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At least 19 recordsLinked to original sources

Understanding parental motivators and barriers to uptake of child poison safety strategies: a qualitative study.

OBJECTIVES: To develop an understanding of factors acting as barriers and motivators to parental uptake of child poison safety strategies. DESIGN: A qualitative study involving semistructured interviews and focus groups. A grounded theory approach was used for the collection and analysis of data. PARTICIPANTS: Sixty five parents of children under 5 years of age, some of whom had experienced an unintentional child poisoning incident. RESULTS: A range of knowledge based, environmental, and behavioral barriers to comprehensive parental uptake of poison safety practices were identified. As a result there tended to be only partial implementation of safety initiatives in the home. Selection of safety practices was often guided by the interests and behaviors of the child. This made the child vulnerable to changes in the home environment, inadequate supervision, and/or shifts in their own behavior and developmental ability. Personal or vicarious exposure of a parent to a child poisoning incident was a significant motivator for parental review of safety practices. CONCLUSION: Environmental measures targeting child resistant containers, warning labels, and lockable poisons cupboards will support parents' efforts to maintain poison safety. Additional education campaigns using stories of actual poisoning incidents may help to increase awareness of risk and encourage increased uptake.

Accidents, Home↗

Developmental education for parents of delayed infants: effects on parental motivation and children's development.

This study compared the effectiveness of developmental education for parents with parent education in child management and with a no-education control condition in motivating parents to participate in home treatment programs for developmentally delayed infants. 39 delayed infants, matched for age and severity of delay, and their families were randomly assigned to the 3 treatment groups. The subsequent differential effectiveness of home treatment programs, in terms of the infants' developmental gains, was then examined. Results indicated that the children in the developmental education group gained a greater number of skills, and their parents participated more in the assigned home treatment programs than did parents in the other 2 groups. At follow-up approximately 1 year later, parents who received developmental education continued to participate more than the other parents in their child's treatment program. Developmental education appears to enable parents to discriminate small developmental gains, facilitating the intrinsic motivation involved in working with their children.

Child Development↗

Parents' motivation for seeing a physician.

OBJECTIVE: To explore situations in which parents with an ill child consult a physician and to identify trigger factors for consultation. DESIGN AND SETTINGS: Qualitative interviews with parents of young children. Parents were asked to describe the situation in which the decision to contact the physician was made. SUBJECTS: A total of 20 families selected from a birth cohort from Frederiksborg County. The cohort numbered 194 of 389 children born between 1 and 28 February 2001. The cohort was followed prospectively from the age of 9 to 12 months by diary (January-April), and retrospectively from birth to the age of 9 months by questionnaire. Families were chosen on the basis of information provided in a questionnaire, diary illness pattern and a telephone conversation. RESULTS: Nine trigger factors associated with physician contacts were identified. Parents' answers demonstrated how their feelings and logical reasoning while caring for an ill child led them to consult the physician. The main reasons for consultation were children's protracted or aggravated symptoms. Parents initially tried to handle the situation but when unsuccessful information and advice was sought by consulting a physician. CONCLUSIONS: Parents consult the physician when they feel overtaxed, afraid, or inadequately prepared to care for their ill child. They considered seriously whether to consult a physician or not.

Adaptation, Psychological↗

Motivating parents to prevent caries in their young children: one-year findings.

BACKGROUND: The authors conducted a study to compare the effect of a motivational interviewing counseling treatment with that of traditional health education on parents of young children at high risk of developing dental caries. OVERVIEW: The authors enrolled in the study parents of 240 infants aged 6 to 18 months and randomly assigned them to either a motivational interviewing, or MI, group or a traditional health education (control) group. Parents in the control group received a pamphlet and watched a video. Parents in the MI group also received the pamphlet and watched the video; in addition, they received a personalized MI counseling session and six follow-up telephone calls. RESULTS: After one year, children in the MI group had .71 new carious lesions (standard deviation, or SD, = 2.8), while those in the control group had 1.91 (SD = 4.8) new carious lesions (t[238] = 2.37, one-tailed, P < .01). CONCLUSIONS: MI is a promising approach that should receive further attention. CLINICAL IMPLICATIONS: MI may lead parents and others to better accept dental recommendations about preventing caries in their children.

Asia, Southeastern↗

Motivating parents of kids with asthma to quit smoking: the PAQS project.

The Parents of Asthmatics Quit Smoking (PAQS) project contrasts two theory-based smoking cessation interventions for parents of children with asthma, and compares mechanisms of behavior change within and across theoretical perspectives. We hypothesize that enhancing the perception of risk to self and child will motivate smoking cessation more than standard approaches that emphasize building self-efficacy and coping skills for quitting in a population that is largely not motivated to quit smoking. Smokers (n = 288) and their asthmatic children who receive nurse-delivered in-home asthma education (as part of the insurance carrier's standard of care) are randomized into one of two treatment conditions: (1) the Behavioral Action Model (BAM), in which nurses emphasize goal setting and skill building to enhance self-efficacy to quit smoking, or 2) the Precaution Adoption Model (PAM), in which nurses tailor the intervention to the smoker's readiness to quit and incorporate biomarker feedback [i.e. level of carbon monoxide exposure to the smoker and level of environmental tobacco smoke (ETS) exposure to the child] in order to increase risk perception in smokers. In both conditions, smokers who are ready to quit receive the nicotine patch. Analyses will examine (1) quit rates, ETS level and motivation to quit as the primary dependent variables, (2) mediators of behavior change between and within conditions, and (3) relations between parent smoking outcomes and child asthma morbidity (i.e. ER visits and asthma symptoms) post-treatment. Results will help tailor interventions to this population, and identify mechanisms of behavior change that result in adaptive health outcomes for smokers and their children who have asthma.

Adolescent↗

Parents with mental illness: lacking motivation to parent.

Parents with mental illness sometimes struggle to manage the demands of a family and the disabling symptoms of their illness. Limited interaction and poor relationships can negatively impact on children. Lack of motivation may inhibit these parents' ability to interact with, and provide adequate care for their children. This is especially problematic following a hospital admission. Lack of motivation, in psychiatric illnesses, can be a symptom, due to medication, or perhaps associated with frontal lobe disorder. Assessment, rehabilitation and support that focuses on parents' problems with motivation and planning and enhances their parenting would be beneficial in helping parents with mental illness provide the best possible care for their children.

Adult↗

Are immunizations an incentive for well-child visits?

OBJECTIVE: To assess the beliefs of parents and the visit patterns of their children to determine whether immunizations act as an incentive to use well-child care. DESIGN AND METHODS: Medical record audits provided data on immunizations and well-child visits. Two questions from a parent interview were used to identify 4 groups of parents: (1) motivated and (2) unmotivated to keep a well-child care appointment regardless of whether immunizations are scheduled, (3) vaccine-motivated and (4) checkup-motivated (parents who were influenced negatively by the prospect of receiving vaccinations). The percentage of children with a visit at each age window for well-child visits and the percentage up-to-date for their immunizations at given ages were compared across the 4 groups. The 4 groups were also compared for other parental attitudes about immunizations and well-child visits, and on sociodemographic and access characteristics. RESULTS: Most (73.3%) of the 502 parents surveyed were classified as motivated and 5% as unmotivated to keep a well-child care appointment regardless of whether an immunization was scheduled. Only 18.3% were categorized as vaccine-motivated and 3.4% as checkup-motivated. For all 4 groups, there was no discernible difference in attendance between immunization and nonimmunization visits. Attendance in the windows for well-child visits and percentage of children up-to-date on immunizations declined with increasing age. CONCLUSIONS: In this inner-city population, attendance patterns at visits did not support the incentive hypothesis. This finding should reassure clinicians that providing immunizations outside of regular well-child care visits will not necessarily decrease attendance at visits for well-child care.

Baltimore↗

Motivations for parent care: the case of filial children in Korea.

This study identified five major types of motivation for parent care in a survey of 130 filial Koreans: respect for parents, filial responsibility, harmonization of the family, repayment of debts, and filial sacrifice. The meanings of these qualitative dimensions of parent care in the cultural context of Korea are discussed. Filial motivations reflect the values Koreans are aspiring for today that consolidate the caring relationships between adult children and their elderly parents. Both the importance of nurturing filial mortality and the need for advancing traditional values associated with the caring relationships are also discussed.

Adult↗

An exploratory examination of the Parent-initiated Motivational Climate Questionnaire.

The purpose of this study was to examine the factor structure and internal reliability of the Parent-initiated Motivational Climate Questionnaire among 112 boys and 98 girls, young adolescents, and older adolescents. The questionnaire had a meaningful 3-factor structure and showed acceptable internal reliability. There was a significant difference between how boys and girls perceived their parents' reactions to their learning new physical skills. In contrast to boys, girls thought that both their mothers and fathers focused on improvement and self-satisfaction during the learning process and deemphasized learning without effort and worrying about making mistakes. Age did not significantly affect the perceptions the individuals had of their parents' convictions about their learning in the physical domain.

Adolescent↗

Parental willingness to enter a child in a controlled vaccine trial.

OBJECTIVE: To determine the reasons that motivate parents to enrol or not enrol their child in a randomized, controlled vaccine trial. DESIGN: Cross-sectional survey. SETTING: Offices of primary care physicians in Dartmouth, Nova Scotia, and Montreal, Quebec. PARTICIPANTS: At the 2 sites, parents of 2-month-old infants at their first immunization visit who had decided to enrol (221) or not enrol (208) their child in 2 randomized pertussis vaccine trials. OUTCOME MEASURES: Rates of enrolment in vaccine trials; attitudes about medical research; sources of information about pertussis. RESULTS: Enrolment rates were 68% and 43% at the 2 sites. All parents agreed to answer questions about their decision to enrol or not enrol their child. The most common concerns resulting in nonenrolment were extra immunization 54% (26/48) and blood procurement 42% (20/48). Parents who did enrol their children were motivated to participate by the desire to contribute to medical knowledge (77% [170/221]), the desire to help others (48% [106/221]) and by the participation of their family physician (54% [120/221]). The enrollees' major sources of information about pertussis was health professionals or study personnel rather than the media. CONCLUSIONS: Altruistic reasons motivate parents' decision to enrol a child in a randomized, controlled vaccine trial. Nonparticipating parents seem most concerned about painful procedures in the study. Parents' decisions regarding participation do not appear to be affected by adverse media attention regarding the purported adverse sequelae of pertussis vaccines.

Attitude to Health↗

[Motivations of parents taking their children to the hospital in emergencies. Results of a psychosocial survey at the Regional University Hospital Center of Grenoble].

A psycho-social survey by questionnaire was conducted among parents accompanying their children to the Pediatric Emergency Ward of the Medical Center of Grenoble, in order to identify the motivations of those who do not seek a medical advice prior to their coming to the hospital. From this survey, several motivating factors were identified: an economical factor, the difficulty to rapidly call a physician, the place of residence, an insufficient knowledge of the medical services, the familiarity of parents with the hospital, the advice of relatives, the anxiety caused by the child's illness and the comforting image of the hospital. In a synthetic analysis, several types of parents are distinguished according to their behavior.

Child↗

Motivation to join and benefits from participation in parent mutual aid organizations.

Findings from the Parent Mutual Aid Organizations (PMAOs) in the Child Welfare Demonstration Project are presented with particular emphasis on parents' motivation to join PMAOs and the benefits from their involvement. Members' perceptions from qualitative investigations are compared with a controlled outcome study. PMAO members show less loneliness, more enthusiasm about their lives, and improved self-esteem and confidence. PMAOs result in substantially less reliance on child protection professionals, fewer child placements, and cost savings for the host agency.

Adult↗