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Theall KP, Wallace J, Tucker A, Wu K, Walker B, Gustat J, Kondo M, Morrison C, Pealer C, Branas CC, Richardson L. Building a Culture of Health Through the Built Environment: Impact of a Cluster Randomized Trial Remediating Vacant and Abandoned Property on Health Mindsets. RESEARCH SQUARE 2024:rs.3.rs-4415610. [PMID: 38826356 PMCID: PMC11142295 DOI: 10.21203/rs.3.rs-4415610/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Abstract
Changing built environment conditions to impact health mindsets and health equity may be a promising target for public health interventions. The present study was a cluster randomized controlled trial to test the impact of remediating vacant and abandoned properties on factors related to health mindset-including well-being, health interconnectedness, social capital markers, neighborhood disorder and worry-as well as direct and indirect violence experiences and the moderating role of racial and income segregation on outcomes. A residential cohort of 405 participants from 194 randomly assigned geographic clusters were surveyed over five waves from 2019 to 2023. Compared to clusters with no treatment, participants in clusters where both vacant lots and abandoned homes were treated experienced significant increases in sense of community (83%, 95% CI=71 to 96%, p=0.01). Among participants in randomization clusters where only vacant lots were treated, there were declines in perceived neighborhood disorder (-55%, 95% CI=-79 to -5, p=0.06) and worry about community violence (-56%, 95% CI=-58 to - 12, p=0.06). There was also a moderating effect of racial and income spatial polarization, with the greatest changes in sense of community observed among more deprived areas with both homes and lots treated; and the largest changes in neighborhood worry and disorder were seen in more deprived areas with only lots treated. Remediation of vacant and abandoned properties may be one approach to change some but not all mindsets around health, and the effects may depend on the type of remediation as well as larger neighborhood conditions such segregation.
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Affiliation(s)
- Katherine P. Theall
- Tulane University School of Public Health and Tropical Medicine
- Tulane Violence Prevention Institute (VPI)
- Tulane Mary Amelia Center for Women’s Health Equity Research
| | - Jasmine Wallace
- Tulane University School of Public Health and Tropical Medicine
- Tulane Mary Amelia Center for Women’s Health Equity Research
| | - Amber Tucker
- Tulane University School of Public Health and Tropical Medicine
- Tulane Violence Prevention Institute (VPI)
| | - Kim Wu
- Tulane University School of Public Health and Tropical Medicine
| | - Brigham Walker
- Tulane University School of Public Health and Tropical Medicine
| | - Jeanette Gustat
- Tulane University School of Public Health and Tropical Medicine
| | - Michelle Kondo
- Northern Research Station, US Department of Agriculture (USDA) Forest Service
| | - Christopher Morrison
- Columbia University Mailman School of Public Health
- Columbia Center for Injury Science and Prevention
| | | | - Charles C. Branas
- Columbia University Mailman School of Public Health
- Columbia Center for Injury Science and Prevention
| | - Lisa Richardson
- Institute of Women and Ethnic Studies (IWES), Research and Technology Foundation, Inc
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Akça Sümengen A, İsmailoğlu AV, İsmailoğlu P, Gümüş T, Çeliker A, Namlısesli D, Poyraz E, Özçevik Subaşı D, Zeren Erdem C, Çakır GN. The effect of 3D modeling on family quality of life, surgical success, and patient outcomes in congenital heart diseases: objectives and design of a randomized controlled trial. Turk J Pediatr 2024; 66:237-250. [PMID: 38814302 DOI: 10.24953/turkjpediatr.2024.4574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 04/30/2024] [Indexed: 05/31/2024]
Abstract
BACKGROUND Understanding the severity of the disease from the parents' perspective can lead to better patient outcomes, improving both the child's health-related quality of life and the family's quality of life. The implementation of 3-dimensional (3D) modeling technology in care is critical from a translational science perspective. AIM The purpose of this study is to determine the effect of 3D modeling on family quality of life, surgical success, and patient outcomes in congenital heart diseases. Additionally, we aim to identify challenges and potential solutions related to this innovative technology. METHODS The study is a two-group pretest-posttest randomized controlled trial protocol. The sample size is 15 in the experimental group and 15 in the control group. The experimental group's heart models will be made from their own computed tomography (CT) images and printed using a 3D printer. The experimental group will receive surgical simulation and preoperative parent education with their 3D heart model. The control group will receive the same parent education using the standard anatomical model. Both groups will complete the Sociodemographic Information Form, the Surgical Simulation Evaluation Form - Part I-II, and the Pediatric Quality of Life Inventory (PedsQL) Family Impacts Module. The primary outcome of the research is the average PedsQL Family Impacts Module score. Secondary outcome measurement includes surgical success and patient outcomes. Separate analyses will be conducted for each outcome and compared between the intervention and control groups. CONCLUSIONS Anomalies that can be clearly understood by parents according to the actual size and dimensions of the child's heart will affect the preoperative preparation of the surgical procedure and the recovery rate in the postoperative period.
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Affiliation(s)
- Aylin Akça Sümengen
- Department of Nursing, Faculty of Health Sciences, Yeditepe University, İstanbul, Türkiye
- Capstone College of Nursing, The University of Alabama, Alabama, United States of America
| | - Abdul Veli İsmailoğlu
- Department of Anatomy, School of Medicine, Acıbadem University, İstanbul, Türkiye
- Department of Anatomy, School of Medicine, Marmara University, İstanbul, Türkiye
| | - Pelin İsmailoğlu
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Fenerbahce University, İstanbul, Türkiye
- Department of Anatomy, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Terman Gümüş
- Department of Radiology, School of Medicine, Koç University Research and Training Hospital, İstanbul, Türkiye
| | - Alpay Çeliker
- Pediatric Cardiology Department, American Hospital, İstanbul, Türkiye
| | - Deniz Namlısesli
- Department of Electrical and Electronics Engineering, Faculty of Engineering, Yeditepe University, İstanbul, Türkiye
| | - Ezgi Poyraz
- Pediatric Cardiology Department, American Hospital, İstanbul, Türkiye
| | | | - Ceren Zeren Erdem
- Department of Nursing, Faculty of Health Sciences, Yeditepe University, İstanbul, Türkiye
| | - Gökçe Naz Çakır
- Department of Nursing, Faculty of Health Sciences, Yeditepe University, İstanbul, Türkiye
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Queiroga BN, Ravanelli TB, Braga LVM, Alexandre M, Mendonça RGMD, Meves R. Cross-cultural Validation of the Health Mindset Scale for Brazil. Rev Bras Ortop 2024; 59:e213-e219. [PMID: 38606118 PMCID: PMC11006518 DOI: 10.1055/s-0044-1779329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 06/26/2023] [Indexed: 04/13/2024] Open
Abstract
Objective To cross-culturally validate the Health Mindset Scale for Brazil, as well as adapt the terms and questionnaires for adequate understanding of Brazilians, using factor analysis as an instrument to validate its reliability. Methods Cross-cultural validation of the Health Mindset Scale into Brazilian Portuguese using the Beaton method, Cronbach's alpha calculation and factor analysis Results The sample consisted of 215 patients aged between 18 and 87 years (M = 41.98; SD = 15.72), with a mean age between 31 and 50 years (42.0%), and female (52 .6%), a marginally significant difference (p < 0.10) between men and women was observed for item 3. In this item, men's mean (M = 5.48; SD = 0.99) was higher than the average for women (M = 5.10; SD = 1.22), with a small effect size for the difference (d = 0.26). Pearson's r correlation coefficient was examined between the mean score and age (r = -0.21; p = 0.002), the result of which indicated a weak, negative and significant linear relationship. The older the age, the lower the average score on the Health Mindset Scale. Conclusion The version of the health-focused mindset scale for Brazilian Portuguese was introduced and cross-culturally validated, demonstrating good reliability with a Cronbach's alpha of 0.786. Consequently, it constitutes a new instrument for clinical practice and can be correlated with established scales in the literature.
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Affiliation(s)
- Brunno Nóbrega Queiroga
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Thiago Batista Ravanelli
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Lucas Vendas Maluf Braga
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Murilo Alexandre
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Rodrigo Góes Medea de Mendonça
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
| | - Robert Meves
- Departamento de Ortopedia e Traumatologia, “Pavilhão Fernandinho Simonsen”, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
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Joe YE, Lee JH, Eum D, Kim JH, Lee JR. Intravenous dexamethasone does not prolong the duration of pudendal nerve block in infants and children undergoing hypospadias surgery: A randomized clinical trial. Paediatr Anaesth 2024; 34:259-266. [PMID: 38037830 DOI: 10.1111/pan.14805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 10/27/2023] [Accepted: 11/19/2023] [Indexed: 12/02/2023]
Abstract
BACKGROUND The administration of intravenous dexamethasone increases the duration of neuraxial block and improves the quality of analgesia. However, little is known about these effects of dexamethasone on peripheral nerve blocks in children. AIMS In this study, we aimed to investigate the benefit of intravenous dexamethasone for enhancing the effect of pudendal block on postoperative analgesia in children who underwent hypospadias surgery. METHODS In total, 46 children aged 6-36 months who underwent hypospadias surgery were randomly allocated to either a control group (normal saline, group C) or dexamethasone group (0.5 mg/kg, group D). Pudendal block was performed before the surgery using 0.3 mL/kg of 0.225% ropivacaine on both sides. Parents were instructed to press the patient-controlled analgesia bolus button when their children's pain score was >4 points. The primary outcome measure was the time at which the first patient-controlled analgesia by proxy bolus dose was administered. The secondary outcome measures were pain score, number of patient-controlled analgesia administration by proxy bolus attempts, number of rescue analgesics required, total amount of fentanyl administered, and overall parental satisfaction. RESULTS The time of first patient-controlled analgesia bolus administration by proxy was not different between the control and dexamethasone groups (5.6 [5.2, 8.8] h versus 6.5 [5.4, 8.1] h, hazard ratio 0.8, 95% confidence intervals 0.43 to 1.47, p = .46). There were no statistically significant differences among the secondary outcomes. CONCLUSIONS Administration of intravenous dexamethasone did not enhance the duration of pudendal nerve block in infants and children aged 6-36 months who underwent hypospadias surgery.
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Affiliation(s)
- Young-Eun Joe
- Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, South Korea
| | - Jae-Hoon Lee
- Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, South Korea
| | - Darhae Eum
- Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, South Korea
| | - Ji-Ho Kim
- Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, South Korea
| | - Jeong-Rim Lee
- Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, South Korea
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Sbaraglia F, Cuomo C, Della Sala F, Festa R, Garra R, Maiellare F, Micci DM, Posa D, Pizzo CM, Pusateri A, Spano MM, Lucente M, Rossi M. State of the Art in Pediatric Anesthesia: A Narrative Review about the Use of Preoperative Time. J Pers Med 2024; 14:182. [PMID: 38392615 PMCID: PMC10890671 DOI: 10.3390/jpm14020182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2023] [Revised: 02/05/2024] [Accepted: 02/05/2024] [Indexed: 02/24/2024] Open
Abstract
This review delves into the challenge of pediatric anesthesia, underscoring the necessity for tailored perioperative approaches due to children's distinctive anatomical and physiological characteristics. Because of the vulnerability of pediatric patients to critical incidents during anesthesia, provider skills are of primary importance. Yet, almost equal importance must be granted to the adoption of a careful preanesthetic mindset toward patients and their families that recognizes the interwoven relationship between children and parents. In this paper, the preoperative evaluation process is thoroughly examined, from the first interaction with the child to the operating day. This evaluation process includes a detailed exploration of the medical history of the patient, physical examination, optimization of preoperative therapy, and adherence to updated fasting management guidelines. This process extends to considering pharmacological or drug-free premedication, focusing on the importance of preanesthesia re-evaluation. Structural resources play a critical role in pediatric anesthesia; components of this role include emphasizing the creation of child-friendly environments and ensuring appropriate support facilities. The results of this paper support the need for standardized protocols and guidelines and encourage the centralization of practices to enhance clinical efficacy.
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Affiliation(s)
- Fabio Sbaraglia
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Christian Cuomo
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Filomena Della Sala
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Rossano Festa
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Rossella Garra
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Federica Maiellare
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Daniela Maria Micci
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Domenico Posa
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Cecilia Maria Pizzo
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Angela Pusateri
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Michelangelo Mario Spano
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Monica Lucente
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Marco Rossi
- Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
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Martins WWC, Sardas L, Barbosa RGPN, Mendonça RGMDE, Gotfryd A, Caffaro MFS, Fucs PMDEMB, Meves R. CORRELATION BETWEEN TYPES OF MINDSET AND QUALITY OF LIFE EVALUATION IN PATIENTS WITH SCOLIOSIS. ACTA ORTOPEDICA BRASILEIRA 2023; 31:e266234. [PMID: 38115871 PMCID: PMC10726703 DOI: 10.1590/1413-785220233105e266234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 11/22/2022] [Indexed: 12/21/2023]
Abstract
Scoliosis is a pathology with multiple etiologies that leads to aesthetic changes, increased morbidity and, especially, psychological damage. Objective This work aims to compare two mindset types (fixed and growth) and assess levels of quality of life in individuals with scoliosis. Methods Two questionnaires, Scoliosis Research Society-30 (SRS-30) and Early-Onset Scoliosis-24 Questionnaire (EOSQ-24), associated with the "Health Mindset Scale," were used. We applied the SRS-30 to patients who were independent or whose diagnosis of spinal deformity occurred after the age of 10 years. For patients diagnosed before the age of 10 or who presented dependence due to cognitive impairment, caregivers were subjected to the "Health Mindset Scale" and EOSQ-24 questionnaires. Results The sample consisted of 35 patients aged from 4 to 46 years, the majority aged from 15 to 18 years old (42.9%), female (71.4%), and with neuromuscular scoliosis (28.6%). The only significant result (p = 0.060) was the increase in pain/discomfort scores in the EOSQ-24 for a patient with a growth mindset. Lastly, there was no statistical difference between groups, however, in patients with a growth mindset, there was a tendency (p = 0.060) to have a higher pain/discomfort score, assessed via the EOSQ-24 score, reported by the caregiver. Level of Evidence III, Retrospective Comparative Study.
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Affiliation(s)
- Wesley Wilian Costa Martins
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Department of Orthopedics and Traumatology "Pavilhao Fernandinho Simonsen", Sao Paulo, SP, Brazil
| | - Leonardo Sardas
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Department of Orthopedics and Traumatology "Pavilhao Fernandinho Simonsen", Sao Paulo, SP, Brazil
| | - Rodolfo Guedes Pereira Nunes Barbosa
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Department of Orthopedics and Traumatology "Pavilhao Fernandinho Simonsen", Sao Paulo, SP, Brazil
| | - Rodrigo Góes Medéa DE Mendonça
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Departamento de Ortopedia e Traumatologia "Pavilhao Fernandinho Simonsen", Spine Surgery Group, Sao Paulo, SP, Brazil
| | - Alberto Gotfryd
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Departamento de Ortopedia e Traumatologia "Pavilhao Fernandinho Simonsen", Spine Surgery Group, Sao Paulo, SP, Brazil
| | - Maria Fernanda Silber Caffaro
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Department of Orthopedics and Traumatology "Pavilhao Fernandinho Simonsen", Sao Paulo, SP, Brazil
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Departamento de Ortopedia e Traumatologia "Pavilhao Fernandinho Simonsen", Spine Surgery Group, Sao Paulo, SP, Brazil
| | - Patrícia Maria DE Moraes Barros Fucs
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Department of Orthopedics and Traumatology "Pavilhao Fernandinho Simonsen", Sao Paulo, SP, Brazil
| | - Robert Meves
- Irmandade da Santa Casa de Misericordia de Sao Paulo, Departamento de Ortopedia e Traumatologia "Pavilhao Fernandinho Simonsen", Spine Surgery Group, Sao Paulo, SP, Brazil
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Parental Health Mindset Is Related to Preoperative Perceptions of Chest Wall Anomalies. J Surg Res 2023; 284:318-321. [PMID: 36641946 DOI: 10.1016/j.jss.2022.11.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 11/15/2022] [Accepted: 11/20/2022] [Indexed: 01/14/2023]
Abstract
INTRODUCTION Mindsets of health have been linked to different outcomes for patients with both surgical and medical conditions. A "growth" mindset, in which health is defined as malleable and subject to improvement, is associated with improved attitudes and outcomes when compared to a "fixed" mindset, in which health is defined as unchangeable. In pediatric surgery, parental growth mindsets of health have been correlated with better postoperative outcomes, including lower scores of anxiety and pain perceptions, for children. This was particularly notable in a study of postoperative outcomes for patients with pectus excavatum. In our current study, we extend our investigations to explore how health mindsets are associated with perceptions of chest wall anomalies before correction is undertaken. METHODS Seventy-six patients (71 males, mean age 14 y, and 43 excavatum) and 18 parents were surveyed during a routine chest wall clinic visit. Demographic and clinical information as well as the Health Mindset Scale and Pectus Excavatum Evaluation Questionnaire were administered and collected pretreatment. RESULTS Parental mindsets of health were significantly correlated with parent assessments of their children's chest pain, physical activity, and concerns about the life-time effect of the condition. A parental growth mindset was linked to lower scores of chest pain, higher ratings of activity, and lower overall level of concern. Furthermore, parental health mindsets also significantly correlated with children's own perceptions of their chest pain, physical activity, shortness of breath, and fatigue. Growth mindset also was linked to more positive ratings. CONCLUSIONS Parental growth mindset was associated with more positive assessments of children's symptoms and limitations due to pectus deformities than fixed mindsets. Health mindset has been linked to patient perceptions of, and outcomes for, diabetes, renal disease, allergies, scoliosis, and obesity. Further study into parental and patient mindset correlation may help elucidate factors for bracing compliance, and perhaps to better prepare children and parents for corrective surgical procedures.
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Liu Q, Tong Y. Employee Growth Mindset and Innovative Behavior: The Roles of Employee Strengths Use and Strengths-Based Leadership. Front Psychol 2022; 13:814154. [PMID: 35795437 PMCID: PMC9252464 DOI: 10.3389/fpsyg.2022.814154] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 05/18/2022] [Indexed: 11/21/2022] Open
Abstract
This study aimed to investigate the relationship of employee growth mindset with innovative behavior and the mediating role of use of strength as well as the moderating role of strengths-based leadership in this relationship. Data with a sample of 244 employees working in diverse Chinese organizations were collected at two points in time. Results of bootstrapping analyses demonstrated that growth mindset is positively related to innovative behavior, employee strengths use partially mediates the positive relationship of growth mindset with innovative behavior, and strengths-based leadership strengthens the direct relationship between employee growth mindset and innovative behavior and the indirect relationship of employee growth mindset with innovative behavior via strengths use. This study advances growth mindset and innovative behavior theories and research.
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Bharuchi V, Rasheed MA. Development and feasibility testing of the mental status examination scale to assess functional status of young, hospitalized children in Pakistan. SSM - MENTAL HEALTH 2022. [DOI: 10.1016/j.ssmmh.2022.100126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Hagerman CJ, Ferrer RA, Persky S. How beliefs about weight malleability and risk perceptions for obesity influence parents' information seeking and feeding. J Health Psychol 2021; 27:2714-2728. [PMID: 34886689 PMCID: PMC10150795 DOI: 10.1177/13591053211061412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This study surveyed 185 parents to determine whether their perceived risk of their child developing obesity and their implicit theories about the malleability of weight independently and/or interactively predict their child-feeding and pursuit of child-related obesity risk information. Higher risk perceptions were associated with healthier feeding intentions and more information seeking. More incremental (malleable) beliefs predicted healthier feeding intentions and greater pursuit of environmental, but not genetic, information. Contrary to hypotheses, the influence of implicit theories and risk perceptions were primarily independent; however, more incremental beliefs predicted less "junk food" feeding among only parents with lower perceived risk.
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Affiliation(s)
- Charlotte J Hagerman
- National Human Genome Research Institute, USA.,The George Washington University, USA.,Drexel University, USA
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11
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Caruso A, Grolnick W, Mueller C, Kaczynski K, Chang CYH, Lebel A. Health Mindsets in Pediatric Chronic Headache. J Pediatr Psychol 2021; 47:391-402. [PMID: 34877604 DOI: 10.1093/jpepsy/jsab115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 10/12/2021] [Accepted: 10/12/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE Given how frequently youth with chronic headache and migraine experience setbacks in treatment, identifying factors that promote coping and resilience is critical. Mindsets have gained attention as predictors of behavior and targets of intervention across contexts, including health. Health mindsets may help to explain how children with chronic pain interpret and respond to treatment. This study evaluated whether growth health mindsets might relate to adaptive outcomes in patients with chronic pediatric headache. METHODS Participants were 88 children and adolescents (ages 10-17 years) with headache or migraine contacted following an appointment at a pediatric headache clinic, and their parent. Patients rated their beliefs about health as more fixed versus growth-oriented. They were presented with vignettes depicting hypothetical treatment setbacks and instructed to reflect upon real-life setbacks. Patients completed questionnaires about their cognitive appraisals of setbacks, coping, quality of life, life satisfaction, and functional impairment. RESULTS The higher children rated their growth health mindsets, the less likely they were to appraise setbacks as threatening and endorse quality-of-life problems. Children with higher growth mindsets reported higher life satisfaction and lower functional disability. There was also an indirect relation between children's mindsets and coping through cognitive appraisals of setbacks as a threat, but not challenge. CONCLUSION This research extends the health mindsets literature by contributing preliminary evidence of health mindsets as tied to adaptive outcomes in youth with chronic headache. These findings may be of interest to clinicians and parents, as health mindsets may offer an avenue by which resilience is promoted and maladaptive appraisals are minimized.
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Affiliation(s)
- Alessandra Caruso
- Department of Psychology, Clark University, USA.,Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA
| | | | - Claudia Mueller
- Department of Surgery, Stanford University School of Medicine, USA
| | - Karen Kaczynski
- Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA.,Department of Psychiatry, Harvard Medical School, USA
| | - Cindy Yu-Hsing Chang
- Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA
| | - Alyssa Lebel
- Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA.,Department of Neurology, Harvard Medical School, USA
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The Influence of Health Mindset on Perceptions of Illness and Behaviors Among Adolescents. Int J Behav Med 2021; 28:727-736. [PMID: 33721232 DOI: 10.1007/s12529-021-09972-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Health mindsets can be viewed on a continuum of malleability from fixed (health cannot be altered) to growth (health can be affected by behavior). We propose that mindsets may influence the health perceptions of healthy adolescents as well as the health behaviors of adolescents with a chronic illness. METHODS In Study 1, we surveyed healthy adolescents about their health mindsets and their judgments of illness in response to vignettes of fictional others. In Study 2, we measured the health mindsets and health behaviors of adolescents with type 1 diabetes RESULTS: In Study 1, healthy adolescents with a fixed health mindset were more likely to rate fictional others as being less healthy, less likely to recover, and more vulnerable to additional diseases. In Study 2, a growth mindset was associated with a greater frequency of glucose monitoring among younger, but not older, adolescents with type 1 diabetes. Further, growth mindset was associated with lower HbA1c levels for younger adolescents. CONCLUSIONS Health mindsets may shape views of the implications of illness or injury for overall health and, in adolescents with a chronic condition, may interact with age to influence health behaviors and outcomes.
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Kain A, Mueller C, Golianu BJ, Jenkins BN, Fortier MA. Response to: Mindset over matter: is parental health mindset an appropriate target for intervention? Paediatr Anaesth 2021; 31:1015-1016. [PMID: 34409707 DOI: 10.1111/pan.14241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 06/05/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Alexandra Kain
- Department of Pediatrics, CHOC Children's Hospital, Orange, CA, USA
| | - Claudia Mueller
- Department of Surgery, Stanford School of Medicine, Palo Alto, CA, USA
| | - Brenda J Golianu
- Department of Anesthesiology and Perioperative Medicine, Stanford University School of Medicine, Palo Alto, CA, USA
| | - Brooke N Jenkins
- Department of Psychology, Chapman University, Orange, CA, USA.,Department of Anesthesiology & Perioperative Care, School of Medicine, University of California-Irvine, Orange, CA, USA
| | - Michelle A Fortier
- Department of Anesthesiology & Perioperative Care, School of Medicine, University of California-Irvine, Orange, CA, USA.,Sue & Bill Gross School of Nursing, University of California Irvine, Orange, CA, USA
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Humphry E, Eusuf D, Shelton C. Mindset over matter: Is parental health mindset an appropriate target for intervention? Paediatr Anaesth 2021; 31:738-739. [PMID: 34029433 DOI: 10.1111/pan.14193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Accepted: 04/07/2021] [Indexed: 12/01/2022]
Affiliation(s)
- Eleanor Humphry
- St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | | | - Clifford Shelton
- Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.,Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
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Mindset correlates with health-related quality of life assessment in patients with adolescent idiopathic scoliosis. Spine Deform 2021; 9:349-354. [PMID: 33201496 DOI: 10.1007/s43390-020-00243-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Accepted: 10/24/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE Mindset theory describes two different belief systems regarding ability: "fixed", in which a particular personal characteristic is seen as unchangeable, and "growth", in which the characteristic is viewed as malleable and subject to improvement. The purpose of this study is to evaluate how that mindset toward one's health correlates with health-related quality of life assessments (HRQoL) in patients with adolescent idiopathic scoliosis (AIS). METHODS Patients undergoing brace treatment for AIS were prospectively recruited for this study and completed both an SRS-30 and Health Mindset Scale questionnaire. Inclusion criteria for patients are based on Scoliosis Research Society standardized criteria for bracing studies: diagnosis of AIS, a prescribed TLSO brace for full-time wear, skeletal immaturity at brace initiation (Risser 0-2), Cobb angles 25-50 degrees, no prior treatment, and, if female, no more than 1 year post-menarchal at the time of brace initiation. Statistical analysis was performed utilizing Mann-Whitney U tests for skewed data and two-sample t tests for normally distributed data. Multivariable models were also used to evaluate the relationships of SRS-30 subscores with health mindset, adjusting for age, gender, and pre-treatment curve magnitudes. RESULTS Among the 110 enrolled patients, a stronger growth mindset was associated with significantly higher SRS-30 scores overall (p = 0.001), as well as in the appearance (p = 0.003), and mental (p = 0.001) subscores. CONCLUSION We demonstrate that health mindset affects an AIS patients' HRQoL. Prior studies have demonstrated that mindset is malleable and can be altered. Further studies are required to determine whether changing health mindset from a fixed to a growth mindset can also improve HRQoL in patients with scoliosis.
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