Adolescent Perspectives On Communication And Negotiation Of Self Management Responsibilities For Type 1 Diabetes With Parents A Mixed Methods Study

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Adolescent Perspectives on Communication and Negotiation of Self Management Responsibilities for Type 1 Diabetes with Parents: a Mixed Methods Study

Author : Isabella Tuohy
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (141 download)

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Book Synopsis Adolescent Perspectives on Communication and Negotiation of Self Management Responsibilities for Type 1 Diabetes with Parents: a Mixed Methods Study by : Isabella Tuohy

Download or read book Adolescent Perspectives on Communication and Negotiation of Self Management Responsibilities for Type 1 Diabetes with Parents: a Mixed Methods Study written by Isabella Tuohy and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adolescents living with type 1 diabetes (T1D) begin to adopt a more collaborative approach to managing T1D with their parents before becoming independent in self-management. However, adolescents can encounter difficulties with T1D management and ambiguity in relation to the division of responsibilities for T1D management with their parents. This study aimed to explore: (1) how adolescents living with T1D experience self-management of T1D and share self-management responsibilities with parents and (2) the relationship between adolescent communication with parents about T1D self-management and demographic, clinical and psychosocial variables. A meta-synthesis of qualitative literature on child and adolescent experiences of self-management of T1D was conducted. The findings of the meta-synthesis indicated that balancing the demands of self-management with other aspects of life and sense of control over T1D are important for self-management of T1D. Following this a mixed methods study involving two phases was conducted; semi-structured interviews with adolescents aged 11 to 17 years (n = 28) and a cross-sectional survey with adolescents aged 11 to 17 years (n = 113). In interviews, adolescents highlighted their experiences of gaining independence in self-management in the overarching theme 'Navigating increasing responsibility for self-management during adolescence: "it changed gradually... and I am almost fully doing it [self-managing] now". The following themes contributed to the overarching theme: (1) Changing levels of involvement in self-management, (2) Talking about self-management with parents, (3) Taking ownership of self-management and (4) Environmental and contextual influences affecting self-management. The findings from the quantitative phase of this study indicated that parent-adolescent communication and T1D-specific family conflict are associated with T1D self-efficacy, division of family responsibility for T1D management, activation and self-management of T1D. However, the findings also indicated that T1D-specific family conflict and parent-adolescent communication are differentially related to distinct aspects of self-management and QOL. Overall, this study identified that parent-adolescent communication and family context characteristics relate to and contribute to self-management and T1D-specific QOL in adolescents living with T1D. This research identified what factors contribute to helping or hindering adolescent engagement with self-management of T1D and specifically that adolescents' perceptions of their communication with their parents about T1D management are important. For the first time, the findings provide a nuanced understanding of adolescent perspectives on self-management of T1D and communication with parents about T1D self-management. Promoting self-efficacy through targeting communication strategies employed by adolescents and their parents may result in more optimal sharing of responsibilities, improved self-management and better QOL for adolescents living with T1D.

Healthcare Provider Communication in Teens With Type 1 Diabetes

Author : Tori Humiston
Publisher :
ISBN 13 :
Total Pages : 66 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Healthcare Provider Communication in Teens With Type 1 Diabetes by : Tori Humiston

Download or read book Healthcare Provider Communication in Teens With Type 1 Diabetes written by Tori Humiston and published by . This book was released on 2021 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 1 diabetes (T1D) is a complex chronic illness requiring both complex daily treatments and ongoing healthcare provider interactions to support optimal glycemic levels necessary for long-term health and quality of life. Adolescents do not manage their T1D by themselves but rather in collaboration with parents who often help in health tasks and navigating healthcare provider interactions. Although parental support is critical for the adolescent's development of disease-management skills, it requires parents maintain a delicate balance of allowing adolescent autonomy and providing parent support. When parental support shifts to parental overprotection, i.e., restricting and limiting an adolescent's activity engagement, it may impair adolescent's skill development and mastery necessary to complete diabetes-management tasks independently, including healthcare provider communication. In particular, parental overprotection may impact the adolescent's interpersonal effectiveness skills, in that adolescents may not learn how to be mindful and attentive to relationships or build a repertoire of mindfulness and self-compassion that would support effective healthcare provider communication and more independent diabetes management. Thus, adolescent experiences of interpersonal effectiveness skills, parental overprotection, and healthcare provider communication may have long-term implications for diabetes outcomes as the adolescent transitions to adulthood. Adolescents with type 1 diabetes might then benefit from an intervention targeted at interpersonal effectiveness skills to both reduce parental overprotection and improve healthcare provider communication. Adolescent participants (n=25, mean age=16.25, 56% female) completed a baseline survey for a pilot intervention study aimed at increasing mindfulness and decreasing diabetes-related stress. Adolescents reported on mindfulness, self-compassion, parental overprotection, and health care provider communication. The present study found that increased adolescent perception of parental overprotection was associated with decreased interpersonal effectiveness skills (mindfulness and self-compassion) and all were associated with increased difficulty with communicating with healthcare providers about diabetes. In addition, the potential utility of a mindfulness intervention for improving interpersonal effectiveness skills, decreasing parental overprotection, and improving adolescent healthcare provider communication was examined. The results also indicate potentially meaningful change scores for the four variables of interests between treatment and waitlist groups with very small to large effect sizes that may accrue into meaningful changes across time. Further, among adolescents who were highly engaged in the intervention program (n=11), mindfulness, self-compassion, parental overprotection, and healthcare provider communication again showed potentially meaningful change scores with small to medium effect sizes that may have long-term impact across time. These findings indicate that a mindfulness-based intervention has potential utility, especially for participants who were highly engaged in the program. Parental overprotection and interpersonal effectiveness skills may be key factors to target in interventions to support the transition of diabetes-management behaviors from parent to adolescent as the adolescent ages into young adulthood, particularly with regard to adolescents learning to communicate with their healthcare providers.

Teens with Diabetes

Author : Michael A. Harris
Publisher : American Diabetes Association
ISBN 13 : 1580405770
Total Pages : 129 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Teens with Diabetes by : Michael A. Harris

Download or read book Teens with Diabetes written by Michael A. Harris and published by American Diabetes Association. This book was released on 2014-06-02 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by three psychologists with more than 50 years of collective experience in the field of diabetes and youth, Teens with Diabetes provides evidence-based techniques for clinicians to treat the psychological needs of children with diabetes and help them transition into their teenage years. The authors have provided care to thousands of diabetic teens and their families from initial diagnosis to leaving home for college. Any professional working with diabetic teens, including psychologists, physicians, social workers, dietitians, and nurse educators, needs this how-to handbook for working with what is arguably one of the most difficult populations in diabetes. Topics covered include handling the initial diagnosis of diabetes in teens, talking with young people about diabetes in a manner that is effective and reduces reactivity, improving diabetes self-care, helping families negotiate the challenges of adolescent diabetes, dealing with peer relations, dealing with high-risk issues related to diabetes, and handling with mood problems.

Diabetic Adolescents and their Families

Author : Inge Seiffge-Krenke
Publisher : Cambridge University Press
ISBN 13 : 9781139430289
Total Pages : 358 pages
Book Rating : 4.4/5 (32 download)

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Book Synopsis Diabetic Adolescents and their Families by : Inge Seiffge-Krenke

Download or read book Diabetic Adolescents and their Families written by Inge Seiffge-Krenke and published by Cambridge University Press. This book was released on 2001-08-27 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetic Adolescents and their Families presents an innovative approach to the study of coping with chronic illness by focusing on the developmental context in its description of a longitudinal study of families with a diabetic or a healthy adolescent. Inge Seiffge-Krenke considers perspectives of the ill adolescents, their parents, and the physicians treating them. Highlighted topics include typical stressors, individual and family coping strategies, and psychosocial consequences associated with diabetes. The author also examines the changes that occur in adolescents' self-concept and body image and analyses their relationships with parents, physicians, friends, and romantic partners as sources of support and of stress. Numerous case studies illustrate the difficulty of balancing normative development and adherence to the therapeutic regimen. Integrating clinical concerns with fundamental findings of developmental psychology, this book will be of value to anyone with an interest in the study of adolescent health psychology.

Behavioral Diabetes

Author : Alan M. Delamater
Publisher : Springer Nature
ISBN 13 : 3030332861
Total Pages : 522 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Behavioral Diabetes by : Alan M. Delamater

Download or read book Behavioral Diabetes written by Alan M. Delamater and published by Springer Nature. This book was released on 2020-01-16 with total page 522 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents an up-to-date review of behavioral factors in diabetes management across the lifespan: an update on medical management, epidemiology, and prognosis, and utilize an ecological framework to address various aspects of diabetes management for children and adults on the individual, social, community and medical system, and policy levels. The individual level examines biobehavioral and neuroendocrine factors for their role in the etiology of diabetes, as well as various demographic factors involved in health disparities, and specific psychological issues including distress and quality of life, depression and anxiety, eating disorders, and intervention approaches. Zooming out, the social level addresses the role of social support and family influences as well as group and family interventions to promote more effective diabetes management. The community level addresses medical system factors including the patient-physician relationship and transition programs, as well as community and school-based prevention programs. Finally, chapters also address how the policy level impacts diabetes management considering the role of health care, insurance, and school and workplace policy. Topics featured in this book include: Neuroendocrine and biobehavioral influences on diabetes Eating disorders in individuals with diabetes Family influences and family therapies for children and adults with diabetes Depression and anxiety in children and adults with diabetes Behavioral Diabetes is a must-have resource for researchers, graduate students and fellows, as well as clinicians, therapists, and other practitioners involved in diabetes management across the lifespan. A secondary audience comprises individuals working in the community and policy levels, including but not limited to health care and medical systems administrators, as well as school and workplace policymakers. “This book is a comprehensive overview of the extremely important topic of behavioral diabetes. The issues encompassed in this book have evolved greatly over the last few decades and the editors have done a spectacular job in having the key experts on each of the many topics review the literature while at the same time keeping it practical for both clinicians and researchers.” --Irl B. Hirsch, MD, University of Washington, Seattle

The Division of Diabetes Responsibility Between Latinx and Non-Hispanic White Adolescents and Their Parents

Author : Abigail Bolter
Publisher :
ISBN 13 :
Total Pages : 114 pages
Book Rating : 4.:/5 (119 download)

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Book Synopsis The Division of Diabetes Responsibility Between Latinx and Non-Hispanic White Adolescents and Their Parents by : Abigail Bolter

Download or read book The Division of Diabetes Responsibility Between Latinx and Non-Hispanic White Adolescents and Their Parents written by Abigail Bolter and published by . This book was released on 2020 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adolescence is a pivotal time for Latinx individuals with type 1 diabetes, yet this population remains understudied. This paper examined the role that division of responsibility (adolescent, parent, and shared) for diabetes management tasks plays in adolescent health in this population across two studies. Diabetes responsibility was measured using two methods: surveys (Study 1) and a novel coding scheme applied to parent-adolescent interactions (Study 2). Results of study 1 showed that Latinx mothers reported more shared and less adolescent responsibility in surveys than non-Hispanic White mothers. Mother- and adolescent-reported shared responsibility were generally associated with higher levels of diabetes adherence, while reports of individual (parent and adolescent) responsibility were generally associated with lower levels of diabetes adherence. Results of Study 2 showed that descriptions of shared, adolescent, and parent responsibility in conflict discussions were not associated with adolescent health. Cultural values (familism and independence/self-reliance) were not associated with particular patterns of diabetes responsibility, but cultural values were associated with health outcomes. Specifically, independence/self-reliance tended to be associated with poorer adolescent health (lower quality of life and increased anxiety), while adolescent familism was associated with higher levels of adolescent-reported adherence. The importance of multi-method studies and implications for interventions are discussed.

Social Reproduction

Author : Meg Luxton
Publisher : McGill-Queen's Press - MQUP
ISBN 13 : 0773531033
Total Pages : 337 pages
Book Rating : 4.7/5 (735 download)

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Book Synopsis Social Reproduction by : Meg Luxton

Download or read book Social Reproduction written by Meg Luxton and published by McGill-Queen's Press - MQUP. This book was released on 2006 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using a feminist political economy approach, contributors document the impact of current socio-economic policies on states, markets, households, and communities. Relying on impressive empirical research, they argue that women bear the costs of and responsibility for care-giving and show that the theoretical framework provided by feminist analyses of social reproduction not only corrects the gender-blindness of most economic theories but suggests an alternative that places care-giving at its centre. In this illuminating study, they challenge feminist scholars to re-engage with materialism and political economy to engage with feminism.

Parent and Adolescent Readiness in the Transition to Adolescent Diabetic Self Care

Author : Jennifer Mary-Smith Burden
Publisher :
ISBN 13 :
Total Pages : 422 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Parent and Adolescent Readiness in the Transition to Adolescent Diabetic Self Care by : Jennifer Mary-Smith Burden

Download or read book Parent and Adolescent Readiness in the Transition to Adolescent Diabetic Self Care written by Jennifer Mary-Smith Burden and published by . This book was released on 2010 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Parent Perception Examining the Relationship Among Stress, Executive Functioning, and Transition of Responsibility in Adolescents with Type 1 Diabetes

Download Parent Perception Examining the Relationship Among Stress, Executive Functioning, and Transition of Responsibility in Adolescents with Type 1 Diabetes PDF Online Free

Author : Jeannette Marie Iskander
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis Parent Perception Examining the Relationship Among Stress, Executive Functioning, and Transition of Responsibility in Adolescents with Type 1 Diabetes by : Jeannette Marie Iskander

Download or read book Parent Perception Examining the Relationship Among Stress, Executive Functioning, and Transition of Responsibility in Adolescents with Type 1 Diabetes written by Jeannette Marie Iskander and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 1 Diabetes (T1DM) is a life-long chronic illness often diagnosed during childhood or adolescence which requires individuals to adhere to a complex treatment regimen. Unfortunately, adherence is especially poor during adolescence. One factor which may influence adherence is treatment responsibility, or determining whether the parent or adolescent assumes treatment responsibility. Although there are no clear guidelines regarding when to transition responsibility, knowing whether the adolescent has the cognitive capacity or executive functions (EF) to successfully manage their treatment is essential. Parental stress has also been associated with treatment responsibility, suggesting that greater levels of parent responsibility are associated with greater levels of reported parental stress. However, most studies have failed to examine the effects of multiple forms of stress (i.e., general, parenting, and disease-related) on treatment responsibility. Further, little is known regarding how parent perception of adolescent general and disease related EF and various forms of parent stress are related to treatment responsibility. The present aimed to assess the contribution of various forms of stress and parent perception of general and diabetes related executive functioning on the transition of responsibility from parent to adolescent in adolescents with T1DM. The findings from the study underscore the role of parent reported diabetes distress as it relates to the transition of responsibility. Specifically, diabetes distress was a significant predictor of greater parent responsibility above and beyond the role of general and disease related executive functioning. Nonetheless, results suggest that parents transition greater responsibility to their adolescent when they perceive their adolescent to have a greater ability to remember tasks associated with their illness. General and perceived stress did not influence the transition of responsibility from parent to adolescent. The present study expanded previous research by examining the role that various forms of stress and parent perception of adolescent's executive function play in their decision to transition responsibility for diabetes management among adolescents with T1DM. Despite limitations within the present study, the findings suggest clinical implications and future directions for research. Specifically, future interventions should target decreasing parent diabetes distress, while also focusing interventions on improving adolescent's diabetes related memory for managing their disease. Future research should include a smaller age range and should be longitudinal in nature to better understand how the dynamic nature of the associations among various forms stress, executive functioning, and treatment responsibility may have an impact on treatment adherence and glycemic control.

Exploring the Role of Motivational Interviewing in Adolescent Patient-provider Communication about Type 1 Diabetes

Author : Laura Jean Caccavale
Publisher :
ISBN 13 :
Total Pages : 85 pages
Book Rating : 4.:/5 (999 download)

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Book Synopsis Exploring the Role of Motivational Interviewing in Adolescent Patient-provider Communication about Type 1 Diabetes by : Laura Jean Caccavale

Download or read book Exploring the Role of Motivational Interviewing in Adolescent Patient-provider Communication about Type 1 Diabetes written by Laura Jean Caccavale and published by . This book was released on 2017 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 1 diabetes (T1D) is one of the most common pediatric chronic illnesses. Glycemic control among patients with T1D often deteriorates during adolescence; yet little is known about the most effective way for providers to communicate with adolescents to prevent this decline. Given the importance of effective communication, examination of effective patient-provider communication strategies is needed. The current investigation used Motivational Interviewing (MI) as a framework to help characterize naturally-occurring adolescent patient-provider communication in medical encounters and examined the relations between provider communication and T1D self-management and control. Participants were five pediatric endocrine providers and 55 adolescents with T1D (49% female; 76% White; M age= 14.8 years, SD= 1.6). Mean T1D duration was 7.9 years (SD= 3.9) and mean baseline HbA1c was 8.58% (SD= 1.4). Adolescents and caregivers completed surveys related to diabetes self-management and psychosocial functioning at a routine endocrinology visit and again at one and three months post-baseline. Medical encounters were audio-recorded and coded. HbA1c was obtained via medical chart review at baseline, three, and six month appointments. Hierarchical multiple regressions revealed that, after controlling for prior MI training (providers) and adolescent baseline HbA1c, age, and race, use of MI non-adherent behavior (e.g., confronting, persuading) was associated with 1) poorer three month HbA1c, F(5,45)= 11.19, p

Psychosocial Aspects of Diabetes

Author : Christie Deborah
Publisher : CRC Press
ISBN 13 : 100047707X
Total Pages : 196 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis Psychosocial Aspects of Diabetes by : Christie Deborah

Download or read book Psychosocial Aspects of Diabetes written by Christie Deborah and published by CRC Press. This book was released on 2021-07-28 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Paediatric Psychology series Children and young people are increasingly among those being diagnosed with diabetes. However in the UK only 1 in 6 children succeed in controlling their diabetes successfully, despite support from parents and professionals. This enlightening new book is a comprehensive account of diabetes and the complex medical and psychosocial factors that influence metabolic control in children and young people. It presents a series of evidence-based and accessible educational, psychological and social approaches to increase specialist knowledge, promote positive attitudes, enhance patient care and create appropriate healthcare environments. The book offers an easy-to-comprehend approach to clinical care and includes practical tools for assessment for all healthcare professionals throughout the text. Featuring contributions from a number of international experts in the field, this thorough and wide-ranging guide is informative reading for all students, academics and professionals with an interest in paediatric psychology and health.

Raising Teens with Diabetes

Author : Moira McCarthy
Publisher : Spry Publishing
ISBN 13 : 1938170210
Total Pages : 185 pages
Book Rating : 4.9/5 (381 download)

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Book Synopsis Raising Teens with Diabetes by : Moira McCarthy

Download or read book Raising Teens with Diabetes written by Moira McCarthy and published by Spry Publishing. This book was released on 2013-06-04 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2013 Mom's Choice Awards® Winner Hormones. Growth spurts. Mood swings. All combined with blood sugars.. The teen years with diabetes on board are a challenging time for parents and anyone who cares about a child with diabetes. Raising Teens with Diabetes: A Survival Guide for Parents, by well-known diabetes mom, author, and advocate Moira McCarthy, is a no-nonsense, honest approach at not just surviving but thriving in those years, from a mom who has been there.. Raising Teens with Diabetes is a must-have resource for anyone navigating the waters of parenting a child with diabetes.

An Examination of Type 1 Diabetes Management Among Latinx Adolescents Using the Ecological Framework

Author : Jaquelin Flores Garcia
Publisher :
ISBN 13 :
Total Pages : 50 pages
Book Rating : 4.6/5 (985 download)

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Book Synopsis An Examination of Type 1 Diabetes Management Among Latinx Adolescents Using the Ecological Framework by : Jaquelin Flores Garcia

Download or read book An Examination of Type 1 Diabetes Management Among Latinx Adolescents Using the Ecological Framework written by Jaquelin Flores Garcia and published by . This book was released on 2020 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: The incidence of Type 1 Diabetes (T1D) has increased among Latinx adolescents and their Hemoglobin A1c (HbA1c) levels are higher in comparison to their white counterparts. Limited research exists on this topic, and only intrapersonal and some interpersonal level factors have been examined in association with HbA1c. The aim of this cross-sectional study is to expand the research and examine organizational factors that may be associated to HbA1c among Latinx adolescents (N=55) and their parents in Southern California. A secondary data analysis was conducted on the Adolescents and Young Adults with Type 1 Diabetes Assessment in the Center for Endocrinology, Diabetes, and Metabolism (Attack) Study. Participant inclusion criteria included, self-identified as Hispanic/Latino/Latinx between the ages 11-17, a diagnosis of T1D for at least 6 months, and adolescents and parents who answered the questions of interest. Results from hierarchical multiple linear regression suggested that intrapersonal (e.g., diabetes self-management behaviors [blood glucose checks]), interpersonal (e.g., family’s insurance [proxy for socio-economic status] and language preference of the parent), and organizational level factors (e.g., cultural competency [communication and discrimination] of the provider) were significantly associated with HbA1c. Therefore, these factors should be further examined as potential predictors of HbA1c levels among other groups of Latinx adolescents with T1D, as they may inform T1D management interventions.

Parenting Matters

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309388570
Total Pages : 525 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Parenting Matters by : National Academies of Sciences, Engineering, and Medicine

Download or read book Parenting Matters written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-21 with total page 525 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Normalizing

Author : Elizabeth K. Babler
Publisher :
ISBN 13 :
Total Pages : 228 pages
Book Rating : 4.:/5 (879 download)

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Book Synopsis Normalizing by : Elizabeth K. Babler

Download or read book Normalizing written by Elizabeth K. Babler and published by . This book was released on 2013 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this research effort among adolescents ages 11 to 15 years was to gain a greater understanding, from the adolescent's perspective, of their experiences in living with diabetes and associated challenges and management issues they faced. The aim was to build a theoretical paradigm that captured the main categories and moving processes in the experiences of adolescents and provided much needed information and hypotheses to support interventional design. Classical grounded theory with constant comparative analysis using gerund coding was utilized. Fifteen individual interviews were conducted. The substantive theory that was developed was "normalizing". Normalizing is defined as the ability of the adolescents to integrate diabetes into the background of their daily life by creating routines to make diabetes `part of me'. The conceptual codes developed that describe normalizing for adolescents with diabetes included: a) `recognizing life is changing', b) `taking action to prevent a crisis', c) `disclosing to engage support', d) `taking on the burden of care', e) `accepting the `new normal'', and f) `hoping for a normal future'. For adolescents with diabetes, the normal developmental tasks of adolescence are closely related to each step of this normalizing process and help to explain why adolescents struggle with diabetes during this phase of adolescence. Needle fear, moving through transition to self-care, conflict with parents, and the interactions, reactions and emotions of others were key processes that affect the ability to normalize. Strategies used by adolescents in managing their diabetes include maintaining motivation, building trust, and learning to cope. The supportive behaviors of parents, peers, teachers, and others were helpful. When researchers and clinicians view this difficult stage of adolescent diabetes care as an attempt to normalize their life, it places a very different and positive perspective on this process with a focus on wellness and maintaining a normal life rather than a focus on illness. This creates many new opportunities to provide education and interventions to not only help the adolescents normalize but also assist their parents, peers, schools, and communities to help them normalize their life as well.

Synthesizing Qualitative Research

Author : Karin Hannes
Publisher : John Wiley & Sons
ISBN 13 : 1119959829
Total Pages : 144 pages
Book Rating : 4.1/5 (199 download)

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Book Synopsis Synthesizing Qualitative Research by : Karin Hannes

Download or read book Synthesizing Qualitative Research written by Karin Hannes and published by John Wiley & Sons. This book was released on 2011-10-13 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: A considerable number of journal publications using a range of qualitative synthesis approaches has been published. Mary Dixon-Woods and colleagues (Mary Dixon-Woods, Booth, & Sutton, 2007) identified 42 qualitative evidence synthesis papers published in health care literature between 1990 and 2004. An ongoing update by Hannes and Macaitis (2010)identified around 100 additional qualitative or mixed methods syntheses. Yet these generally lack a clear, detailed description of what was done and why (Greenhalgh et al, 2007; McInnes & Wimpenny, 2008). Choices are most commonly influenced by what others have successfully used in the past or by a particular school of thought (Atkins et al, 2008; Britten et al, 2002). This is a substantive limitation. This book brings balance to the options available to researchers, including approaches that have not had a substantial uptake among researchers. It provides arguments for when and why researchers or other parties of interest should opt for a certain approach to synthesis, which challenges they might face in adopting it and what the potential strengths and weaknesses are compared with other approaches. This book acts as a resource for readers who would otherwise have to piece together the methodology from a range of journal articles. In addition, it should stimulate further development and documentation of synthesis methodology in a field that is characterized by diversity.

A Holistic Understanding of the Complexities of Caring for the Adolescent with Type 1 Diabetes in the School Setting

Author : Donna J. Biere
Publisher :
ISBN 13 :
Total Pages : 208 pages
Book Rating : 4.:/5 (937 download)

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Book Synopsis A Holistic Understanding of the Complexities of Caring for the Adolescent with Type 1 Diabetes in the School Setting by : Donna J. Biere

Download or read book A Holistic Understanding of the Complexities of Caring for the Adolescent with Type 1 Diabetes in the School Setting written by Donna J. Biere and published by . This book was released on 2015 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This project presents a synthesis of findings from a comprehensive analysis of studies from research and peer reviewed published articles regarding Type 1 Diabetes Mellitus (T1DM), self-management within the adolescent population and the school nurse role. The literature review helps assure application of best practice methods for the coordination of care for students in the school setting and contributes to improved clinical school nurse practices for effective T1DM management."--Abstract.