Participation Strategies of Parents of Children with Neurodevelopmental Disorders: An Exploratory Study

Strategies are critical to promote child participation in important life activities. This study analyzed the participation strategies of the parents of children with neurodevelopmental disorders. Ninety-two Japanese elementary children with neurodevelopmental disorders and their parents were recruited. The parents completed the Participation and Environment Measure for Children and Youth (PEM-CY) questionnaire. Strategy text data obtained from the PEM-CY were analyzed with the co-occurrence network and correspondence analyses. The co-occurrence network analysis showed that the commonality of strategies to enable participation at home, school, and community settings was able to explain the child's characteristics when involved in each setting. The correspondence analysis also suggested the need for specific strategies in each setting. The importance of strategies to improve the attitudinal environment and promote the participation of children with neurodevelopmental disorders was evident. Reducing stigma is important in all environments, especially in the public sphere. In addition, specific strategies are needed in each setting, suggesting the importance of context-specific approaches.

Development and Feasibility Testing of CATCH Healthy Smiles, an Oral Health Promotion Intervention for Prevention of Dental Caries Among Elementary School Children

BACKGROUND

We present results of the development and feasibility testing of CATCH Healthy Smiles, a school-based oral health program, among children in grades K-2 in Houston, Texas.

METHODS

Study design was cross-sectional (N = 2 schools; N = 125 parent-child dyads; 31 kindergarteners, 42 first graders, and 52 second graders). CATCH Healthy Smiles program was implemented by trained school teachers in the 2016-2017 school year. Trained dentists conducted dental assessments to measure dental caries increment score (d3mfs). Parent-reported 24-hour dietary recalls and surveys assessed child and parent behavioral, environmental, and psychosocial factors. Logistic regression analysis assessed factors associated with caries experience adjusting for covariates.

RESULTS

Of the 113 children with complete dental assessments, 54% children in grade K, 62% in first grade, and 73% in second grade had caries experience. Children with caries experience had a higher body weight (AdjOR = 1.13, 95% confidence interval [CI]: 1.02-1.29), were less likely to be girls (AdjOR = 0.22, 95% CI: 0.05-0.82), had greater odds of difficulty drinking hot or cold beverages because of dental problems (AdjOR = 13.13, 95% CI: 1.09-275.14), greater frequency of consuming sugar-sweetened beverages (AdjOR = 11.53, 95% CI: 2.10-87.19), greater odds of receiving government assistance (AdjOR = 14.62, 95% CI: 2.74-119.81), and lower odds of seeing a dental provider (AdjOR = 0.11, 95% CI: 0.02-0.45). Process evaluation showed that 100% of the CATCH Healthy Smiles lessons and activities were taught in the two schools with a high degree of program fidelity and acceptability across the schools, children, and parents.

CONCLUSIONS

These data will be used to conduct a subsequent fully powered cluster randomized controlled trial.

Emotional Intelligence in Elementary School Children. EMOCINE, a Novel Assessment Test Based on the Interpretation of Cinema Scenes

The aim of the present study was to validate a new procedure, called EMOCINE test, to measure the perception and understanding branches of emotional intelligence (EI) in 1,448 children, aged between 8 and 13 years, from elementary schools. This new tool consists of watching 15 cartoon film clips and interpreting them according to children's own emotional perception and comprehension. After completing the test, the participants were classifie, according to their responses and by using the latent class analysis, as naïve (16.1%), over-interpretative (33.5%), and sensitive (50.4%). An increase in sensitive responses was observed depending on participants sex (girls higher than boys), and academic grade (increasing over the grades). Participants from the sensitive latent class had a significant better behavior in the school/classroom, compared with those from naïve and over-interpretative groups. Likewise, significant differences between latent classes were observed in many psychological, emotional, and behavioral problems (mainly between sensitive vs. insensitive by naivety) such as: depression, post-traumatic symptomatology, attention problems, aggression, family problems, problems at school, problems with classmates, integration and social competence. In conclusion, EMOCINE is a novel and promising tool for the measurement of the perception and comprehension components of EI. The test, employing film clips, is more realistic and motivating than others using static images or written descriptions. Moreover, the test can predict or identify emotional and behavior problems in children.

Schools as Surveilling Institutions? Paternal Incarceration, System Avoidance, and Parental Involvement in Schooling

Parents play important roles in their children's lives, and parental involvement in elementary schooling in particular is meaningful for a range of child outcomes. Given the increasing number of school-aged children with incarcerated parents, this study explores the ways paternal incarceration is associated with mothers' and fathers' reports of home- and school-based involvement in schooling. Using Fragile Families Study data, we find that a father's incarceration inhibits his school- and home-based involvement in schooling, but associations for maternal involvement are weaker. Results are robust to alternative specifications of incarceration that address concerns about selection and unobserved heterogeneity. Findings also hold across levels of father-child contact. We also conducted a test of the system avoidance mechanism and results suggest it partially explains reductions in school involvement for fathers following incarceration. Given the reoccurring interest in the interconnection between families and schools and how this translates into success, this study suggests that paternal incarceration is associated with lower parental involvement in schooling and highlights the role of system avoidance in this association. Attachment to social institutions like schools is quite consequential, and this work highlights another way mass incarceration influences social life in the United States.