Parent-adolescent Dyads Research Articles

Affective Benefits of Parental Engagement with Adolescent Positive Daily Life Experiences

Positive affect and positive parent-adolescent relationships have been found to reinforce one another across youth development in a pattern of an "upward spiral," yet little is known regarding processes facilitating such "upward spirals" of social and emotional wellbeing among parent-adolescent dyads. This study addressed this gap by examining interpersonal capitalization, or the process of sharing positive news with others, as one candidate interpersonal process contributing to increases in both parent and adolescent experiences of positive affect in naturalistic settings. Participants included 146 adolescents (52.1% girls; ages 10-14; M[SD] = 12.71[0.86]) and a participating caregiver (N = 139; 78.7% mothers; ages 33-58; M[SD] = 44.11[5.08]) who completed a dyadic experience sampling method procedure assessing both parent and adolescent momentary affect and patterns of engagement in interpersonal capitalization in daily life settings (31 surveys across 9 days). Multilevel models indicated that adolescent positive affect increased following instances of interpersonal capitalization, and increases in positive affect were specific to high-arousal positive emotions (e.g., excited, energetic) relative to low-arousal positive emotions (e.g., calm, relaxed). Parental high-arousal positive affect also increased following instances in which they provided validating, enthusiastic responses to their children's capitalization attempts. The results of the present study indicate that interpersonal capitalization may be one mechanism facilitating "upward spirals" of positive affect for both parents and adolescents, with implications for health and wellbeing across development.

Experiences of parent-adolescent dyads regarding a Facebook-based intervention to improve overweight/obesity treatment in adolescents: A qualitative study.

APOLO-Teens is a Facebook-based psychological intervention aiming to optimize hospital treatment for adolescents with overweight/obesity. The present qualitative study aims to explore (1) how adolescents experienced participation in APOLO-Teens and (2) how parents perceived adolescents' participation. Sixteen adolescent-parent dyads were interviewed by telephone using semistructured guides. An inductive approach of thematic analysis was used to analyze data by two independent codifiers. The consensus was used to resolve differences in coding/themes, and two independent auditors reviewed the codes and the themes proposed. We identified four themes from adolescents' interviews, namely, expectations, perception of outcomes, participation in the intervention, and sharing of acquired knowledge. From parents' interviews, we identified five themes: expectations for son/daughter participation, perception of adolescents' outcomes, son/daughter participation, parental role, and use of social networks in intervention programs for adolescents. Both elements of the dyad indicated that adolescents' participation in APOLO-Teens contributed to favorable outcomes, further highlighting the use of online interventions to complement the hospital treatment of adolescents with overweight/obesity. Future studies should address the viewpoints of adolescents and parents in the design of Facebook-based interventions, namely, to implement tailored, shorter, less time-demanding interventions that favor engagement between participants and parental involvement.

‘Adulting’ with IBD: Efficacy of a Novel Virtual Transition Workshop for Pediatric Inflammatory Bowel Disease

PurposeThe rising prevalence of IBD in children corresponds with a need for patient education on transition to adult care. The objective of this study was to design, implement and evaluate a novel transitions program for adolescents with Inflammatory Bowel Disease and their parents, and to assess the impact of this program on transition readiness skills, self-efficacy and participant satisfaction. Design and methodsSixteen adolescent-parent dyads participated in the virtual transition workshop. Workshop programming was designed utilizing a biopsychosocial and multidisciplinary approach to IBD management and engagement with healthcare resources. The impact of the workshop was measured utilizing validated self- and parent-report measures of transition readiness (TRAQ), self-efficacy (IBD-SES), depression (PHQ8) and anxiety (GAD7). ResultsOver 60% of participants found the workshop helpful and 92% would recommend it to other teens with IBD. The average adolescent transition readiness score (TRAQ) significantly increased by 5.00 points following the workshop (SD = 7.49, p = 0.04), while total parent scores increased by 10.55 points (SD = 11.15, p = 0.011). As was expected, this demonstrates increased transition readiness skills. The average total adolescent IBD-SES score decreased by 6.75 (SD = 8.95, p = 0.024). ConclusionThis novel transition program resulted in increased participant transition readiness, as reported by adolescent and parents, indicating the workshop's utility in promoting tangible skill development. Self-efficacy scores did not increase; self-efficacy is a delayed measure of program success and is tied to disease status and other stressors which also changed across time points. Practice implicationsFuture directions include continuing the virtual program for increased participation and dissemination, integrating feedback and increasing interdisciplinary involvement.

Regulatory parental feeding behaviors, emotion suppression, and emotional eating in the absence of hunger: Examining parent-adolescent dyadic associations

ObjectiveThe present study aimed to improve the understanding of inter- and intrapersonal processes implicated in emotional eating using a large community sample of parent-adolescent dyads. Method: Participants included 1823 parent and adolescent dyads who completed the National Cancer Institute's Family Life, Activity, Sun, Health, and Eating Study. Parents and adolescents each completed measures assessing parents' feeding behaviors, and participants' own emotional functioning and eating behaviors. Actor-partner interdependence models examined dyadic associations among participants' reports of parents' regulatory feeding behaviors (allowing adolescents to eat for emotional comfort purposes, controlling adolescents' “junk” food/sugary drink intakes), emotion suppression, and emotional eating in the absence of hunger. Results: Multiple within-person, cross-dyad member, and divergent parent versus adolescent dyadic effects were identified that differed based on the parental feeding behavior that parents and adolescents reported on. For example, adolescents' reports that their parents regulate their “junk” food/sugary drink intakes were associated with lower levels of their own emotion suppression and, in turn, lower levels of both their own and their parents' emotional eating, whereas parents' reports that they regulate their adolescents' “junk” food/sugary drink intakes were associated with higher levels of their own emotion suppression and emotional eating. Conclusions: These findings underscore the complex interconnectivity among parental feeding behaviors, emotion dysregulation, and emotional eating within the parent-adolescent dyadic context, and support the use of preventive disordered eating interventions focused on enhancing healthy parent feeding behaviors and adaptive emotion regulation skills from a family-based perspective.

The role of motivation on physical activity and screen time behaviors among parent-adolescent dyads: The FLASHE study

Behavioral theories inform the development of lifestyle interventions to address low participation in physical activity (PA); however, relatively little is known about the value of self-determination theory (SDT) for explaining screen time (ST) behaviors or in extending SDT into a dyadic context. Actor-partner (i.e., parent-adolescent) interdependence models (APIMs) allow for examination of these interpersonal relationships. The purpose of this study was to examine PA and ST among parent-adolescent dyads using the cross-sectional Family Life, Activity, Sun, Health, and Eating (FLASHE) Study. Parent-adolescent dyads provided responses to online surveys addressing PA (n = 1177 dyads) and ST (n = 1489 dyads) behaviors. We examined the influence of SDT-based constructs (perceived competence and motivation) on PA and ST behaviors. Structural equations were used to estimate APIMs in STATA 15.1. Full models provided a good fit to the data. For both PA and ST, perceived competence was more strongly associated with motivation among adolescents compared with parents (PA: β = 0.72 vs. 0.58, ST: β = 0.34 vs. 0.22, p's < 0.001). Parental motivation was associated with parental PA and both adolescent motivation for PA and ST (p's < 0.001). Parental motivation was not associated with adolescent ST-behavior. Adolescent motivation was only associated with parent motivation for PA. In the FLASHE study, SDT constructs extend acceptably to the dyadic setting, with PA models providing a slightly better fit to the data than ST models. Longitudinal studies that target perceived competence and the self-regulation of motivation in parents and their adolescents are a next logical step to understanding both PA and ST behaviors.

Patterns of physical activity parenting practices among parent-adolescent dyads who participated in a cross-sectional internet-based study

BackgroundWhile research exploring relationships between individual parenting practices and child physical activity (PA) exists, little is known about simultaneous use of practices. Hence, study objectives were to determine patterns of PA parenting practices and their associations with demographic, anthropometric, and PA measures in a large sample of parents and their adolescent children (12–17 years).MethodsDyadic survey data from Family Life, Activity, Sun, Health, and Eating (FLASHE), a cross-sectional, internet-based study, conducted in 2014 were analyzed using latent class analysis on 5 PA parenting practices – pressuring, guided choice, expectations, facilitation, and modeling. Self-report model covariates included adolescent age and parent and adolescent sex, body mass index category (based on height and weight), legitimacy of parental authority regarding PA (PA-LPA), and moderate-to-vigorous PA (MVPA).ResultsBased on 1166 parent-adolescent dyads, four latent classes were identified representing a continuum of practice use (high to low) – Complete Influencers (26%), Facilitating-Modeling Influencers (23%), Pressuring-Expecting Influencers (25%), and Indifferent Influencers (27%). Compared to dyads with parent underweight/healthy weight, dyads with parent overweight/obesity had 84% higher odds of belonging to Indifferent Influencers. Compared to dyads with adolescent underweight/healthy weight, dyads with adolescent overweight/obesity had 50 and 46% lower odds of belonging to Facilitating-Modeling and Indifferent Influencers. Odds of belonging to Pressuring-Expecting and Indifferent Influencers were less than 1% lower for every 1 min/day increase in parent MVPA and 2 and 4% lower for every 1 min/day increase in adolescent MVPA. Compared to dyads with high parental and adolescent agreement with PA-LPA, dyads with low agreement had between 3 and 21 times the odds of belonging to Facilitating-Modeling, Pressuring-Expecting, or Indifferent Influencers.ConclusionsFindings suggest that parents utilize distinct patterns of PA practices ranging from use of many, use of some, to low use of any practice and these patterns are differentially associated with parent and adolescent PA. When planning PA interventions, a counseling or intervening approach with parents to use combinations of practices, like facilitation and modeling, to positively influence their adolescents’ and possibly their own participation in PA may prove more efficacious than parental pressuring or lack of practice use.

Exploring Parent-gender Differences in Parent and Adolescent Reports of the Frequency, Quality, and Content of Their Sexual Health Communication

ABSTRACT Parent-adolescent sexual health communication (SHC) is a protective factor that can reduce adverse adolescent sexual health outcomes, and the frequency, quality, and content of SHC predicts its effectiveness. However, research on this topic has been limited in scope, overwhelmingly focused on mothers; and often has only included the parent or adolescent perspective, not both members of the dyad. Using secondary cross-sectional data, this study used ANCOVA, logistic regression, correlational, and chi-square analyses to investigate parent-gender differences in parent-adolescent SHC. Participants included 341 parent-adolescent dyads. Compared to fathers, mothers rated parent-adolescent SHC as more important and more comfortable, and had greater self-efficacy for and fewer reservations about SHC than fathers. Mothers also reported talking more frequently and more broadly with their child about sexual health than fathers. Adolescent-reported frequency, quality, and content of parent-adolescent SHC did not differ significantly by parent gender, except for one sexual health topic. Dyadic analyses revealed that mothers and their children tended to agree more in their reports of parent-adolescent SHC than fathers and their children. These findings suggest that fathers may need additional resources to help them confidently engage in effective parent-adolescent SHC.

Impacts of Parental Burnout on Chinese Youth's Mental Health: The Role of Parents' Autonomy Support and Emotion Regulation.

Parental burnout is a state that parents experience overwhelming exhaustion in their parental role. Given the detrimental impacts of parents’ stress on adolescent development, youth may suffer from undesirable emotional adjustment due to parental burnout. Therefore, it is key to understand the underlying mechanisms through which parental burnout may play a role in youth’s mental health and identify protective factors that may reduce the potential negative impacts. Using a sample of 442 Chinese parent-adolescent dyads (Mean age of youth = 13.35 years; 50% girls), this two-wave longitudinal study examined how parental burnout contributes to youth’s mental health over the span of two months. Moreover, the current research investigated the potential mediating role of autonomy support and the potential moderating role of emotion regulation in the links between parental burnout and youth’s mental health. The results showed that greater parental burnout was predictive of youth’s greater depressive and anxiety symptoms two months later, and such effects were partially mediated by less autonomy-supportive parenting. Notably, the negative effects of parental burnout on autonomy-supportive parenting and youth’s mental health were not significant when parents used more cognitive reappraisal to regulate their emotions. These findings demonstrate the underlying mechanisms of how parental burnout affects youth’s mental health over time and highlight the protective role of healthy emotion regulation against parental burnout.

Interdependence Relationships Between Sugar Intake and Sugary Drink Liking in Parent-Adolescent Dyads and Moderation by Adolescent Age and Dyad Sex

ObjectivesThe objectives of this study were to determine if interdependence relationships between sugar from sugar-sweetened beverage (SSB) intake and sugary drink liking existed in parent-adolescent dyads and if relationships were moderated by adolescent age and dyad sex. MethodsDyadic survey data from the cross-sectional, Internet-based Family Life, Activity, Sun, Health and Eating Study, conducted in 2014 were analyzed using actor-partner interdependence models. Parents and adolescents (12–17 years) completed demographic, diet and physical activity surveys. The outcome variable, dietary intake, was measured using a 27-item dietary screener. Explanatory variables included: (1) fruit drink liking and soda liking measured separately on 5-point Likert type scales for actor (self) and partner; (2) adolescent age in years; (3) parent-adolescent sex (male or female); and (4) 2-way interactions between explanatory variables. ResultsInterdependence effects were present for fruit drink liking with higher liking associated with greater sugar from SSB intake for both actor and partner effects. Only actor effects were present for soda liking; higher liking was associated with greater sugar from SSB intake. Associations between sugar from SSB intake and all three liking effects (stronger actor effects for parents and stronger partner effect for adolescents), adolescent age (increasing adolescent intake for increasing age) and dyad sex (increased intake for males) differed between parents and adolescents. Dyad sex moderated actor effects for fruit drink liking with generally greater sugar from SSB intake as liking increased for male parent dyads while adolescent age moderated actor effects for soda liking with increasing intake for increasing age in strongly like group. ConclusionsThe findings of differential parent-adolescent interdependence on associations between sugary drink liking and sugar from SSB intake suggest that parents’ liking may play a more influential role in their own and their adolescents’ beverage choices than adolescents’ liking plays in their parents’ choices. Additionally, individuals with strong liking for sugary drinks may require more concerted effort to reduce their sugar intake. Funding SourcesThis work was supported by the USDA Agricultural Research Service.

Associations of Health-Related Conversations and Mealtime Media Device Use Among Parent-Adolescent Dyads

Abstract Objectives To determine how health-related conversations between parents and their adolescent children is associated with mealtime media device use by adolescents. Methods A sample of primarily Hispanic parents (n = 347; 43 ± 6.5 years; 89.3% female) of 6th, 7th or 8th grade adolescents enrolled in a parenting intervention focusing on the promotion of healthy nutrition and substance use prevention. Parents completed baseline surveys to self-report the frequency with which they had health-related conversations with their adolescent child (healthy eating, being physically active, adolescent's weight, adolescent weighing too much, eating differently to lose weight, exercising to lose weight), and the frequency with which the adolescent used media devices during mealtimes (television and movie watching, cellphone use or texting, handheld gaming devices, listening to music with headphones). Spearman's rank correlations were used to assess the associations between health-related communication and mealtime media device use. Results Reported conversations about healthy eating, being physically active, and general weight of the adolescent were not associated with reported use of media devices by adolescents during mealtimes. Having conversations related to the adolescent weighing too much was positively and significantly correlated with television/movie watching (r = 0.219; P &amp;lt; 0.0001), talking on a cellphone (r = 0.130; P &amp;lt; 0.05), using gaming devices (r = 0.140; P &amp;lt; 0.05), and listening to music with headphones (r = 0.136; P &amp;lt; 0.05). Having conversations about exercising to lose weight was also significantly correlated with television/movie watching during mealtimes (r = 0.137; P &amp;lt; 0.05). Conclusions Findings suggest that higher frequency of weight-related conversation is associated with higher usage of media devices during mealtimes. Whether parenting practices, parental concerns about their children's weight, and the home mealtime environment play a role on adolescent weight status in Hispanic households warrants further investigation. Funding Sources National Institute on Minority Health and Health Disparities and Health Resources and Services Administration of the U.S. Department of Health and Human Services as part of a Maternal Child Health Bureau Nutrition Training Grant.

Examining Discrepant Reports of Adolescents’ Self-Injurious Thoughts and Behaviors: A Focus on Racial and Ethnic Minority Families

Introduction Adolescents and their parents do not always see eye to eye. This principle applies to multi-informant reports of adolescents’ self-injurious thoughts and behaviors. Although prior work has revealed the presence of parent-adolescent discrepant reports, we have little insight into exactly who is most likely to display such discrepancies. To address this knowledge gap, the present investigation examines demographic correlates of parent-adolescent reports of adolescents’ self-injurious thoughts and behaviors, with a focus on race and ethnicity. Method The sample included 45 dyads of adolescents (M = 15.79 years, SD = 1.42) and their parents reporting on adolescents’ history of suicide ideation, suicide plan, suicide gesture, suicide attempt, and nonsuicidal self-injury (NSSI). Results Greater discrepancies in reports of adolescents’ suicide ideation and NSSI were observed among racial minority parent-adolescent dyads (Black, Asian, Multiracial, Other) relative to White dyads. Racial minority parents tended to report less suicide ideation and NSSI observed in their adolescents compared to adolescents’ self-report. Moreover, Hispanic parents tended to report less NSSI relative to adolescents’ self-report. Parent-adolescent discrepancies did not consistently correspond with other characteristics such as age and sexual orientation. Conclusion Racial minority parent-adolescent dyads, relative to White parent-adolescent dyads, are less likely to see eye to eye on adolescents’ suicidal and nonsuicidal self-harming tendencies.

Parent-adolescent dyads’ experiences of gratitude activities in a South African context

This article explores and describes parent-adolescent dyads’ experiences of gratitude activities in a South African context. Our sample of six parent-adolescent dyads (n = 12) completed structured gratitude activities to participate in over a period of three weeks, followed by qualitative interviews regarding their experiences. Thematic analysis of the data yielded the following themes regarding the experience of gratitude activities: (i) positive experiences such as difference, pleasantness, challenge, and usefulness; (ii) a deeper understanding of gratitude, including becoming aware of things participants previously took for granted; and (iii) the relational value of spending time together. Our brief gratitude intervention appeared to have efficacy for mutually supportive relationships among the parent-adolescent dyads.

Parent SMART (Substance Misuse in Adolescents in Residential Treatment): Pilot randomized trial of a technology-assisted parenting intervention

Adolescents in residential level of care for substance-related problems have high risk of relapse following discharge. Parent engagement lowers relapse risk, but there are myriad barriers to engaging parents in residential treatment and continuing care. Parent SMART (Substance Misuse in Adolescents in Residential Treatment) is a technology-assisted parenting intervention that was designed to circumvent barriers associated with traditional, office-based continuing care interventions to better engage parents. This pilot randomized trial assessed the acceptability, feasibility, and preliminary effectiveness of Parent SMART as an adjunctive intervention to adolescent residential treatment-as-usual (TAU). Sixty-one parent-adolescent dyads were randomized to Parent SMART+TAU or TAU-only. Thirty-seven dyads were recruited from a short-term facility and 24 dyads were recruited from a long-term facility. Those randomized to Parent SMART received a multi-component technology-assisted intervention combining an off-the-shelf online parenting program, coaching sessions, and a parent networking forum. Parent and adolescent assessments were conducted at baseline, 6, 12, and 24-weeks post-discharge. Feasibility (e.g., parental effectiveness) and acceptability (e.g., parental satisfaction, willingness to recommend the intervention) benchmarks were specified a priori as the primary hypotheses. Secondary effectiveness indicators were the proportion of days adolescent used alcohol, cannabis, and any substance. All acceptability and feasibility benchmarks were met or exceeded among dyads in both short- and long-term residential. Generalized linear mixed models showed no significant effects pooled across sites. Analyses by facility revealed two significant time by condition interactions. Adolescents in short-term residential whose parents received Parent SMART showed fewer drinking days and fewer school problems over time, relative to adolescents whose parents received TAU. Results indicate that Parent SMART was both acceptable and feasible, with preliminary indication of effectiveness among those in short-term residential. A fully-powered trial is warranted to reliably test the effectiveness of Parent SMART and understand possible mechanisms of improvement.

Longitudinal Coupling of Depression in Parent-Adolescent Dyads: Within- and Between-Dyad Effects Over Time.

The present work evaluated reciprocal, within-dyad associations between parent-adolescent depressive symptoms across two independent samples (N=327 and N=435 dyads, respectively; approximately 85% biological mothers) assessed every three months for two (Study 1) to three (Study 2) years. Results of random intercept cross-lagged panel models converged to support positive contemporaneous patterns of co-fluctuation in parent and adolescent depression, such that within-person deviations in parental depression were associated with same direction within-person deviations in adolescent depression at the same timepoint. In contrast, within-person fluctuations in parent depression did not predict prospective within-person fluctuations in adolescent depression, or vice versa, across the follow-up period. Results held across boys and girls, as well as dyads with and without a parental history of depressive disorder. Overall, findings advance knowledge by demonstrating that, after accounting for between-person/dyad variance, parent and adolescent depression demonstrate contemporaneous co-fluctuations, but do not demonstrate within-dyad reciprocity over time.

Factors Associated With Parent-Adolescent Communication on Sexual and Reproductive Health Issues in Urban Slums of Ibadan, Southwest Nigeria.

In Nigeria, adolescents in urban slums are increasingly at risk of adverse sexual and reproductive health (SRH) outcomes. However, little is known about how individual factors predict parent-adolescent communication on SRH issues in a resource-poor urban setting in Ibadan. Thus, this study investigated individual factors associated with parent-adolescent communication on SRH issues in urban slums of Ibadan, southwest, Nigeria. This study is part of a larger project that explores the socio-ecological factors influencing parent-adolescent communication on SRH issues in selected slums in Ibadan, Nigeria. Within this broader framework, this paper relies on the quantitative data obtained in 10 selected slums. Interviewer-administered structured questionnaire [scripted on open data kits (ODK)] was utilized to collect data from a sample of 796 parent-adolescent dyads. Six SRH topics were investigated to describe the issues discussed. Analytical techniques utilized include; frequency counts, chi-square, and multinomial logistic regression. Parent-adolescent communication regarding SRH issues is not uncommon in urban slums of Ibadan but characterized by indirect communication, threat and warning. Parents and adolescents' age, gender, marital/relationship status, educational attainments and religion played influential role in parent-adolescent communication regarding SRH issues. These factors were identified to be significantly associated with the pattern of parent-adolescent discussion of SRH issues. Age-specific SRH education should be available to adolescents and parents need to be educated on appropriate SRH information and the best way to engage their adolescents on SRH issues.

Feasibility and Acceptability of a Novel Primary Care-Based Intervention to Promote Parent-Teen Communication About Teen Strengths.

Strength-based approaches to youth development have been tested in community settings and are related to improvements in social, health, and academic realms. However, little is known about similar approaches to enhance parent-teen communication (PTC) in pediatric primary care. The goal of this study was to test the feasibility and acceptability of an intervention to facilitate parent-teen communication about teen strengths. Intervention materials were developed based on a literature review, expert consultation, and feedback from stakeholders. The final intervention was a parent-directed booklet and a parent-teen discussion activity. At the well-adolescent visit (WAV), dyads received an orientation to the materials and were instructed to complete the discussion activity within 2weeks of the WAV. Health Care Providers verbally endorsed the materials and instructed parents to read the booklet and complete the discussion activity with their teens. Acceptability was assessed at 2-week and 2-month follow-ups. Parent-adolescent dyads from an urban, pediatric primary care practice were enrolled with half assigned to the treatment group. Those in the treatment group (60 dyads) are the focus of this paper. Youth were 13-15years old, 55% female, and 66% Black. Most participatingparents (97%) were female. Fidelity was ≥ 88% for delivery of each of the intervention components. Fifty-four of the 60 parents in the intervention group completed the 2-week call. Of those 54 parents, 96% read the booklet and 62% found the booklet either extremely or very helpful. The majority of parents (67%) and teens (72%) reported that the discussion activity was excellent or very good. Analysis of qualitative data also provided rich insight into the participants' experiences with the intervention materials. Overall results suggest that an intervention to promote PTC about teen strengths is feasible and acceptable to parents and teens within primary care.

Parents’ and Children’s Privacy Management about Sensitive Topics: A Dyadic Study

Parents and children in families must manage private information about sensitive topics. This privacy management can necessitate both individual and collective privacy rules. However, parents and children may have significantly different views of individual and collective privacy boundaries and rules for managing them. Particularly for adolescents, changing expectations and privacy needs may lead to different perceptions of privacy rules, with various relational consequences. To better understand parents’ and children’s perceptions of privacy rules in the family, this study analyzed individual interviews with 41 parent–adolescent dyads to provide a crystallized view of privacy rules in families. Parents’ and adolescents’ perceptions of privacy management both converged and diverged in this study, and reflected the nature of the parent–child relationships. When privacy rules could not be reconciled, there were both relational and privacy management implications.

Gender-based eating norms, the family environment and food intake among Costa Rican adolescents.

To examine the association between family environment variables (parenting styles, family meal atmosphere), gender-based stereotypes and food intake in Latin American adolescents. Structural equation modelling applied to cross-sectional data, 2017. Urban and rural sites of San José, Costa Rica. n 813; 13-18 years old. Data suggest direct associations between gender-based stereotypes and intake of fruits and vegetables (FV) (β = 0·20, P < 0·05), unhealthy foods (fast food (FF)) (β = -0·24, P < 0·01) and ultra-processed foods (β = -0·15, P < 0·05) among urban girls; intake of legumes among rural girls (β = 0·16, P < 0·05) and intake of sugar-sweetened beverages (SSB) among rural boys (β = 0·22, P < 0·05). Family meal atmosphere was associated with legume intake (β = 0·19, P <·05) among rural girls. Authoritative parenting style was associated with FV intake (β = 0·23, P < 0·05) among urban boys and FF intake (β = 0·17, P < 0·05) among urban girls. Authoritarian parenting style was associated with FV consumption (β = 0·19, P < 0·05) among rural boys, and with SSB and FF consumption (β = 0·21, P < 0·05; β = 0·14, P < 0·05, respectively) among urban girls. Findings are the first to describe the complex family environment and gender-based stereotypes within the context of a Latin American country. They emphasise the need for culturally relevant measurements to characterise the sociocultural context in which parent-adolescent dyads socialise and influence food consumption.

Effect of a Family Media Use Plan on Media Rule Engagement Among Adolescents

The American Academy of Pediatrics recommends that all families use a family media use plan to select and engage with media rules. To date, the effectiveness of this tool in promoting adolescent media rule engagement is unknown. To test the effect of a family media use plan on media rule engagement in adolescents. This randomized clinical trial with parallel design used the online Qualtrics platform for recruitment, data collection, and intervention delivery. Parents and their children (aged 12 to 17 years) who spoke and read in the English language were recruited, enrolled, and randomized to either the intervention or control group. Parent-adolescent dyads in both groups completed baseline surveys individually, and the dyads in the intervention group completed the family media use plan survey. Baseline recruitment was conducted from April 8, 2019, to May 1, 2019, and follow-up surveys were completed between June 11, 2019, and July 2, 2019. The American Academy of Pediatrics family media use plan. The primary outcome was media rule engagement reported by adolescents. Media rules were extracted from the family media use plan, and adolescents rated each rule (using Likert scales) according to whether the rule was present or followed in their home. Secondary outcomes were adolescent-perceived technology importance and changes in sleep, physical activity, and depression. A total of 1520 parent-adolescent dyads were enrolled in the trial and randomized to either the intervention or control group. Adolescents had a mean (SD) age of 14.5 (1.6) years, and 789 were female (51.9%) and 1027 were White (67.6%) individuals. Parents had a mean (SD) age of 44.1 (8.5) years, and 995 were women (65.5%) and 1021 were White individuals (67.2%). For media rule engagement, the between-group difference was -0.1 (95% CI, -1.1 to 0.9). This randomized clinical trial found that completing a family media use plan did not lead to statistically significant changes in media rule engagement for adolescents in the intervention group. Future studies should consider revising the family media use plan and exploring the importance of technology as an intervention outcome. ClinicalTrials.gov Identifier: NCT03881397.

Mindful parenting is positively associated with adolescents’ life satisfaction: The mediating role of adolescents’ coping self-efficacy

Studies have demonstrated that life satisfaction has a large impact on adolescents’ development. However, adolescence is a period with extensive challenges and stressors that may threaten adolescents’ life satisfaction if they cope with them ineffectively. The current study investigated the effect of mindful parenting on adolescents’ life satisfaction and the mediating role of adolescents’ coping self-efficacy. The participants included 479 parent-adolescent dyads. Data on both parents’ self-reported mindful parenting and adolescents’ perceptions of their parents’ mindful parenting were collected and combined to estimate levels of mindful parenting. The results indicated that mindful parenting is positively associated with adolescents’ life satisfaction and that adolescents’ coping self-efficacy mediates this relationship. Specifically, higher levels of mindful parenting are linked with higher levels of adolescents’ coping self-efficacy, which is in turn positively associated with adolescents’ life satisfaction. These findings shed light on the importance of mindful parenting for adolescents’ healthy development. The theoretical and practical implications of the current study results as well as future research directions are discussed.