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Ryan GW, Whitmire P, Batten A, Goulding M, Baltich Nelson B, Lemon SC, Pbert L. Adolescent cancer prevention in rural, pediatric primary care settings in the United States: A scoping review. Prev Med Rep 2023; 36:102449. [PMID: 38116252 PMCID: PMC10728324 DOI: 10.1016/j.pmedr.2023.102449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 08/03/2023] [Accepted: 09/28/2023] [Indexed: 12/21/2023] Open
Abstract
Adolescence is a critical period for establishing habits and engaging in health behaviors to prevent future cancers. Rural areas tend to have higher rates of cancer-related morbidity and mortality as well as higher rates of cancer-risk factors among adolescents. Rural primary care clinicians are well-positioned to address these risk factors. Our goal was to identify existing literature on adolescent cancer prevention in rural primary care and to classify key barriers and facilitators to implementing interventions in such settings. We searched the following databases: Ovid MEDLINE®; Ovid APA PsycInfo; Cochrane Library; CINAHL; and Scopus. Studies were included if they reported on provider and/or clinic-level interventions in rural primary care clinics addressing one of these four behaviors (obesity, tobacco, sun exposure, HPV vaccination) among adolescent populations. We identified 3,403 unique studies and 24 met inclusion criteria for this review. 16 addressed obesity, 6 addressed HPV vaccination, 1 addressed skin cancer, and 1 addressed multiple behaviors including obesity and tobacco use. 10 studies were either non-randomized experimental designs (n = 8) or randomized controlled trials (n = 2). The remaining were observational or descriptive research. We found a dearth of studies addressing implementation of adolescent cancer prevention interventions in rural primary care settings. Priorities to address this should include further research and increased funding to support EBI adaptation and implementation in rural clinics to reduce urban-rural cancer inequities.
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Affiliation(s)
- Grace W. Ryan
- Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA
| | | | | | - Melissa Goulding
- Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA
| | | | - Stephenie C. Lemon
- Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA
| | - Lori Pbert
- Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA
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Salemonsen E, Holm AL, Øen KG. Struggling with overweight or obesity in children – fathers’ perceptions and experiences of contributing factors, role and responsibility. Int J Qual Stud Health Well-being 2022; 17:2093912. [PMID: 35786409 PMCID: PMC9254993 DOI: 10.1080/17482631.2022.2093912] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- Elin Salemonsen
- Faculty of Health and Social Sciences, Department of Health and Caring Science, Western Norway University of Applied Sciences, Haugesund, Norway
| | - Anne Lise Holm
- Faculty of Health and Social Sciences, Department of Health and Caring Science, Western Norway University of Applied Sciences, Haugesund, Norway
| | - Kirsten Gudbjørg Øen
- Faculty of Health Sciences, Department of Public Health, University of Stavanger, Stavanger, Norway
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Castor C, Derwig M, Borg SJ, Ollhage ME, Tiberg I. A challenging balancing act to engage children and their families in a healthy lifestyle - Nurses' experiences of child-centred health dialogue in child health services in Sweden. J Clin Nurs 2021; 30:819-829. [PMID: 33377556 DOI: 10.1111/jocn.15622] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 10/26/2020] [Accepted: 12/10/2020] [Indexed: 01/03/2023]
Abstract
AIMS AND OBJECTIVES To describe nurses' experiences of a child-centred family guided intervention of obesity tested within the child health services targeting children identified with overweight and their caregivers. BACKGROUND Interventions aiming to support families towards a healthier lifestyle can lead to decreased risk of overweight evolving into obesity in a child. At the same time, nurses have found dialogues on weight challenging and may therefore avoid them. DESIGN Qualitative descriptive inductive design following content analysis applying to the COREQ guidelines. METHODS Content analysis was used to analyse 13 individual semi-structured interviews with nurses in the child health service in Sweden after completed training in CCHD, including how to facilitate the dialogue with the use of illustrations. RESULTS The theme Health dialogue about weight is a challenging balancing act facilitated by a supportive intervention emerged through eight subcategories in three main categories. Nurses experienced that CCHD with children identified with overweight and their caregivers provoked an emotional response both for themselves and for the caregivers of the child. The training in child-centred health dialogues promoted the nurses' work with structure and professionalism, as the nurses carefully took tentative steps to engage the family for a healthy lifestyle. CONCLUSIONS Emotional and practical challenges in performing CCHD still remained among nurses after customised training, which might comprise the child's rights to be involved in his or her own care when the child was identified as overweight. However, training for nurses, including lectures and tutorials, was found to increase the quality and professionalism of performing CCHD by providing structure, tools and tutorial support. RELEVANCE TO CLINICAL PRACTICE Customised training and illustrations can support nurses when performing a structured intervention such as child-centred health dialogues.
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Affiliation(s)
- Charlotte Castor
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | - Mariette Derwig
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | | | | | - Iren Tiberg
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
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Vollmer RL, Adamsons K, Mobley AR. Recruitment, Engagement, and Retention of Fathers in Nutrition Education and Obesity Research. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:1121-1125. [PMID: 31378688 PMCID: PMC6788966 DOI: 10.1016/j.jneb.2019.07.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 06/20/2019] [Accepted: 07/10/2019] [Indexed: 06/10/2023]
Abstract
This article provides a perspective about recruiting, engaging, and retaining fathers in research and programming related to nutrition education and childhood obesity prevention. Recent research emphasizes the importance of fathers in childhood obesity prevention, and although father-friendly approaches can emulate other underserved populations, some researchers have acknowledged that differences may exist. Family sciences- related and nutritional sciences-related literature is summarized to provide guidance for nutrition and obesity scholars. Best practices may vary by the type of study and father characteristics; and the venues, content, structure, timing, and approach of research and interventions may need to be tailored for fathers.
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Affiliation(s)
- Rachel L Vollmer
- Department of Family and Consumer Sciences, Bradley University, Ave, Peoria, IL
| | - Kari Adamsons
- Department of Human Development and Family Studies, University of Connecticut, Storrs, CT
| | - Amy R Mobley
- Department of Health Education and Behavior, University of Florida, Gainesville, FL.
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Zendrato MV, Hariyati RTS, Afifah E. Outpatient nursing care implementations in Indonesian regional public hospitals. ENFERMERIA CLINICA 2019. [PMID: 31303518 DOI: 10.1016/j.enfcli.2019.04.066] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study aimed to describe the nursing care implementations in the outpatient installations of several hospitals. METHOD A descriptive study design was used with purposive random sampling. A total of 292 patients were included based on the following criteria: treated at the internal, neurological, ear, nose, and throat, pulmonary, surgical, skin, sex, and heart disease polyclinics, able to read and write, and attended more than one visit. This study was conducted in three central referral hospitals in the Bogor, Depok, and Jakarta areas of Indonesia. RESULTS The outpatient care implementation was not optimal in the three regional public hospitals (56.8%). The nurses minimally performed the outpatient nursing processes, namely diagnosis enforcement (63.7%) and implementation (62%). CONCLUSION The implementation of care that is not optimal can result in a decrease in patient satisfaction and safety. The support of hospital management is needed to facilitate the availability of adequate nursing resources (both quantity and quality) and to provide equipment, facilities, and logistics to optimize nursing care.
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Affiliation(s)
| | | | - Efy Afifah
- Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia
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de Montigny F, Gervais C, Meunier S, Dubeau D. Professionals' positive perceptions of fathers are associated with more favourable attitudes towards including them in family interventions. Acta Paediatr 2017; 106:1945-1951. [PMID: 28667770 DOI: 10.1111/apa.13970] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Revised: 06/02/2017] [Accepted: 06/27/2017] [Indexed: 11/29/2022]
Abstract
AIM This Université du Québec en Outaouais study examined professionals' attitudes towards fathers, their perceived self-efficacy when working with them and their perceptions of the importance of including fathers in family interventions. METHODS Professionals in Québec, Canada, working in childcare fields such as education, social services, health, community services and management answered a self-report questionnaire between 2013 and 2015. The 296 respondents (90% females) had a mean age of 39 (20-65), were from urban, semi-urban and rural settings and provided services to families with children up to five years of age. RESULTS Social service professionals perceived fathers more negatively than did other professionals. Even though male professionals perceived fathers more negatively, they felt more confident working with them than did their female counterparts. Positive perceptions of fathers were associated with more favourable attitudes towards including them in family interventions, and this association was mediated by the professionals' perceptions of their own self-efficacy. CONCLUSION The most negative attitudes were reported by social service professionals. Male professionals viewed fathers more negatively but were more confident working with them than were female colleagues. Improving professionals' perceptions of fathers could help to promote their inclusion in family interventions.
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Affiliation(s)
| | - Christine Gervais
- Nursing Department; Université du Québec en Outaouais; Québec Canada
| | - Sophie Meunier
- Psychology Department; Université du Québec à Montréal; Québec Canada
| | - Diane Dubeau
- Psychoeducation and Psychology Department; Université du Québec en Outaouais; Québec Canada
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Vollmer RL, Mobley AR. Comparing Low-income Mothers' and Fathers' Concern for Young Children's Weight. J Pediatr Nurs 2017; 37:97-100. [PMID: 28800840 DOI: 10.1016/j.pedn.2017.08.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Revised: 07/13/2017] [Accepted: 08/02/2017] [Indexed: 10/19/2022]
Abstract
PURPOSE The objectives of this study were to compare the relationship of mother and father (1) perceived child weight and child body mass index (BMI) z-score, (2) concern for child's current weight and child BMI z-score, and (3) concern for child's future weight and child BMI z-score. DESIGN AND METHODS This cross-sectional study included low-income mothers (n=30) and fathers (n=30) with a young child (3 to 10years old) from the same household. Each parent completed select items from the Child Feeding Questionnaire (CFQ) with a trained interviewer. Child BMI z-score was calculated. RESULTS There was a significant, positive relationship between fathers' perceived child weight and child BMI z-score (p=0.006) and between fathers' concern for a child's future weight and child BMI z-score (p=0.001) but not among mothers. CONCLUSIONS Cohabitating low-income parents of young children may have conflicting appraisals of their child's BMI z-score and concerns for their child's future weight, and low-income fathers may be more accurate and concerned about their children's weight. PRACTICE IMPLICATIONS Based on findings from this study, healthcare providers including physicians and nurses should attempt to include fathers in discussions regarding their child's weight for obesity prevention, especially in low-income families.
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Affiliation(s)
- Rachel L Vollmer
- Purdue University, Department of Nutrition Science, West Lafayette, IN, USA.
| | - Amy R Mobley
- Purdue University, Department of Nutrition Science, West Lafayette, IN, USA.
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Morgan PJ, Young MD. The Influence of Fathers on Children's Physical Activity and Dietary Behaviors: Insights, Recommendations and Future Directions. Curr Obes Rep 2017; 6:324-333. [PMID: 28762103 DOI: 10.1007/s13679-017-0275-6] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
PURPOSE OF REVIEW Although fathers have an important influence on their children's well-being, their unique influence on child lifestyle behaviors has been largely overlooked in the literature. To inform and encourage future research, this paper provides an overview of existing studies that have examined the influence of fathers on the physical activity and dietary behaviors of their children. RECENT FINDINGS While the available data indicate that fathers' behaviors and parenting practices likely play an important role in promoting healthy behaviors in children, the evidence base is limited by a reliance on observational designs and small, ungeneralizable samples. This paper also provides a summary of the methods, research findings, and experiential insights we have gained while conducting the "Healthy Dads, Healthy Kids" randomized controlled trials, which tested the efficacy and effectiveness of a socio-culturally targeted program that engages fathers to improve their own health and the health of their children. The paper concludes with a series of recommendations for recruiting and engaging fathers and a summary of directions for future research.
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Affiliation(s)
- Philip J Morgan
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, 2308, Australia.
- Faculty of Education and Arts, University of Newcastle, Callaghan, NSW, Australia.
| | - Myles D Young
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, 2308, Australia
- Faculty of Education and Arts, University of Newcastle, Callaghan, NSW, Australia
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Morgan PJ, Young MD, Lloyd AB, Wang ML, Eather N, Miller A, Murtagh EM, Barnes AT, Pagoto SL. Involvement of Fathers in Pediatric Obesity Treatment and Prevention Trials: A Systematic Review. Pediatrics 2017; 139:peds.2016-2635. [PMID: 28130430 PMCID: PMC6200318 DOI: 10.1542/peds.2016-2635] [Citation(s) in RCA: 114] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/31/2016] [Indexed: 12/26/2022] Open
Abstract
CONTEXT Despite their important influence on child health, it is assumed that fathers are less likely than mothers to participate in pediatric obesity treatment and prevention research. OBJECTIVE This review investigated the involvement of fathers in obesity treatment and prevention programs targeting children and adolescents (0-18 years). DATA SOURCES A systematic review of English, peer-reviewed articles across 7 databases. Retrieved records included at least 1 search term from 2 groups: "participants" (eg, child*, parent*) and "outcomes": (eg, obes*, diet*). STUDY SELECTION Randomized controlled trials (RCTs) assessing behavioral interventions to prevent or treat obesity in pediatric samples were eligible. Parents must have "actively participated" in the study. DATA EXTRACTION Two authors independently extracted data using a predefined template. RESULTS The search retrieved 213 eligible RCTs. Of the RCTs that limited participation to 1 parent only (n = 80), fathers represented only 6% of parents. In RCTs in which participation was open to both parents (n = 133), 92% did not report objective data on father involvement. No study characteristics moderated the level of father involvement, with fathers underrepresented across all study types. Only 4 studies (2%) suggested that a lack of fathers was a possible limitation. Two studies (1%) reported explicit attempts to increase father involvement. LIMITATIONS The review was limited to RCTs published in English peer-reviewed journals over a 10-year period. CONCLUSIONS Existing pediatric obesity treatment or prevention programs with parent involvement have not engaged fathers. Innovative strategies are needed to make participation more accessible and engaging for fathers.
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Affiliation(s)
- Philip J. Morgan
- Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia;,Address correspondence to Philip J. Morgan, PhD, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, University Dr, Callaghan NSW, 2308, Australia. E-mail:
| | - Myles D. Young
- Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
| | - Adam B. Lloyd
- Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
| | - Monica L. Wang
- Department of Community Health Sciences, Boston University, Boston, Massachusetts;,Department of Social and Behavioral Sciences, Harvard University, Boston, Massachusetts
| | - Narelle Eather
- Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
| | - Andrew Miller
- Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
| | - Elaine M. Murtagh
- Department of Arts Education and Physical Education, Mary Immaculate College, University of Limerick, Limerick, Ireland; and
| | - Alyce T. Barnes
- Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
| | - Sherry L. Pagoto
- Department of Medicine, University of Massachusetts, Worcester, Massachusetts
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