534 results match your criteria: "Center for Biobehavioral Health[Affiliation]"

Validity and Reliability of the Tampa Scale for Kinesiophobia for Adolescents with Heart Disease.

Med Sci Sports Exerc

January 2025

Department of Developmental and Behavioral Health, Children's Mercy Kansas City, Kansas City, MO.

Kinesiophobia (KP) is the fear of movement or physical activity (PA) that is related to a medical condition. In adolescents, KP is associated with depression, anxiety, and impaired quality of life (QoL). Adolescents with heart disease (HD) often avoid PA.

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Background: Pain is a prevalent, frequent, and often persistent symptom among children with acute lymphoblastic leukemia (ALL). Despite its high prevalence, pain has remained understudied, and no evidence-based recommendations exist for how best to assess and treat pain in this population. Without proper assessment, clinical efforts to improve pain management in pediatric ALL will be ineffective.

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Introduction: After diagnosis of Ehlers Danlos Syndrome (EDS), it is unclear what information patients and parents need and understand about EDS. The objective of this study is to characterize patient and parent knowledge and concerns about EDS after a diagnosis of EDS is made to determine patient and parent concerns and identify barriers that cause discomfort with the diagnosis.6 METHODS: A convenience sample of patient and parent dyads were recruited after new diagnosis of EDS.

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To analyze the content and sources of TikTok posts regarding cleft conditions; to examine the quality and reliability of educational content related to cleft conditions. Cross-sectional, observational study of cleft-related TikTok content. N/A.

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Researchers and clinicians often use the six-item abbreviated Posttraumatic Stress Disorder Checklist-Civilian (PCL-6) for screening; however, the PCL-6 has not been validated for parents of children with cancer. A valid and reliable short screener like the PCL-6 would allow bedside and/or advanced practice nurses to quickly screen parents for traumatic stress and expedite referrals for support services. This study used data collected during a multisite trial examining an intervention for children with cancer and their parents.

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Objective: Limb-girdle muscular dystrophy R9 (LGMDR9, formerly known as LGMD2I), caused by variants in the fukutin-related protein (FKRP) gene leads to progressive muscle weakness of the shoulder and pelvic limb-girdles and loss of motor function over time. Clinical management and future trial design are improved by determining which standardized clinical outcome assessments (COA) of function are most appropriate to capture disease presentation and progression, informing endpoint selection and enrollment criteria. The purpose of our study was to evaluate the cross-sectional validity and reliability of clinical outcome assessments in patients with FKRP-related LGMDR9 participating in the Genetic Resolution and Assessments Solving Phenotypes in LGMD (GRASP) natural history study.

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Background: Antibiotic durations for uncomplicated skin/soft tissue infections (SSTI) often exceed the guideline-recommended 5-7 days. We assessed the effectiveness of a default duration order panel in the Electronic Health Record (EHR) to reduce long prescriptions.

Methods: Cluster randomized trial of a SSTI order panel with default antibiotic durations (implemented 12/2021), compared to a control panel (no decision support) in 14 pediatric primary care clinics.

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Navigating pediatric advanced cancer is challenging for children and parents, resulting in increased risk for psychological distress. While research has explored parent worries/concerns, few studies have included children's perspectives. To explore worries/concerns in children with advanced cancer and their parents.

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Objectives: Although pediatric cancer often causes significant stress for families, most childhood cancer survivors are resilient and do not exhibit severe or lasting psychopathology. Research demonstrates some survivors may report benefit-finding or positive outcomes following this stressful life event. However, considerably less research has included families of children who are unlikely to survive their illness.

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Article Synopsis
  • The systematic review and meta-analysis aimed to evaluate the effectiveness of cognitive-behavioral therapy combined with physical activity (CBT+PA) or exercise (CBT+Ex) in children with chronic diseases compared to CBT alone.
  • The review included randomized clinical trials involving children under 18, focusing on interventions with objective measures of physical activity and exercise.
  • Findings showed a small, non-significant increase in physical activity and exercise in intervention groups compared to those receiving only CBT, highlighting the need for more comprehensive studies in this area.
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Importance: Cannabis use during pregnancy is increasingly common in the US and may affect the development and behavior of preschool-aged children.

Objective: To prospectively investigate the association of prenatal cannabis exposure with executive function and aggressive behavior at age 5 years.

Design, Setting, Participants: This cohort study was conducted from 2016 through 2020.

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Article Synopsis
  • The study aimed to investigate how immediate postpartum use of depot medroxyprogesterone acetate (DMPA) affects the timing of lactogenesis stage II (LS-II), which is when milk production starts to increase significantly in new mothers.
  • Initially, participants were randomly assigned to receive DMPA, a placebo, or no injection, but due to low enrollment, the design shifted to a nonrandomized approach that still aimed for comparable groups using matching and propensity scoring.
  • Results showed that the average time to LS-II was slightly shorter for the DMPA group (57.8 hours) compared to the control group (64.1 hours), but the findings indicated no significant negative impact
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Article Synopsis
  • Families with a child who has experienced a traumatic brain injury (TBI) often face increased stress and challenges with parenting, impacting both parent and child behaviors.
  • A study involving 11 parents of children aged 0-4 with a history of TBI tested the Gaining Real life skills Over the Web (GROW) program, which aimed to enhance parenting responsiveness and reduce parent stress and depression.
  • Results indicated significant improvements in parental warmth, responsiveness, and verbal stimulation after the GROW intervention, while changes in parent stress and depression were not significant; future research will focus on refining GROW for families and conducting more rigorous trials.
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Objectives: Clinicians often rely on caregiver proxy symptom reports to treat cancer-related symptoms in children. Research has described disagreement between children's and caregivers' symptom reports. Factors influencing the level of agreement is an understudied area.

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Initial Development of the Nurse Perception of Infant Condition (NPIC) Scale.

Adv Neonatal Care

December 2024

Author Affiliations: Martha S. Pitzer Center for Women, Children & Youth (Dr Fortney, Ms Thomsen, and Dr Lin), Center for Research and Health Analytics (Dr Helsabeck), The Ohio State University College of Nursing, Columbus, Ohio; Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio (Drs Fortney and Gerhardt); Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio (Drs Baughcum and Gerhardt); and Department of Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, Ohio (Dr Baughcum).

Article Synopsis
  • Over 350,000 U.S. infants are admitted to the NICU each year, but there are limited tools for nurses to assess infant discomfort and quality of life.
  • The study focused on the Nurse Perception of Infant Condition (NPIC) scale, collecting data from 237 nurses over 28 months to evaluate its reliability and structure.
  • The results showed a reliable two-factor scale with strong internal consistency, but there's a need for further refinement and development to enhance its practical use in assessing infant care.
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Objectives: To characterize caregiver experiences in the context of advanced pediatric cancer by identifying individual (i.e., demographic factors, stress) and family context factors (i.

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Instructional and clinical technologies have been transforming dental education. With the emergence of artificial intelligence (AI), the opportunities of using AI in education has increased. With the recent advancement of generative AI, large language models (LLMs) and foundation models gained attention with their capabilities in natural language understanding and generation as well as combining multiple types of data, such as text, images, and audio.

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Depiction of Homemade Infant Formula and Formula Hacks on Pinterest: An Unsafe and Unhealthy Pin for Infants?

J Perinat Neonatal Nurs

September 2024

Author Affiliations: Center for Injury Research and Policy, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio (Mss McAdams and Roberts, and Dr McKenzie); Center for Biobehavioral Health, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio (Dr Keim); Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio (Drs Keim and McKenzie); and Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio (Drs Keim and McKenzie).

Purpose: To examine Pinterest pins to discern the content, messaging and claims, and engagement with pins regarding formula hacking and homemade formula.

Background: The American Academy of Pediatrics and the Centers for Disease Control and Prevention discourage formula hacking (ie, preparing formula not according to directions to extend its use) and making homemade infant formula due to its associated health risks. Yet, caregivers are using social media platforms to find information on these topics.

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Background: Preterm birth (birth at <37 completed weeks gestation) is a significant public heatlh concern worldwide. Important health, and developmental consequences of preterm birth include altered temperament development, with greater dysregulation and distress proneness.

Aims: The present study leveraged advanced quantitative techniques, namely machine learning approaches, to discern the contribution of narrowly defined and broadband temperament dimensions to birth status classification (full-term vs.

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Previous research has identified regions of the brain that are sensitive to emotional intensity in faces, with some evidence for developmental differences in this pattern of response. However, comparable understanding of how the brain tracks linear variations in emotional prosody is limited-especially in youth samples. The current study used novel stimuli (morphing emotional prosody from neutral to anger/happiness in linear increments) to investigate whether neural response to vocal emotion was parametrically modulated by emotional intensity and whether there were age-related changes in this effect.

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Aim: We examined associations among injury severity, white matter structural connectivity within functionally defined brain networks and psychosocial/adaptive outcomes in children with traumatic brain injury (TBI).

Method: Participants included 58 youths (39 male) with complicated-mild TBI (cmTBI;  = 12, age =  12.6 ± 2.

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Effect of joint hypermobility on outcomes of children with juvenile idiopathic arthritis.

Clin Rheumatol

November 2024

Department of Pediatrics, Children's Mercy Kansas City, Kansas City, MO, USA.

Background: Juvenile idiopathic arthritis (JIA) is common in pediatric rheumatology. Despite treatment, many patients experience persistent disease activity. Joint hypermobility (JH), defined by an excessive range of motion across multiple joints, is prevalent in children and adolescents and may influence disease outcomes in JIA.

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