Parental views on otitis media

This study aims to describe parental experiences and perspectives of caring for a child with otitis media | European Journal of Pediatrics

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We conducted a systematic review of qualitative studies on parental perspectives on caring for a child with otitis media. We searched electronic databases to July 2015. Seventeen studies involving 284 participants from six countries were included. We identified seven themes: diminishing competency (guilt over failure to identify symptoms, helpless and despairing, fear of complications, disempowered and dismissed); disrupting life schedules (disturbing sleep, interfering with work, burden on family); social isolation (stigma and judgement, sick consciousness); threatening normal development (delaying growth milestones, impairing interpersonal skills, impeding education); taking ownership (recognising symptoms, diagnostic closure, working the system, protecting against physical trauma, contingency planning); valuing support (needing respite, depending on community, clinician validation); and cherishing health (relief with treatment success, inspiring resilience).

Conclusion: The additional medical responsibilities and anxieties of parents caring for a child with otitis media, often discounted by clinicians, can be disempowering and disruptive. Chronicity can raise doubt about treatment efficacy and parental competency, and fears regarding their child’s development. Care that fosters parental confidence and addresses their concerns about the child’s development may improve treatment outcomes for children with otitis media.

Full reference: Chando, S. et al. (2016) Parental views on otitis media: systematic review of qualitative studies. European Journal of Pediatrics. 175: 1295. 

Mindfulness and attachment styles through mother and infant interaction

Recently, research has focused on mindfulness as a potential variable to interrupt the transmission of insecure attachment and disrupt its effect across generations. | Infant Mental Health Journal

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Thirty-six regnant female participants completed the Five Facets Mindfulness Questionnaire and Relationship Questionnaire-Clinical Version at 30 weeks’ gestation. Following the infant’s birth, mothers and their babies participated in a video-recorded feeding session at 7 to 10 weeks’ postpartum. It was predicted that a secure attachment style and higher levels of mindfulness measured prenatally would be associated with greater maternal responsiveness postpartum. The hypothesis was supported for both the secure and insecure (fearful and profoundly distrustful) attachment styles. Mindfulness did not mediate the relationship between attachment and maternal distress. The mindfulness subscale Non-Reacting was significantly associated with maternal response to distress. These findings support the role of prenatal mindfulness skills and attachment security for later postnatal maternal sensitivity to baby.

Full reference: Pickard, J.A. et al. (2017) Observing the influence of mindfulness and attachment styles through mother and infant interaction: A longitudinal study Infant Mental Health Journal. DOI: 10.1002/imhj.21645

Ultrasound for children with broken arms: Accurate, faster, less painful than X-rays

Point-of-Care Ultrasound (POCUS) assessment of distal forearm injuries in children is accurate, timely, and associated with low levels of pain and high caregiver satisfaction | ScienceDaily

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There are many goals when managing children with suspected fractures of the arm. These include being fast and accurate in the diagnosis, not causing more pain and limiting exposure to radiation. Achieving these goals can result in high rates of caregiver satisfaction. Dr. Poonai’s study suggests that POCUS may be a viable alternative to x-ray with respect to diagnostic accuracy, cost effectiveness, pain, caregiver satisfaction, and procedure duration.

Read the full overview via ScienceDaily here

The original research article is available here

Mindful Parenting Group Training for Mothers and Their Babies

Potharst, E.S. et al. Mindfulness | Published online: 13 April 2017

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Many mothers experience difficulties after the birth of a baby. Mindful parenting may have benefits for mothers and babies, because it can help mothers regulate stress, and be more attentive towards themselves and their babies, which may have positive effects on their responsivity. This study examined the effectiveness of Mindful with your baby, an 8-week mindful parenting group training for mothers with their babies.

Read the full article here

Decision making for children with life-limiting conditions and life-threatening illnesses

Bluebond-Langner, M. et al. (2017) Archives of Disease in Childhood. 102(5) pp. 468-471

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The relationship between parents and clinician is critical to the care and treatment of children with life-limiting conditions (LLCs) and life-threatening illnesses (LTIs). This relationship is built and maintained largely in consultations. In this article we lay out factors that bear on the success of clinical consultations and the maintenance of the essential clinician–parent relationship at progression or deterioration of LLCs or LTIs.

We suggest an approach to engaging parents in conversations about care and treatment that recognises and appreciates the dilemmas which clinicians and parents face and in so doing provides a way for everyone to live with the decisions that are made. A close analysis of a consultation at progression and excerpts of encounters among parents, clinician and researcher are used to illustrate our approach to research, analysis and development of recommendations for clinical practice.

Read the full article here

Parents struggle with choosing allergy medicine for their children

Dosing, labeling and a seemingly endless range of allergy medication options can make picking the right medicine a complicated task for some parents | ScienceDaily

As allergy season kicks into high gear, many parents are likely searching for over-the-counter medications to help relieve children of symptoms like sneezing, coughing and congestion.

But dosing, labeling and a seemingly endless range of allergy medication options can make picking the right medicine a complicated task for some parents, suggests today’s report from the C.S. Mott Children’s Hospital National Poll on Children’s Health at the University of Michigan.

Read the full overview here

Parents’ reactions can lessen or worsen pain for injured kids

New research (yet to be published) has looked at family coping and distress during a dressing change following a burn injury in kids | The Conversation

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The 18-month study observed 92 families during their young child’s (one to six years) first burn dressing change at a Brisbane hospital.

Parents who reported they were more anxious or distressed were less able to support their child during the procedure. This decreased the child’s ability to cope and increased the child’s distress, which was measured by their ability to be distracted by toys and conversation, compared to crying or screaming during the dressing change.

Ratings of child anxiety and pain during the dressing change were also greater for children of parents who were less able to support their child during the dressing change.

Read the full blog post by  Erin Brown & Justin Kenardy here