Abstract
Hospitalization poses diverse challenges to school-aged youth well-being and their educational path. Some inpatients, due to the hospitalization duration, frequency or the needed recovery period at home, may struggle when returning to school. To help youth cope with this challenge, several hospitals have been implementing educational interventions tailored to the school-aged children and adolescents needs. Nevertheless, pediatric inpatients with short stays and/or with a recovery period at home usually do not benefit from these interventions. Therefore, the present study implemented a blended intervention (i.e., face-to-face and online) with the aim of training self-regulated learning competences with hospitalized school-aged adolescents with short hospital stays. The intervention was delivered on a weekly basis for eight individual sessions using a story-tool. Results showed the efficacy of the intervention in promoting adolescent’s use of, perceived instrumentality of, and self-efficacy for self-regulated learning strategies. Overall, there was a differentiated impact according to the participants’ age, grade level, grade retention, and engagement in the intervention. These findings support previous research indicating that hospitals can play an important role as educational contexts even for inpatients with short stays. The blended format used to deliver the self-regulation learning (SRL) training also may be an opportunity to extend these interventions from the hospital to the home context.
Highlights
Being hospitalized, either for extended periods or repeated admissions, poses great challenges to school-aged children’s school experience [1], social well-being, and continued educational opportunities [2]
Results indicate that adolescents’ self-efficacy for self-regulation learning (SRL) improved, but in a complementary way to SRL. These findings extend previous research that reports the benefits of participating in SRL training programs using story-tools, e.g., [51,89,96,118], and in hospital-based psychoeducational interventions [4,8]
Results are consistent with literature showing that adolescent SRL strategies can be enhanced with appropriate training [79,96] and methodologies, even when there are a limited number of sessions [79]
Summary
Either for extended periods or repeated admissions, poses great challenges to school-aged children’s school experience [1], social well-being, and continued educational opportunities [2]. It might increase the risk for school failure and disengagement from school [2] Recognizing this impact, several hospitals have been implementing interventions, e.g., [3,4], to address the pediatric inpatients needs (e.g., health-education and curricular content). Many of these interventions are not available for all inpatients because hospital stays are short and, in some cases, there is a recovery period at home before returning to school [5,6]. Public Health 2019, 16, 4802; doi:10.3390/ijerph16234802 www.mdpi.com/journal/ijerph
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