Perceived Parental Knowledge Reduces Risk for Initiation of Nicotine and Cannabis Vaping: A Longitudinal Study of Adolescents

Purpose This study examines the role of perceived parental knowledge on initiation of nicotine and cannabis vaping among youth. Design Longitudinal study from a self-administered online survey. Three waves of data collected in 6-month intervals. Setting 79 public and private schools in Texas. Participants Adolescents who self-reported never using e-cigarette to vape nicotine (n=1907; weighted sample [N] = 304371) or vape cannabis (n=2212; N=351955) at baseline. Participants were in 8th, 10th, and 12th grade at baseline. Measures Self-reported measures of nicotine and cannabis vaping. Analyses Weighted multivariate logistic regression models examined role of perceived parental knowledge at baseline (Spring 2016) as a predictor of nicotine and cannabis vaping initiation at 6-month (Fall 2016) and 12 month (Spring 2017) follow-up. Covariates were age, sex, race/ethnicity, and other tobacco use. Results Initiation rates were 5.9% for nicotine vaping and 8.6% for cannabis vaping, at 12-month follow-up overall. Higher perceived parental knowledge was associated with lower odds of nicotine vaping initiation at 6 months (adj OR: .69; 95% CI: .50-.93) and 12 months (adj OR: .68; 95% CI: .50-.92). Similarly, higher perceived parental knowledge was associated with lower odds of cannabis vaping initiation at 6 months (adj OR: .58; 95% CI: .38-.87) and 12 months (adj OR: .53; 95% CI: .38-.74). Conclusion E-cigarette prevention efforts directed at adolescents should incorporate parent engagement strategies as a method of increasing actual and perceived parental knowledge of their child’s location, activities and peer groups.

HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG IMUNISASI DPT PADA BAYI DENGAN PERILAKU PENCEGAHAN PENYAKIT DIFTERI PERTUSIS DAN TETANUS DI PUSKESMAS KORPRI BANDAR LAMPUNG TAHUN 2020

DPT immunization is the basic immunization used to prevent diphtheria pertussis and tetanus. According to data from the Bandar Lampung City Health Office from 30 health centers in Bandar Lampung, the Korpri Puskesmas in Sukarame District is the health center with the lowest complete basic immunization coverage, which is 60.8% in 2015. The low immunization coverage rate is inseparable from health behavior and parental knowledge about DPT immunization. Purpose of this study to determine the relationship between the level of mother's knowledge about DPT immunization in infants with the prevention behavior of diphtheria pertussis and tetanus at the Korpri Puskesmas Bandar Lampung in 2020. This study used an observational and analytic type of study with a cross sectional approach and a questionnaire interview method. The sample used in this study were mothers who had babies in the work area of the Korpri Bandar Lampung Community Health Center in 2020. Data analysis used Chi-Square. The result It is known that 7 mothers (77.8%) have bad knowledge about DPT immunization and bad behavior towards DPT disease prevention, as many as 2 mothers (22.2%) have bad knowledge about DPT immunization and good behavior towards DPT disease prevention. A total of 28 mothers (33.3%) had good knowledge about DPT immunization and bad behavior towards DPT disease prevention, as many as 56 mothers (66.7%) had good knowledge about DPT immunization and good behavior towards DPT disease prevention. Chi-square test results obtained p-value = 0.024 (p ≤ 0.05), which means that there is a relationship between the level of maternal knowledge and the prevention behavior of diphtheria, pertussis and tetanus. There is a significant relationship between the level of maternal knowledge about DPT immunization in infants with the prevention behavior of diphtheria pertussis and tetanus at the Korpri Puskesmas Bandar Lampung in 2020 with a p-value = 0.024 (p ≤ 0.05).

Fever Among Preschool Aged Children: A Cross-Sectional Study Assessing Lebanese Parents’ Knowledge, Attitudes and Practices on Pediatric Fever Assessment and Management

Background The existing literature demonstrates insufficient parental knowledge around fever, and international guidelines suggest studying parents’ perceptions and practices in treating febrile sickness. This study investigated parental knowledge, attitudes and practices toward fever in preschool children to help address all pointed gaps and provide information with the aim of supporting clinical reports for parental education. Methods A cross-sectional study design was used to explore parental experiences with fever. Participants were recruited randomly from schools all over Lebanon targeting the preschool divisions to include parents of children aged 5 years or less. An electronic self-administered questionnaire was sent to the parents through the schools’ emails and e-learning mobile applications, with a separate message encouraging parents to take time to fill carefully the survey. Results A total of 733 parents were included in the study. Only 44% identified fever correctly according to the recognized definition by international guidelines. A significant association between parents’ knowledge of antibiotics and years of parenting experience was found (ORa = 4.23, 95% CI 1.41-12.68, P=0.01). Other sociodemographic factors that were significantly associated with parents’ knowledge of antibiotics were age (ORa = 3.42, 95% CI 1.09-10.73, P=0.036) and education level (ORa = 7.99, 95% CI 3.71-17.23, P<0.001). Greater than 75% usually give their children antipyretics without consulting a doctor. Approximately one-quarter of parents (26.3%) consulted different doctors at the same time, of which more than half (58.4%) had received different medical information. Conclusions This research determines deficiencies in parents’ knowledge of fever with some malpractices in its management. It provides insight for healthcare providers to empower parental experiences by offering the necessary information to enhance general outcomes of febrile sickness.

Evaluation of a Health Education Intervention to Improve Parental Knowledge and Attitudes About Chronic Stress and Depression Among Head Start Families

Background. Chronic stress and depression disproportionately affect families experiencing poverty, and likely contribute to disparities in early childhood developmental outcomes. Developing strategies to address chronic stress and depression may help mitigate these disparities. Early Head Start (EHS) and Head Start (HS) programs provide an important platform to address the disproportionate burden of stress and mental health issues experienced by EHS/HS families. However, few low-literacy, broad, scalable interventions improve parents’ knowledge and attitudes around these topics. Objectives. We examined parents’ knowledge and attitudes regarding stress and depression before and after a train-the-trainer (TTT) intervention delivered to 28 EHS/HS agencies across the United States. Methods. Following a TTT workshop, 18 agencies chose to deliver the stress training to 1,089 parents and 5 chose to deliver the depression training to 670 parents. Participating parents completed paper assessments at baseline and 3 months following the training. Paired T-tests and chi-square analyses tested whether responses significantly improved over time. Results. At baseline, 37.2% of parents reported feeling stressed most of the time and 13.4% reported feeling depressed most of the time. Following the trainings and reinforcement activities, parents’ knowledge, attitudes and self-reported behaviors significantly improved, including willingness to seek help for depression, avoidance of negative health-risk behaviors and utilization of healthy stress management practices. At follow up, 18.6% of parents reported feeling stressed most of the time and 11% reported feeling depressed. Conclusion. Findings suggest this low-literacy TTT approach is potentially a promising health promotion intervention with broad dissemination potential.

Hubungan Tingkat Pengetahuan dan Pola Asuh Orang Tua dengan Perkembangan Anak Prasekolah di Kelurahan Lubuk Buaya Padang Tahun 2019

Data from the Padang City Health Service 2017 from 23 Puskesmas in Padang City, Lubuk Buaya Health Center 60% of the highest deviations in child development. One of the factors that influence it is the knowledge and parenting style of parents. The purpose of the study was to determine the relationship between the level of knowledge and parenting styles of parents with the development of preschool children in Darul Falah Kindergarten, Lubuk Buaya Padang Village in 2019. The type of research is an analytical survey with a cross-sectional design. The population is all parents and preschool children in Darul Falah Kindergarten as many as 50 people, the sampling technique is the total population. Collecting data using a questionnaire. Data analysis with univariate and bivariate using Chi-Square. It was found that 36% of preschool children's development was not appropriate, 26% of respondents had poor parental knowledge, 34% of parenting styles were at risk. The relationship between the respondent's level of knowledge with child development and the relationship between parenting patterns and child development obtained p value = 0.000 (p <0.05). There is a relationship between the level of knowledge and parenting patterns of parents with the development of preschool children in Darul Falah Kindergarten, Lubuk Buaya Padang Village in 2019. It is hoped that health workers will socialize stimulation of child development with counseling and preschool health promotion for parents.

Longitudinal Associations between Parental Support and Parental Knowledge on Behavioral and Emotional Problems in Adolescents

When testing longitudinal effects of parenting practices on adolescent adjustment, an integrated consideration of externalizing and internalizing behaviors is a gap in research. This study analyzed how parental support and parental knowledge directly and indirectly influence both antisocial behavior and emotional problems. The sample had 642 adolescents aged 12-15 (mean age = 12.49; 45.4% females) from Spain, who participated in a three-year long study. The results showed longitudinal bidirectional associations between parental support and parental knowledge. Only parental knowledge, however, directly predicted antisocial behavior and emotional problems. Parental support had an indirect effect on outcomes through the mediating effect of parental knowledge. This study has practical implications by indicating that increasing parental knowledge should be the target of educational-prevention programs.

Peran Orang Tua dalam Menumbuhkan Minat Baca Anak Usia 5-6 Tahun

Reading occupies an important position in the context of life, especially in the era of information and technology as it is today. Reading habits from an early age will enrich children's insight which leads to a higher quality human identity. The earlier a child learns to read, the more he will cultivate the habit and love of reading. Parents as the main pillar in shaping children, have an important role in growing children's interest in reading from an early age. The purpose of this study was to determine the role of parents in fostering children's reading interest and what obstacles parents faced in fostering children's reading interest. This type of research is descriptive qualitative with data collection methods through observation and interviews. The subjects of this study were 10 parents of children aged 5-6 years in Gesik hamlet, Gesikharjo village. The results of this study are the role of parents in growing children's interest in reading is first through parenting, where parenting is influenced by education and parental knowledge about the importance of growing interest in reading from an early age. Second, the role of parents in setting an example for their children. Third, parents have a role in providing literacy-related facilities. Meanwhile, the obstacles faced by parents in cultivating children's reading interest are: 1) Children are more interested in playing mobile games, 2) Children's moods are up and down towards reading activities, 3) Unsupportive environment or friends.

Burden of Care for Children with Bronchiectasis from Parents/Carers Perspective

Bronchiectasis is a neglected chronic respiratory condition. In children optimal appropriate management can halt the disease process, and in some cases reverse the radiological abnormality. This requires many facets, including parental/carer bronchiectasis-specific knowledge, for which there is currently no such published data. Further, the importance of patient voices in guiding clinical research is becoming increasingly appreciated. To address these issues, we aimed to describe the voices of parents of children with bronchiectasis relating to (a) burden of illness and quality of life (QoL), (b) their major worries/concerns and (c) understanding/management of exacerbations. The parents of 152 children with bronchiectasis (median age = 5.8 years, range 3.5–8.4) recruited from the Queensland Children’s Hospital (Australia) completed questionnaires, including a parent-proxy cough-specific QoL. We found that parents of children with bronchiectasis had impaired QoL (median 4.38, range 3.13–5.63) and a high disease burden with median 7.0 (range 4.0–10.0) doctor visits in 12-months. Parental knowledge varied with only 41% understanding appropriate management of an exacerbation. The highest worry/concern expressed were long-term effects (n = 42, 29.8%) and perceived declining health (n = 36, 25.5%). Our study has highlighted the need for improved education, high parental burden and areas of concern/worry which may inform development of a bronchiectasis-specific paediatric QoL tool.

When Dogs Make the Difference: Jail-Based Parenting With and Without Animal-Assisted Therapy

With 1.7 million children in the United States with an incarcerated parent, the need to provide evidence-based programming, which helps incarcerated mothers re-establish healthy relationships with their children, is essential. This study examines Parenting, Prison, and Pups, a jail-based parenting course for incarcerated women, integrated with the use of animal-assisted therapy (AAT). Utilizing a mixed-method quasi-experimental design, the authors examined differences between mothers who completed a parenting course with AAT, compared with those who completed the same course without AAT; statistically significant lower rates of parental stress and higher rates of self-esteem and parental knowledge among the AAT group were found. Based on qualitative data, the presence of therapy dogs appeared to encourage communication, trust, and connectedness between group members. These results indicate the importance of using innovative tools to help incarcerated women, who often have long histories of trauma and abuse, to develop healthy bonds with their children.