Background: It is recommended that children should avoid eating dinner, being physically active, or using screens in the hour before bed to ensure good sleep health. However, the evidence base behind these guidelines is weak and limited to cross-sectional studies using questionnaires.
Objective: The aim of this randomized crossover trial was to use objective measures to experimentally determine whether recommendations to improve sleep by banning electronic media, physical activity, or food intake in the hour before bed, impact sleep quantity and quality in the youth.
Children often answer questions when they do not have the requisite knowledge or when they do not understand them. We examined whether instruction-to say "I don't know," to tell the truth, and to correct the interviewer when necessary-assisted children in applying those rules during an interview about a past event and whether doing so was associated with more accurate accounts. We compared children with intellectual disabilities (mild or moderate severity, = 44, 7-12 years) with 3 groups of typically developing children (2 matched for mental age, and 1 for chronological age, = 55, 4-12 years) on their understanding of 3 ground rules, their use of these rules in an interview, and their accuracy in recalling a personally experienced event.
View Article and Find Full Text PDFChildren must describe maltreatment coherently for their testimony to be influential in court. We know little about how well children with intellectual disabilities (CWID) describe their experiences relative to typically developing (TD) children, despite CWID's vulnerability to maltreatment. We investigated children's reports of an experienced event and compared coherence in CWID (mild to moderate impairment: 7-11 years) with TD children matched for mental (4-10 years) or chronological age (7-11 years).
View Article and Find Full Text PDFWe used sequential analysis to examine the relationship between interviewer question types, child responsiveness, and subsequent interviewer prompting in 103 forensic interviews investigating sexual abuse allegations with children (6-16 years old). Broad open-ended prompts were more likely to elicit responses (83%) than nonresponses (17%) from children, but nonresponding was more highly associated with this type of prompt than expected by chance. Closed-ended prompts elicited more responses (96%) than nonresponses (4%) from children, and these prompts were more likely to elicit a response than expected by chance.
View Article and Find Full Text PDFObjective: To determine whether a 2-year family-based intervention using frequent contact and limited expert involvement was effective in reducing excessive weight compared with usual care.
Methods: Two hundred and six overweight and obese (BMI ≥85th percentile) children aged 4 to 8 years were randomized to usual care (UC) or tailored package (TP) sessions at university research rooms. UC families received personalized feedback and generalized advice regarding healthy lifestyles at baseline and 6 months.
The influence of an early interview on children's (N = 194) later recall of an experienced event was examined in children with mild and moderate intellectual disabilities (CWID; 7-12 years) and typically developing (TD) children matched for chronological (7-12 years) or mental (4-9 years) age. Children previously interviewed were more informative, more accurate, and less suggestible. CWID (mild) recalled as much information as TD mental age matches, and were as accurate as TD chronological age matches.
View Article and Find Full Text PDFObjective: To determine what factors are associated with parental motivation to change body weight in overweight children.
Design: Cross-sectional study.
Setting: Dunedin, New Zealand.
Objectives: As parents of young children are often unaware their child is overweight, screening provides the opportunity to inform parents and provide the impetus for behaviour change. We aimed to determine if parents could recall and understand the information they received about their overweight child after weight screening.
Design: Randomised controlled trial of different methods of feedback.
J Paediatr Child Health
June 2014
Aim: To determine whether a single session of motivational interviewing (MI) for feedback of a child's overweight status promotes engagement in treatment following screening.
Methods: One thousand ninety-three children aged 4-8 years were recruited through primary and secondary care to attend health screening, including assessment of parenting practices and motivation (questionnaire). Families with normal-weight children were informed about their child's weight but had no further involvement.
One hundred twenty-eight 5- to 7-year-old children were interviewed using the National Institute of Child Health and Human Development (NICHD) Investigative Interview Protocol about an event staged 4 to 6 weeks earlier. Children were prepared for talking about the investigated event using either an invitational or directive style of prompting, with or without additional practice describing experienced events. The open invitation prompts (including those using children's words to encourage further reporting) elicited more detailed responses than the more focused directive prompts without reducing accuracy.
View Article and Find Full Text PDFObjectives: To determine what factors drive participation in a family-based weight management program for 4- to 8-year-old children following screening for overweight or obesity.
Study Design: Children (n = 1093) attended a comprehensive screening appointment where parents completed questionnaires on demographics, motivation for healthy lifestyles, feeding practices, and beliefs about child size, prior to feedback about the child's weight. Parents of overweight or obese children (body mass index ≥85th percentile) attended a follow-up interview to assess reactions to feedback and willingness to participate in a 2-year intervention.
J Consult Clin Psychol
October 2012
Objective: To examine the ability of children with intellectual disabilities to give reliable accounts of personally experienced events, considering the effects of delay, severity of disability, and the types of interview prompt used.
Method: In a between-subjects design, we compared children with intellectual disabilities (7-12 years) that fell in either the mild-borderline range (n = 46) or the moderate range (n = 35) and typically developing children matched for either chronological age (7-12 years; n = 60) or mental age (4-9 years; n = 65) with respect to memories of an interactive event about which they were interviewed after either a short (1-week) or long (6-month) delay. Children were interviewed using the National Institute of Child Health and Human Development (NICHD) Investigative Interview Protocol (Lamb, Hershkowitz, Orbach, & Esplin, 2008) to elicit their recall of the event and were then asked a series of highly suggestive questions to allow both their reliability and suggestibility to be examined.
Background: Because parental recognition of overweight in young children is poor, we need to determine how best to inform parents that their child is overweight in a way that enhances their acceptance and supports motivation for positive change. This study will assess 1) whether weight feedback delivered using motivational interviewing increases parental acceptance of their child's weight status and enhances motivation for behaviour change, and 2) whether a family-based individualised lifestyle intervention, delivered primarily by a MInT mentor with limited support from "expert" consultants in psychology, nutrition and physical activity, can improve weight outcomes after 12 and 24 months in young overweight children, compared with usual care.
Methods/design: 1500 children aged 4-8 years will be screened for overweight (height, weight, waist, blood pressure, body composition).
The authors examined the accuracy of information elicited from seventy-nine 5- to 7-year-old children about a staged event that included physical contact-touching. Four to six weeks later, children's recall for the event was assessed using an interview protocol analogous to those used in forensic investigations with children. Following the verbal interview, children were asked about touch when provided with human figure drawings (drawings only), following practice using the human figure drawings (drawings with instruction), or without drawings (verbal questions only).
View Article and Find Full Text PDFChildren between 7 and 8 years old took part in a staged event at school and 1 week later were assessed using a short form of the Wechsler Intelligence scale for children (third edition) and measures of metamemory, narrative ability, and socioeconomic status. Two weeks following the event, children either received narrative elaboration training (NET; K.J.
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