scholarly journals Shared medical appointments for children and adolescents with type I diabetes: perspectives and experiences of patients, parents, and health care providers

2012 ◽  
pp. 75 ◽  
Author(s):  
Noordman ◽  
Mejino ◽  
van Dulmen
Keyword(s):  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Type I Diabetes ◽  
Type I ◽  
Care Providers ◽  
Shared Medical Appointments

Disparities in Pediatric Oncology: The 21st Century Opportunity to Improve Outcomes for Children and Adolescents With Cancer

2021 ◽  
pp. e315-e326
Author(s):  
Paula Aristizabal ◽  
Lena E. Winestone ◽  
Puja Umaretiya ◽  
Kira Bona
Keyword(s):  
United States ◽  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
21St Century ◽  
Low Socioeconomic Status ◽  
Pediatric Cancer ◽  
The United States ◽  
Cancer Disparities ◽  
Care Providers

Adult cancer disparities have been documented for decades and continue to persist despite clinical advancements in cancer prevention, detection, and treatment. Pediatric cancer survival has improved significantly in the United States for the past 5 decades to over 80%; however, disparate outcomes among children and adolescents with cancer still affect many populations in the United States and globally, including racial and ethnic minorities, populations with low socioeconomic status, and residents of underserved areas. To achieve equitable outcomes for all children and adolescents with cancer, it is imperative that concerted multilevel approaches be carried out to understand and address health disparities and to ensure access to high-quality cancer care. Addressing social determinants of health, such as removing barriers to health care access and ensuring access to social supports, can reduce pediatric cancer disparities. Nevertheless, public health policy, health system interventions, and innovative delivery of evidence-based services are critically needed. Partnerships among patients, caregivers, and health care providers, and among health care, academic, and governmental institutions, have a pivotal role in reducing cancer disparities and improving outcomes in the 21st century.

scholarly journals Promoting the Participation of Children and Adolescents With Disabilities in Sports, Recreation, and Physical Activity

PEDIATRICS ◽  
2021 ◽  
Author(s):  
Paul S. Carbone ◽  
Peter J. Smith ◽  
Charron Lewis ◽  
Claire LeBlanc
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Office Visit ◽  
Well Being ◽  
Overweight And Obesity ◽  
Clinical Report ◽  
Care Providers ◽  
Barriers To Participation

The benefits of physical activity are likely universal for all children, including children and adolescents with disabilities (CWD). The participation of CWD in physical activity, including adaptive or therapeutic sports and recreation, promotes inclusion, minimizes deconditioning, optimizes physical functioning, improves mental health as well as academic achievement, and enhances overall well-being. Despite these benefits, CWD face barriers to participation and have lower levels of fitness, reduced rates of participation, and a higher prevalence of overweight and obesity compared with typically developing peers. Pediatricians and caregivers may overestimate the risks or overlook the benefits of physical activity in CWD, which further limits participation. Preparticipation evaluations often include assessment of health status, functional capacity, individual activity preferences, availability of appropriate programs, and safety precautions. Given the complexity, the preparticipation evaluation for CWD may not occur in the context of a single office visit but rather over a period of time with input from the child’s multidisciplinary team (physicians, coaches, physical education teachers, school nurses, adaptive recreation specialists, physical and occupational therapists, and others). Some CWD may desire to participate in organized sports to experience the challenge of competition, and others may prefer recreational activities for enjoyment. To reach the goal of inclusion in appropriate physical activities for all children with disabilities, child, family, financial, and societal barriers to participation need to be identified and addressed. Health care providers can facilitate participation by encouraging physical activity among CWD and their families during visits. Health care providers can create “physical activity prescriptions” for CWD on the basis of the child’s preferred activities, functional status, need for adaptation of the activity and the recreational opportunities available in the community. This clinical report discusses the importance of participation in sports, recreation, and physical activity for CWD and offers practical suggestions to health care providers.

scholarly journals HIV Disclosure in Children in a Tertiary Hospital in Southern Nigeria–Child’s Perspective

2020 ◽  
pp. 16-27
Author(s):  
A. U. Eneh ◽  
R. O. Ugwu ◽  
N. I. Paul
Keyword(s):  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Primary Caregiver ◽  
Hiv Disclosure ◽  
Family Characteristics ◽  
Hiv Positive ◽  
Care Providers ◽  
Port Harcourt ◽  
The Impact

Background: Disclosure of HIV status to children is essential for disease management. Studies on disclosure in children have largely described it from the health provider’s perspective or caregiver’s perspective. Caregivers’ and children’s reports about children’s feelings and distress can however differ. Understanding the disclosure process from the perspective of HIV-positive children will therefore better portray the impact it had on them. Aim: The aim of the study was to explore from the child’s perspective the process of disclosure, the impact it had on them, how they have coped and suggestions on how they think it could be done better. Methods: A cross-sectional study of HIV-infected children and adolescents aged 8–18 years who are aware of their status attending paediatric HIV clinic at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria from April 2015 to March 2016. Data were collected using an open-ended questionnaire administered by a Paediatric health care provider. Information sought included: Biodata (age, gender), educational levels of the child, family characteristics (primary caregiver, orphan status), age at disclosure, process of disclosure, the impact of the disclosure, how they have coped, what they did not like about the way they were told and suggested better ways of telling the children. Results: Seventy-eight HIV-positive children and adolescents were interviewed. Their ages ranged from 8 – 18 yrs with a mean age of 14.74±2.23 years. Forty (51.3%) were males, 50 (64.1%) were in secondary schools, 43 (55.1%) were orphans and the mode of transmission was vertical in 70 (89.7%). In majority 33 (42.3%), the biologic mother was the primary caregiver. Majority of the children 34 (43.6%) had their status disclosed to them between 13 and 14 years. The mother alone did the disclosure in 30 (38.5%). Thirty-six (46.2%) were already aware of their status before disclosure. Disclosure was a one-off event without discussions in 48 (61.5%). The commonest immediate reactions was depression 48 (61.5%). The majority 48(61.5%) became more prayerful as a coping strategy. All 78 (100%) agreed that disclosure has positively impacted on their taking their ARV drugs and clinic attendance. Concerning suggestions from the children, 36 (46.2%) said the most appropriate age for disclosure should be 12-13 years, 54 (69.2%) suggest that both parents should do the disclosure while 60 (76.9%) said that the children should be told how they got infected. Their major concern was having to take drugs for life 60 (76.9%). Conclusion: Disclosure process is suboptimal. Understanding the disclosure process from the perspective of HIV-infected children, therefore, is critical to developing interventions to improve disclosure. Most of the parent’s fears of negative impact of status disclosure may be exaggerated. There is need for health care providers to develop a plan with the caregivers of HIV-infected children on the optimal disclosure process and how to anticipate and resolve questions the children may have following disclosure.

The Role of Children and Adolescents in Decision Making About Life-Threatening Illness

2021 ◽  
pp. 104-117
Author(s):  
Victoria A. Miller ◽  
Melissa K. Cousino
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Control Treatment ◽  
Future Research ◽  
Care Providers ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
And Control

The concept of decision-making involvement (DMI) recognizes that children and adolescents can be involved in decision making in numerous ways and that parents and health care providers have an important role in supporting and guiding youth. Facilitating DMI may enhance youth decision-making skills, self-efficacy and control, treatment adherence, and satisfaction with care. Given the loss of control children and adolescents typically feel when diagnosed with a serious, life-threatening illness, DMI may be especially important. Parents and health care providers can facilitate child and adolescent involvement by seeking their opinions and concerns, soliciting questions, asking for information, and checking for understanding. Additional tools are available for facilitating youth involvement in decision making at the end of life. Future research is needed to develop and evaluate strategies to enhance different aspects of DMI in multiple settings and contexts across development.

scholarly journals Talking to Children and Families about Chronic Pain: The Importance of Pain Education—An Introduction for Pediatricians and Other Health Care Providers

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 179
Author(s):  
Helen Koechlin ◽  
Cosima Locher ◽  
Alice Prchal
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Treatment Options ◽  
Narrative Review ◽  
Care Providers ◽  
Pain Education ◽  
Pediatric Chronic Pain ◽  
Patient Health

Chronic pain in children and adolescents is a common and debilitating health problem. This narrative review will give a brief overview on what pediatric chronic pain is and what treatment options there are for children and adolescents. The specific emphasis will be on pediatric chronic pain education and communication: this narrative review aims to show how important a good patient–health care provider relationship is—it builds the foundation for successful communication—and how this relationship can be established. In addition, we will present five steps that health care providers can perform to explain pediatric chronic pain to patients and their parents and what to keep in mind in their clinical routine. Our review is intended for pediatricians and other health care providers who treat pediatric patients with chronic pain but might feel uncertain on how to best communicate with them.

scholarly journals Quantification of Conflicts of Interest in an Online Point-of-Care Clinical Support Website

2019 ◽  
Author(s):  
Ambica C. Chopra ◽  
Stephanie Tilberry ◽  
Kaitlyn E. Sternat ◽  
Daniel Y. Chung ◽  
Stephanie D. Nichols ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Conflicts Of Interest ◽  
Type I Diabetes ◽  
Point Of Care ◽  
Lymphoblastic Leukemia ◽  
Type I ◽  
Care Providers ◽  
Clinical Support ◽  
Reporting Mechanism ◽  
High Degree

AbstractOnline medical reference websites are utilized by health care providers to enhance their education and decision making. However, these resources may not adequately reveal pharmaceutical-author interactions and their potential conflicts of interest (CoIs). This investigation: 1) evaluates the correspondence of two well-utilized CoI databases: the Centers for Medicare and Medicaid Services Open Payments (CMSOP) and ProPublica’s Dollars for Docs (PDD) and 2) quantifies CoIs among authors of a publically available point of care clinical support website. Two data sources were used: the hundred most common drugs and the top fifty causes of death. These topics were entered into a freely available database. The authors (N = 139) were then input into CMSOP and PDD and compensation and number of payment were determined for 2013-2015. The subset of highly compensated authors that also reported “Nothing to disclose” were further examined. There was a high degree of similarity between CMSOP and PDD for compensation (R2 ≥ 0.998) and payment number (R2 ≥ 0.992). The amount received was 1.4% higher in CMSOP ($4,059,194) than in PDD ($4,002,891). The articles where the authors had received the greatest compensation were in neurology (Parkinson’s Disease = $1,810,032), oncology (Acute Lymphoblastic Leukemia = $616,727), and endocrinology (Type I Diabetes = $377,388). Two authors reporting “Nothing to disclose” received appreciable and potentially relevant compensation. CMSOP and PDD produced almost identical results. CoIs were common among authors but self-reporting may be an inadequate reporting mechanism. Recommendations are offered for improving the CoI transparency of pharmaceutical-author interactions in point-of-care electronic resources.

scholarly journals Lifestyle Medicine Shared Medical Appointments

2020 ◽  
Vol 15 (1) ◽  
pp. 23-27
Author(s):  
Salvatore Lacagnina ◽  
Jean Tips ◽  
Kaitlyn Pauly ◽  
Kelly Cara ◽  
Micaela Karlsen
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Therapeutic Modality ◽  
Multiple Chronic Conditions ◽  
Care Providers ◽  
Lifestyle Medicine ◽  
Shared Medical Appointments ◽  
Financial Perspective ◽  
History Of

Chronic diseases pose many challenges to health care providers and the health care system from a human capital, logistic, and financial perspective. To overcome these challenges, efficient and effective health care delivery models that address multiple chronic conditions need to be leveraged. Shared medical appointments are one potential solution to address these issues. This article offers a brief history of group visits and shared medical appointments and reviews the available data regarding their outcomes. It describes the benefits of using lifestyle medicine as the primary therapeutic modality within a shared medical appointment to treat, reverse, and prevent chronic disease. Key considerations and action steps for the implementation of lifestyle medicine shared medical appointments (LMSMAs) are outlined and the potential delivery of these services via telehealth is explored.

Stress management for headaches in children and adolescents: A review and practical recommendations for health promotion programs and well-being

2017 ◽  
Vol 22 (1) ◽  
pp. 19-33 ◽  
Author(s):  
Anastasia Bougea ◽  
Nikolaos Spantideas ◽  
George P Chrousos
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Children And Adolescents ◽  
Stress Management ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Well Being ◽  
Care Providers ◽  
Health Promotion Programs ◽  
Headache Management

Stress is considered to be the most common factor reported to trigger headaches in children and adolescents. Although tension-type headache and migraine are the two most common types of headache in children and adolescents, they are often untreated, ignoring their stressful background. We provide a narrative review of the available evidence for health-care professionals involved in stress-related headache management and health promotion programs. An integrative plan is delivered through lifestyle improvement and biopsychosocial modifying stress response techniques. Healthy dietary choices, sleep hygiene, and regular exercise, although limited, are effective for young sufferers. Biopsychosocial therapies such as relaxation, biofeedback, hypnosis, yoga, cognitive behavioral therapy, and acupuncture focus at stress physiological and behavioral relief. Our purpose is to suggest a stress-related headache management to empower children to make healthy choices in order to improve their lifelong well-being and quality of life. We aim to authorize relationship between nurses and other health-care providers with background knowledge around stress management for pediatric headache populations.

scholarly journals Development of adaptable and flexible treatment manuals for externalizing and internalizing disorders in children and adolescents

2006 ◽  
Vol 28 (1) ◽  
pp. 67-71 ◽  
Author(s):  
José J Bauermeister ◽  
Cheryl Y C So ◽  
Peter S Jensen ◽  
Orit Krispin ◽  
Amira Seif El Din
Keyword(s):  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Externalizing Disorders ◽  
Treatment Programs ◽  
School Resources ◽  
Care Providers ◽  
Cultural Issues ◽  
Treatment Manuals ◽  
Internalizing And Externalizing

In this paper we describe the process used to develop treatment manuals for internalizing and externalizing disorders in children and adolescents. These manuals were developed to offer health care providers and others working in child mental health a flexible intervention that could be adapted to different countries and localities based on: 1) the amount of health care and school resources that are available; 2) the nature and severity of the types of problems children have; and 3) the preferences and cultural factors that are important within these communities. We also discuss the experiences and cultural issues faced by sites in Egypt, Lebanon, Israel, and Brazil who volunteered to implement the manualized treatment programs. The feedback received from these sites indicates that the manuals can be implemented to help children with internalizing and externalizing problems.

Sign in / Sign up

Export Citation Format

Share Document