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Shi L, Granlund M, Zhao Y, Huus K. Construct validity of the simplified Chinese version of the instrument 'Picture My Participation'. Scand J Occup Ther 2024; 31:2348816. [PMID: 38728597 DOI: 10.1080/11038128.2024.2348816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 10/05/2023] [Indexed: 05/12/2024]
Abstract
BACKGROUND Preliminary evidence of the content validity of the simplified Chinese version of 'Picture My Participation' (PMP-C; Simplified) items and reliability of the subscale attendance for the effectiveness of the use with children and youth in mainland China has been collected. However, evidence of construct validity for the instrument is not yet available. AIM To explore the construct validity of the attendance scale in PMP-C (Simplified). METHODS A cross-sectional study using convenience sampling was conducted using PMP-C (Simplified) with a picture-supported interview for 290 children and youths aged 5-21 with and without ID in urban and rural areas of mainland China. Exploratory factor analysis (EFA) was performed using the principal component analysis (PCA) to analyse the resulting data. RESULTS The EFA extracted five factors with eigenvalues greater than one and the cumulative contribution rate of factors accounted for 51.62% of the variance. All items had factor loadings above 0.50. The five subcomponents included: organised activities, social activities, taking care of others, family life activities and personal care and development activities. CONCLUSION The results of the factor analysis support the construct validity of the PMP-C (Simplified) attendance scale. It provides further psychometric evidence that PMP-C (Simplified) is a sound measure to assess participation for children and youths in mainland China.
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Affiliation(s)
- Linjun Shi
- School of Nursing, Tianjin Medical University, Tianjin, China
- CHILD Research Group and Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Mats Granlund
- CHILD Research Group and Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Yue Zhao
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Karina Huus
- CHILD Research Group and Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Pakpour AH, Eriksson M, Erixon I, Broström A, Bengtsson S, Jakobsson M, Huus K. The Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) - A psychometric evaluation of adolescents in Sweden during the COVID-19 pandemic. Heliyon 2024; 10:e27620. [PMID: 38510050 PMCID: PMC10950601 DOI: 10.1016/j.heliyon.2024.e27620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 02/16/2024] [Accepted: 03/04/2024] [Indexed: 03/22/2024] Open
Abstract
The Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) is effective in assessing positive aspects of mental health. Despite its advantages, little is known about group differences in the interpretation of SWEMWBS items across age groups, especially during the adolescence period. Hence, this study examined the psychometric properties of the SWEMWBS through Confirmatory Factor Analysis (CFA), Rasch analysis and network analysis of Swedish adolescents during the COVID-19 pandemic. A total of 5548 participants from the south of Sweden (i.e., Jönköping County) took part in this cross-sectional study through an online platform between September 2020 and October 2020. The CFA, Rasch (including differential item functioning, DIF) analysis and network analysis were used to examine the psychometric properties and measurement invariance of the SWEMWBS. The SWEMWBS had a unidimensional structure with robust psychometric properties. The CFA demonstrated measurement invariance across gender, school year and country of birth, which was also confirmed by Rasch DIF. Furthermore, considerable associations between the items of the SWEMWBS, general health and COVID-19 impact items were observed in network analysis. The SWEMWBS showed robust psychometric properties capable of assessing positive aspects of mental health and well-being among adolescents.
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Affiliation(s)
- Amir H. Pakpour
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Marit Eriksson
- Futurum - the Academy for Health and Care, Region Jönköping County, Sweden
- Department of Public Health and Health Care, Region Jönköping County, Sweden
| | - Ida Erixon
- Department of Public Health and Health Care, Region Jönköping County, Sweden
| | - Anders Broström
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- Department of Clinical Neurophysiology, Linköping University Hospital, Linköping, Sweden
- Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Vestlandet, Norway
| | - Staffan Bengtsson
- CHILD-research Group, School of Health and Welfare, Jönköping University, Sweden
- Department of Social Work, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Malin Jakobsson
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- CHILD-research Group, School of Health and Welfare, Jönköping University, Sweden
| | - Karina Huus
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- CHILD-research Group, School of Health and Welfare, Jönköping University, Sweden
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Pettersson E, Christensen BM, Berglund IG, Nylander E, Huus K. Children with autism spectrum disorder in high technology medicine environments; a qualitative systematic review of parental perspectives. Syst Rev 2024; 13:34. [PMID: 38238824 PMCID: PMC10795331 DOI: 10.1186/s13643-023-02440-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 12/20/2023] [Indexed: 01/22/2024] Open
Abstract
BACKGROUND Children with autism spectrum disorders are frequent visitors to high technology environments, and their needs may differ from those of their typically developed peers. Procedures in high technology environments can constitute a challenge for these children and their parents since the environment presents many challenges relevant to the child's impairments. This systematic review aimed to explore the experiences of children with autism spectrum disorders and their parents during procedures in a high technology environment. METHODS The following sources were searched for this systematic review: Cochrane CENTRAL Trials, CINAHL, Dentistry and Oral Sciences Source, MEDLINE, PsycINFO, Scopus, and Web of Science Core Collection. The search terms included variants of the following concepts: (1) children with autism spectrum disorder and/or their parents and (2) anesthesia or radiographic departments. Publications were not limited by date or study design. RESULT Out of 13,389 bibliographic records, nine studies were eligible for synthesis. After another search in October 2022, one additional study was eligible for synthesis.None of the studies reported children's experiences, and all ten reported their parents' experiences. Only one study was conducted in a radiographic context. Parents' experiences were both positive and negative and were categorized into two main categories: (1) challenges in a new environment and (2) health care professionals' approaches. CONCLUSION Studies describing children's experiences with procedures in high technology environments are lacking. The parents described a need for health care professionals to work in structured ways with their child and to be able to make suitable adaptations. SYSTEMATIC REVIEW REGISTRATION This systematic review was registered in advance on the Open Science Framework, https://doi.org/10.17605/OSF.IO/5TXWJ .
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Affiliation(s)
- Emelie Pettersson
- CHILD Research Group, Nursing Department, School of Health and Welfare, Jönköping University, P.O. Box 1026, 551 11, Jönköping, Sweden.
| | - Berit Møller Christensen
- CHILD Research Group, Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Ingalill Gimbler Berglund
- CHILD Research Group, Nursing Department, School of Health and Welfare, Jönköping University, P.O. Box 1026, 551 11, Jönköping, Sweden
| | | | - Karina Huus
- CHILD Research Group, Nursing Department, School of Health and Welfare, Jönköping University, P.O. Box 1026, 551 11, Jönköping, Sweden
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Li L, Møller Christensen B, Falkmer M, Zhao Y, Huus K. Content validity of the instrument 'Picture My Participation' for measuring participation of children with and without autism spectrum disorder in mainland China. Scand J Occup Ther 2023; 30:1237-1247. [PMID: 37293965 DOI: 10.1080/11038128.2023.2220911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Accepted: 05/29/2023] [Indexed: 06/10/2023]
Abstract
BACKGROUND Picture My Participation (PMP) is a valid instrument for measuring participation of children with disabilities, but it has not yet been evaluated for its content validity for children with autism spectrum disorders (ASD) in mainland China. AIM To explore the content validity of the simplified Chinese version of PMP (PMP-C; Simplified) for children with ASD and typically developing (TD) children in mainland China. METHODS A sample of children with ASD (n = 63) and TD children (n = 63) recruited through purposive sampling were interviewed using the PMP-C (Simplified), which contains 20 items of everyday activities. Children rated attendance and involvement on all activities and selected three most important activities. RESULTS Children with ASD selected 19 of 20 activities as the most important activity while TD children selected 17 activities. Children with ASD used all scale points for rating attendance and involvement on all activities. TD children used all scale points for rating attendance and involvement in 10 and 12 of 20 activities, respectively. CONCLUSION The contents of 20 activities of PMP-C (Simplified) were relevant for all children and especially for children with ASD for assessing participation in community, school and home activities.
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Affiliation(s)
- Liya Li
- CHILD Research Group, Swedish Institute for Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Berit Møller Christensen
- CHILD Research Group, Swedish Institute for Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Marita Falkmer
- CHILD Research Group, Swedish Institute for Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- Curtin Autism Research Group, Curtin School of Allied Health, Curtin University, Perth, Australia
| | - Yue Zhao
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Karina Huus
- CHILD Research Group, Swedish Institute for Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Pettersson E, Christensen BM, Berglund IG, Huus K. Healthcare professionals' experiences of situations during a procedure with a child with autism spectrum disorder in the high-technology environment. Child Care Health Dev 2023; 49:1087-1095. [PMID: 37009780 DOI: 10.1111/cch.13119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 02/24/2023] [Accepted: 03/17/2023] [Indexed: 04/04/2023]
Abstract
BACKGROUND High technological environments can be challenging for children with autism spectrum disorders (ASD), because they can be sensitive to new environments, new faces and changes in daily routines. Those children are frequent visitors in those settings, and due to their heightened healthcare needs and their comorbidities, it could constitute a challenge for healthcare professionals to encounter those children. Exploring the healthcare professionals' experiences can contribute to facilitate the procedure for a child with ASD. METHOD A qualitative descriptive retrospective design with a critical incident technique has been used to capture the situations. Twenty healthcare professionals were interviewed about situations affecting the procedure in the high-technology environments, defined as anaesthesia and radiology departments. RESULT The findings revealed both favourable situations and unfavourable situations affecting the procedure in the high-technology environment. The situations described by the healthcare professionals often involved their interactions with the child and the parents. The interactions were influenced by the parents' attitudes to the procedure and also the healthcare professionals and the parents' different expectations on the procedure. Other experiences described by the healthcare professionals were the unpredictability in different situations. Those situations were related to the child's unpredictable behaviour in those environments and also to the unpredictable effect of premedication provided to the child. Moreover, the result revealed the organizational prerequisites for facilitating a procedure, such as not feeling any time pressure when leading a child through a procedure. CONCLUSIONS Interactions between healthcare professionals, children with ASD and parents in the high-technology environment are complex. Unpredictability characterizes situations when leading a child with ASD through a procedure. This place demands on the healthcare professional, the environment and the organization.
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Affiliation(s)
- Emelie Pettersson
- CHILD Research Group, Nursing Department, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Berit Møller Christensen
- CHILD Research Group, Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Ingalill Gimbler Berglund
- CHILD Research Group, Nursing Department, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Karina Huus
- CHILD Research Group, Nursing Department, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Zheng H, Bornman J, Granlund M, Zhao Y, Huus K. Agreement between children with long-term health conditions and their primary caregivers on reports of perceived participation. Front Rehabil Sci 2023; 4:1123651. [PMID: 37350849 PMCID: PMC10282543 DOI: 10.3389/fresc.2023.1123651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Accepted: 05/15/2023] [Indexed: 06/24/2023]
Abstract
Background There is limited knowledge regarding the perceived participation of children with long-term health conditions in everyday activities. Children may have perceptions that differ from those of their primary caregivers. It is unclear whether children and caregivers rate their participation in everyday situations in the same way. Objectives We aimed to explore the level of agreement pertaining to perceived participation (attendance and involvement) and examine whether differences exist in the rank order of activities selected as the three most important between reports from children with long-term health conditions and their primary caregivers. Methods The simplified Chinese version of the Picture My Participation (PMP-C; Simplified) was used in an interview with children with long-term health conditions; meanwhile, their primary caregivers finished the questionnaire independently. Data were analyzed using Wilcoxon tests, weighted kappa values, and Spearman's rank order correlation. Results Children with long-term health conditions reported significantly lower attendance scores for six activity items (p < 0.05) and higher involvement scores for two activity items (p < 0.05) than their primary caregivers did. An overall slight to fair agreement in perceived participation was found at the child-caregiver dyad level, though differences in dyads were observed. A strong correlation was identified between the rank order of the most important activities for both groups (r = 0.81). Conclusions Differences may exist between the perceived participation of children with long-term health conditions, as reported by primary caregivers and the children themselves. The findings highlight that children with long-term health conditions exhibit unique views with respect to their perceived participation and have to be asked regarding their perceptions themselves.
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Affiliation(s)
- Hong Zheng
- CHILD Research Group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Juan Bornman
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Mats Granlund
- CHILD Research Group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Yue Zhao
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Karina Huus
- CHILD Research Group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Zheng H, Bornman J, Granlund M, Zhao Y, Huus K. Participation of children with long-term health conditions compared to that of healthy peers: A cross-sectional comparative study. Scand J Occup Ther 2023; 30:334-343. [PMID: 35132920 DOI: 10.1080/11038128.2022.2035815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Knowledge is limited on attendance and involvement of perceived participation of children with long-term health conditions. AIMS To evaluate the perceived participation of children with long-term health conditions and to compare their participation with that of healthy peers. MATERIAL AND METHODS A cross-sectional comparative study was designed using self-reported data from 65 children with long-term health conditions and from 65 healthy peers, utilising the simplified Chinese version of Picture My Participation (PMP-C; Simplified). RESULTS The frequency scores of children with long-term health conditions were significantly lower than those of healthy peers in terms of attendance for the total domain and for 13 activity items. The involvement scores of children with long-term health conditions were significantly lower than those of healthy children in 3 items. There was a strong correlation between rank orders of the most important activities for the two groups (r = 0.83). CONCLUSIONS Children with long-term health conditions participated less in activities compared to healthy children. Further studies are required to investigate factors of the participation of children. SIGNIFICANCE The PMP-C (Simplified) offered an opportunity for children to express their own perspectives of participation based on their individual experience of the activity.
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Affiliation(s)
- Hong Zheng
- CHILD Research Group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Juan Bornman
- Centre for Augmentative and Alternative Communication, University of Pretoria, South Africa
| | - Mats Granlund
- CHILD Research Group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Yue Zhao
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Karina Huus
- CHILD Research Group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Shi L, Granlund M, Wang L, Huus K. Barriers and facilitators to participation in everyday activities for children with intellectual disabilities in China. Child Care Health Dev 2023; 49:346-356. [PMID: 36001483 PMCID: PMC10087295 DOI: 10.1111/cch.13052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 08/10/2022] [Accepted: 08/14/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Children with intellectual disabilities (IDs) are vulnerable and participate less in everyday activities compared to their peers with typical development. This study aimed to identify barriers and facilitators related to the participation in everyday activities of children with IDs in China. METHODS Twenty semi-structured interviews were conducted with primary caregivers of children with IDs from special schools in Tianjin, China. The data were transcribed and analysed using inductive qualitative content analysis. RESULTS Four categories of barriers to participation in everyday activities for children with IDs were identified: insufficient knowledge, attitudes and skills in primary caregivers; ID-related characteristics of children; stigma and Chinese culture; and lack of support from society. Four categories describing facilitators of participation in everyday activities for children with IDs were also identified: the optimistic attitude of the primary caregiver; adequate family support; active environment in school and policy; and attractive characteristics of children with IDs. CONCLUSIONS The findings in this study add knowledge on important barriers and facilitators affecting the participation of children with IDs in everyday activities in China. The primary caregivers' voices need to be heard by government and society. Appropriate and effective changes in family-oriented services and the legal, social, political and economic context of the child welfare management system for the scale-up of improving participation should be implemented for children with IDs.
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Affiliation(s)
- Linjun Shi
- CHILD Research group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,School of Nursing, Tianjin Medical University, Tianjin, China
| | - Mats Granlund
- CHILD Research group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Lan Wang
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Karina Huus
- CHILD Research group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Odzakovic E, Huus K, Ahlberg BM, Bradby H, Hamed S, Thaper-Björkert S, Björk M. Discussing racism in healthcare: A qualitative study of reflections by graduate nursing students. Nurs Open 2023; 10:3677-3686. [PMID: 36692244 PMCID: PMC10170953 DOI: 10.1002/nop2.1619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 11/02/2022] [Accepted: 01/13/2023] [Indexed: 01/25/2023] Open
Abstract
AIM The aim is to illustrate and analyse reflections from graduate nursing students over their experience of discussing racism in healthcare in an educational intervention. DESIGN A qualitative, descriptive design was adopted. METHODS Data were collected through written reflections and analysed through content analysis. In total, 81 students participated in the intervention; 39 paediatric and 42 public health care nursing students. Of those, 27 participants gave consent to have their written reflections included in the study. RESULTS Three main categories were developed in the content analysis of student reflections: (a) the implicit embeddedness of racism in healthcare organization; (b) the effect of racism on interactions with patients; and (c) a growing awareness of one's own understanding of racism. This study indicates that student nurses discussed racism as relevant to understanding good clinical practice for the benefit of patients and work-based wellbeing of staff. This recognition of the organizational nature of racism warrants nursing leaders and managers to include racism as a social determinant of health in the undergraduate and graduate curricula to educate the next generation of nursing about racism.
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Affiliation(s)
- Elzana Odzakovic
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Karina Huus
- CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Beth Maina Ahlberg
- Department of Sociology, Uppsala University, Uppsala, Sweden.,Skaraborg Institute for Research and Development, Skövde, Sweden
| | - Hannah Bradby
- Department of Sociology, Uppsala University, Uppsala, Sweden
| | - Sarah Hamed
- Department of Sociology, Uppsala University, Uppsala, Sweden
| | | | - Maria Björk
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Huus K, Sundqvist AS, Anderzén-Carlsson A, Wahlqvist M, Björk M. Living an ordinary life – yet not: the everyday life of children and adolescents living with a parent with deafblindness. Int J Qual Stud Health Well-being 2022; 17:2064049. [PMID: 35437116 PMCID: PMC9037212 DOI: 10.1080/17482631.2022.2064049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Introduction The family life of people living with one family member with deafblindness has been sparsely described. Purpose The aim of the study was to explore how children experience their everyday family life when having a parent with deafblindness. Methods An explorative study in which data have been collected by qualitative interviews of children. Qualitative content analysis has been used for analysing the data. Results Overall theme; Living an ordinary life—yet not, is based on four categories with subcategories. A family like any other describes: Having the same family life as their friends, Acting like other children and It is what it is. Different everyday life describes: Acknowledging differences, Adjusting to the parent’s needs and Financial strain. Being there for the parent describes: Helping the parent and Protecting the parent from harm. Being emotionally affected describes: Feelings of frustration, Feelings of compassion and Need for support. Conclusion Children as relatives of parents with deafblindness have been given a voice. The children live an ordinary life, but at the same time a different ordinary life. Professionals need to take the child and their needs into account when support is given.
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Affiliation(s)
- Karina Huus
- Department of Nursing Science, Jönköping University, Jönköping, Sweden
| | - Ann-Sofie Sundqvist
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
| | - Agneta Anderzén-Carlsson
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
| | - Moa Wahlqvist
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
- Audiological Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Maria Björk
- Department of Nursing Science, Jönköping University, Jönköping, Sweden
- The Swedish National Resource Center for Deafblindness, Lund, Sweden
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Björk M, Wahlqvist M, Huus K, Anderzén-Carlsson A. The consequences of deafblindness rules the family: Parents’ lived experiences of family life when the other parent has deafblindness. British Journal of Visual Impairment 2022. [DOI: 10.1177/0264619620941895] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Deafblindness is a combined vision and hearing disability that restricts communication, access to information, and mobility, thus limiting a person’s activities and full participation in society. Literature on how this might affect the lives of family members is sparse. The aim of this study is to describe the lived experience of family life from the perspective of one parent when the other has deafblindness. Six partners of deafblind parents, four men and two women, agreed to participate. Three were deaf and communicated in Swedish sign language. Qualitative interviews were conducted and analysed using interpretative phenomenological analysis. Seven themes were identified during the analysis. When one parent has deafblindness, communication within the family and with people outside the family is affected. The non-deafblind partners tried to integrate deafblindness into everyday family life and constantly strove to compensate for the losses caused by deafblindness. They tried to enhance participation and engagement in everyday family life for the parent with deafblindness by facilitating communication and taking a greater part in some areas of their shared responsibilities at home. The results reveal that these partners often put themselves in second place. They and their families needed support to manage family life. Deafblindness affects the life of the entire family, and the non-deafblind partner has to take considerable responsibility for everyday life. Everyday life can be facilitated by an adapted environment and appropriate support, which should be offered to the entire family.
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Affiliation(s)
- Maria Björk
- CHILD research group, Swedish Institute for Disability Research (SIDR), Department of Nursing Science, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- University Health Care Research Centre and SIDR, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Moa Wahlqvist
- Audiological Research Centre and SIDR, Faculty of Medicine and Health, Örebro University and The Swedish National Resource Centre for Deafblindness, Lund, Sweden
- University Health Care Research Centre and SIDR, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Karina Huus
- CHILD research group, SIDR, Department of Nursing Science, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- University Health Care Research Centre and SIDR, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Agneta Anderzén-Carlsson
- University Health Care Research Centre and SIDR, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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Huus K, Morwane R, Ramaahlo M, Balton S, Pettersson E, Gimbler Berglund I, Dada S. Voices of children with intellectual disabilities on participation in daily activities. Afr J Disabil 2021; 10:792. [PMID: 34395201 PMCID: PMC8335764 DOI: 10.4102/ajod.v10i0.792] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 05/06/2021] [Indexed: 11/01/2022] Open
Abstract
Background Participation in daily activities is expressed as a human right. Full participation of children with disabilities in daily activities creates optimal opportunities for learning and development. Previous studies have focused primarily on proxy ratings of participation of children with intellectual disabilities in daily activities. However, little is known about how the children rate barriers and facilitators to their participation in everyday activities. Objectives To identify barriers to and facilitators for everyday activities as experienced by children with intellectual disabilities from low- and middle-income countries and high-income countries. The research questions were as follows: 'what barriers to participation do children with disabilities experience in everyday activities?' and 'what facilitators to participation do children with disabilities experience in everyday activities?' Method A qualitative content analyses was used in this study, and individual interviews were conducted with 49 children with intellectual disabilities. The interviews were performed using pictures. The children also selected the most important activities and described in their own words the facilitators and barriers relevant to being able to perform the activities. Results The most important activities were organised leisure activities, formal learning at school, taking care of other family members and family mealtimes. Self-reported barriers identified were personal functioning, social exclusion and lack of resources. The identified facilitators included satisfaction, personal capability, being included and having access to resources. Conclusion These findings provide important knowledge about the factors to consider in the development of interventions, aimed at improving the participation of children with intellectual disabilities.
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Affiliation(s)
- Karina Huus
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD Research Group, Jönköping University, Jönköping, Sweden.,Swedish Institute for Disability Research (SIDR), Jönköping, Sweden
| | - Refilwe Morwane
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Maria Ramaahlo
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Sadna Balton
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa.,Department of Speech Therapy and Audiology, Chris Hani Baragwanath Academic Hospital, Soweto, South Africa
| | - Emelie Pettersson
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD Research Group, Jönköping University, Jönköping, Sweden.,Swedish Institute for Disability Research (SIDR), Jönköping, Sweden
| | - Ingalill Gimbler Berglund
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD Research Group, Jönköping University, Jönköping, Sweden.,Swedish Institute for Disability Research (SIDR), Jönköping, Sweden
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
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Arvidsson P, Dada S, Granlund M, Imms C, Shi LJ, Kang LJ, Hwang AW, Huus K. Structural validity and internal consistency of Picture My Participation: A measure for children with disability. Afr J Disabil 2021; 10:763. [PMID: 34192118 PMCID: PMC8182562 DOI: 10.4102/ajod.v10i0.763] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Accepted: 03/01/2021] [Indexed: 11/01/2022] Open
Abstract
Background Picture My Participation (PMP) intended to measure participation, defined as attendance and involvement in everyday situations, of children with disabilities, particularly in low- and middle-income settings. Objectives To explore structural validity of PMP by identifying possible subcomponents in the attendance scale and examining internal consistency of the total score and each subcomponent. Method A picture-supported interview was conducted with 182 children, 7-18 years, with and without intellectual disability (ID). Frequency of attendance in 20 activities was rated on a four-point Likert scale (never, seldom, sometimes and always). Results An exploratory principal component analysis extracted four subcomponents: (1) organised activities, (2) social activities and taking care of others, (3) family life activities and 4) personal care and development activities. Internal consistency for the total scale (alpha = 0.85) and the first two subcomponents (alpha = 0.72 and 0.75) was acceptable. The two last subcomponents alpha values were 0.57 and 0.49. Conclusion The four possible subcomponents of PMP can be used to provide information about possible domains in which participation and participation restrictions exist. This study provided further psychometric evidence about PMP as a measure of participation. The stability and the utility of these subcomponents needed further exploration.
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Affiliation(s)
- Patrik Arvidsson
- Children, Health, Intervention, Learning and Development (CHILD), Faculty of Health Science, Jönköping University, Jönköping, Sweden.,Swedish Institute for Disability Research, School of Health and Welfare, Faculty of Health and Welfare, Jönköping University, Jönköping, Sweden.,Centre for Research & Development, Uppsala University, Gävleborg, Sweden
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, Faculty of Humanities, University of Pretoria, Pretoria, South Africa
| | - Mats Granlund
- Children, Health, Intervention, Learning and Development (CHILD), Faculty of Health Science, Jönköping University, Jönköping, Sweden.,Swedish Institute for Disability Research, School of Health and Welfare, Faculty of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Christine Imms
- Department of Paediatrics, Faculty of Medical, Dental and Health Sciences, The University of Melbourne, Melbourne, Australia
| | - Lin Jun Shi
- Children, Health, Intervention, Learning and Development (CHILD), Faculty of Health Science, Jönköping University, Jönköping, Sweden.,Swedish Institute for Disability Research, School of Health and Welfare, Faculty of Health and Welfare, Jönköping University, Jönköping, Sweden.,School of Nursing, Tianjin Medical University, Heping District, China
| | - Lin Ju Kang
- Graduate Institute of Early Intervention, Chang Gung University, Tao-Yuan, Taiwan.,The Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Ai-Wen Hwang
- Graduate Institute of Early Intervention, Chang Gung University, Tao-Yuan, Taiwan.,The Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Karina Huus
- Children, Health, Intervention, Learning and Development (CHILD), Faculty of Health Science, Jönköping University, Jönköping, Sweden.,Swedish Institute for Disability Research, School of Health and Welfare, Faculty of Health and Welfare, Jönköping University, Jönköping, Sweden
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Huus K, Schlebusch L, Ramaahlo M, Samuels A, Berglund IG, Dada S. Barriers and facilitators to participation for children and adolescents with disabilities in low- and middle-income countries - A scoping review. Afr J Disabil 2021; 10:771. [PMID: 33824860 PMCID: PMC8008013 DOI: 10.4102/ajod.v10i0.771] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 11/26/2020] [Indexed: 11/15/2022] Open
Abstract
Background Research has shown that all children and adolescents have the right to participate in their everyday life. However, little is known about what impacts the participation of children and adolescents with disabilities living in low-and middle-income countries. Objective The present study undertakes a scoping review of research to synthesise the current literature about barriers and facilitators to participation in everyday life for children and adolescents with disabilities living in low- and middle-income countries. Method A scoping review was conducted. The databases Psyc INFO, MEDLINE, CINAHL, Pubmed, ERIC and African Wide information were searched for studies published between 2001 and April 2018. Data was analysed using deductive content analysis. The barriers and facilitators to participation were categorised into personal factors, social factors, environmental factors, and policy and programme factors. Result In the end, 17 articles were included for data extraction as they mentioned barriers and facilitators to participation for children and adolescents with disabilities. Most of the reviewed studies reported on barriers to participation. Only one of the studies was performed in a country classified as a low-income country; all other studies were performed in middle-income countries. The results indicate that some factors, especially social factors, could be perceived as both facilitators and barriers to participation. Conclusion There is a lack of studies describing barriers and facilitators in low- and middle- income countries. Barriers and facilitators in proximity to the child and family are most frequently described in the literature.
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Affiliation(s)
- Karina Huus
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,Swedish Institute of Disability Research (SIDR), School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Liezl Schlebusch
- Centre for Augmentative and Alternative Communication, Faculty of Humanities, University of Pretoria, Pretoria, South Africa
| | - Maria Ramaahlo
- Centre for Augmentative and Alternative Communication, Faculty of Humanities, University of Pretoria, Pretoria, South Africa
| | - Alecia Samuels
- Centre for Augmentative and Alternative Communication, Faculty of Humanities, University of Pretoria, Pretoria, South Africa
| | - Ingalill Gimbler Berglund
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, Faculty of Humanities, University of Pretoria, Pretoria, South Africa
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Balton S, Arvidsson P, Granlund M, Huus K, Dada S. Test-retest reliability of Picture My Participation in children with intellectual disability in South Africa. Scand J Occup Ther 2020; 29:315-324. [PMID: 33307940 DOI: 10.1080/11038128.2020.1856922] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND Picture My Participation (PmP) is a promising instrument for measuring the participation in everyday situations of children with intellectual disability (ID), particularly in low- and middle-income countries. AIM To explore test-retest reliability of PmP by comparing two repeated measurements of children with ID in an urban context in South Africa. METHODS A picture-supported interview with 31 children with ID, aged 7-17 years, was conducted twice, two weeks apart. The children rated their participation, operationalised as attendance and involvement, in 20 everyday activities. Analyses were completed for total scores, for the four subcomponents and at item level. RESULTS Test-retest agreement at an item level for both attendance and involvement showed slight/fair agreement for most activities (Kappa = 0.01-0.40), and moderate agreement for some activities (Kappa = 0.41-0.60). Moderate agreement was shown for the total scale and at component level (ICC = 0.5-0.75), except for (firstly) attendance of and involvement in 'Family Activities' (ICC = 0.26 for attendance, 0.33 for involvement), and (secondly) involvement in 'Personal Activities' (ICC = 0.33). CONCLUSION The result indicates that PmP can reliably be used at component level and as a screening tool for intervention planning to identify participation and participation restrictions in children with ID.
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Affiliation(s)
- Sadna Balton
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Patrik Arvidsson
- CHILD, Swedish Institute for Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden
| | - Mats Granlund
- Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden
| | - Karina Huus
- Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
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Schlebusch L, Huus K, Samuels A, Granlund M, Dada S. Participation of young people with disabilities and/or chronic conditions in low- and middle-income countries: a scoping review. Dev Med Child Neurol 2020; 62:1259-1265. [PMID: 32597506 DOI: 10.1111/dmcn.14609] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/12/2020] [Indexed: 11/29/2022]
Abstract
AIM The purpose of this scoping review was to describe and map the literature available on the participation of young people (0-21y) with disabilities and/or chronic conditions living in low- and middle-income countries (LMICs). METHOD A systematic search and selection process identified 78 publications. Descriptive data were extracted using a data-charting form, and studies were mapped using the family of participation-related constructs framework. RESULTS The findings demonstrated that, although the published evidence is steadily increasing, the participation research on this vulnerable population is still either absent or very scarce in the majority of LMICs, and very little is known about the participation of children with chronic health conditions. Most studies included in this review focused on attendance or 'being there'. INTERPRETATION Although attendance is an important aspect, more needs to be done to understand children's experiences or involvement while attending, thus capturing both dimensions of participation. WHAT THIS PAPER ADDS There is an increasing trend in research on participation patterns of children with disabilities in low- and middle-income countries. Most research focuses on children's attendance, or 'being there'. We know very little about children's involvement, or experience, while attending daily activities.
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Affiliation(s)
- Liezl Schlebusch
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Karina Huus
- CHILD Research Group, School of Health and Welfare, Swedish Institute for Disability Research, Jönköping University, Jönköping, Sweden
| | - Alecia Samuels
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Mats Granlund
- CHILD Research Group, School of Health and Welfare, Swedish Institute for Disability Research, Jönköping University, Jönköping, Sweden
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
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Shi L, Granlund M, Zhao Y, Hwang AW, Kang LJ, Huus K. Transcultural adaptation, content validity and reliability of the instrument 'Picture My Participation' for children and youth with and without intellectual disabilities in mainland China. Scand J Occup Ther 2020; 28:147-157. [PMID: 32941109 DOI: 10.1080/11038128.2020.1817976] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND 'Picture My Participation' (PMP) is a validated questionnaire for assessing participation in everyday activities by children with disabilities in low and middle income countries, but it is not yet available in simplified Chinese. AIM To describe the cross-cultural adaptation of the simplified Chinese version of 'Picture My Participation' (PMP-C; Simplified) and explore its validity and reliability. METHODS A cross-sectional study using convenience sampling was conducted using PMP-C (Simplified) with structured interviews supported by pictures for children and youth with and without intellectual disabilities (ID) in mainland China. The validity of the PMP-C (Simplified) was demonstrated by face validity and content validity while the reliability was evaluated for internal consistency and test-retest reliability. RESULTS Five items were slightly modified and eight pictures were revised to improve their fit with the culture of mainland China. All the items in PMP-C (Simplified) had excellent content validity, and face validity. The internal consistency, reliability coefficient and test-retest reliability of the subscale attendance for children and youth with and without ID were excellent. CONCLUSION Preliminary evidence of the content validity of PMP-C (Simplified) items and reliability of the subscale attendance for use with children and youth in mainland China has been gathered. However, psychometric properties in terms of construct validity for the whole instrument and reliability for the engagement subscale need further exploration.
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Affiliation(s)
- Linjun Shi
- CHILD Research group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,School of Nursing, Tianjin Medical University, Tianjin, China
| | - Mats Granlund
- CHILD Research group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Yue Zhao
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Ai-Wen Hwang
- Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.,The Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Lin-Ju Kang
- Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.,The Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Karina Huus
- CHILD Research group, Swedish Institute of Disability Research, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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18
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Samuels A, Dada S, Van Niekerk K, Arvidsson P, Huus K. Children in South Africa with and without Intellectual Disabilities' Rating of Their Frequency of Participation in Everyday Activities. Int J Environ Res Public Health 2020; 17:ijerph17186702. [PMID: 32942532 PMCID: PMC7558196 DOI: 10.3390/ijerph17186702] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 09/04/2020] [Accepted: 09/08/2020] [Indexed: 12/22/2022]
Abstract
In a low-and middle-income country (LMIC) such as South Africa, not much is known about how children with intellectual disabilities (ID) participate in everyday activities, as no studies to date have compared their participation to peers without ID from the same background. Using a newly developed, contextually valid measure of participation, Picture my Participation (PmP), 106 children with (73) and without ID (33), rated their frequency of participation in activities of daily living. Previous international research has established that children with ID tend to participate less frequently than children without ID in everyday activities outside of the school setting. However, much of this research is based on proxy ratings from caregivers rather than children with ID themselves. There is a growing body of evidence that suggests children with disabilities have uniquely different views of their own participation than their caregivers. The existing research evidence is also delimited to studies conducted predominantly in high income contexts (HICSs). Since it is universally acknowledged that participation patterns are affected by the environment, it is important to evaluate the generalizability of the current evidence to LMICs. The current study found that there were many similar patterns of participation between the two groups although significant differences were noted in social, community, leisure and self-care activities. We compare these results to findings from studies conducted in HICs and find that there are similarities but also differences across contexts. This study highlights the importance of gaining a child’s perspective of participation and understanding how intellectual disability can affect participation relative to peers without ID in LMICS.
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Affiliation(s)
- Alecia Samuels
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria 0028, South Africa; (S.D.); (K.V.N.)
- Correspondence:
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria 0028, South Africa; (S.D.); (K.V.N.)
| | - Karin Van Niekerk
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria 0028, South Africa; (S.D.); (K.V.N.)
| | - Patrik Arvidsson
- CHILD Research Group, Swedish Institute for Disability Research, Jönköping University, 55111 Jönköping, Sweden; (P.A.); (K.H.)
- Centre for Research & Development, Uppsala University, Region Gävleborg, 801 88 Gävle, Sweden
| | - Karina Huus
- CHILD Research Group, Swedish Institute for Disability Research, Jönköping University, 55111 Jönköping, Sweden; (P.A.); (K.H.)
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Dada S, Andersson AK, May A, Andersson EE, Granlund M, Huus K. Agreement between participation ratings of children with intellectual disabilities and their primary caregivers. Res Dev Disabil 2020; 104:103715. [PMID: 32574934 DOI: 10.1016/j.ridd.2020.103715] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 05/21/2020] [Accepted: 06/08/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Participation of children with ID it is argued must be understood in relation to the fit with the environment. Since caregivers are a vital factor within the close environment of a child with intellectual disability, their perceptions are unequivocally important. AIMS The main aim of this study is to describe the self-reported participation of children with ID and the perceptions of their primary caregivers. Both frequency of attendance and perceived importance of activity was measured with self-reported and proxy-reports. METHODS & PROCEDURES A custom developed Picture my Participation (PmP) survey was utilised in an interview format with children with intellectual disability whilst their primary caregivers completed the survey independently. RESULTS Overall, the perceptions of children with intellectual disabilities and of primary caregivers showed similarities regarding attendance and activities considered important. On group level, both children and primary caregivers perceived the child to have a high level of attendance ofFormal learning in school, Family mealtime, Interacting with family and Celebrations. An overall poor agreement in perceived frequency of attendance was found. However, in child-primary cargiver-dyads poor agreement in perceived frequency of attendance was found. CONCLUSIONS While primary caregivers and children's ratings of attendance and selection of the most important activities appeared somewhat similar, there was a noted difference, in that primary caregivers' were uniform in their selection, whilst there was a diversity in the selection of activities amongst children.
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Affiliation(s)
- Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, South Africa.
| | - Anna Karin Andersson
- CHILD Research Group, Swedish Institute for Disability Research, School of Health and Welfare, Jönkoping University Sweden, Sweden
| | - Adele May
- Centre for Augmentative and Alternative Communication, University of Pretoria, South Africa
| | - Elisabeth Elgmark Andersson
- CHILD Research Group, Swedish Institute for Disability Research, School of Health and Welfare, Jönkoping University Sweden, Sweden
| | - Mats Granlund
- CHILD Research Group, Swedish Institute for Disability Research, School of Health and Welfare, Jönkoping University Sweden, Sweden
| | - Karina Huus
- CHILD Research Group, Swedish Institute for Disability Research, School of Health and Welfare, Jönkoping University Sweden, Sweden
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Enskär K, Darcy L, Björk M, Knutsson S, Huus K. Experiences of Young Children With Cancer and Their Parents With Nurses' Caring Practices During the Cancer Trajectory. J Pediatr Oncol Nurs 2019; 37:21-34. [PMID: 31526068 DOI: 10.1177/1043454219874007] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Children with cancer require repeated hospitalizations and the family's everyday life and routines undergo change. Concrete descriptions of how nurses act when caring for children with cancer throughout the various phases of care and treatment are sparsely highlighted in the literature. The aim of this study was to describe young children with cancer and their parents' experiences of nurses' caring practices over a 3-year period, from diagnosis to follow-up. This study is based on semistructured interviews with 25 children newly diagnosed with cancer, aged 1 to 6 years, and their parents, connected to a pediatric oncology unit in Sweden. Child and parent data were analyzed with a deductive content analysis using Swanson's theory of caring. The result shows that nurse care practices directed toward young children with cancer and their parents are to some extent similar across a 3-year period from diagnosis to follow-up but also differ in some ways. Nurses' caring practices aim to support children and parents in the transition to a "new normal." Child- and family-friendly care processes include the following: creating hope and a trustful relationship, asking rather than assuming, providing knowledge and information, performing tasks skillfully, displaying an interest in the child's and parents' life outside the hospital, and helping the family to trust in the future and other health care providers. Based on these results, we recommend the development of a standardized and structured nursing care plan or clinical guideline with detailed information on how to carry out clinical nurse care practices in the different phases.
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Affiliation(s)
- Karin Enskär
- CHILD Research Group, Jönköping University, Sweden
| | | | - Maria Björk
- CHILD Research Group, Jönköping University, Sweden
| | | | - Karina Huus
- CHILD Research Group, Jönköping University, Sweden
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21
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Møller Christensen B, Björk M, Almqvist L, Huus K. Patterns of support to adolescents related to disability, family situation, harassment, and economy. Child Care Health Dev 2019; 45:644-653. [PMID: 30995346 DOI: 10.1111/cch.12675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Revised: 04/11/2019] [Accepted: 04/12/2019] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Adolescents need support from family, friends, and teachers to increase their involvement in everyday life. Their environment and their own characteristics also influence their ability to participate in an everyday supportive environment. AIM The aim of the study was to investigate patterns of support from parents, teachers, and very important persons such as peers to the ability of adolescents to participate in everyday life, as well as the importance of interpersonal relations as experienced by the adolescents. METHOD The study has a cross-sectional design. The data compiled and analysed in this study are part of a longitudinal study of adolescents and their development into adults-LoRDIA (Longitudinal Research on Development In Adolescence). A combination of person- and variable-oriented design was used to capture patterns of support. RESULTS Adolescents with a complicated home situation and low economic prerequisites who received little support from parents and friends participated to a lower degree in home activities. A substantial number of these adolescents had self-reported neurodevelopmental disorders and, as a group, were more often exposed to harassment. However, these adolescents participated to a higher extent in school activities, although they received little support from the teachers. The adolescents who received most support from parents and teachers were those with a country of origin other than Sweden and those who lived with both of their parents and had more siblings than average. However, this did not mean that they participated to a higher extent in home and school activities.
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Affiliation(s)
- Berit Møller Christensen
- CHILD Research Group, Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Maria Björk
- CHILD Research Group, Department of Nursing Science, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Lena Almqvist
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | - Karina Huus
- CHILD Research Group, Department of Nursing Science, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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22
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Arvidsson P, Dada S, Granlund M, Imms C, Bornman J, Elliott C, Huus K. Content validity and usefulness of Picture My Participation for measuring participation in children with and without intellectual disability in South Africa and Sweden. Scand J Occup Ther 2019; 27:336-348. [PMID: 31402722 DOI: 10.1080/11038128.2019.1645878] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Background: Participation comprises attendance and involvement in everyday situations. Picture My Participation (PmP) is an instrument intended to measure participation in children with disabilities, particularly in low and middle income countries.Aim: To investigate content validity and usefulness of PmP for measuring participation in children with intellectual disability (ID) in South Africa and Sweden.Methods: A picture supported interview with 149 children, 6-18 years, with and without ID. Twenty everyday activities were provided. The three most important activities were selected by the child. Attendance was rated on all activities. Involvement was rated on the most important.Results: All activities were selected as important by at least one child with ID in both countries. There were similarities in perceived importance between the children with and without ID from South Africa. The children from South Africa with ID were the only subgroup that used all scale points for rating attendance and involvement.Conclusion: The 20 selected activities of PmP were especially relevant for children with ID in South Africa. The usefulness of the scales was higher for the children with ID in both countries. PmP is promising for assessing participation across different settings but psychometrical properties and clinical utility need further exploration.
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Affiliation(s)
- Patrik Arvidsson
- School of Health and Welfare, Swedish Institute for Disability Research, Jönköping University, Jonkoping, Sweden.,Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle, Sweden
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Mats Granlund
- School of Health and Welfare, Swedish Institute for Disability Research, Jönköping University, Jonkoping, Sweden
| | - Christine Imms
- Centre for Disability and Development Research, Australian Catholic University, Melbourne, Australia
| | - Juan Bornman
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Catherine Elliott
- School of Occupational Therapy, Speech pathology and Social Work, Curtin University, Perth, Australia
| | - Karina Huus
- School of Health and Welfare, Swedish Institute for Disability Research, Jönköping University, Jonkoping, Sweden
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Lygnegård F, Almqvist L, Granlund M, Huus K. Participation profiles in domestic life and peer relations as experienced by adolescents with and without impairments and long-term health conditions. Dev Neurorehabil 2019; 22:27-38. [PMID: 29313401 DOI: 10.1080/17518423.2018.1424266] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
PURPOSE To investigate how individual and environmental factors relate to self-reported participation profiles in adolescents with and without impairments or long-term health conditions. METHODS A person-oriented approach (hierarchical cluster analysis) was used to identify cluster groups of individuals sharing participation patterns in the outcome variables frequency perceived importance in domestic life and peer relations. Cluster groups were compared using one-way analysis of variance (ANOVA). RESULTS A nine-cluster solution was chosen. All clusters included adolescents with impairment and long-term health conditions. Perceived importance of peer relations was more important than frequent attendance in domestic-life activities. Frequency of participation in dialogues and family interaction patterns seemed to affect the participation profiles more than factors related to body functions. CONCLUSION Type of impairment or long-term health condition is a weaker determinant of membership in clusters depicting frequency and perceived importance in domestic life or peer relations than dialogue and family environment.
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Affiliation(s)
- Frida Lygnegård
- a CHILD Research Group , Jönköping University , Jönköping , Sweden.,c Swedish Institute of Disability Research , Jönköping University , Jönköping , Sweden.,d School of Health and Welfare , Jönköping University , Jönköping , Sweden
| | - Lena Almqvist
- a CHILD Research Group , Jönköping University , Jönköping , Sweden.,b Dept of Psychology , Mälardalen University , Västerås , Sweden
| | - Mats Granlund
- a CHILD Research Group , Jönköping University , Jönköping , Sweden.,c Swedish Institute of Disability Research , Jönköping University , Jönköping , Sweden
| | - Karina Huus
- a CHILD Research Group , Jönköping University , Jönköping , Sweden.,c Swedish Institute of Disability Research , Jönköping University , Jönköping , Sweden.,d School of Health and Welfare , Jönköping University , Jönköping , Sweden
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Olsson LM, Elgmark Andersson E, Granlund M, Huus K. Habilitation Service Utilization Patterns Among Children With Mild Intellectual Disability. Journal of Policy and Practice in Intellectual Disabilities 2017. [DOI: 10.1111/jppi.12174] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Lena M. Olsson
- Department of Social Work; School of Health and Welfare, Jönköping University; Jönköping Sweden
- CHILD; Institute of Disability Research, Jönköping University; Sweden
| | - Elisabeth Elgmark Andersson
- CHILD; Institute of Disability Research, Jönköping University; Sweden
- Department of Rehabilitation; School of Health and Welfare, Jönköping University; Jönköping Sweden
| | - Mats Granlund
- Department of Social Work; School of Health and Welfare, Jönköping University; Jönköping Sweden
- CHILD; Institute of Disability Research, Jönköping University; Sweden
- Department of Special Education; Oslo University; Oslo Norway
| | - Karina Huus
- CHILD; Institute of Disability Research, Jönköping University; Sweden
- Department of Nursing; School of Health and Welfare, Jönköping University; Jönköping Sweden
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Björkman B, Gimbler Berglund I, Enskär K, Faresjö M, Huus K. Peri-radiographic guidelines for children with autism spectrum disorder: a nationwide survey in Sweden. Child Care Health Dev 2017; 43:31-36. [PMID: 27807874 DOI: 10.1111/cch.12427] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Revised: 09/17/2016] [Accepted: 10/10/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVE This study aimed to investigate the prevalence of guidelines and routines used nationwide when children with autism spectrum disorder (ASD) are taken care of and examined in a radiology department during a peri-radiographic process. METHOD A nationwide survey was compiled and distributed to 94 radiology departments throughout Sweden, i.e. those performing more than 100 000 radiographic examinations annually. The survey was designed as a web questionnaire with seven questions on possible guidelines and/or routines for the departments when preparing and taking care of children with ASD in conjunction with a radiographic procedure. The data were scrutinized, using descriptive statistics. RESULTS In total, 86 radiology departments responded to the survey (response rate 92%). Of those departments, 40 did not examine children with ASD. None of the departments included in the study had existing guidelines underpinning the routines when preparing and performing radiographic examinations for children diagnosed with ASD. A few departments (n = 8) would set aside more time for the procedure if it were known in advance that the child to be examined had been diagnosed with ASD. Also, some departments (n = 7) had radiographers who were more experienced in the care of children who would be appointed to perform examinations for children with ASD. CONCLUSION It is suggested that guidelines should be developed in order to increase interaction in a supportive way and decrease anxiety during the peri-radiographic process with children with ASD.
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Affiliation(s)
- B Björkman
- CHILD research group, Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD research group, Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - I Gimbler Berglund
- CHILD research group, Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - K Enskär
- CHILD research group, Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - M Faresjö
- CHILD research group, Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,Sweden and Division of Medical Diagnostics, Region Jönköping County, Jönköping, Sweden
| | - K Huus
- CHILD research group, Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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Huus K, Dada S, Bornman J, Lygnegård F. The awareness of primary caregivers in South Africa of the human rights of their children with intellectual disabilities. Child Care Health Dev 2016; 42:863-870. [PMID: 27357624 DOI: 10.1111/cch.12358] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 04/29/2016] [Accepted: 05/02/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Besides the right to freedom, human rights can be seen as a basic requirement also for the maintenance of human dignity and the opportunity to thrive - particularly in the case of children with disabilities. It is imperative to explore primary caregivers' awareness of the human rights of their children with intellectual disabilities in view of the role they may play in either facilitating or restricting these rights. This paper explores the awareness of 219 primary caregivers of the human rights of their children with intellectual disabilities. METHOD A descriptive survey design was used with a custom-designed questionnaire that employed a deductive content analysis based on the articles of the United Nations Convention on the Rights of a Child. Comparisons were drawn between the awareness of primary caregivers from urban and those from rural areas. RESULTS The majority (85.5%) of participants agreed that their child with intellectual disability had rights. Three broad kinds of right were mentioned (in descending order): provision rights, protection rights and participation rights. Participants from both urban and rural areas mentioned education (a provision right) most frequently. However, participants from urban areas were more aware of the different rights that existed than were their counterparts from rural areas. CONCLUSION Primary caregivers in both rural and urban areas are aware of the rights of their children with disabilities, although there are significant differences between them.
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Affiliation(s)
- K Huus
- School of Health Sciences, CHILD Research Group, Jönköping, Sweden.
| | - S Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - J Bornman
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - F Lygnegård
- School of Health Sciences, CHILD Research Group, Jönköping, Sweden
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Hasselberg M, Huus K, Golsäter M. Breastfeeding Preterm Infants at a Neonatal Care Unit in Rural Tanzania. J Obstet Gynecol Neonatal Nurs 2016; 45:825-835. [PMID: 27718365 DOI: 10.1016/j.jogn.2016.07.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To describe the breastfeeding experiences of mothers with preterm and low-birth-weight infants in a neonatal unit in Tanzania. DESIGN A qualitative research design. SETTING A neonatal unit at a referral hospital in rural Tanzania. PARTICIPANTS Convenience sample of 10 new mothers with preterm infants. Additionally, to triangulate the data, five nurses affiliated with the neonatal unit were interviewed. METHODS A semistructured interview guide was used for data collection. All interviews were audiotaped and transcribed verbatim. Data were analyzed with inductive qualitative content analysis. RESULTS One main category, The mother has to adapt to the new situation to make breastfeeding natural, and three generic categories, The challenges of breastfeeding a premature infant, Enhancing the feeding situation, and The need for support, were used to describe breastfeeding challenges. Challenges consisted of the perception that the infant was different than healthy infants and the infant's and mother's health problems and needs. To improve the feeding situation, mothers learned how to feed their infants using timing strategies. Confidence and security were achieved with support from family and friends, the other mothers, and the health care staff. CONCLUSION Mothers perceived breastfeeding as natural but needed support to overcome the challenges of breastfeeding preterm infants. Through support and education they were empowered, adapted to their new situations, and felt confident with breastfeeding.
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28
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Petersson C, Huus K, Enskär K, Hanberger L, Samulesson U, Åkesson K. Impact of Type 1 Diabetes on Health-Related Quality of Life Among 8–18-Year-Old Children. Compr Child Adolesc Nurs 2016. [DOI: 10.1080/24694193.2016.1196265] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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29
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Huus K, Åkerman L, Raustorp A, Ludvigsson J. Physical Activity, Blood Glucose and C-Peptide in Healthy School-Children, a Longitudinal Study. PLoS One 2016; 11:e0156401. [PMID: 27270732 PMCID: PMC4896630 DOI: 10.1371/journal.pone.0156401] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Accepted: 05/15/2016] [Indexed: 11/24/2022] Open
Abstract
Aim To further elucidate the relationship between physical activity and several risk factors for development of diabetes (glucose, C-peptide and obesity) over time. Methods A prospective longitudinal study where physical activity was measured on 199 children from Kalmar and Linköping at age 8, and the same 107 children from Linköping again at age 12. Anthropometric data was collected and blood was analyzed for C-peptide and f-glucose. The children in the study were representative for the general Swedish child population, and on an average lean. Results High physical activity was related to lower C-peptide at age 8 and 12. This correlation was especially pronounced in boys, who also were more physically active than girls at both time points. The association seen at 8 years of age was similar at age 12 in most children. Children with higher BMI Z-Score had a higher fasting C-peptide (age 12) but linear regression showed that children with more steps per day were less likely to have a higher fasting C-peptide irrespective of BMI. Longitudinal follow-up showed that a decrease in physical activity increased insulin resistance and β-cell load. Conclusions Already in young children, physical activity improves insulin sensitivity and decreases the need of C-peptide over time. This seems to become even more pronounced with increasing age when children are followed longitudinally. Low physical activity increases the load on insulin producing β-cells, might increase the risk for both type 1- and 2 diabetes.
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Affiliation(s)
- Karina Huus
- CHILD research group, Department of Nursing, School of Health and Welfare, SE- 551 11 Jönköping, Sweden
- * E-mail:
| | - Linda Åkerman
- Division of Pediatrics, Department of Clinical and Experimental Medicine, Linköping University, SE- 58185 Linköping, Sweden
| | - Anders Raustorp
- Linnaeus University, School of Sport Sciences, SE-39182 Kalmar, Sweden
- Department of Nutrition and Sport Sciences, University of Gothenburg, SE-40530 Gothenburg, Sweden
| | - Johnny Ludvigsson
- Division of Pediatrics, Department of Clinical and Experimental Medicine, Linköping University, SE- 58185 Linköping, Sweden
- Pediatric Clinic, Östergötland, County Council, SE -58185 Linköping, Sweden
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30
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Petersson C, Huus K, Åkesson K, Enskär K. Children's experiences about a structured assessment of health-related quality of life during a patient encounter. Child Care Health Dev 2016; 42:424-32. [PMID: 26888733 DOI: 10.1111/cch.12324] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Revised: 12/04/2015] [Accepted: 01/02/2016] [Indexed: 11/27/2022]
Abstract
BACKGROUND It has been stated that care for children with chronic health conditions tends to focus on condition-specific issues rather than how these children experience their health and everyday life functioning. AIM The aim of this study was to explore children's experiences about a structured assessment of health-related quality of life applied during a patient encounter. METHODS Prior to the start of the study, a clinical intervention based on the questionnaire DISABKIDS Chronic Generic Measure (DCGM-37) was performed. A qualitative explorative design was chosen, and 25 children between 10-17 years of age were interviewed after the consultation at four different paediatric outpatient clinics. Data were analysed according to qualitative content analysis. RESULTS The results were twofold: children experienced that the assessment was providing them with insights about their health, which motivated them to make lifestyle changes. When outcomes were discussed and requested, the children felt encouraged. CONCLUSIONS The use of an assessment of health-related quality of life may promote insights about health and encourage children with chronic health conditions to discuss their outcomes with healthcare professionals.
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Affiliation(s)
- C Petersson
- School of Health and Welfare, Research School of Health and Welfare, Jönköping University and The Jönköping Academy for Improvement of Health and welfare, CHILD Research Group, Jönköping, Sweden
| | - K Huus
- School of Health and Welfare, Research School of Health and Welfare, Jönköping University and The Jönköping Academy for Improvement of Health and welfare, CHILD Research Group, Jönköping, Sweden.,Department of Nursing, School of Health and Welfare, Jönköping University, Sweden
| | - K Åkesson
- School of Health and Welfare, Research School of Health and Welfare, Jönköping University and The Jönköping Academy for Improvement of Health and welfare, CHILD Research Group, Jönköping, Sweden.,The Jönköping Academy for Improvement of Health and welfare, Jönköping University and Futurum, Academy for Health and Care, Jönköping County, Sweden
| | - K Enskär
- Department of Nursing, School of Health and Welfare, Jönköping University, Sweden
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Huus K, Granlund M, Bornman J, Lygnegård F. Human rights of children with intellectual disabilities: comparing self-ratings and proxy ratings. Child Care Health Dev 2015; 41:1010-7. [PMID: 25809836 DOI: 10.1111/cch.12244] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/08/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND A child rights-based approach to research articulates well with Article 12 of the United Nations Convention on the Rights of the Child (CRC) and highlights the importance and value of including children's own views about aspects that concern them. The aim of this study is to compare children with intellectual disability's own ratings (as self-raters) to those of their primary caregivers (as proxy raters) regarding human rights of children. The study also aims to establish whether there is an inter-rater agreement between the self-raters and proxy raters concerning Maslow's hierarchy of needs. METHOD This study is nested in a larger study examining the human rights of children with intellectual disability in South Africa. In total, 162 children with intellectual disability from 11 schools across three provinces and their primary caregivers participated by answering parts of a Children's Rights Questionnaire (CRQ) developed by the researchers based on the United Nation's CRC. We compared the answers for six questions in the questionnaire that were addressed to self-raters (children) and proxy raters (primary caregivers) in the same way. RESULTS Questions regarding basic needs, such as access to clean water or whether the child had food to eat at home, were answered similarly by self-raters and proxy raters. Larger differences were found when self-raters and proxy raters were asked about whether the child had things or friends to play with at home. Socio-economic variables seemed to affect whether self-raters and proxy raters answered similarly. CONCLUSION The results underscore the importance of promoting children's rights to express themselves by considering the opinions of both the children as self-raters and their primary caregivers as proxy raters - not only the latter. The results indicate that it is especially important to include children's own voices when more complex needs are surveyed. Agreement between self- and proxy ratings could be affected by socio-economic circumstances.
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Affiliation(s)
- K Huus
- School of Health Sciences, CHILD Research Group, Jönköping, Sweden
| | - M Granlund
- School of Health Sciences, CHILD Research Group, Jönköping, Sweden
| | - J Bornman
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - F Lygnegård
- School of Health Sciences, CHILD Research Group, Jönköping, Sweden
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Enskär K, Huus K, Björk M, Granlund M, Darcy L, Knutsson S. An Analytic Review of Clinical Implications From Nursing and Psychosocial Research Within Swedish Pediatric Oncology. J Pediatr Nurs 2015; 30:550-9. [PMID: 25448474 DOI: 10.1016/j.pedn.2014.11.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2014] [Revised: 09/29/2014] [Accepted: 11/01/2014] [Indexed: 11/26/2022]
Abstract
The purpose of this manuscript is to analyze researchers' suggestions for clinical implications of their findings as stated in recent published articles on nursing and psychosocial research within the setting of Swedish pediatric oncology. Identified categories included staff awareness of the effects of child illness on families; systems for care improvement; provision of quality of care, education and support; and empowerment of children and families. In order to be able to realize these clinical suggestions, expanded research is needed as well as continued education and support for staff.
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Affiliation(s)
- Karin Enskär
- School of Health Sciences, Jönköping University, Jönköping, Sweden; CHILD Research Group, Jönköping University, Jönköping, Sweden.
| | - Karina Huus
- School of Health Sciences, Jönköping University, Jönköping, Sweden; CHILD Research Group, Jönköping University, Jönköping, Sweden
| | - Maria Björk
- CHILD Research Group, Jönköping University, Jönköping, Sweden; School of Life Science, University of Skövde, Skövde, Sweden
| | - Mats Granlund
- School of Health Sciences, Jönköping University, Jönköping, Sweden; CHILD Research Group, Jönköping University, Jönköping, Sweden
| | - Laura Darcy
- CHILD Research Group, Jönköping University, Jönköping, Sweden; Institution of Health Science, University College of Borås, Borås, Sweden
| | - Susanne Knutsson
- School of Health Sciences, Jönköping University, Jönköping, Sweden; Institution of Health Science, University College of Borås, Borås, Sweden
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Nilsson S, Björkman B, Almqvist AL, Almqvist L, Björk-Willén P, Donohue D, Enskär K, Granlund M, Huus K, Hvit S. Children's voices--Differentiating a child perspective from a child's perspective. Dev Neurorehabil 2015; 18:162-8. [PMID: 23924164 DOI: 10.3109/17518423.2013.801529] [Citation(s) in RCA: 64] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
OBJECTIVE The aim of this paper was to discuss differences between having a child perspective and taking the child's perspective based on the problem being investigated. METHODS Conceptual paper based on narrative review. RESULTS The child's perspective in research concerning children that need additional support are important. The difference between having a child perspective and taking the child's perspective in conjunction with the need to know children's opinions has been discussed in the literature. From an ideological perspective the difference between the two perspectives seems self-evident, but the perspectives might be better seen as different ends on a continuum solely from an adult's view of children to solely the perspective of children themselves. Depending on the research question, the design of the study may benefit from taking either perspective. In this article, we discuss the difference between the perspectives based on the problem being investigated, children's capacity to express opinions, environmental adaptations and the degree of interpretation needed to understand children's opinions. CONCLUSION The examples provided indicate that children's opinions can be regarded in most research, although to different degrees.
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Affiliation(s)
- Stefan Nilsson
- CHILD, School of Health Sciences, Borås University , Borås , Sweden
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Carlsson E, Ludvigsson J, Huus K, Faresjö M. High physical activity in young children suggests positive effects by altering autoantigen-induced immune activity. Scand J Med Sci Sports 2015; 26:441-50. [PMID: 25892449 DOI: 10.1111/sms.12450] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2015] [Indexed: 12/16/2022]
Abstract
Physical activity in children is associated with several positive health outcomes such as decreased cardiovascular risk factors, improved lung function, enhanced motor skill development, healthier body composition, and also improved defense against inflammatory diseases. We examined how high physical activity vs a sedentary lifestyle in young children influences the immune response with focus on autoimmunity. Peripheral blood mononuclear cells, collected from 55 5-year-old children with either high physical activity (n = 14), average physical activity (n = 27), or low physical activity (n = 14), from the All Babies In Southeast Sweden (ABIS) cohort, were stimulated with antigens (tetanus toxoid and beta-lactoglobulin) and autoantigens (GAD65 , insulin, HSP60, and IA-2). Immune markers (cytokines and chemokines), C-peptide and proinsulin were analyzed. Children with high physical activity showed decreased immune activity toward the autoantigens GAD65 (IL-5, P < 0.05), HSP60 and IA-2 (IL-10, P < 0.05) and also low spontaneous pro-inflammatory immune activity (IL-6, IL-13, IFN-γ, TNF-α, and CCL2 (P < 0.05)) compared with children with an average or low physical activity. High physical activity in young children seems to have positive effects on the immune system by altering autoantigen-induced immune activity.
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Affiliation(s)
- E Carlsson
- The Biomedical Platform, Department of Natural Science and Biomedicine, School of Health Sciences, Jönköping University, Jönköping, Sweden.,Division of Medical Diagnostics, Ryhov County Hospital, Jönköping, Sweden
| | - J Ludvigsson
- Division of Paediatrics, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.,Östergötland County Council, Linköping, Sweden
| | - K Huus
- CHILD Research Group, Department of Nursing, School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - M Faresjö
- The Biomedical Platform, Department of Natural Science and Biomedicine, School of Health Sciences, Jönköping University, Jönköping, Sweden.,Division of Medical Diagnostics, Ryhov County Hospital, Jönköping, Sweden
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Petersson C, Huus K, Samuelsson U, Hanberger L, Akesson K. Use of the national quality registry to monitor health-related quality of life of children with type 1 diabetes: a pilot study. J Child Health Care 2015; 19:30-42. [PMID: 23975719 DOI: 10.1177/1367493513496674] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The management of diabetes is complicated, as treatment affects the everyday life of both children and their families. To enable optimal care for children with type 1 diabetes, it is important to highlight health-related quality of life (HrQoL) as well as medical outcomes to detect psychological problems that otherwise could be missed. The aim was to study HrQoL in children and adolescents with type 1 diabetes dependent on gender, age and co-morbidity and to study the consistency between children's self-reporting and parents' proxy reporting. The cross-sectional data were collected using the questionnaire DISABKIDS Chronic Generic Measure and the DISABKIDS diabetes module. Parents in the proxy report perceived their children's HrQoL to be lower than children themselves. Boys reported their HrQoL to be better than girls. Results show that living with an additional disease has an impact on the HrQoL, which is an important factor to consider in the quality registry. Assessing HrQoL on a routine basis may facilitate detection and discussion of HrQoL-related questions in the national quality registry.
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Wennick A, Huus K. What it is like being a sibling of a child newly diagnosed with type 1 diabetes: an interview study. ACTA ACUST UNITED AC 2015. [DOI: 10.1002/edn.213] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Petersson C, Simeonsson RJ, Enskar K, Huus K. Comparing children's self-report instruments for health-related quality of life using the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). Health Qual Life Outcomes 2013; 11:75. [PMID: 23642162 PMCID: PMC3648353 DOI: 10.1186/1477-7525-11-75] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2012] [Accepted: 04/23/2013] [Indexed: 11/14/2022] Open
Abstract
Children with chronic conditions often experience a long treatment which can be complex and negatively impacts the child's well-being. In planning treatment and interventions for children with chronic conditions, it is important to measure health-related quality of life (HrQoL). HrQoL instruments are considered to be a patient-reported outcome measure (PROM) and should be used in routine practice. Purpose: The aim of this study was to compare the content dimensions of HrQoL instruments for children's self-reports using the framework of ICF-CY. Method: The sample consist of six instruments for health-related quality of life for children 5 to 18 years of age, which was used in the Swedish national quality registries for children and adolescents with chronic conditions. The following instruments were included: CHQ-CF, DCGM-37, EQ-5D-Y, KIDSCREEN-52, Kid-KINDL and PedsQL 4.0. The framework of the ICF-CY was used as the basis for the comparison. Results: There were 290 meaningful concepts identified and linked to 88 categories in the classification ICF-CY with 29 categories of the component body functions, 48 categories of the component activities and participation and 11 categories of the component environmental factors. No concept were linked to the component body structures. The comparison revealed that the items in the HrQoL instruments corresponded primarily with the domains of activities and less with environmental factors. Conclusions: In conclusion, the results confirm that ICF-CY provide a good framework for content comparisons that evaluate similarities and differences to ICF-CY categories. The results of this study revealed the need for greater consensus of content across different HrQoL instruments. To obtain a detailed description of children's HrQoL, DCGM-37 and KIDSCREEN-52 may be appropriate instruments to use that can increase the understanding of young patients’ needs.
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Affiliation(s)
- Christina Petersson
- Jonkoping University, The Jonkoping Academy for Improvement of Health and Welfare, Box 1026, s-55111 Jonkoping, Sweden.
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Abstract
AIM To investigate if food frequencies are related to overweight/obesity in 5-year-old children. METHODS During 1997-1999, 21 700 infants were invited to participate in ABIS (All Babies in Southeast Sweden), a prospective, cohort study. Participants were followed from birth (n = 16 058) to 5 years (n = 7356). Food frequencies reported by parents at 2.5 and 5 years were studied in the relation to overweight/obesity at 5 years using multiple logistic regressions. A p-value < 0.01 was considered statistically significant. RESULTS At 2.5 years frequencies of intake of cheese were positively associated with overweight/obesity at 5 years while porridge, fried potatoes/french fries and cream/crème fraiche showed a negative association. When adjusting for known risk factors, porridge and fried potatoes/french fries remained negatively associated with overweight/obesity. At 5 years, chocolate and lemonade were positively associated with overweight/obesity whereas cream/crème fraiche, pastries and candy were negatively associated. Candy remained negatively associated to overweight/obesity after adjustment for potential confounders. CONCLUSION Food frequencies do not offer any simple explanation for overweight/obesity. Porridge at 2.5 years may protect against overweight/obesity at 5 years, while lemonade may contribute to overweight. Our finding that fried potatoes/french fries may protect against overweight/obesity is unexpected and must be interpreted with caution. These findings should be confirmed by prospective studies using objective recordings.
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Affiliation(s)
- Karina Huus
- Department of Clinical and Experimental Medicine, Division of Paediatrics and Diabetes Research Centre, Faculty of Health Sciences, Linköping University, Sweden.
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Huus K, Ludvigsson JF, Enskär K, Ludvigsson J. Exclusive breastfeeding of Swedish children and its possible influence on the development of obesity: a prospective cohort study. BMC Pediatr 2008; 8:42. [PMID: 18844983 PMCID: PMC2577650 DOI: 10.1186/1471-2431-8-42] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2007] [Accepted: 10/09/2008] [Indexed: 11/29/2022] Open
Abstract
Background Overweight and obesity are increasing among children all over the world. Socio-economic factors may influence the development of overweight and obesity in childhood, and it has been proposed that breastfeeding may protect against obesity. The aim of our study was to examine the relationship between exclusive breastfeeding and obesity when potential confounders, such as socioeconomic factors, are considered. Methods The data analyzed was from ABIS (All Babies in Southeast Sweden), a prospective cohort study. All parents with children born between October 1, 1997 and October 1, 1999 in Southeast Sweden (n = 21,700) were asked to participate. Parents were asked to answer periodic questionnaires from the time of the child's birth (n = 16,058) until he/she was five years of age (n = 7,356). Cutoffs for overweight and obesity were defined according to Cole et al, age and gender adjusted. Short-term exclusive breastfeeding was defined as < 4 months of exclusive breastfeeding. Multiple logistic regressions were used to identify variables that predict the child's BMI (Body Mass Index) at five years of age. Results At five years of age, 12.9% of the children in the study wereoverweight and 4.3% were obese. At the age of three months, 78.4% of the children were being breastfed exclusively. The median exclusive breastfeeding duration was four months. High maternal BMI > 30 (AOR = 1.07; CI = 1.05–1.09; P < 0.001), maternal smoking (AOR = 1.43; CI = 1.05–1.95; P = 0.023) and being a single parent (AOR = 2.10; CI = 1.43–3.09; P < 0.001) were associated with short-term exclusive breastfeeding (less than 4 months). Short-term exclusive breastfeeding was less common if one of the parents had a university degree (Mother: AOR = 0.74; CI = 0.61–0.90; P = 0.003 Father: AOR = 0.73; CI = 0.58–0.92; P = 0.008) or if the father was more than 37 years old (AOR = 0.74; CI = 0.55–0.99; P = 0.045). Short-term exclusive breastfeeding was associated with obesity in five-year-old children (simple logistic regression: OR = 1.44; CI = 1.00–2.07; P = 0.050), but when including other independent factors in the analysis, short-term exclusive breastfeeding did not attain statistical significance. Conclusion We cannot exclude the possibility that exclusive breastfeeding influences weight development, but it does not seem to protect against obesity at five years of age.
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Affiliation(s)
- Karina Huus
- Division of Pediatrics, Diabetes Research Centre, Linköping University, Sweden.
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Abstract
AIM Our objective was to investigate whether overweight at a very young age predicts overweight at 5 years and to identify risk factors for overweight/obesity at 5 years, thereby making it easier for Child Health Services to focus their prevention strategies on risk groups. METHODS We analysed data from the ABIS study (All Babies In Southeast Sweden), a prospective cohort study. Parents answered questionnaires between childbirth (n = 16,058) and 5 years (n = 7356). RESULTS High body mass index (BMI; >95th percentile) at 1 year (adjusted odds ratio [AOR]= 6.57; 95% CI = 4.63-9.33; p < 0.001) and age-adjusted BMI > 25 at 2.5 years (AOR = 14.24; 95% CI = 10.52-19.29; p < 0.001) were associated with increased risk of obesity (age-adjusted BMI > 30) at 5 years. Heredity for type 2 diabetes (p = 0.022), high parental BMI and the child's own BMI at birth and at 1 year predicted higher BMI of the child at 5 years (p < 0.001). High parental education was inversely associated with child overweight (p = 0.054 respective p < 0.005). CONCLUSION Obesity at age 1 and at 2.5 years predicts obesity at 5 years. Obese parents, especially in families with heredity for type 2 diabetes and low education, should be targeted in early obesity prevention strategies by the Child Health Service.
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Affiliation(s)
- Karina Huus
- Division of Pediatrics and Diabetes Research Centre, Linköping University, Sweden.
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Abstract
AIM To investigate whether a modern lifestyle, with a high-energy intake and a low level of physical activity, influences fasting plasma glucose concentration in healthy children. METHODS As a part of the prospective study 'All Babies in Southeast Sweden', 127 children from six preschool units chose to participate. The children, 56% girls and 44% boys, were 5-7 years old. Parents answered a questionnaire about their children's heredity, and physical exercise and eating habits. In the morning, before the children ate breakfast, fasting plasma glucose levels and weight, height and waist circumference were measured. RESULTS Fasting plasma glucose levels varied between 3.7 and 6.1 mmol/L, with both mean and median values of 4.7 mmol/L. There was no association between fasting plasma glucose level and body mass index (BMI), eating habits or degree of physical exercise. BMI and waist circumference were significantly correlated (p < 0.01). Children who play outdoors most frequently had a significantly lower BMI (p < 0.05) and waist circumference (p < 0.01), whereas children who more often watch TV had a significantly higher BMI (p < 0.01). CONCLUSION A modern lifestyle, with low levels of exercise and high-energy consumption, may explain the increasing weight and even obesity of otherwise healthy, preschool children, but does not influence their fasting plasma glucose levels.
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Affiliation(s)
- Johnny Ludvigsson
- Div of Pediatrics and Diabetes Research Centre, Linköping University, Sweden
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Abstract
AIM To describe adolescents' experience of living with type 1 diabetes. METHOD Six girls and two boys aged between 14 and 18 years were interviewed. The interview started with an open-ended qualitative question. A phenomenological approach inspired by Giorgi was used in the analysis. FINDINGS The results show that the life experience of these adolescents can be described as a pendulum swinging between being normal and being different. Five further themes emerged from the data reflecting the content of life experiences: to be different, to be treated differently, to live a regular life, to know one's body and to take care of oneself. CONCLUSIONS It is important to adolescents with type 1 diabetes to be like their friends. To achieve that, they use different coping strategies and they need support. Support from their families and the diabetes team is of great importance, but above all, they need support and understanding from friends of their own age.
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Affiliation(s)
- Karina Huus
- Division of Paediatrics and Diabetes Research Centre, Linköping University, Sweden
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