child quality
Recently Published Documents


TOTAL DOCUMENTS

70
(FIVE YEARS 13)

H-INDEX

16
(FIVE YEARS 2)

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sarah Edwards ◽  
Paul E. Hyman ◽  
Hayat Mousa ◽  
Amanda Bruce ◽  
Jose Cocjin ◽  
...  

Abstract Background Although tube feeding routinely saves the lives of children who do not eat by mouth, chronic tube feeding can be a burden to patients, caregivers, and families. Very few randomized trials exist regarding the best methods for weaning children from their feeding tubes. Methods The current paper describes a randomized controlled trial of an empirically supported outpatient treatment protocol for moving children from tube to oral eating called iKanEat. Specifically, we describe the methods of randomized double-blind, placebo-controlled trial which includes a 4-week course of megestrol, the only medication used in the iKanEat protocol, to determine whether the addition of megestrol results in improved child outcomes. The primary and secondary aims are to assess the safety and efficacy of megestrol as part of the iKanEat protocol. The third aim is to provide critical information about the impact of the transition from tube to oral feeding on parent stress and parent and child quality of life. Discussion This trial will provide data regarding whether megestrol is a safe and effective component of the iKanEat tube weaning protocol, as well as important data on how the tube weaning process impacts parent stress and parent and child quality of life. Trial registration ClinicalTrials.gov NCT#03815019. Registered on January 17, 2019


Author(s):  
Soumitri Sil ◽  
Kerri E Woodward ◽  
Yelena L Johnson ◽  
Carlton Dampier ◽  
Lindsey L Cohen

Abstract Background Pediatric sickle cell disease (SCD) management can result in considerable caregiver distress. Parents of youth with chronic SCD pain may face the additional challenge of managing children’s chronic pain and chronic illness. This study examined associations between parent psychological distress and child functioning and the moderating role of chronic pain among youth with SCD. Methods Youth presenting to pediatric outpatient comprehensive SCD clinics and their primary caregivers completed a battery of questionnaires. Parents reported on parenting stress, parent mental and physical health, and family functioning. Children completed measures of pain characteristics, depressive symptoms, catastrophic thinking, functional disability, and quality of life. Results Patients (N = 73, Mage = 14.2 years, 57% female) and their caregivers (Mage = 41.1 years, 88% mothers, 88% Black) participated. Worse parent functioning was associated with worse child pain, functioning, quality of life, and depressive symptoms. Beyond the effects of SCD, chronic SCD pain magnified the negative associations between parenting stress frequency and child quality of life, parent physical health and child quality of life, and parent depressive symptoms and child depressive symptoms. Conclusions Chronic pain may exacerbate the relations between parent and child functioning beyond the effects of SCD alone. The management of both SCD and chronic pain may present additional challenges for parents that limit their psychosocial functioning. Family-focused interventions to support parents and youth with chronic SCD pain are warranted to optimize health outcomes.


Author(s):  
Frank Agyire-Tettey ◽  
Derek Asuman ◽  
Charles Godfred Ackah ◽  
Antoinette Tsiboe-Darko

Abstract Early childhood deprivations and inequalities have social and economic implications in adulthood and thus, their elimination is essential for child development. However, child-level estimates of poverty are rare in low income countries. Using data from two recent rounds of the Ghana Demographic and Health Survey, we measure the extent and sources of childhood deprivations in Ghana and examine subgroup differentials in child poverty. In addition, we examine the child quality-quantity by estimating the causal relationship between number of children and child poverty. Finally, we assess the sources of rural-urban inequalities in child poverty. We find that despite declining incidence and intensity of multidimensional child poverty, significant subgroup differentials persist in Ghana. The findings of the paper reveal that living standards is the main contributor to multidimensional poverty in early childhood in Ghana. Our findings also confirm a significant causal relationship between child quality and quantity in Ghana, there exist a positive relationship between the number of children and the intensity of child poverty in Ghana. Finally, we find that rural-urban inequalities in child multidimensional poverty in Ghana are attributable to differences in observed maternal and household characteristics between rural and urban areas. The persistence of subgroup disparities in child poverty may be detrimental to achieving equitable and inclusive growth in the country. There is the need for considerations of equity, fairness and social justice in the distribution and development of social services and economic infrastructure to ensure even distribution of social and economic opportunities and promote social mobility across groups.


2020 ◽  
Vol 13 (3) ◽  
pp. 199-212
Author(s):  
H. Puspitawati ◽  
M. Sarma ◽  
Elmanora Elmanora ◽  
Y. Azizah

Author(s):  
Nor Azam Abdul Razak ◽  
Roslan Abdul Hakim ◽  
Russayani Ismail

The objective of this paper is to examine whether the theory of the child quantity-quality (CQQ) trade-off developed by Becker and Lewis (1973) is borne out by the data from a developing country. In brief, the theory states that households behave differently with respect to their mixture of child quantity and child quality depending on their standards of living (i.e. low-income households tend to choose child quantity at the expense of child quality, and the converse is true for high-income households). If the government provides enough support for education, however, this trade-off might be undermined. Using a sample of 885 children from a survey of 2,500 households in rural areas in Terengganu in 2009, we conducted an empirical analysis on the relationship between child quantity and child quality. In the baseline estimation as well as in a series of robustness check, our key findings are that there is a positive yet insignificant impact of child quantity on child quality. Accordingly, we take these results as mild evidence against the CQQ trade-off which, in turn, can be attributed to the magnitude of the public provision of education in Malaysia.  


2020 ◽  
Vol 50 ◽  
pp. 14-19 ◽  
Author(s):  
Dana M. Bakula ◽  
Christina M. Sharkey ◽  
Megan N. Perez ◽  
Hannah C. Espeleta ◽  
Kaitlyn L. Gamwell ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document