Parental Satisfaction Survey on Online Speech Language Developmental Screening for Infants and Toddlers: Effects of Child and Parent Characteristics

Aim: As youth increasingly adopt diabetes technologies, little is known about device satisfaction. This study sought to understand factors associated with youth and parent diabetes device satisfaction. Methods: A sample of 157 youth ages 12-19 (Mage=14.7, SD=1.89; 46% female) and their parents enrolled in an RCT provided glycemic and survey data, including single-item ratings of diabetes device satisfaction. Chi-square and t-tests evaluated baseline correlates of satisfaction. Results: Most youth (57%) endorsed being “very satisfied” with their devices compared to 35% of parents. Only 25% of parent-youth dyads were both “very satisfied.” Most very satisfied youth were male. While youth satisfaction was unrelated to glycemic outcomes, high satisfaction was related to less diabetes distress, better diabetes-related quality of life, better parent-child relationships, and less non-supportive diabetes involvement by parents. Parent satisfaction was related to lower A1c, lower youth diabetes distress, and higher parent diabetes-related quality of life. Conclusions: Our results highlight key similarities and differences between youth and parents’ device satisfaction. While both parent and youth satisfaction were correlated with youth diabetes distress, parent satisfaction was linked with A1c while youth satisfaction correlated with parent-youth diabetes dynamics. Addressing these areas may promote ongoing device use. Disclosure J.J. Wong: None. H.M. Flores: None. S. Hanes: None. J. Ngo: None. K.K. Hood: Consultant; Cecelia Health, Sanofi. Funding National Institute of Health (K23-DK121771)

Both parent and adolescent involvement in type 1 diabetes management are critical during adolescence. The current study sought to understand the factors associated with parent and adolescent satisfaction with their own and one another's involvement in diabetes management. Cross-sectional baseline data from 157 parent-adolescent dyads enrolled in an RCT were used. Adolescent ages ranged from 12 to 19 (Mage = 14.7, SD = 1.89) and were balanced by gender (50.3% male). Paired t-tests examined concordance between parent and adolescent satisfaction, bivariate correlations identified correlates, and regressions examined unique associations. Roughly, 43% of adolescents and 29% of parents were very satisfied with adolescent involvement in diabetes management, whereas 71% of adolescents and 26.1% of parents were very satisfied with parent involvement. Indicators of better glycaemic health (via higher percent time-in-range and lower HbA1c and percent time in hyperglycaemia) and psychosocial functioning (less diabetes distress and depression) were correlated with higher satisfaction. Parent satisfaction with adolescent involvement was higher among older adolescents (R = 0.198, p = 0.013). Non-Hispanic white youth were more satisfied with their own involvement than youth of colour (t(149) = -2.783, p = 0.003). Both percent time-in-range and one's own diabetes distress uniquely related to parent and adolescent satisfaction with adolescent involvement. Conversely, parent satisfaction with their own involvement was only uniquely associated with parent diabetes distress. Both adolescent and parents' satisfaction with adolescents' involvement in self-management are indicators of both glycaemic control and psychosocial well-being, whereas parents' self-evaluations are more closely tied to diabetes-specific distress.

Parents of young children who exhibit behavioral problems often experience lower marital satisfaction. In the present study we aimed to explore the association between preschool children's noncompliant behavior and marital satisfaction, and to explain it through the mediating role of parental self-efficacy and satisfaction with parenting. Participants were 188 married Israeli couples with a typically developing child aged 3 to 6, selected in a convenience sample. Mothers and fathers independently completed measures of child’s behavior, marital satisfaction, parental self-efficacy, and satisfaction with parenting. Data were collected between September 2019 and February 2020 and were analyzed using the common fate model (CFM). Results indicate a direct, negative association between child's noncompliant behavior and marital satisfaction, which was fully explained by parental self-efficacy and satisfaction with parenting. The study suggests that both parents are affected by their young child’s noncompliance, with a spillover effect from the parent–child relationship into the marital relationship. The findings highlight the importance of early treatment of children's noncompliance and indicate that interventions aimed at enhancing parents’ self-efficacy and satisfaction, as well as the inclusion of both parents in treatment, may be beneficial.

Research about parental marital satisfaction and parent–child relationships is well established, but the effects of marital satisfaction on parental satisfaction require more explanation in a Korean sample. In total, 2,070 participants (51.0% mothers, 49.0% fathers) from a nationally representative sample of Korean people were selected from the 2015 Fact-Finding Survey in Families, and structural equation modeling was performed to examine the relationships between marital satisfaction, parent–child relational quality, and parental satisfaction. In support of the spillover hypothesis, marital satisfaction was significantly correlated with parental satisfaction and affected it directly and indirectly via positive and negative parent–child relationship quality. In addition, mediational pathways differed according to sex. The implications of the findings and directions for future research were discussed.

Background and Objective: Caring is a moral virtue that lies at the core of nursing care and is a key element in this practice. On the other hand, parental satisfaction is one of the most important factors influencing the care of hospitalized children. Therefore, the present study was conducted to determine the relationship between the ethical care of nurses and the satisfaction of parents of children hospitalized in Ardabil Children's Hospital in 2024. Materials and Methods: In this descriptive-correlational study conducted in 2024 at BouAli Medical Education Center in Ardabil, Iran, 200 clinical nurses and 160 parents of hospitalized children were selected using a census and stratified random sampling method. The data collection tool included a Questionnaire on the Personal-Social Characteristics of Nurses and Parents, Pediatric Ethical Care (2023), and Parental Satisfaction and its Associated Factors (2022). Data were analyzed in SPSS software (version 26) using descriptive (absolute and relative frequency, Mean and SD) and analytical (t-test, analysis of variance, and Pearson Correlation Coefficient) statistics. The Normality of the data was checked using the Kolmogorov-Smirnov test. Results: The findings showed that 95% of clinical nurses were female and 43% were formal employment status. Additionally, 54.4% of the hospitalized children were boys, and 34.4% were hospitalized with respiratory diseases. The average score of ethical care and parental satisfaction were measured at 152.77 ± 4.25 and 300.81 ± 11.94, respectively. The highest score in ethical care for children was found in the domain of "emotional needs (47.63 ± 2.21) , while the highest score in parental satisfaction was attributed to "care and treatment Subcomponent with ( 131 ± 5.05). The results showed a direct and significant relationship between ethical care of children and parental satisfaction (r=0.47, P<0.001). The Stepwise regression test showed that among children's ethical care subcomponents, the "Emotional Needs Factor" was the strongest predictor of parental satisfaction. Conclusion: Implementing nursing care based on ethics is one of the most important factors in the satisfaction of parents of hospitalized children and the quality of child care. Providing nursing care by nurses who adhere to the principles of nursing care can improve the quality of nursing care. In addition, it is vital to involve hospital managers and officials for a better implementation of this process.

To use classic survey methodology to develop a specific survey tool that can assess parent satisfaction with medical care in a pediatric intensive care setting. Application of survey design methodology to develop and analyze a parent satisfaction survey. A pediatric intensive care unit (PICU) in a large teaching hospital. Sixty-six parents of children admitted to a PICU. A four-stage process of item selection, item reduction, pretesting, and test analysis was used to create a 23-item parent satisfaction survey that was statistically analyzed and developed specifically for the PICU setting. The survey tool was developed with the input of parents of children admitted to a PICU, and it was administered to parents in the PICU. The resultant survey was analyzed for validity and reliability. Both test-retest and internal consistency reliability were evaluated. This design yielded a survey with acceptable reliability, as demonstrated by a reliability coefficient of 0.8275. Test-retest reliability also showed good correlation of answers. Validity was partially established by including parents in the identification of survey topics. Classic survey design methodology was applied to develop a specific satisfaction survey in a pediatric inpatient setting. This stepwise method yielded a parent survey specific to one type of inpatient unit, and the resultant survey tool reliably measured levels of parent satisfaction with medical care in that area. This study demonstrates the feasibility of applying classic survey methodology to develop a statistically analyzed parent satisfaction survey for an inpatient setting.

BackgroundParental satisfaction is a key measure of the quality of a child's anesthetic care. Understanding of parents' opinions and satisfaction about their child's anesthesia service in the hospital is vital for hospital funding and parent experience.ObjectiveThe purpose of this study was to determine the level of parental satisfaction with their child's anesthetic care and the factors that contributed to that satisfaction.MethodsAn institution-based cross-sectional study was undertaken between March and June 2021. A structured questionnaire with the background characteristics of parents and children was used to collect data. A total of 238 parents were included in the study. To find parameters linked to parental satisfaction with their child's anesthetic service, bi-variable, and multi-variable logistic regression analyses were used. Crude odds ratio and adjusted odds ratio with a 95% confidence interval (CI) were estimated. Variables with a p-value < 0.05 were considered statistically significant in multivariable analysis.ResultThe proportion of parental satisfaction toward their child's anesthesia service was 77.7% (95% CI: 72.3, 82.4%). Non-anxious, male, employed, and urban resident parents and parents of pre-medicated children were associated with high satisfaction scores.Conclusion and RecommendationOverall, parents' satisfaction with their child's anesthesia service was promising. Parents who were non-anxious, male, employed, and lived in an urban area and whose child had received sedative premedication had high rates of parental satisfaction with their child's anesthetic care.Parents from rural areas, as well as worried and female parents, should receive extra care. Preoperative anxiety is reduced when parents are given enough and understandable information. Thus, the provision of comprehensive information on their child's anesthesia care process and psychological or emotional support to parents are necessary to boost their satisfaction.

For parents, receiving a diagnosis, typically in early childhood, that their child has cerebral palsy may conjure up high distress and anxiety. Resolution of these initial reactions may help parents to focus on the challenges and needs of their children. of the study were to test whether parents of older children displayed resolution more often than parents of younger children, and whether parents of children with less severe cerebral palsy also showed more resolution. Resolution of reactions to diagnosis was assessed with the Reaction to Diagnosis Interview, in a clinic-based sample of 255 parents of children with cerebral palsy aged between 1.4 and 17.3 years. Physicians rated motor ability using the Gross Motor Function Classification System. Overall, the responses of 81.6% of the parents were predominantly indicative of resolution. Unresolved reactions were significantly more often found among parents of younger children and parents of children with more severe motor disabilities. Among parents of teenage children, resolution was more often apparent from a focus on action to better the lives of their children, whereas in parents of younger children, it was more apparent from their focus on constructive thoughts and information seeking. Given time, the large majority of parents may resolve their reactions to the diagnosis that their child has cerebral palsy. Parents of the most severely affected children may need specific support which, given the age trends, might be aimed at different resolution processes for parents of younger and older children.

In the last few decades, patient satisfaction has become a critical component of quality assessment and is being incorporated into payment for performance plans. However, assessment of satisfaction with anesthesia services is problematic and few validated satisfaction tools have been published. Assessing parent satisfaction with pediatric anesthesia services is even more challenging. Our aim was to develop, implement, and start validating a set of survey questions that evaluate parental satisfaction with the pediatric anesthesia services in order to identify strengths and potential areas for improvement. The Pediatric Anesthesia Parent Satisfaction (PAPS) survey contained 17 questions adapted from the American Society of Anesthesiologists Committee on Outcomes and Performance Measures. With consent of the hospital quality improvement committee, the PAPS survey was randomly administered on iPads to 250 English-speaking parents in the main operating room and procedure center postanesthesia care units prior to discharge. Statistical analyses including descriptive statistics, exploratory factor analysis, Cronbach's alpha and Raykov's rho coefficients, composite scale creation, correlations between items, composite scores, and overall satisfaction measures were used to provide evidence for a subset of validity and reliability types. The PAPS survey is a short and simple tool for evaluation of parent satisfaction with pediatric anesthesia services and provides some evidence for validity and reliability. The majority (greater than 95%) of parents reported were satisfied or very satisfied with the care provided by the pediatric anesthesia department.

BackgroundResearchers are increasingly interested in testing and developing computerized cognitive training interventions for individuals with autism spectrum disorder due to the limited accessibility of treatments for this disorder. Understanding the feasibility of testing cognitive interventions for this population is critical, especially for individuals with ASD who have low to moderate intellectual ability.ObjectiveThe aim of the study was to evaluate the feasibility of computerized cognitive training as measured by attrition rate and a parent satisfaction survey.MethodsA total of 26 participants aged 8-17 years with an autism spectrum disorder diagnosis and significant intellectual impairment were enrolled (mean age 11.1 years). They were instructed to complete 25 sessions of Cogmed Working Memory Training in 5 to 6 weeks with coach assistance. Attrition rate and parent satisfaction surveys were measured after the completion of training.ResultsMost participants (96%, 25/26) completed the training and indicated high satisfaction (>88%). However, among the participants who completed the training, 5 participants (19%) were unable to finish in 6 weeks, the recommended training period by Cogmed. Parents noted various positive (eg, voice-overs) and negative (eg, particular graphic and sounds associated with a stimulus) features of the game that they thought affected their child’s response.ConclusionsChildren with autism spectrum disorder and intellectual impairments can successfully participate in computerized cognitive training interventions but may require additional weeks to complete the training beyond the time needed for children without intellectual impairments. The overall completion rate, with extended time to complete the training, was high. Developers of cognitive training programs for this population should take into account potential issues regarding the noise level of stimuli and characteristics of the visual graphics.

This study examined parenting satisfaction (PS) and marital satisfaction (MS) in married couples over 4 years (ns ranged from 59 to 87). There was little evidence of interdomain spillover in that, for both husbands and wives, PS and MS were generally unrelated at each assessment and change in PS was unrelated to change in MS. With regard to interparent spillover, the link between spouses' MS tended to be stronger than the link between spouses' PS at each assessment, and the link between spouses' change in MS was stronger than the link between spouses' change in PS. A typology of satisfaction with family life is proposed as one way of integrating the study of marital relationships and parent-child relationships. One area of current interest in family psychology is the identification of the processes that regulate family life. From a structural perspective, the family life of most married persons consists of two subsystems. The parental subsystem is relevant to the parent-child relationship, whereas the marital subsystem is relevant to the husband-wife relationship. In their metaanalysis of the literature relevant to the link between these two subsystems, Erel and Burman (1995) found that the two subsystems were generally positively—albeit not very strongly— related to each other. They interpreted this positive relation as evidence for a spillover effect such that affect and behavior from one subsystem directly transfer to the other subsystem. One important clinical implication of this finding is that troubled marital relationships are likely to coexist with troubled parent-child relationships.

The Elementary School Journal Volume 86, Number S O 1986 by The University of Chicago. All rights reserved. 0013-5984/86/8603-0002$01.00 Teachers have strong opinions about parent involvement. Some believe that they can be effective only if they obtain parental assistance on learning activities at home. Others believe that their professional status is in jeopardy if parents are involved in activities that are typically the teachers' responsibilities. The different philosophies and beliefs of teachers reflect the two main, opposing theories of school and family relations. One perspective emphasizes the inherent incompatibility, competition, and conflict between families and schools and supports the separation of the two institutions (Parsons, 1959; Waller, 1932; Weber, 1947). It assumes that school bureaucracies and family organizations are directed, respectively, by educators and parents, who can best fulfill their different goals, roles, and responsibilities independently. Thus, these distinct goals are achieved most efficiently and effectively when teachers maintain their professional, general standards and judgments about the children in their classrooms and when parents maintain their personal, particularistic standards and judgments about their children at home.

A large body of evidence suggest that parents of young children with autism spectrum disorder or intellectual disability experience low levels of satisfaction with the diagnostic evaluation process. This study sought to document parents' satisfaction with the services of a pilot clinic implemented in Québec, Canada. Two-hundred fifty-nine (259) parents were recruited following their child's diagnosis. A mixed methods approach was used to investigate parents' satisfaction globally and with specific aspects of the assessment process. Parents expressed overall high satisfaction with the assessment process. Parental satisfaction with specific aspects of the assessment process was negatively related to paternal stress, fathers' unemployment and household income and positively related to maternal stress. This pilot clinic could meet parents' needs at this crucial moment in their care and services trajectory. The factors associated with satisfaction in the present study may inform future improvements to its services.

Coparenting, denoting shared responsibilities in caring for a child, is a core component of parenthood for most parents. Research has linked quality in the coparenting relationship to several child outcomes as well as parent relationship satisfaction and mental health, yet whether and how these links may differ depending on child age is unclear. Here, we investigated links between coparenting quality, relationship satisfaction, parents' education, and child age, after assessing the psychometric properties of a Swedish version of the 35-item Coparenting Relationship Scale (CRS) in a sample of 206 parents in Sweden. Participants completed the full 35-item CRS, alongside the Parenting Alliance Measure (PAM) and a relationship satisfaction measure. Our findings reveal good psychometric qualities and construct validity for both the CRS and PAM used with Swedish parents. Consistent with other adaptations of the CRS, we found four composite factors for the CRS, all demonstrating high reliability and convergence with the PAM. In relation to child age, parents of older children reported poorer coparenting quality than parents of younger children. The link between relationship satisfaction and coparenting quality was stronger for highly educated parents. Education also predicted partner endorsement in parents of children in early and middle childhood, but not parents of infants. Together, our findings expand the empirical base for understanding coparenting and its links to relationship satisfaction in parents with children of different ages, and they highlight a moderating role of parental education in these links.

Approximately 20% of US children have a mental health condition, but only a fraction of that population receives care. Inequitable distribution of the limited number of child and adolescent psychiatric providers is partly to blame. Telepsychiatry offers a way to increase access to mental health services for those that are currently underserved. Published literature demonstrates high levels of patient and provider satisfaction for telepsychiatry with children. However, providers in these studies are primarily telepsychologists or telepychiatrists, not advanced practice registered nurses (APRNs). This article describes the services of a nurse practitioner providing pediatric telepsychiatry and gives the results from a parental satisfaction survey that evaluated both the modality and the provider. The survey, previously validated, used a 5-point Likert scale to assess strong disagreement to strong agreement on 12 statements followed by a section for comments and suggestions. Results of the survey showed high levels of parental satisfaction with the modality and the provider. Specific details on parental satisfaction with technical functioning, comfort level, and access to care, as well as patient characteristics and service types, are presented.