Raising children, warmth and limits.
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Tafsīr
التفسير6 shownCommentary on the verses above, at most two editions per verse.
en-al-jalalayn on 2:266en-al-jalalayncommentary on an ayah this subject surfaced
Would any of you wish to have a garden an orchard of date-palms and vines with rivers flowing beneath it for him there is in it all manner of fruit then old age smites him and makes him too weak to profit from it and he has seed but they are weak young children who cannot manage it; then a whirlwind i‘sār are violent winds with fire smites it and it is consumed? so that he loses what he is most in need of and now he and his children have become incapacitated confused without any resources. This is a similitude of how the expenditure of the one expending for show or the one who reproaches after having expended vanishes and how it is of no avail when he will be most in need of it in the Hereafter the interrogative a-yawaddu ‘would any wish’ is intended as a denial. According to Ibn ‘Abbās this is the person who performs deeds of obedience but when Satan comes to him he begins to work disob
en-al-jalalayn on 3:34en-al-jalalayncommentary on an ayah this subject surfaced
the seed of one offspring from another of them; God is Hearer Knower.
en-al-jalalayn on 3:38en-al-jalalayncommentary on an ayah this subject surfaced
Then when Zachariah had seen this and realised that the One with power to bring something about in other than its natural time is able to bring about a child in old age and with those of his family line all deceased Zachariah prayed to his Lord when he entered the sanctuary to pray in the middle of the night saying ‘Lord bestow upon me from You a goodly offspring a righteous son verily You are the Hearer of You are the One Who answers supplication’.
en-tafisr-ibn-kathir on 2:266en-tafisr-ibn-kathircommentary on an ayah this subject surfaced
Would any of you wish to have a garden with date palms and vines, with rivers flowing underneath, and all kinds of fruits for him therein, while he is striken with old age, and his children are weak (not able to look after themselves), then it is struck with a fiery whirlwind, so that it is burnt? Thus does Allah make clear His Ayat to you that you may give thought (266)
The Example of Evil Deeds Nullifying Good Deeds
Al-Bukhari recorded that Ibn 'Abbas and 'Ubayd bin 'Umayr said that 'Umar bin Al-Khattab asked the Companions of the Messenger of Allah, "According to your opinion, about whom was this Ayah revealed,
أَيَوَدُّ أَحَدُكُمْ أَن تَكُونَ لَهُ جَنَّةٌ مِّن نَّخِيلٍ وَأَعْنَابٍ
(Would any of you wish to have a garden with date palms and vines…?)."
They said, "Allah knows best." 'Umar became angry and said, "Say we know or we do not know." Ibn 'Abbas said, "O Leader of the Fai
en-tafisr-ibn-kathir on 3:34en-tafisr-ibn-kathircommentary on an ayah this subject surfaced
Allah chose Adam, Nuh (Noah), the family of Ibrahim and the family of 'Imran above the nations (33)Offspring, one of the other, and Allah is All-Hearer, All-Knower (34)
The Chosen Ones Among the People of the Earth
Allah states that He has chosen these households over the people of the earth. For instance, Allah chose Adam, created him with His Hand and blew life into him. Allah commanded the angels to prostrate before Adam, taught him the names of everything and allowed him to dwell in Paradise, but then sent him down from it out of His wisdom. Allah chose Nuh and made him the first Messenger to the people of the earth, when the people worshipped idols and associated others with Allah in worship. Allah avenged the way Nuh was treated, for he kept calling his people day and night, in public and in secret, for a very long time. However, his calling them only made them shun him more, and
en-tafisr-ibn-kathir on 3:38en-tafisr-ibn-kathircommentary on an ayah this subject surfaced
At that time Zakariyya invoked his Lord, saying: "O my Lord! Grant me from You, a good offspring. You are indeed the All-Hearer of invocation. (38)Then the angels called him, while he was standing in prayer in the Mihrab, (saying): "Allah gives you glad tidings of Yahya, believing in the Word from Allah, and Sayyidan, and Hasuran, a Prophet, from among the righteous. (39)He said: "O my Lord! How can I have a son when I am very old, and my wife is barren?" (Allah) said: "Thus Allah does what He wills. (40)He said: "O my Lord! Make a sign for me." (Allah) said: "Your sign is that you shall not speak to the people for three days except by signals. And remember your Lord much, and glorify (Him) in the afternoon and in the morning. (41)
The Supplication of Zakariyya, and the Good News of Yahya's Birth
When Zakariyya saw that Allah provided sustenance for Maryam by giving her the fruits of w
Research library, full list
376 to 400 of 1,820Validity of vaccination cards and parental recall to estimate vaccination coverage: a systematic review of the literature.
Immunization programs frequently rely on household vaccination cards, parental recall, or both to calculate vaccination coverage. This information is used at both the global and national level for planning and allocating performance-based funds. However, the validity of household-derived coverage sources has not yet been widely assessed or discussed. To advance knowledge on the validity of different sources of immunization coverage, we undertook a global review of literature. We assessed concordance, sensitivity, specificity, positive and negative predictive value, and coverage percentage point difference when subtracting household vaccination source from a medical provider source. Median coverage difference per paper ranged from -61 to +1 percentage points between card versus provider sources and -58 to +45 percentage points between recall versus provider source. When card and recall so…
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The relationship between parent health literacy and pediatric emergency department utilization: a systematic review.
Background: Low health literacy in parents can potentially impact understanding of a child's diagnosis and treatment course. No reviews have addressed parent health literacy in the emergency department (ED), the relationship between parent health literacy and child ED utilization, or the impact of low literacy interventions on child ED utilization.
Objective: To systematically evaluate the peer-reviewed literature pertaining to parental health literacy and ED utilization. The following key questions were addressed: question (Q) 1) What is the prevalence of low health literacy, as estimated by validated health literacy measures, of parents in the ED? Q2) Is parent low health literacy related to ED use for children? Q3) Do low literacy interventions targeting parents likely to have low health literacy affect ED use for children?
Data sources: The authors reviewed 483 unduplicated titles an…
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Systematic review of psychosocial morbidities among bereaved parents of children with cancer.
The objective of this review was to comprehensively summarize existing studies utilizing validated instruments to measure psychosocial outcomes among bereaved parents of children with cancer. This population has increased risks of anxiety, depression, prolonged grief, and poor quality of life. Parental morbidity is associated with psychiatric co-morbidities, prior loss, economic hardship, duration, and intensity of child's cancer-therapy, perceptions of medical care, child's quality of life, preparedness for and location of the child's death. Rigorous, prospective research is needed to identify risk-groups, define outcomes, and design interventions which will improve parental outcomes after the death of a child due to cancer.
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Experiences of parents who have children with chronic kidney disease: a systematic review of qualitative studies.
Objective: The objective of this study was to describe the experiences of parents who have children with chronic kidney disease.
Methods: We conducted a systematic review and meta-ethnography of studies that had used in-depth interviews or focus groups to explore experiences of parents with children who have chronic kidney disease (predialysis, hemodialysis, peritoneal dialysis, or after kidney transplantation). We searched 5 electronic databases (through to August 2005), Medline, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and Sociofile/Sociological Abstract, and reference lists of relevant articles.
Results: Sixteen articles that reported the experiences of parents of 358 children with chronic kidney disease were included. Ten themes emerged, which we grouped into 3 interrelated clusters: intrapersonal (living with constant uncertainty, stress, and maint…
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Developing a literature base to understand the caregiving experience of parents of children with cancer: a systematic review of factors related to parental health and well-being.
Goal of work: This paper describes a literature review conducted to identify important factors that have been investigated as explanations of variability in the health and well-being of parents of children with cancer. Our purpose was to build a literature base that could be used to guide and direct future research.
Materials and methods: Medline, Cinahl, EMBASE, PsycINFO, and Sociological Abstracts were searched from 1980 to 2005 using the keywords neoplasms; child(ren) aged 0-18 years; parent(s), caregiver(s), mother(s), or father(s). For papers that met the study inclusion criteria, sample characteristics and information about factors related to caregiver health, or the relationship between such factors, were extracted. The findings were organized according to the six main constructs that form the caregiving process and caregiver burden model: background/context variables; child chara…
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Gold KJ (2007)systematic reviewMEDLINE-indexed journal, not yet read by usJournal of perinatology : official journal of the California Perinatal Association113 citations Navigating care after a baby dies: a systematic review of parent experiences with health providers.
Introduction: Health care providers are on the front lines of care when a baby dies, but there is no consensus about which behaviors are most helpful or harmful for families.
Materials and methods: This systematic review of more than 1100 English-language articles from 1966 to 2006 addressed fetal and early infant loss and extracted information about interactions with health providers.
Results: Sixty-one studies, covering over 6000 parents, met criteria. Nurses were generally viewed as more emotionally supportive than physicians. Parents valued emotional support, attention to mother and baby and grief education. Avoidance, insensitivity and poor staff communication were the most distressing behaviors encountered.
Discussion: Interactions with health providers has profound effects on parents with perinatal losses. Grieving parents perceive many behaviors to be thoughtless or insensitive. …
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The work-family interface and the COVID-19 pandemic: A systematic review.
In an unprecedented fashion, COVID-19 has impacted the work-family interface since March 2020. As one of the COVID-19 pandemic consequences, remote work became widely adopted. Furthermore, it is expected that other pandemics will occur in the future. Hence, this context represents a chance to gain deeper insight into telecommuters' work and family spheres. Following PRISMA guidelines, the present narrative review aims to synthesise the COVID-19 impact on the work-family interface. Out of 121 screened references, 32 articles that measure at least one of the following variables-work-family conflict (25), work-family enrichment (3), work-family balance (8), and boundary management (21) were included. A thematic analysis using NVIVO12 was conducted, from which eight topics emerged: "paid workload, unpaid workload, and gender"; "well-being and gender"; "job resources, job demands, and gender"…
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Parenting Self-Efficacy in Immigrant Families-A Systematic Review.
Introduction: Parenting self-efficacy (PSE) refers to parents' belief in their ability to perform the parenting role successfully, and derives from Bandura's concept of personal self-efficacy formulated within the social cognitive theory. PSE has been demonstrated to be a strong predictor of parenting functioning. At the same time, relatively less is known about its possible role in the situation of migration, when a family experiences acculturation stress in the process of adaptation to the new culture. Therefore, the aim of this systematic review was to summarize available data on the conceptualization, measurement, and the role of parenting self-efficacy in the context of acculturation processes, and in various groups of immigrant parents. Methods: An extensive search of eight electronic databases was conducted in August 2018 and updated in February 2020 to identify peer-reviewed arti…
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How do grandparents influence child health and development? A systematic review.
Grandparents are often a key source of care provision for their grandchildren, yet they are sidelined in caregiving research and policy decisions. We conducted a global, systematic review of the literature to examine the scope and quality of studies to date (PROSPERO database CRD42019133894). We screened 12,699 abstracts across 7 databases, and identified 206 studies that examined how grandparents influence child health and development. Indicators of grandparent involvement were contact, caregiving behaviors, and financial support. Our review focused on two research questions: how do grandparents influence child health and development outcomes, and what range of child outcomes is reported globally? We examined study design, sample characteristics, key findings, and outcomes pertaining to grandchildren's physical health, socio-emotional and behavioral health, and cognitive and educational…
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Berge JM (2009)reviewMEDLINE-indexed journal, not yet read by usInternational journal of adolescent medicine and health137 citations A review of familial correlates of child and adolescent obesity: what has the 21st century taught us so far?
Unlabelled: With the rising prevalence rates of child and adolescent obesity over the last several decades, it is important to examine the extant research to inform future research.
Objective: The aim of this paper was to review and critique research investigating familial correlates of child and adolescent obesity in the last decade.
Methods: A literature review was conducted between March 2008 and December 2008. Studies published after 2000 that assessed familial associations with child and adolescent obesity in the parental, family functioning, and sibling domains were included in the review. A total of 80 studies met the inclusion criteria.
Results: The majority of studies focused on the parental domain. Substantial evidence indicates an association between authoritative parenting style and child/adolescent lower BMI, healthy dietary intake, and physical activity. Also, research on f…
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Hald GM, Johnsen DB, Øverup CS (2026)randomised controlled trialMEDLINE-indexed journal, not yet read by usJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) Reducing postdivorce conflict through a child-oriented digital intervention: A randomized controlled trial of SES NXT.
This study evaluated the effectiveness of SES NXT, a digital, age-adjusted intervention for children and adolescents of divorced parents, in reducing perceived postdivorce conflict. Drawing on family systems theory and the divorce stress adjustment perspective, we examined whether the intervention influenced conflict perceptions among youth and parents. Participants included 294 youths (ages 11-17) and their divorced parents (N = 467 family units) enrolled in a randomized controlled trial comparing the SES NXT intervention to a wait-list control group. The primary outcome was perceived postdivorce conflict, assessed via the Divorce Conflict Scale at baseline (T1), 4 weeks (T2), and 12 weeks (T3) postbaseline. Analyses used generalized estimating equations based on the intention-to-treat principle and adjusted for sociodemographic and mental health covariates. At 12-week follow-up, youth …
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Randomized Controlled Trial Outcomes for HomeStyles-2, an Online Obesity Prevention Program for Families with Children in Middle Childhood.
Background: Parents are children's primary role models, are food and physical activity gatekeepers, and create the home structure/lifestyle environment. Thus, parents strongly influence children's weight-related behaviors and have the opportunity to cultivate a "culture of health" within the home. Methods: The aim of the HomeStyles-2 (also called HomeStyles-Child) RCT was to determine whether this online, novel, age-appropriate, family intervention enabled and motivated the 131 systematically randomly assigned by computer parents of children in middle childhood (ages 6 to 11) in the experimental condition to shape home environments and healthy weight-related lifestyle practices to be more supportive of optimal health and reduced obesity risk in middle childhood youth more than the 134 counterparts assigned to the attention control condition. Results: This RCT demonstrated the feasibility…
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An Internet-Based Mindfulness- and Compassion-Based Intercare Program for Reducing Parental Burnout: Randomized Controlled Trial.
Background: Parental burnout is an underrecognized syndrome characterized by emotional exhaustion, detachment from children, and reduced parental efficacy. It is associated with sleep disturbance, addictive behaviors, suicidal ideation, and increased risk of child neglect and family conflict. Despite its public health relevance, evidence-based interventions remain limited, particularly in low- and middle-income contexts.
Objective: This study aims to evaluate the efficacy and safety of a mindfulness- and compassion-based intercare program for parental burnout (IBAP-BP)-designed to reduce burnout symptoms in teleworking mothers.
Methods: A 3-arm randomized controlled trial (IBAP-BP, active control, and waitlist) was conducted across Chile (December 2022-March 2023) with a 9-month follow-up. Participants (N=593) were women aged 18 years or older, teleworking ≥1 day/week, and living with at…
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Alt F, Dreismickenbecker E, Lanfranconi F, Balduzzi A, Watson E, Marriott H, Wiskemann J, Bauer N, Mongondry R, Fridh MK, Lucia A, Fiuza-Luces C, Beller R, Spreafico F, Konda B, Stefanović M, Diel H, Kühn M, Wypyrsczyk L, Paul NW, Neu MA, Faber J, FORTEe Consortium (2026)randomised controlled trialMEDLINE-indexed journal, not yet read by usBMC medical ethics Navigating ethical challenges in the FORTEe randomised controlled trial: a multi-centre staff survey on exercise intervention for children and adolescents undergoing cancer treatment.
BACKGROUND: The FORTEe randomised controlled trial (NCT05289739) investigates an exercise intervention for children and adolescents undergoing cancer treatment. Conducting research with this vulnerable population poses unique ethical challenges, including participant burden, child autonomy, and parental decision-making. This study explored the ethical experiences of healthcare professionals (HCPs) involved in the trial. METHODS: A multicentre survey was conducted across ten clinical sites in Europe using a structured, browser-based questionnaire comprising both closed and open-ended questions. Domains included burden and benefits assessment, informed consent, child autonomy, parental influence and moral distress. Quantitative responses were analysed descriptively, while qualitative data underwent content analysis. RESULTS: Seventy-nine HCPs participated, including exercise professionals …
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Matava CT, Bordini M, Sullivan BO, Garcia-Tejedor GA, Gai N, Petroz G, Donnell CM, Alam F, Brazel K, Caldeira-Kulbakas M (2024)randomised controlled trialMEDLINE-indexed journal, not yet read by usBrazilian journal of anesthesiology (Elsevier)2 citations Virtual parental presence with coaching for reducing preoperative anxiety in children: a feasibility and pilot randomized controlled trial.
Background: Preoperative anxiety in children causes negative postoperative outcomes. Parental presence at induction is a non-pharmacological strategy for relieving anxiety; nevertheless, it is not always possible or effective, namely when parents are overly anxious. Parental presence via video has been demonstrated to be useful in other contexts (divorce, criminal court). This study reports the feasibility of a randomized controlled trial to investigate the effect of video parental presence and parental coaching at induction on preoperative anxiety.
Methods: The study was a randomized, 2 × 2 factorial design trial examining parental presence (virtual vs. physical) and coaching (provided vs. not provided). Feasibility was assessed by enrollment rate, attrition rate, compliance, and staff satisfaction with virtual method with the NASA-Task Load Index (NASA-TLX) and System Usability Scale (…
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The Effectiveness of a Forgiveness Intervention on Mental Health in Bereaved Parents-A Pilot Study.
The aim of this pilot study was to test the effectiveness of an educational forgiveness intervention on mental health in grieving parents. 21 grieving parents were randomly assigned to the experimental group (in which the educational forgiveness intervention occurred) and to the control group (in which a psycho-education grief intervention with a humanistic approach took place). Participants in both groups completed 12 individual hourly sessions for three months. The results showed that participants in the experimental group achieved statistically greater improvement in forgiveness towards others, self-forgiveness, and a greater decrease in depression in the post-test and follow-up test; a greater decrease in anxiety and anger in the post-test; as well as higher improvement in the post-traumatic growth in the follow-up test, four months after the end of the intervention. We highlight the…
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Devonshire JM, Cummings EM, Wang L (2023)randomised controlled trialMEDLINE-indexed journal, not yet read by usJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)7 citations Long-term interparental conflict behavior and knowledge change after a brief family intervention.
To address a gap in the translational research on marital and family conflict intervention, we used a series of multilevel models to examine how interparental constructive conflict behavior, conflict resolution, and conflict knowledge improved up to 3 years postintervention in the Family Communication Project (FCP). The FCP was an experimental, longitudinal intervention focused on family conflict, communication, and adolescent adjustment. Participants consisted of adolescents and their two primary caregivers (N = 225 families). Each family was randomly assigned to one of two treatment groups (parent-adolescent or parent only) or two control groups (self-study or no treatment). Relative to controls, who showed no statistically significant improvement in conflict behavior, resolution, or knowledge, parents in the two-treatment conditions showed improvement in a nonlinear fashion. Modeled w…
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Do Brief Lab-Based Interventions Decrease Coercive Conflict Within Couples and Parent-Child Dyads?
Coercive conflicts between parents and children and between couples are implicated in the pathogenesis of a variety of psychological and physical health problems. Despite its seeming importance to population health, there are no widely available, easy-to-use methods with demonstrated efficacy to engage coercive conflict and reduce it. Identifying and testing potentially efficacious and disseminable micro-interventions (i.e., interventions that can be delivered in under 15 minutes via computer or paraprofessional) for targets with cross-cutting health implications, such as coercive conflict, is the focus of the National Institutes of Health Science of Behavior Change initiative. We experimentally tested four micro-interventions targeting coercive conflict in couple and parent-child dyads in a within-between design. There were mixed but supportive findings for the efficacy of most of the m…
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Feasibility and Acceptability: Narrative Writing with Caregivers in Pediatric Critical Care.
Background: Pediatric intensive care unit (PICU) admissions are caregiver stressors with potential long-term impact. Writing interventions have shown health benefits, although not yet with parents writing during their child's PICU admission. Objective: The study objective was to quantify intervention acceptability and feasibility and to qualitatively examine written texts. Design: This is a proof-of-concept three-arm randomized trial. Setting and Subjects: Subjects were legal caregivers ≥18 years, able to read and write English, and of children ≤18 years in a U.S. PICU for ≥1 day. Measurements: Treatment Acceptability Questionnaire, enrollment rates, completed encounters, and qualitative thematic analysis. Results: Acceptability was high (49% enrollment; mean [standard deviation] Treatment Acceptability Questionnaire scores: M = 24.8 [2.4]). Feasibility was 100% scheduled-to-completed se…
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Hoegler S, Mills AL, Feda A, Cummings EM (2023)randomised controlled trialMEDLINE-indexed journal, not yet read by usJournal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)3 citations Randomized preventive intervention for families: Adolescents' emotional insecurity and attachment to fathers.
The family communication project was a randomized preventive intervention designed to support families by improving interparental conflict behavior and the parent-child relationship, with the ultimate goal of decreasing emotional insecurity in the interparental relationship. Evidence for programs that may benefit father-adolescent attachment and adolescents' emotional insecurity in the marital context is a gap in the literature. According to the fathering vulnerability hypothesis, father-child attachment security might be expected to especially benefit from improvements in interparental conflict behavior. The present study evaluated whether there were any indirect effects of this intervention on emotional insecurity via attachment with each parent, with a particular interest in the role of father-child attachment. Cross-lagged panel models revealed that the parent-adolescent (PA) treatme…
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Pereira S, Smith HS, Frankel LA, Christensen KD, Islam R, Robinson JO, Genetti CA, Blout Zawatsky CL, Zettler B, Parad RB, Waisbren SE, Beggs AH, Green RC, Holm IA, McGuire AL, BabySeq Project Team (2021)randomised controlled trialMEDLINE-indexed journal, not yet read by usJAMA pediatrics70 citations Psychosocial Effect of Newborn Genomic Sequencing on Families in the BabySeq Project: A Randomized Clinical Trial.
Importance: Newborn genomic sequencing (nGS) may provide health benefits throughout the life span, but there are concerns that it could also have an unfavorable (ie, negative) psychosocial effect on families.
Objective: To assess the psychosocial effect of nGS on families from the BabySeq Project, a randomized clinical trial evaluating the effect of nGS on the clinical care of newborns from well-baby nurseries and intensive care units.
Design, setting, and participants: In this randomized clinical trial conducted from May 14, 2015, to May 21, 2019, at well-baby nurseries and intensive care units at 3 Boston, Massachusetts, area hospitals, 519 parents of 325 infants completed surveys at enrollment, immediately after disclosure of nGS results, and 3 and 10 months after results disclosure. Statistical analysis was performed on a per-protocol basis from January 16, 2019, to December 1, 2019.…
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Hei M, Gao X, Li Y, Gao X, Li Z, Xia S, Zhang Q, Han S, Gao H, Nong S, Zhang A, Li J, Wang Y, Ye XY, Lee SK (2021)randomised controlled trialMEDLINE-indexed journal, not yet read by usThe Journal of pediatrics60 citations Family Integrated Care for Preterm Infants in China: A Cluster Randomized Controlled Trial.
Objective: To explore whether family integrated care (FICare) is feasible and improves the outcomes of preterm infants in China.
Study design: This was a multicenter prospective cluster-randomized controlled trial comparing FICare and standard care. The primary outcome was length of stay (LOS). Secondary outcomes were nosocomial infections, duration of supplemental oxygen, breastfeeding, and weight gain. Outcomes were compared using univariate and multivariable analyses adjusted for potential confounders and clustering.
Results: We enrolled 601 preterm infants from 11 neonatal intensive care units (FICare, n = 298; control, n = 303). The unadjusted LOS was 30.81 vs 30.26 days (mean ratio, 1.02; 95% CI, 0.85-1.22; P = .85). After adjustment, outcomes in the FICare group were improved compared with the control group, including LOS (28.26 vs 35.04 days; mean ratio, 0.81; 95% CI, 0.72-0.91),…
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Examining a stepped-care telehealth program for parents of young children with autism: a proof-of-concept trial.
Background: Intervention during the first years of life for children with autism spectrum disorder (ASD) may have the strongest impact on long-term brain development and functioning. Yet, barriers such as a shortage of trained professionals contribute to significant delays in service. The goal of this proof-of-concept study was to explore strategies that support timely and equitable deployment of ASD-specific interventions.
Methods: This 15-week, randomized proof-of-concept study explored the acceptability of a digital parent mediated intervention online reciprocal imitation training (RIT; a naturalistic developmental behavioral intervention) and compared it to a treatment as usual (TAU) control on parent and child outcomes. Eligible children were between 18 and 60 months, met the cutoff for ASD on the Autism Diagnostic Observation Schedule-2nd Edition and demonstrate significant social …
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A Randomized Comparison of Two Psychosocial Interventions on Family Functioning in Adolescents with Bipolar Disorder.
Impairments in family functioning are associated with more severe depressive and manic symptoms, earlier recurrences, and more suicidal behaviors in early-onset bipolar disorder. This study examined whether family-focused treatment for adolescents (FFT-A) with BD I or II disorder led to greater increases in family cohesion and adaptability and decreases in conflict over 2 years compared to a briefer psychoeducational treatment (enhanced care, EC). Participants were 144 adolescents (mean age: 15.6 ± 1.4 years) with BD I or II with a mood episode in the previous 3 months. Adolescents and parents were randomized to either FFT-A (21 sessions) or EC (three sessions). Patients received guideline-based pharmacotherapy throughout the 2-year study. Trajectories of adolescent- and parent-rated family cohesion, adaptability, and conflict were analyzed over 2 years. FFT-A had greater effects on adol…
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Father Involvement in Early Childhood Care: Insights From a MEL System in a Behavior Change Intervention Among Rural Indian Parents.
Introduction: Fathers' involvement in care and early initiation of cognitive development activities have a positive impact on a child's social-behavioral, cognitive-academic and emotional-psychological development. This research study, conducted in Tamil Nadu in south India (2017-19), employed a Cluster Randomized Trial to test the impact of techno-social innovations in improving the involvement of fathers in child-care on child development outcomes. Qualitative studies were used to inform the trial and provide insights into pathways of change. Objective: This paper discusses the design, implementation and results of the study through the monitoring, evaluation and learning (MEL) framework to provide an understanding of the perceptions among parents and service providers surrounding early child development, the adaptations and learnings through the intervention period, and changes that w…
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