Parental Satisfaction Research Articles

Diabetes Device Satisfaction Among Adolescents Living With Type 1 Diabetes and Their Parents.

Diabetes technologies are valuable tools to reduce burden and enhance glycemic control, especially during adolescence. The current study sought to understand the factors associated with parent and adolescent diabetes device satisfaction. This study used cross-sectional data from 175 adolescents living with type 1 diabetes and 176 parents. Adolescent ages ranged from 12 to 19 (Mage=14.7, SD=1.89) and were balanced by gender (48% male). Kendall's W examined concordance between parent and adolescent satisfaction and bivariate correlations and paired t-tests identified correlates of satisfaction. There was low concordance (Kendall's W = 0.13) between parent and adolescent device satisfaction. Automated insulin delivery (AID) use (vs non-use) was related to higher satisfaction for adolescents (4.52 [0.71] vs 4.20 [0.87], P = .008) and parents (4.25 [0.82] vs 3.71 [0.90], P < .001). Pump use was not significantly related. Parent satisfaction was correlated with hemoglobin A1c (HbA1c; R = -0.301, P < .001), percent time-in-range (R = 0.214, P = .007), and percent time-above-range (R = -0.193, P = .015). Adolescent satisfaction was unrelated to glycemic measures. Adolescent and parent satisfaction were both related to better psychosocial functioning. Significant associations between AID use, psychosocial functioning, and glycemic control and device satisfaction remained after accounting for one another. Demographic correlates were non-significant. Adolescents and their parents have discrepant levels of satisfaction with devices. Although both adolescent and parent satisfaction are linked to use of automated technology and better psychosocial functioning, only parent satisfaction is associated with glycemia. This pattern suggests adolescents and parents hold varying priorities when it comes to device use. Acknowledging and addressing these differences may enhance the uptake and continued use of devices.

Postoperative analgesic effect of lumbar erector spinae plane block for developmental hip dysplasia surgery: a randomized controlled double-blind study.

Open surgery for developmental dysplasia of the hip (DDH) may cause severe pain due to tenotomies and pelvic-femoral osteotomies. This study aims to evaluate the analgesic effect of ultrasound-guided Lumbar Erector Spina Plane (L-ESP) Block in pediatric patients undergoing DDH surgery. Sixty children scheduled for DDH surgery were randomly assigned into two groups. Group I (n = 30) received L-ESP with 0.5 mL/kg of 0.25% bupivacaine before surgery. In contrast, Group II (n = 30), as the control group, received the same volume of saline injection. Identical postoperative analgesia protocol was adjusted for both groups. Parental satisfaction, pain levels, ibuprofen, and opioid consumption were recorded. Pain levels were evaluated with the FLACC (Face, Legs, Activity, Crying, Consolability) scale. FLACC scores at the first 24th hours were lower in the L-ESP group than the control group (p < 0.001). Rescue opioid utilization was higher in the control group (15/26) than in the L-ESP group (2/29) (p < 0.001). The consumption of ibuprofen was higher in the control group than in the L-ESP group in the ward (24/26 vs. 3/29, p < 0.001, respectively). Parental satisfaction was superior in the L-ESP group (p = 0.024). To provide postoperative analgesia for DDH surgery, ultrasound-guided L-ESP may be an effective and alternative regional anesthetic technique.

Ultrasound guided pediatric caudal dose: a two-center randomized controlled trial

BackgroundThe drug volume to be used in caudal in pediatric patients has remained an unmet issue since long. We determined the minimum drug volume required to reach T10 level in pediatric patients using ultrasonography and compared it with the already established volume by Armitage formula.AimTo determine the minimum effective caudal local anesthetic dose using ultrasound guidance.MethodsStudy was performed at two centres and at each centre, 50 pediatric patients (Total 100 patients), aged 1 to 3 years, undergoing below umbilical surgeries were included and randomised into two groups of 25 each (Total 50) to receive ultrasound guided drug volume vs. Armitage formula based volume. The volume required to reach T10 level was assessed with ultrasound in one group. Also, maximum height achieved, cutaneous level achieved after 15 min, FLACC scores 30 min post extubation and parental satisfaction scores were noted.ResultsThe mean drug volume required to reach T10 level in Group U was 0.755 ± 0.053 ml/kg with a P value < 0.001. (Compared to the drug volume of 1 ml/kg using one sample t test). The highest level achieved in both groups were calculated as the mode value of T8 and T7 in Group U and Group A respectively. The highest cutaneous level achieved after 15 min was also calculated as the mode value of T4 in both groups. FLACC scores at 30 min were also comparable. Satisfaction scores were comparable in both groups.ConclusionA volume of 0.7 ml/kg of local anaesthetic in pediatric caudal block is sufficient to achieve a target of T10 level for infraumblical surgeries.

How parental satisfaction with green open spaces shapes children’s outdoor play considering independent mobility as the key mediator

How parental satisfaction with green open spaces shapes children’s outdoor play considering independent mobility as the key mediator

Language and parental satisfaction during inpatient stay: A pilot survey study in a quaternary pediatric hospital.

Considering the significant volume of non-English speakers seeking medical care in the United States and the challenges they may encounter within the hospital environment, it is necessary to assess the satisfaction of non-English-speaking families during their hospital stays and to determine potential areas of improvement in order to optimize care. We aimed to evaluate and describe the satisfaction of Arabic-, Spanish-, and English-speaking families at a quaternary pediatric hospital. From the measures assessed, we sought to identify perceived strengths and weaknesses of the inpatient experience for families who spoke different languages. In doing so, we aimed to identify ways to improve the hospital experience for patients and their families. We created a 23-item satisfaction questionnaire that was vetted by the hospital's Global Services Department, professionally translated into Arabic and Spanish, and tested by native speakers. The survey contained questions pertaining to parent/guardian demographics, their experience with the hospital environment, and their care team or services. Using the questionnaire, we surveyed Arabic-, Spanish-, and English-speaking parents/guardians of post-procedural patients under 18 years of age in intensive care units (ICUs) and on inpatient floors. A total of 162 surveys were collected with roughly equal distribution across the three language groups (52 Arabic, 53 Spanish, 57 English). We found no statistically significant difference in satisfaction scores across the three language groups, nor across self-reported English-proficient and non-English-proficient Arabic and Spanish respondents. In addition, there was no statistically significant difference in satisfaction between parents/guardians in ICUs and those on inpatient floors. This pilot survey suggests that inclusivity and availability of interpretation resources play a role in successfully creating an environment where both English and non-English speakers are satisfied. Further development and validation of the survey instrument should be performed, along with testing at other institutions.

ANALISIS PRINSIP AKUNTABILITAS, TRANSPARANSI, DAN EFEKTIVITAS DALAM PENGELOLAAN KEUANGAN SEKOLAH DASAR SWASTA SANTA THERESIA I PANGKALPINANG

This research is an analysis of the principles of accountability, transparency and effectiveness of school financial management at the Santa Theresia I Pangkalpinang Private Elementary School. This research aims to evaluate the application of the principles of accountability, transparency and effectiveness of school financial management at Santa Theresia I Pangkalpinang Private Elementary School. The method that researchers use is a qualitative descriptive analysis method where data collection uses observation, interview and documentation techniques. In this research, the author interviewed several sources including: School Principal, School Treasurer, and Chair of the School Committee. The research results show that Santa Theresia I Pangkalpinang Private Elementary School has demonstrated a commitment to accountability, legal compliance and integrity in its financial management. However, there are still areas that need improvement, such as increasing information transparency, active involvement of school committees, and evaluating the effectiveness of educational programs. Financial documentation is good but access to information is still limited, and supervision of the use of funds is not optimal. For future research, it is recommended to carry out further evaluation of the implementation of the recommendations proposed in this research. Additionally, the research focus could be expanded to explore the impact of improvements in school financial management on student academic achievement and parental satisfaction. Longitudinal studies can also be conducted to see developments and changes in school financial management practices over time.

Hydrocele in infants: surgical evaluation

Introduction: Hydrocele in infants is a condition characterized by fluid accumulation in the scrotum, often seen in newborns. This disorder, although often benign and self-limited, may require evaluation and, in some cases, surgical intervention. Understanding the factors associated with hydrocele, its clinical presentation, and therapeutic approach are essential to ensure appropriate management. The medical literature discusses the prevalence and implications of hydrocele, as well as guidelines for surgical evaluation in persistent cases, highlighting the importance of early identification and timely intervention. Methodology: The research followed the PRISMA checklist guidelines, using databases such as PubMed, Scielo, and Web of Science. Five descriptors were used: "hydrocele," "infants," "surgical evaluation," "treatment," and "clinical outcomes." Inclusion criteria included articles published in the last ten years, studies focused on infants, and that addressed the surgical evaluation of hydrocele. Conversely, exclusion criteria included non-systematic reviews, articles that did not specifically address the pediatric population, and studies with incomplete data. Results: The analysis revealed that most cases of hydrocele in infants resolve spontaneously, but surgery is recommended in cases of persistent or symptomatic hydrocele. The literature highlighted the importance of careful clinical evaluation and consideration of the risks and benefits of surgery. The main outcomes observed included surgical complication rates and parental satisfaction with the results. Conclusion: Hydrocele in infants requires a careful approach, taking into account both the often self-limiting nature of the condition and the potential associated complications. Surgical evaluation should be performed carefully, based on clinical guidelines and the experience of the medical team. The systematic review highlighted the importance of an individualized approach to each case, ensuring better outcomes for patients and their families.

Promoting application of enhanced recovery after surgery protocols during perioperative localized abdominal and thoracic neuroblastomas.

To investigate the safety and efficacy of the application of enhanced recovery after surgery (ERAS) protocols in the perioperative period of abdominal and thoracic localized neuroblastomas (NBs). In this retrospective study, 68 children with NBs who underwent surgical resection of the tumor were enrolled. The ERAS protocols for NB excision were implemented in the ERAS group (n = 39) and the consequences were compared with children treated with traditional care (n = 29, TRAD group). The main outcomes of our interest included the incidence of surgery-related complications, the postoperative length of stay (LOS), and the Face/Legs/Activity/Cry/Consolability (FLACC) quantitative table from postoperative days (POD) 1-5. We also evaluated the median intraoperative fluid volume and anesthesia recovery time; blood glucose levels at the beginning of anesthesia, POD1, and 3; WBC counts, CRP values, and the concentration of plasma nutritional indicators on POD1 and 3; time of early ambulation, first anal exhaust, total enteral nutrition (TEN), and discontinue intravenous infusion postoperatively; usage proportion and duration of abdominal and thoracic drainages, nasogastric decompression tubes and urinary catheters; cost of hospitalization, parental satisfaction rate, and readmission rate of surgery ward within 30days. Compared to the TRAD group, the ERAS group had lower surgery-related complications, albeit not significantly (P > 0.05); the median postoperative LOS decreased from 11.0 to 8.0days (P < 0.001), the LOS of abdominal NB was significantly shortened (P < 0.001) compared to thoracic NB (P = 0.07) between the two groups; the FLACC scores decreased significantly from POD1-5 (all P < 0.01). The ERAS group had an improved median intraoperative infusion speed (5.0mL/kg/h vs 8.0mL/kg/h), time of early ambulation (1.0days vs 3.0days), first anal exhaust (2.0days vs 2.0days), TEN (5.0 vs 7.0days), discontinuation of intravenous infusion (5.0days vs 8.0days), and total cost of hospitalization (33,897.2 Yuan vs 38,876.3 Yuan); (all P < 0.01). The usage proportion and duration of surgical drainages and tubes were apparently reduced. The mean blood glucose level was higher at the beginning of anesthesia but lower on POD1 and 3 in the ERAS group (P < 0.01). No statistically significant difference was detected in WBC counts and concentrations of hemoglobin and albumin between the two groups of patients (P > 0.05), while the concentrations of prealbumin on POD3 were higher and the CRP level on POD1 was lower in the ERAS group than the TRAD group (P < 0.01). The satisfaction rate of parents was only slightly higher, but the difference was not statistically significant (P = 0.730). No obvious differences were observed in the aspects of NB resection (P = 0.462) and 30-day readmissions of surgery ward (P = 1.000). The application of ERAS protocols has a significant potential to accelerate perioperative rehabilitation in children undergoing abdominal and thoracic NBs' surgical resection.

Post-Adoption Perinatal Grief and Parenting Future Children in the Home: The Moderating Roles of Social Support and Parental Substance Use

SYNOPSIS Objective. The aim of this study was twofold: (a) to examine the impact of birth mother’s post-adoption perinatal grief—stemming from ambiguous loss—on their perceptions of their parenting years later and the relationship quality they have with the children who they raise, and (b) to evaluate the potential contribution that social support and substance use severity play in moderating the impact of post-adoption perinatal grief. Design. We applied an adoption design that consisted of a sample of birth mothers (N = 53) who placed one child for adoption at birth and parented another child in their home following the voluntary adoption placement of the adoptee. At 3–6 months postpartum of the adopted child, we measured birth mother’s post-adoption perinatal grief, substance use severity, and level of social support received by their friends, family, and community. When the birth mother’s child was raising at home reached age 7, birth mothers reported on their relationships with that child, including parent–child conflict, parent–child closeness, parenting satisfaction, and sense of efficacy as a parent. Results. Findings revealed that high post-adoption perinatal grief was associated with increased parent–child conflict. High post-adoption perinatal grief was also associated with low parenting satisfaction, albeit this effect was mitigated in the context of high social support. Conclusions. Findings suggest that grief following adoption may result in effects that are sustained years later, including compromised relationships and low parenting satisfaction with the child they later raise, although social support may mitigate the potential negative effects of post-adoption perinatal grief on parental satisfaction. Future work should examine the mechanisms linking post-adoption perinatal grief with future parenting.

Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled Trial

ABSTRACT Background: Consent is never truly exercised in children as parents act as their proxy and often do not understand the advantages, disadvantages, risks, and benefits of the procedure. Their high anxiety state is mirrored in the child, leading to slower recovery. Hence, this study was designed to understand if an intervention can impact the effect of consent on parents’ anxiety, satisfaction, and knowledge. Methodology: A two-arm, parallel design, randomized controlled trial was conducted from March 2020 to March 2022 to analyze the effect of an educational video in comparison to an informational leaflet in parents giving proxy consents for various listed pediatric surgical procedures. Results: Parents in the video group had a higher mean knowledge score (6.97 vs. 6.77, P = 0.40), comparable satisfaction scores (27.45 vs. 27.58, P = 0.88), and statistically insignificant difference between anxiety scores. We noted highest score of satisfaction (28.5/40) in the parents educated up to High School level or less. Knowledge scores were lowest in pelvic-ureteric junction obstruction (5.1/10) patients. Conclusions: Our study done over a period of 2 years included a variety of diagnoses, and the videos and information leaflets were self-designed. It showed comparable anxiety, knowledge, or satisfaction in parents. Studies with more participants would be needed to take this research forward.

Evaluating Educational Patterns and Methods in Infant Sleep Care: Trends, Effectiveness, and Impact in Home Settings—A Systematic Review

Background: Sleep care is crucial for the health and development of infants, with proper sleep patterns reducing the risk of sudden infant death syndrome (SIDS) and other sleep-related incidents. Educational interventions targeting caregivers are essential in promoting safe sleep practices. Methods: This systematic review adhered to PRISMA guidelines, searching databases such as PubMed, MEDLINE, Scopus, and the Cochrane Library. Inclusion criteria focused on studies involving home-based interventions for infants aged 0–12 months, including parental education and behavioral interventions. Exclusion criteria included studies in clinical settings and non-peer-reviewed articles. Data extraction and synthesis were performed by two independent reviewers, using a narrative approach to categorize interventions and outcomes. Results: Twenty-three studies met the inclusion criteria. Key findings indicate that home-based educational interventions, including hospital-based programs, home visits, and mobile health technologies, significantly improve parental knowledge and adherence to safe sleep practices. These interventions also enhance parental satisfaction and contribute positively to infant health outcomes. Conclusions: Educational interventions have demonstrated effectiveness in promoting safe sleep practices among caregivers, particularly in home settings. These interventions, including hospital-based programs, home visits, and digital tools, improve parental knowledge, adherence to guidelines, and overall satisfaction. The impact is evident in the reduction of unsafe sleep behaviors and enhanced infant health outcomes. However, variability in the intervention methods and delivery, cultural contexts, and geographic focus suggest a need for more tailored, long-term, and comprehensive studies. Future research should standardize outcome measures and assess the sustained impact of these educational strategies on infant sleep patterns and caregiver practices over time. This will provide deeper insights into the trends and long-term effectiveness of educational patterns and methods in diverse home environments.

Evaluating parental experiences in teaching children with learning disabilities in resource rooms of public schools in Amman

BackgroundThe education of children with learning disabilities in public schools’ resource rooms remains a vital area of concern, particularly in Amman, where diverse educational needs and varying levels of resource allocation pose significant challenges. Despite the establishment of resource rooms, there is a notable lack of comprehensive data on parental satisfaction with these services. Previous research has indicated that the effectiveness of such educational settings largely depends on the quality of instruction, the adequacy of educational resources, and the extent of parental involvement and satisfaction. However, there is a significant gap in understanding how these factors specifically impact parents’ perceptions in the context of Amman’s public schools.AimThis study aimed to address this gap by evaluating the perspectives of parents of students with learning disabilities in resource rooms within Amman’s public schools, focusing on their satisfaction with educational services, including instruction quality, resource adequacy, and facility accessibility.MethodsA cross-sectional study design was utilized, involving a structured questionnaire administered to 200 parents of children attending resource rooms in 33 public schools across Amman. The questionnaire included Likert-scale questions and demographic queries to assess parents’ perspectives on the educational services provided. Data were analyzed using SPSS version 27 to compute descriptive statistics, correlation coefficients, and hierarchical linear modeling (HLM) to account for clustering effects.ResultsThe majority of respondents were female (60%, n = 120), and the largest age group was 31–40 years (45%, n = 90). Most parents held a Bachelor’s degree (50%, n = 100) and were employed (75%, n = 150). The predominant age group of the children was 11–15 years (50%, n = 100), with dyslexia being the most common type of learning disability (40%, n = 80). Parents rated the quality of instruction at a mean of 3.5 (SD = 1.2), adequacy of educational materials at 3.3 (SD = 1.1), and overall satisfaction with the program at 3.6 (SD = 1.0). Accessibility of facilities was rated lower at 2.8 (SD = 1.3). This interpretation is based on the lower mean score, which indicates a less favorable perception of accessibility, and the relatively high standard deviation, which reflects variability in parental experiences. HLM analysis revealed significant positive relationships between quality of instruction (β = 0.75, SE = 0.05, t = 15.00, p &amp;lt; 0.01), adequacy of educational materials (β = 0.70, SE = 0.04, t = 17.50, p &amp;lt; 0.01), and accessibility of facilities (β = 0.65, SE = 0.06, t = 10.83, p &amp;lt; 0.01) with overall parental satisfaction.ConclusionThe study underscores the importance of high-quality instruction, sufficient educational materials, and improved facility accessibility in enhancing parental satisfaction with resource room programs in Amman. This conclusion is supported by the findings from both the hierarchical regression analysis and the descriptive statistics, demonstrating that these factors are crucial for the effective support of children with learning disabilities.

Enhancement of Family-Centred Care Is Associated with a Reduction in Postmenstrual Age at Discharge in Preterm Infants

Background/Objectives: Long hospitalisation has been recognized as an independent risk factor for poor neurodevelopmental outcomes of preterm infants. Systematic training and early inclusion of parents in their preterm infant’s care is a strategy to shorten the length of hospital stay. We implemented an enhanced stepwise family-centred care program and assessed its effects on postmenstrual age (PMA) at discharge and parental satisfaction. Methods: This prospective single-centre longitudinal cohort study was carried out in a German level III neonatal unit from October 2020 to May 2023. Five consecutive 6-month cohorts (1 baseline and 4 intervention cohorts, 169 infants and their caregivers) were analysed. Results: Mean PMA at discharge did not change in the total cohort but declined significantly in patients without neonatal morbidities from baseline to cohort 4 (37.2 ± 1.4 to 36.1 ± 1.6 weeks; p = 0.036). Concomitantly, discharge with tube feeding raised from 2.4% to 74.1% (p &lt; 0.001) and discharge with home monitoring raised from 9.8% to 74.1% (p &lt; 0.001), while unplanned readmissions remained unchanged (p = 0.44). Parental satisfaction with time point of discharge increased non-significantly from baseline to cohort 4 (75.8% vs. 95.7%; Chi2 0.22). Conclusions: Discharge of preterm infants at a significantly lower PMA is feasible through enhancement of family-centred care and is very well accepted by parents.

Evaluation of the Beneficial Parenting Partnership Model Assimilation in Parent-Infant Centers

Abstract Background The Beneficial Parenting Partnership (BPP) model is being implemented in Parent-Infant Centers (PIC) across Israel to improve the partnership skills of PIC nurses when working with parents, promote child development, and enhance parental well-being. This initiative is being led by the Israeli Ministry of Health, Goshen NGO, and Lotem company and is supported by the Yad Hanadiv and Bernard van Lear foundations. Methods The first data collection (T1) was held from December 2022 to January 2023 among 706 parents of children aged two weeks to 36 months (M = 8.17 months, SD = 7.48) who visited one of 18 PICs. Research assistants approached the parents and asked for their agreement to fill in the study questionnaire. Of these, 328 parents agreed to participate in the follow-up study (T2) held in January-February 2024 using a telephone survey. Differences in the parent’s satisfaction, visit experience, and parental well-being were assessed using parried sample T-tests. A linear regression model was calculated to assess the factors predicting the increase in the parent’s visit satisfaction. Results Significant differences were measured between T1 and T2 in parental satisfaction (M = 4.51 and 4.71 retrospectively, P &amp;lt; 0.001), parental positive visit experience (M = 4.58 and 4.68 retrospectively, P = 0.019), and parental well-being (M = 3.81 and 3.97 retrospectively, P &amp;lt; 0.001). Findings suggest a marked improvement in satisfaction, visit experience, and reported well-being after a year of BPP model assimilation among PIC nurses. The regression model, explaining 42% of the variance in increased parental satisfaction, indicated that a higher increase could be predicted by a higher increase in positive visit experience and a higher trust level in the PIC nurse at T1. Conclusions The BPP model’s assimilation among Israeli PIC nurses was successful, resulting in improved parent experience, satisfaction, and well-being. Key messages • The Beneficial Parenting Partnership model is well-suited for implementation among nurses working with parents of babies and toddlers to promote collaborative nurse-parent communication. • During routine meetings at Parent-Infant Centers, nurses can act as a catalyst for promoting parental well-being.

Parental Sanctification, God Images, and Parental Happiness and Satisfaction in the United States

AbstractThe goal of this study was to assess the relationship between non‐theistic parental sanctification and well‐being among parents, and whether parents’ primary images of God (authoritative, benevolent, critical, and distant) modified this relationship among American parents. Drawing on nationally representative data from the 2014 Baylor Religion Survey (N = 1078), our cross‐sectional results suggest that non‐theistic sanctification was linked to greater overall happiness and satisfaction in the parental role. We also found consistent evidence that the relationship between non‐theistic parental sanctification and greater happiness and parental satisfaction was stronger for individuals with either an authoritative or benevolent God image, and weaker among those with parents with a distant God image. The study of sanctification in conjunction with images of the divine offers one fruitful approach to understanding both the benefits and risks of integrating religion/spirituality into daily life.

Quality of Recovery in Pediatrics After Tonsillectomy Under Total Intravenous Anesthesia Versus Sevoflurane Anesthesia

Introduction: Inhalational anesthetics are often the first choice in pediatric anesthesia. However, the most recent literature demonstrates possible advantages of total intravenous anesthesia (TIVA). The goal of this study was to compare the postoperative quality in children submitted to tonsillectomy under TIVA versus sevoflurane anesthesia. Materials and Methods: Prospective observational case-control study (Sevoflurane vs TIVA) including children submitted to (adeno) tonsillectomy to compare the quality of anesthesia considering intra and postoperative parameters. Data was collected from clinical records, anesthetic monitoring and interviews. Results: From the 52 children included, 25% received TIVA. TIVA group had a shorter time for liquid diet reintroduction (42 minutes vs. 95 minutes) (p&lt;0.05) and the Sevoflurane group had a lower mean blood pressure variation (p=0.027). Mean wake up time was similar for both groups (11.3±6.2 minutes for TIVA and 11.6±5.3 minutes for Sevoflurane). In PACU, TIVA group demonstrated, although not statistically significant, a shorter time of stay (40 minutes vs. 41 minutes), less emergence delirium (7.7% vs. 12.5%) and less nausea and vomiting (0% vs. 5.1%). At 24 hours, TIVA group presented, although not statistically significant, less nausea and vomiting (7.7% vs 13.5%), lower pain (69.2% with &lt;5 on the numerical pain scale vs 56.8%) and higher parental satisfaction (10 vs 8). Conclusion: This study suggests that TIVA for tonsillectomy may be associated with better recovery quality. However, given the limited sample size of this study, it should be repeated in a larger sample, or in a multicentric study, for more robust conclusions.

Шкала родительского стресса: адаптация на русскоязычной выборке матерей школьников

&lt;p style="text-align: justify;"&gt;&lt;strong&gt;Objective. &lt;/strong&gt;Adaptation of the Parental Stress Scale by J. Berry and V. Jones on a sample of mothers of Russian schoolchildren &amp;ndash; first and fourth grade students of elementary schools in Nizhny Novgorod and the Nizhny Novgorod region. &lt;br&gt;&lt;strong&gt;Background. &lt;/strong&gt;Modern parenting research highlights the complex nature of parenting experiences, the diversity of parental practices, the changes associated with the child's upbringing and the dynamics of the family system, and the combination of both positive and negative emotions in parenting. However, there is a noticeable shortage of tools in the Russian-language literature to measure both parental satisfaction and parental stress. &lt;br&gt;&lt;strong&gt;Study design. &lt;/strong&gt;The study was conducted using an online survey within the &amp;ldquo;Longitudinal study of factors of school failure&amp;rdquo;, implemented in Nizhny Novgorod and the Nizhny Novgorod region. &lt;strong&gt;Participants. &lt;/strong&gt;The study included a sample of 900 mothers of fourth grade and 1120 mothers of the first grade school students. &lt;strong&gt;Measurements.&lt;/strong&gt; Exploratory and confirmatory factor analysis and McDonald's Omega coefficients were used for psychometric data analysis. The PERMA Profiler questionnaire and correlation analysis were used to assess validity based on convergent and discriminant evidence. The data was analyzed in the Jamovi 2022 and R programs. &lt;br&gt;&lt;strong&gt;Results. &lt;/strong&gt;Factor analyses of the internal structure suggest two factors, including 8 items each. The subscales &amp;ldquo;Parental stress&amp;rdquo; and &amp;ldquo;Parental satisfaction&amp;rdquo; demonstrate a high level of internal consistency. The assessment of validity based on the convergent and discriminant evidence confirms the reliability and validity of the instrument. &lt;br&gt;&lt;strong&gt;Conclusions. &lt;/strong&gt;The scale demonstrates good psychometric properties and can be used for parenting research, as well as in applied projects to improve parental competence and emotional support for parents.&lt;/p&gt;

Effects of an App-Based Visitation Program for Mothers of High-Risk Infants in the Neonatal Intensive Care Unit: A Quasi-Experimental Study.

This study established an app-based visitation program for mothers of infants admitted to the neonatal intensive care unit (NICU)-constrained by COVID-19 visitation restrictions-and assessed its impact on neonatal perception, maternal-infant attachment, and parental stress. High-risk infants in the NICU encounter heightened challenges, exacerbated by COVID-19 restrictions, leading to heightened maternal stress, impaired neonatal perception, and hindered mother-infant attachment. A quasi-experimental study was conducted with 40 mothers (20 in the experimental group and 20 in the control group) unable to visit the NICU of a tertiary general hospital in South Korea. The experimental group utilized the Dodam-Dodam smartphone application, while the control group received neonatal information through telephone calls and text messages. Data collection occurred in July 2022 (control) and September 2022 (experimental) using research instruments (parent's neonatal perception, maternal-infant attachment, and parental stressor scale: NICU, visiting program satisfaction). Descriptive statistics and tests (χ2, Fisher's exact, Shapiro-Wilk, parametric independent t and paired t tests, and nonparametric tests: Mann-Whitney and Wilcoxon's signed-rank) were employed for analysis. The Dodam-Dodam application significantly impacted maternal-infant attachment parental stress scores and program satisfaction in the experimental group, except for neonatal perception. The Dodam-Dodam application was more efficacious than traditional visiting programs in enhancing maternal-infant attachment, increasing maternal satisfaction and reducing parental stress within NICU settings amid restricted visitation. Recommendations include app-based NICU visitation, exploring app variations, studying diverse populations, and providing optimal information provision.

부모의 그릿과 삶의 만족이 전환기 자녀의 그릿에 미치는 영향: 자녀의 삶의 만족의 매개효과

Objectives The purpose of this study is to examine the influence of parents and early adolescents on the impact of two sub-factors of grit, consistency of interest and perseverance of effort, on life satisfaction. Methods The survey was conducted using data from 2,554 parents and students from the second (5th grade) to fourth (1st middle school) waves of the Korean Children and Youth Panel Survey (KCYPS) 2018 to analyze the structural relationships between parents' and early adolescents' grit and life satisfaction. Results First, parental grit had a positive effect on perseverance of effort, a subfactor of child grit. Second, parental life satisfaction had a positive effect on children's life satisfaction and children's perseverance of effort. Third, in the interaction of parental grit and life satisfaction with child grit, child life satisfaction acted as a positive mediator of child perseverance of effort. Conclusions In order to promote grit and life satisfaction in children during transition, parents need to pay attention to their own grit and life satisfaction.

From Early Behavioral Intervention to School: A Systematic Evaluation of Parents' Perspectives on the Quality of the Autism Services During the Transition to Kindergarten.

Research emphasizes the importance of seamless transitions from Early Behavioral Intervention (EBI) to school-based services, but formal support during this critical period remains limited, leading to decreased parental satisfaction with autism services. This study aimed to systematically document parents' perception of the quality of services received during the transition from EBI to kindergarten, along with the predictors of this perception. The study adopted a prospective longitudinal design and relied on a validated evaluation framework, the Evaluation of the Trajectory in Autism for Parents (ETAP). ETAP allows to investigate five critical determinants (accessibility, continuity, validity, flexibility, empathy) of service quality, as rated by parents (N = 138 families), which were evaluated at three critical periods of the transition: end of EBI, beginning and end of first year of school. Quality ratings indicated generally positive perceptions but showed small to medium effect size decreases over time; validity had the largest decrease. Predictors of quality ratings and changes in ratings differed by phase of the transition and included child characteristics (gender, age, disabilities, challenging behavior), parent characteristics (maternal origin, fluency in the official language of the province, education level), and family characteristics (number of children). This study's comprehensive analysis of service quality determinants and possible risk and protective factors provides insights into improving support for families navigating the transition to school.Keywords: Autism, Early behavioral intervention, School transition, Parental perception, Service quality, Evaluation framework.