Healthy Lifestyles In Children Research Articles

A 16-month follow-up after a youth-led social marketing intervention to encourage healthy lifestyles in children (aged 9 at baseline and 11 at follow-up) from disadvantaged neighbourhoods: the European Youth Tackling Obesity-Kids project

ObjectivesThe objective of this study was to assess the influence of the European Youth Tackling Obesity-Kids (EYTO-Kids) 10-month intervention, based on social marketing and peer-led methodologies, at 16 month of its ending. Study designChildren (aged 9 at baseline and 11 at the follow-up) from disadvantaged neighbourhoods who participated in the 10-month EYTO-Kids parallel-cluster randomised controlled intervention study in Reus (Spain) were included. The number of participants was 252 (retention rate: 67.2%) in the intervention group (7 schools) and 226 (retention rate: 69.1%) in the control one (8 schools). Primary (physical activity and fruit consumption) and secondary (screen time; and vegetables, fast food, and sugary drink consumption) outcomes were assessed. ResultsAt follow-up, consumption of ≥1 fruit per day increased in girls (odds ratio [OR] (95% confidence interval [CI]) = 2.28 (1.2; 4.2), P = 0.012) and all children (OR (95%CI) = 2.28 (1.0; 2.6), P = 0.044) in the intervention group vs. the control one. Physical activity ≥6 h/week similarly increased in both groups. ConclusionAt long-term effectiveness of a 10-month intervention on improving fruit consumption in children was observed. Therefore, peer-led and social marketing methodologies enhance healthy lifestyles by conveying children towards healthy choices.

ПЕДАГОГИЧЕСКИЕ ОСНОВЫ ОБЕСПЕЧЕНИЯ БЕЗОПАСНОСТИ ОБРАЗОВАТЕЛЬНОЙ СРЕДЫ ДЕТЕЙ

Socio-pedagogical problems of ensuring safety and healthy lifestyle of children are considered. The views of individual scientists on the age peculiarities of children are described. Modern statistics of emergency situations in Russia, positive experience of pedagogical aspects in research activities and normative legal acts in the field of child safety are presented. Domestic risks of death and injury of chil-dren and some problematic components of safety of the younger generation are shown, confirming the importance of forming a culture of safe behaviour of children. The attention of citizens, society and the state in modern conditions, in connection with emerging threats to reality, is particularly focused on the issues of children's safety. The author considers the peculiarities of the educational process with the par-ticipation of the parental community, mentors and involvement of mass media. The problem in communi-cation processes between children in social networks and messengers, which often lead to certain inter-personal conflicts, is described separately. Some concepts of the model of forming a safe environment for children, taking into account their physical and psycho-physiological characteristics, and involving troubled teenagers in social activities are proposed. Sports influence is reflected as an important point. The importance of interaction between the services of the Ministry of Internal Affairs of Russia, the Min-istry of Emergency Situations of Russia, providing security of citizens and the state is emphasised.

Mastering movement: A Cross-sectional investigation of motor competence in children and adolescents engaged in sports.

Motor Competence (MC) is related to the development of healthy lifestyles in children and adolescents, and many studies have compared it with different variables, including sports participation. This investigation aimed to characterize the components and total scores of MC regarding different physical activity practices, such as physical education (PE) classes, futsal, volleyball, and ballet, and to compare MC regarding sports, sex, and age-groups. Using a cross-sectional study, 398 Portuguese children and adolescents (398 participants: 200 boys and 198 girls; 12.649±3.46 years) were conveniently chosen between 2022 and 2023. Four groups of different sports were created: PE classes (n = 187), futsal (n = 80), volleyball (n = 101) and ballet (n = 30), and four different age groups: 7 to 9 years old (n = 117); 10 to 12 years old (n = 65), 13 to 15 years old (n = 96) and, 16 to 19 years old (n = 120). All participants reported to participate in at least two training sessions per week (1 hour each) for at least two years. MC was assessed with Motor Competence Assessment (MCA) comprising three components with six tests (two tests for each component). Participants' total MC was calculated as the average of the three components of the MCA. Data were analyzed by applying ANOVA one-way with LSD post-hoc. Differences were found in MC among groups, where futsal participants showed better scores in general. Sex comparison showed that boys have a higher MC when practicing futsal, especially compared to volleyball players. Age-group analysis showed that younger participants had better MC levels compared to older ones. The whole group showed the 50th percentile of MC, but volleyball adolescents showed results below this reference. MC is intrinsically linked to an individual's motor experiences and motivations rather than depending directly on the specific practice of the sport.

Effects of School Nurse-Led Interventions in Collaboration with Kinesiologists in Promoting Physical Activity and Reducing Sedentary Behaviors in Children and Adolescents: A Systematic Review.

The World Health Organization (WHO) recommends that schools adopt a whole-school strategy for healthy behaviors involving different health professionals. The present systematic review aimed to evaluate the efficacy of nurse-led interventions in collaboration with kinesiologists on physical activity and lifestyle behaviors' outcomes in school settings. The protocol was registered in PROSPERO (ID: CRD42022343410). The primary research study was developed through the PICOS question: children and adolescence 6-18 years (P); school nurse-led interventions in promoting physical activity (PA) and reducing sedentary behaviors (I); usual lessons, no intervention focusing on PA (C); PA levels, sedentary behaviors, and healthy lifestyle behaviors (O); experimental or observational study with original primary data and full-text studies written in English (S). Seven studies were included. Interventions were heterogeneous: besides physical activities carried out in all studies, the interventions were based on different health models and strategies (counselling, face-to-face motivation, education). Five out of seven articles investigated PA levels or their related behaviors using questionnaires, and two used ActiGraph accelerometers. Lifestyle behaviors were assessed with heterogeneous methods. Five out of seven articles showed an improvement in at least one outcome after the interventions, whereas two papers showed a statistically non-significant improvement. In conclusion, school interventions involving nurses, also in association with other professionals such as kinesiologists, can be effective in reducing sedentary behaviors and improving healthy lifestyles in children and adolescents.

Designing and Developing an Educational-Therapeutic Game for Improving Healthy Lifestyle in Children and Adolescents

Educating healthy lifestyle behaviors through game can help children and adolescents achieve healthy habits. The aim of the present study was to develop a game to promote children’s and adolescents’ lifestyle behaviors. The “Toward Health” is a board game designed by a multidisciplinary team consisting of nurses, nutritionists, physical activity experts, pediatricians, pediatric psychologists, graphic artists, and experts in designing board games to help children adopt healthy eating and sleep habits and become physically more active. Players move their tokens based on the number of squares indicated by a dice rolled. If a player’s token lands on the square containing questions or points related to a healthy lifestyle, he/she must answer the question or read the point loudly. If answers to the questions are correct, the player takes the card. Interventional studies are recommended to confirm the potential of these games in preventing and/or treating childhood obesity. In the future, we are going to assess the validity and acceptance of the game in various age groups.

Examining the Long-term Association Between Neighborhood Socioeconomic Status and Obesity and Obesity-related Unhealthy Behaviors Among Children: Results From the Fragile Families and Child Wellbeing Study.

Literature has focused on neighborhood environments and their possible impacts on obesity and obesity-related behaviors. However, few longitudinal studies have examined the effect of neighborhood socioeconomic status (nSES) on childhood obesity. Investigate the longitudinal association between nSES and obesity and obesity-related unhealthy behaviors. We obtained data from the Fragile Families and Child Wellbeing Study (N = 2,072). The main exposure was nSES (measured using an index of five variables representing wealth, income, education, and occupation from the Decennial Census 2000) at ages 3, 5, and 9. The outcome was children's body mass index z-score (BMIz) at ages 5, 9, and 15. Three measures of obesity-related behaviors (i.e., child- or caregiver-reported soda/snack food intake, fast-food intake, and sedentary behaviors) at ages 5, 9, and 15 were included as mediators and outcomes. Cross-lagged path analyses were conducted. Higher nSES at a previous wave was associated with consuming less soda/snack foods (βs = -0.15 to -0.11 [varying by ages], p < .05) and fast-food intake (βs = -0.21 to -0.14 [varying by ages], p < .01), and less frequent sedentary behaviors (βs = -0.14 to -0.06 [varying by ages], p < .01), but not with BMIz (βs = -0.08 to 0.05 [varying by ages], p > .05). Unhealthy behaviors did not mediate the nSES-BMIz association at alpha .05. Health policies need to target low-socioeconomic neighborhoods to shape healthy lifestyles in children. To develop effective interventions, future research needs to examine comprehensive potential mediators like obesity-related parenting skills, home environments, and built and social environments on the risk of childhood obesity and obesity-related behaviors.

FAMILY INFLUENCE ON THE FORMATION OF CHILDREN'S MOTIVATION FOR A HEALTHY LIFESTYLE.

The aim: To study the family influence on the formation of children's motivation for a healthy lifestyle. Materials and methods: The medical and sociological study among parents was conducted to assess their children's adherence to the principles of a healthy lifestyle and the influence of the family on the formation of children's motivation for a healthy lifestyle. The survey was conducted using a specially designed questionnaire using Google Forms. The design of the questionnaire was typical and contained the following structural components: addressing the respondent, obtaining informed consent to participate in the survey, and blocks with targeted questions (25 questions in total). The research involved 150 parents (including 54.7 % (82 people) of women and 45.3 % (68 people) of men). Methods: bibliosemantic, system-oriented analysis and logical generalization, medical and sociological (questionnaire), statistical data processing. Results: It has been found that positive attitudes towards a healthy lifestyle prevail in the families of the respondents (44.0 %), 42.0 % of parents indicated that their family members regularly adhere to a healthy lifestyle. Herewith, 48.0 % are interested in teaching their children about a healthy lifestyle. The main motives that most parents form in their children regarding a healthy lifestyle are maintaining and promoting health (38.0 %), improving physical condition (16.0 %), and creating a healthy family (10.0 %). However, almost a third of parents do not instill responsibility for their children's life and health due to a lack of time and knowledge about a healthy lifestyle. Conclusions: To foster a positive attitude toward a healthy lifestyle in children, parents should set their example, create favorable conditions for a healthy lifestyle, and follow traditions related to active recreation, sensible nutrition, and the absence of bad habits. Children's motivation for a healthy lifestyle is the main responsibility of the family.

Pediatric Preventive Care in Middle-High Resource Countries-The Padova Chart for Health in Children.

ImportanceThe Padova Chart for Health in Children (PCHC) aims to gather the evidence of healthcare promotion and protection for chidren and adolescents (i.e., aged <18 y) into a single document in order to guide families, healthcare providers and social actors on healthy choices. No more than 2% of Europeans and North Americans aged <30 y have a healthy lifestyle. This, together with metabolic and brain plasticity during childhood, creates the ideal opportunity to implement preventive strategies. Guided interventions promoting healthy lifestyle in children and families therefore have a key role in abating the unprecedented pandemic of non-communicable diseases (NCDs) in adulthood.ObservationsThe PCHC is divided into four sections: nutrition, cardiovascular health, respiratory health, and mental and social health. Each section is structured in an ALICE approach (assessment, lobbying, intervention, call-for-action, evaluation): assessment of necessity, describing relevance to healthcare; lobbying to identify those who can effect the proposed interventions; interventions involving family, school and peers; a call-for-action to define priorities among the proposed interventions; and objective evaluation measures that can be applied on a population basis.Conclusions and RelevanceInterventions promoting health in childhood require joint action from multiple institutional, local and family representatives, with the shared goal of promoting health across the entire age group. These lifestyle interventions have the potential to change the lifetime risk trajectory for NCDs.

Weekday and Weekend Differences in Eating Habits, Physical Activity and Screen Time Behavior among a Sample of Primary School Children: The "Seven Days for My Health" Project.

Background: Healthy eating and active lifestyle habits are essential for a child’s development, wellbeing, and health. School setting and family environment play a crucial role in shaping these habits and this could be reflected in different behavior patterns during weekdays and weekends. Methods: We investigated primary school children’s lifestyle habits through a cross-sectional analysis of 428 Italian primary school children, with a mean age of 8.99 years (±1.43). Data were collected from May to June 2017 using a weekly diary to assess children’s lifestyles. Results: Children who eat their morning snack and lunch at school three or more times during the weekdays were 5.47 times more likely (95% CI 3.02, 10.2) to consume adequate snacks and 7.79 times more likely (95% CI 4.43, 14.5) to have adequate meals than those who did not. Conclusion: Consumption of vegetables, lunch, and snacks are significantly more adequate during the weekdays as compared to the weekends. Physical activity levels did not differ between weekdays and weekends. Moreover, children spent more time engaged in physical activities than in front of a screen during both the weekdays and the weekends. The present results are good indicators of the importance of the school canteen in defining correct eating habits. Family-based and school-based interventions could represent valuable integrative strategies for promoting a healthy lifestyle in children.

Healthy lifestyles and physical fitness are associated with abdominal obesity among Latin-American and Spanish preschool children: A cross-cultural study.

SummaryBackgroundIdentifying environmental factors that influence health in children are necessary to develop preventive strategies.ObjectiveTo determine the association between the lifestyles of children (i.e., Mediterranean diet (MD), physical activity (PA), fitness and screen time (ST) with abdominal obesity (AO) of preschoolers from three Spanish‐speaking countries (Chile, Colombia and Spain) with different socioeconomic levels and Human Development Index (HDI) indicators.Material and MethodsThis cross‐sectional study included 982 schoolchildren (aged 4–6 years; 56.8% girls) from Chile (n = 409), Colombia (n = 281), and Spain (n = 292). Body mass index (BMI), waist circumference (WC), waist‐to‐height ratio (WtHR), adherence to the MD, PA, ST and physical fitness were evaluated.ResultsSpanish preschoolers reported a lower WtHR (p < 0.001), greater physical fitness (Z‐score) (p < 0.001) and higher adherence to the MD (p < 0.001) than their Chilean and Colombian peers. In addition, Colombian preschoolers had a better lifestyle (PA + ST) than their Chilean and Spanish peers (p < 0.001). Chilean preschoolers reported a higher prevalence of AO than the Spanish preschoolers (65% vs. 51.9%; p = 0.001).ConclusionLifestyle had a significant association with AO among Spanish‐speaking preschool children, with physical fitness especially being a relevant factor regardless of the country of origin. The findings of the current study may support the development of public guidelines focusing on healthy lifestyles in children to create effective plans that contribute to the early treatment of AO in preschool children.

Combined Body Mass Index and Waist-to-Height Ratio and Its Association with Lifestyle and Health Factors among Spanish Children: The PASOS Study.

Background and Aims: The World Health Organization recommended simultaneous measurement of body mass index (BMI) and waist circumference (WC) and suggested joint use to predict disease risks. The aim of this study was to assess the prevalence of BMI and waist-to-height ratio (WHtR) categories among Spanish children and adolescents, as well as their associations with several lifestyle factors. Methods: Cross-sectional analysis of 8–16-year-old children and adolescents (n = 3772) were included in the PASOS nationwide representative study. Children/adolescents and their mothers/female caregivers answered a questionnaire on lifestyle and health factors. Child/adolescent anthropometrics were measured. Four combined BMI-WHtR disease risk categories were built. Results: A third of participants showed combined BMI-WHtR categories with high disease risk (12.3% ‘increased risk’, 9.7% ‘high risk’, 14.3% ‘very high risk’). Participants in the ‘very high risk’ group were less likely to be females (odds ratio 0.63; 95% CI: 0.52–0.76) and adolescents (0.60; 95% CI: 0.49–0.72), to practice ≥60 min/day of moderate-vigorous physical activity (MVPA) (0.73; 95% CI: 0.57–0.93), and to watch <120 min/day of total screen time on weekdays (0.61; 95% CI: 0.49–0.76). Mothers of participants in the ‘very high risk’ group were less likely to have a high educational level, be in the overweight or normal range, have never smoked or were former smokers, and watch <120 min/day of total screen time on weekends. Participants in the ‘increased’ and ‘high risk’ categories had mothers with normal weight and ≥60 min/day of MVPA. Participants in the ’high risk’ group did not achieve ≥60 min/day of MVPA and showed lower adherence to the Mediterranean diet. Conclusions: Adherence to a healthy lifestyle in children and adolescents, but also in their mothers/female caregivers during offspring’s childhood and adolescence, is associated with low BMI-WHtR disease risk.

The role and function of physical and sports organizations in providing leisure activities for children and youth

The system of out-of-school education unites forms of the organization of leisure activity of children and youth. The main goals of their work are to strengthen health, increase the level of physical fitness, ensure active recreation of students and get pleasure from physical activity. Physical education of children and youth out-of-school is united by science and sports organizations with the involvement of members of the public. Physical culture and sports organizations play an important role in ensuring physical culture and health activities and physical activity, meaningful leisure, healthy lifestyle of children and youth of our country. The article identifies the main types of out-of-school educational institutions and the socio-pedagogical significance of physical culture and health work in them, the tasks of physical culture and health work in extracurricular time, presents a set of measures aimed at improving children's leisure activities. There are sports events, thematic lectures, control over the passage of personnel training courses advertising campaigns, sports and mass holidays, free introductory classes, information updates on official websites, meetings, conversations with sponsors and parents. Provided information namely purpose, objectives and quantitative indicators of activity, about the activities of the sports and health centre «Goloseyevo». Prospects for further research are to determine the areas of activity to involve children in extracurricular sports centers.

Body mass index, clusters of health behaviour among school-age children and young people in Sweden

Background: A healthy lifestyle for children is important for future health. Aims: To identify temporal patterns of change in body mass index (BMI) and associated health behaviour among 6–16-year-old children and young people in Sweden. Methods: A quantitative design with longitudinal cluster analysis. Findings: School-age children and young people tended to maintain their BMI categories established at the age of 6 years or when they entered the fourth grade, and the categories were stable in age and gender over time. Conclusions: Healthy behaviours affecting BMI should be established before children begin school. Although slight changes in children's categories of BMI may occur once they reach school age, the categories established at preschool generally persist at least until the age of 16 years. Because school-age children and young people generally maintain their categories throughout their school years, early preventive work regarding BMI and health behaviour is needed with particular focus on overweight and obese children and young people.

Psychosocial protective factors in promoting healthy lifestyles in children and adolescents

Abstract Introduction Children and adolescents from socially vulnerable families experience social as well as health-related disadvantages at a very early age. Resilience research increasingly focuses on general psychosocial protective factors and their positive role as an effective health resource. In this research, the influence of some selected protective factors on a healthy lifestyle in the target group of secondary school students is shown. Methods Using a method of a cluster analysis, a theory-led lifestyle typology was developed based on the variables ‘physical-sport activity' and ‘media consumption patterns'. Four lifestyle clusters were identified: sports-active frequent media users, sports-active low media users, sports-inactive frequent media users und sports-inactive low media users. The study examined how the resilience factor ‘physical fitness' (measured by the 6 min run) as well as personal, family and social protective factors were manifested in the respective clusters. Results In the sporty-active clusters, the proportion of children with good physical fitness was high (47%). In the sporty-inactive clusters, however, this proportion was only about 23%. Approximately 71.5% of the children in sporty-active clusters reported good health and health-promoting behavior, while in sporty-inactive clusters this percentage was 49.2%. Trusting and appreciative parent-child relationship and positive sibling ties were mentioned more frequently in sporty-active clusters than in sporty-inactive clusters. Discussion Regular exercise and moderate use of media have a positive effect on protective resilience factors. These can be considered as ‘health-enhancing' lifestyle characteristics in health-related behavior. Personal, family and social protective factors interact with physical activity and are effective health resources: physically active children are more resilient to stressful environmental situations. Key messages Regular exercise and moderate use of media have a positive effect on protective resilience factors. Protective resilience factors are ‘health-enhancing' lifestyle characteristics in health-related behavior.

The role of parents in shaping good nutrition habits in children

Introduction and aim of the study: Creating and strengthening correct eating habits in preschool and school age is a basic element of developing healthy lifestyle in children. The greatest role in this significant period for developing specific eating behaviours is played by parents who are not only responsible for providing healthy food, but also the right example to follow. The aim of the study was to analyse children’s eating habits and physical activity depending on body mass index, level of education, and type of their parents’ activities. Materials and methods: The study was conducted in a randomly selected educational institution after obtaining the consent of the school’s headmaster. The participants of the study were children and their parents (N = 80; 52 girls and 28 boys) aged 6 to 13, residents of the Podkarpackie Voivodeship. Results: This study shows that mothers with a higher level of education are more likely than mothers with a lower level of education to have children with normal body weight or overweight (p = 0.026). More often, physical education classes were attended by children whose parents regularly take up physical activity, and the time spent by parents on physical activity during the week was a factor affecting their children’s participation in additional sports activities. The children of parents regularly taking up physical activity participated in them more often. Conclusions: Parents, through various processes and behaviours, instil in their children certain mechanisms which are important from the health perspective and can be helpful and contribute to the proper development of nutritional practices.

The Impact of COVID-19 on Sport and Daily Activities in an Italian Cohort of Football School Children

Background: Sport activities were interrupted due to a quarantine imposed to limit the spread of Coronavirus disease 2019 (COVID-19) in Italy. This study aimed to describe the impact of COVID-19 on sports and on daily activities in an Italian cohort of school children signed up in a football school. Methods: A total of 44 children from an Italian football school were enrolled. An online survey was distributed to these children and their parents in May 2020. The questionnaire collected information on the daily use of electronic devices and on the number of hours per week spent in activities regarding nonsport activities, highlighting the differences between those who interrupted sports and those who continued driven remotely by their instructors during the lockdown. Results: A total of 26 players continued practicing sports during the COVID-19 quarantine, while 18 players suspended their sports. Daily time spent on electronic devices increased significantly in both groups during the pandemic (p &lt; .0001), regardless of whether they continued to practice sports (p &gt; .05). On the other hand, in the group of children who interrupted sports, the time spent on activities regarding nonsport physical activity significantly changed during pandemic, with a 50% decrease (p = .0027) of those who spent more than 3 hr per week before the quarantine in favor of those who spent less than 3 hr per week. Conclusion: Quarantine increases screen time, which is a sedentary behavior that represents a risk factor for the health of children. Maintaining regular physical activity during quarantine due to COVID-19 was important to preserve some aspects of a healthy lifestyle in children, such as physical activity regardless of sport. While reducing physical activity and adapting it remotely, it is desirable that it be encouraged by experienced instructors in order to limit potential physical and psychological harm to children.

Formation of skills of a healthy lifestyle in children's public associations

One of the social institutions in which children gain experience and develop healthy lifestyle skills are children's and youth NGOs and associations. Their activities are regulated by the Constitution of Ukraine, the Laws of Ukraine "On Extracurricular Education", "On Associations of Citizens", "On the Basic Principles of Youth Policy". By cooperating on a partnership basis with government agencies and institutions, social movements, children's organizations solve the most important problems of children, helping them in social adaptation, creating conditions for their socialization.&#x0D; One of the main tasks of children's public organizations and associations is to develop the skills of a healthy lifestyle as a platform for successful self-realization and self-realization of the child's personality. Physical culture and sports are an integral part of a child's harmonious development. The creation of sports organizations for children is conditioned by the needs of the present and the state policy on the development of physical culture and sports, care for the upbringing of a healthy younger generation. Such associations focus children on health care and promote a healthy lifestyle. Thus, healthy meaningful recreation and leisure becomes one of the most important areas of self-education of children and students.&#x0D; Free from strict regulations and obligations, children's public organizations and associations create ample opportunities for personal growth and physical development of the child, forming moral values, hardening the character, developing a responsible attitude to health and safety. Characterizing children's movement by areas of activity, we pay special attention to children's organizations of physical culture and sports. Such associations have the necessary potential for appropriate educational influences and are a space for the development of healthy lifestyle skills in children and students.

Pendampingan Pola Hidup Bersih dan Sehat pada Anak Sebagai Upaya Pencegahan Penularan Virus Corona

The aim of this community service is to provide assistance to a clean and healthy lifestyle for children as an effort to prevent the transmission of the corona virus. The method used in this service is in the form of assisting a clean and healthy lifestyle, providing knowledge of the dangers of the corona virus and its prevention, the question and answer method to find out the level of understanding of children after mentoring and demonstrations to practice one of the healthy lifestyles in the form of washing hands with soap. The result of this activity is an increase in children's knowledge of clean and healthy living behaviors in children. Increased knowledge about how to maintain a healthy lifestyle, one of which is by washing hands with the right technique, this can be seen in the ability of children to demonstrate handwashing activities with soap with the correct technique after being given assistance activities.

Parental Self-Efficacy to Promote Children's Healthy Lifestyles: A Pilot and Feasibility Study.

Positive parenting programs are a key strategy to promote the development of parental competence. We designed a pilot study based on parental self-efficacy to promote healthy lifestyles in their children aged between 2 to 5 years old. In this pilot study, we aimed to assess the effects of a parenting program on parental self-efficacy and parenting styles. Twenty-five parents were allocated into intervention (N = 15) and control group (N = 10). Parents from the intervention group received four group sessions (120 mi per session) to develop a positive parenting, parenting styles and parenting skills regarding to children’s diet, exercise, and screen time, and two additional sessions about child development and family games. Parents from the control group received these two latter sessions. Parental self-efficacy, parenting styles, and meal-related parenting practices were measured before and after the intervention and at 3-month follow-up. Acceptability and feasibility of the program was also measured. Quantitative data were analyzed using the repeat measures ANOVA and ANCOVA tests and the effect size calculation. Content analysis was used to analyse open questions. Positive trends were found regarding parental self-efficacy and the use of authoritative parenting style. Parents also reported a great acceptability of the program getting high satisfaction. According to the feasibility barriers and facilitators aspects were identified. The positive trends founded in this study support the development of parenting programs to promote healthy lifestyle in children.

613Pediatric Burn Bibliotherapy - An Initial Assessment of Novels About Young Burn Survivors and Their Collective Experiences

Abstract Introduction Bibliotherapy is the use of books as a therapeutic intervention for structuring interaction between facilitator and participant based on the mutual sharing of literature. Bibliotherapy has been utilized to address childhood teasing, healthy lifestyles in children, and eating disorders. With the dramatic improvements in survival of burn patients over the past decades, biographies and novels featuring pediatric burn survivors have emerged. These patients often face significant barriers in accessing psychosocial support. Our team hypothesized that bibliotherapy could benefit pediatric burn patients. In order to test this hypothesis, as a first step, our team conducted an assessment of the available burn survivor literature. Methods WorldCat book database was queried using the terms “Burn Patient Fiction” (45 results) and “Burn Patient Biography” (53 results). The authors identified 12 books out of these 98 results likely to be appropriate for adolescent and teenage burn patients based on the brief summaries. The 12 books were then read by the research team and analyzed for burn patient demographics and relevant clinical data when available. Simple descriptive statistics were utilized for numerical data Results Out of 12 books read, 5 were biographies &amp; 7 fictional novels. Protagonists mean age at time of injury was 8.7±5.1 years (range 2–16), with 5 males and 7 females. Average injury size was 57±21% TBSA (range: 14–85). 10 of 12 protagonists suffered facial burns; 7 of 12 suffered hand burns. Oral health/dental issues were described in 4 of 12 books. Geographically, these English language novels spanned Australia (1), Canada 92), and the U.S. (9). Average page length was 237±88 pages (range: 64–372). In 11 of 12 books, mechanism of injury involved flame from car accidents (2), house fires (4), and campfires (2). With regards to sources of positive support during the recovery phase, family was the most commonly cited source (11 novels) followed by friends (10), spiritual/religious support (5), sports (3), burn survivor groups (3), hospital psychiatrists (3), and performing arts (2). Appropriate audience group for most books were teenagers (11) with 5 books deemed also appropriate for adults (only 1 book judged appropriate only for adults), and 2 books appropriate for adolescents. Conclusions Several novels and biographies with pediatric burn survivor protagonists have been written over the past 20 years. Commonalities across these books include flame burn etiology, relatively large TBSA, and burn injuries to visible body areas (face and hand). Family and friends were the most common emotional support for these protagonists. Most books were appropriate for teenagers.