Approximately 34% of adolescents are overweight or obese which can be accompanied by physical, psychosocial, and economic consequences. Increasingly, pediatric overweight/obesity research has focused on Health Related Quality of Life (HRQoL) as a health outcome. This study examined differences in HRQoL across weight categories in adolescents, specifically, the sensitivity of using a general versus condition-specific measure. Further, the influence of gender was explored. Data were extracted from Wave 2 of Team Up for Healthy Living, a school-based obesity prevention program targeting adolescents in Southern Appalachia. Participants (N = 918; 50% Female; 93% Caucasian; 90% 9th graders) completed the Pediatric Quality of Life (PedsQL) Inventory (general) and PedsQL Multidimensional Fatigue Scale (condition-specific) measures as part of a larger survey. Body mass index-for-age and -sex percentiles were calculated using actual height and weight, and students were classified as underweight, healthy weight, overweight, or obese according to Centers for Disease Control and Prevention (CDC) criteria. Two 4 (weight category: underweight vs. healthy weight vs. overweight vs. obese) x 2 (gender: male vs. female) factorial analyses of variance (ANOVAs) were calculated to compare mean scores of total HRQoL (both generic and condition-specific). Additionally, 7 factorial multivariate analyses of variance (MANOVAs) were conducted with each measure’s subdomains. Fisher’s Least Significant Difference post hoc analyses were run to assess differences between groups, at a significance level of p<0.05. The current study revealed no interaction effect between total HRQoL (assessed via the generic or condition-specific measure) and weight category and gender; however, main effects were found for both weight category (assessed via a generic measure only) and gender (assessed via both generic and condition-specific measures). Additional research is needed to examine the impact of utilizing different measures and the potential role of gender as well as other factors that may influence HRQoL across weight categories. These issues are important as researchers to date utilize a variety of HRQoL measures making interpretation of findings difficult and often do not consider other variables such as gender that may influence findings.

The purpose of this qualitative interpretive descriptive study was to better understand children’s perceptions of the use of motivational interviewing (MI) as a communication style for childhood obesity treatment. Childhood obesity in the United States has reached epidemic proportions and much research effort has been dedicated to reversing this trend. One approach that has demonstrated positive outcomes in the clinical setting is MI. Leading organizations in pediatric healthcare now recommend MI as a communication style to be used for childhood obesity-related behavior change. Although empiric studies have demonstrated improvement in outcomes when this communication style is used with patients and families, no study to date had looked at MI from the perspective of the child. Thorne’s (2008) framework for interpretive descriptive research was used for this study. Individual interviews with children ages 7 through 13 were conducted in an outpatient weight management clinic that utilizes MI as the primary communication style for facilitating behavior change. Qualitative data analysis was conducted utilizing Thorne’s recommendations for interpretive descriptive research. Five themes emerged from the data: 1) Empowerment, 2) Freedom to be Me, 3) Educating without “Educating”, 4) Unconditional Support, and 5) Blossoming. A conceptual model was developed from the research findings to help clinicians working with children in similar contexts glean a deeper understanding of the use of MI with children. Future research endeavors should focus on the implementation of this model in clinical practice to strengthen the conceptual links and determine applicability to practice.

No âmbito da formação superior em enfermagem, metodologias híbridas e ativas de ensino têm sido desenvolvidas e implementadas visando a um ensino de qualidade e à preparação de profissionais enfermeiros para o mercado de trabalho. No que concerne à formação de enfermeiros para atuar em situações de parada cardiorrespiratória (PCR) em pediatria, este estudo teve como objetivos desenvolver e validar um material educativo, composto por um vídeo educativo, um ambiente virtual de aprendizagem e um cenário de simulação clínica sobre o manejo da PCR pediátrica ocasionada por insuficiência respiratória. Tratou-se de um estudo metodológico, de abordagem quantitativa, que contou com a participação de juízes experts e alunos de enfermagem de uma universidade pública do Estado de São Paulo. Para o desenvolvimento dos materiais, utilizaram-se os referenciais metodológicos de Fleming, Reynolds e Wallace (2009) para o vídeo educativo; de Filatro (2008) para o ambiente virtual de aprendizagem; e de Jeffries (2012) e Fabbri et al. (2017) para o cenário de simulação clínica. Após elaboração de um caso clínico a partir de revisão de literatura sobre a temática e baseado nas diretrizes da American Heart Association dos anos de 2015 e 2017, este foi validado por dez juízes experts de quatro regiões do país. As sugestões versaram sobre a alteração das palavras no texto para melhor compreensão do conteúdo proposto, com 80% ou mais de concordância de adequação do caso clínico na primeira rodada de avaliação. Após validado, adaptou-se o caso clínico para a confecção do vídeo educativo. As ações contidas no caso clínico foram filmadas em ambiente laboratorial de uma instituição de ensino superior pública, contou com a participação de seis atores e um manequim de alta fidelidade e resultou em um vídeo de 9 min. e 57 s. Este, por sua vez, foi validado por duas juízes e um técnico especialista em comunicação. Na finalização do material educativo, criou-se um ambiente virtual de aprendizagem (AVA) dentro da plataforma Moodle, onde se inseriram o vídeo educativo, formulário de caracterização dos participantes e materiais adicionais para a construção do conhecimento acerca da temática. O caso clínico também foi utilizado para que o cenário de simulação clínica fosse desenvolvido. Posteriormente à vivência da simulação, estudantes validaram esse cenário. Para a validação do material educativo (vídeo, simulação e AVA), utilizaram-se questionários adaptados, no formato de escala de Likert, com questões específicas para cada material. Houve avaliação positiva para todos os itens dos três materiais, com concordância igual ou superior a 80%, à exceção do item referente ao feedback imediato do AVA (64%). Assim, considerou-se adequado o processo de desenvolvimento e validação do material educativo. Este estudo proporcionou o conhecimento desse processo que resultou em ferramenta de ensino híbrida sobre o manejo da PCR pediátrica por insuficiência respiratória. A proposta de vídeo educativo, ambiente virtual de aprendizagem e simulação clínica despertou o interesse dos alunos sobre o cuidado de enfermagem à criança em PCR decorrente de IR e é um tipo de abordagem bem aceita por essa população / Within the context of higher education in Nursing, active and hybrid teaching methodologies have been developed and implemented seeking a quality education and the training of professional nurses for the labor market. Regarding the training of nurses to work on pediatric Cardiorespiratory Arrest (CRA) situations, this study aimed to develop and validate an educational material consisting of an educational video, a virtual learning environment and a clinical simulation scenario about the handling of pediatric PCR caused by respiratory failure. This was a methodological study with a quantitative approach which involved expert judges and nursing students who attended a public university in São Paulo State. For the material preparation, the methodology proposed by Fleming, Reynolds and Wallace (2009) was applied to create the educational video. Also, the methodological standards proposed by Filatro (2008), Jeffries (2012) and Fabbri et al. (2017) were used for the virtual learning environment and for the clinical simulation scenario, respectively. After elaborating a clinical case based on literature review on this theme and as per 2015 and 2017 American Heart Association\'s guidelines, this one was validated by ten expert judges from four Brazilian regions. They suggested to change the words in the text for better understanding the proposed content, with 80% or higher concordance adequacy of the clinical case for the first evaluation round. After validation, the clinical case was adapted to create the educational video. The actions in the clinical case were shot in a laboratory setting at a public higher education institution, counted on the participation of six actors and a high-fidelity manikin and resulted in an almost 10-minute long video. This video, on its turn, was validated by two judges and a technical expert in communication. At the completion of the educational video, a virtual learning environment (VLE) was created within the Moodle platform where the educational video, the characterization of participants and additional material to build knowledge on this theme were placed. The simulation scenario was developed based on this clinical case. After participating in the simulation, the students validated this scenario. For the educational material (video, simulation and VLE) validation, Likert-scale adapted questionnaires were delivered with specific questions to each material. All the items contained in the three materials was positively evaluated, with 80% or higher concordance, except for the item concerning the immediate feedback of VLE (64%). Therefore, the development and validation process of the educational material was considered appropriate. Through this study, it was possible to know this process that resulted on a hybrid educational material on handling pediatric PCR caused by respiratory failure. The proposal of an educational video, a virtual learning environment and a clinical simulation made students interested in providing Nursing care to children with CRA caused by RF and is an approach accepted by this population

Diss. (sammanfattning) Umeå : Univ., 2006. / Härtill 4 uppsatser.

Thesis (M. Communication Pathology)--University of Pretoria, 2007. / Summary in English and Afrikaans. Includes bibliographical references.

Thesis (Ph. D.)--University of Michigan, 2001. / Includes bibliographical references (leaves 141-148). Also issued in print.

Thesis (M.S.)--University of Wisconsin, School of Nursing, 1966. / Typewritten. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 89-91).

Thesis (M.N.)--University of Alberta, 2009. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Nursing, Faculty of Nursing. Title from pdf file main screen (viewed on September 4, 2009). Includes bibliographical references.

Thesis (Ph. D.)--University of Michigan, 2001. / Includes bibliographical references (leaves 141-148).

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2010.