is hypothesized that positive Family Agency within low-income families may lead to better outcomes. The key research questions include whether the extent of positive Family Agency mediates the relationship among financial stress, resource utilization, home environment, and parental stress. OBJECTIVE The study elucidates the Family Agency construct through interviews with mother-child dyads. It also aims to understand how financial stress and resources are differentially related to home environment, parent stress, and parent and child outcomes. METHODS In phase 1, 60 mother-child dyads from families receiving government financial assistance and with children aged between 7 and 12 years will be recruited. In-depth interviews will be conducted separately with mothers and children. On the basis of 120 interviews, a measurement for the construct of Family Agency will be developed and will be pilot tested. In phase 2a, a longitudinal survey will be conducted over 3 time points from 800 mother-child dyads. The 3 waves of survey results will be analyzed by LGCM to identify the trajectories of adaptation pathways of these low-income families. In addition, 10 focus groups with up to 15 participants in each will be conducted to validate the LGCM results. RESULTS This project is funded by the Social Science Research Thematic Grant (Singapore). The recruitment of 60 mother-child dyads has been achieved. Data collection will commence once the amendment to the protocol has been approved by the Institutional Review Board. Analysis of phase 1 data will be completed by the end of the first quarter of 2019, and the first set of results is expected to be submitted for publication by the second quarter of 2019. Phase 2 implementation will commence in the second quarter of 2019, and the project end date is in May 2021. CONCLUSIONS Findings from this study can potentially inform social policy and programs as it refines the understanding of low-income families by distinguishing trajectories of adaptive capacities so that policies and interventions can be targeted in enhancing the adaptive pathways of low-income families with children. INTERNATIONAL REGISTERED REPOR PRR1-10.2196/11629


Author(s):  
AHMAD IKHLASUL AMAL

Presbyacusis hearing loss is common in elderly. Patients with presbyacusis may feel neglected by the family and the surrounding environment. It should be takes the right way to communicate with presbyacusis patients, so that communication can be done effectively. This study aims to identify the phenomenon of family communication with presbyacusis patients who stays in one house. Qualitiataive research design was used in this reserch with� phenomenologycal approach. In-depth interviews and observation was used as data collection method. The results of the research found that the family have an understanding about the meaning of communication which is talking alone and talking with others. Family barriers when communicating with presbyacusis patients are difficult to understand what is the family talking about, difficult to talk, disconnected, family feel annoyed and must be patient when communicating. The family communicates with presbyacusis patients using verbal (verbal) communication such as repetition of speech, non-verbal communication (gesture) that is by mouth movement, touching the shoulders, face-to-face when communicating, hand movements. As a conclusion of this research was obtained the understanding of communication, family barriers when communicating with presbiakusis patients, the way families communicate, family reasons using verbal communication (verbal) and non-verbal (cues).Keywords: family communication, presbyacusis, phenomena


2021 ◽  
pp. 0192513X2199318
Author(s):  
Ameerah Khadaroo ◽  
Fiona MacCallum

Globally, the average number of children per household is expected to drop to 1.0 by 2020. Single-child families are increasingly the norm, with nearly half of British families classified as single-child. Despite this, research on only-children and their families is scant. Using a convergent mixed-methods design, this study explores parenting of adolescents in British single-child families. Single-child (31 adolescents, 47 mothers, 25 fathers) and multiple-children families (46 adolescents, 76 mothers, 31 fathers) completed online surveys. In-depth interviews were also conducted with 15 only-child families and 15 multiple-child families. All adolescents were aged 11 years to 14 years. Surveys did not find any differences in parenting between one-child and multiple-children families. However, interview data found single-child families were more child-centered, reporting higher overprotective and pushy parenting, but less authoritative and authoritarian parenting. Findings challenge negative stereotyping of single-child families and provide an in-depth insight into the experiences of adolescent only-children and their parents.


2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Jannie Laursen ◽  
Kristoffer Andresen ◽  
Jacob Rosenberg

Aims and Objective. To investigate the relatives’ satisfaction and involvement on a general surgery ward regarding the critically ill patient.Introduction. Relatives to critically ill patients are affected both physically and mentally during the hospitalization of a family member. Research has shown that relatives do not always receive the attention they need from health professionals. There is a lack of studies that focus on relatives’ satisfaction and involvement during their family members’ hospitalization.Design. A mixed methods design was chosen.Methods. A quantitative study was conducted with 27 relatives to critically ill patients. All participated in a questionnaire and out of the 27 relatives, six participated in qualitative in-depth interviews.Results.The questionnaire revealed that relatives were dissatisfied with care and involvement. For further exploration of the dissatisfaction, a qualitative approach was used and the in-depth interviews revealed three themes: lack of continuity and structure, responsibility of coordination, and relatives feeling left on their own with no guiding and support.Conclusion.Health professionals’ key role in relation to relatives must be guidance and support. Thereby, relatives can gain a sense of coherence during the hospitalization of a critically ill patient, which can lead to a greater satisfaction and thereby better support for the patient.


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