Displaying publications 1 - 20 of 449 in total

  1. Ramdzan SN, Suhaimi J, Harris KM, Khoo EM, Liew SM, Cunningham S, et al.
    NPJ Prim Care Respir Med, 2021 04 01;31(1):18.
    PMID: 33795691 DOI: 10.1038/s41533-021-00230-2
    A Cochrane review of school-based asthma interventions (combining all ages) found improved health outcomes. Self-management skills, however, vary according to age. We assessed effectiveness of primary school-based self-management interventions and identified components associated with successful programmes in children aged 6-12 years. We updated the Cochrane search (March 2020) and included the Global Health database. Two reviewers screened, assessed risk-of-bias and extracted data. We included 23 studies (10,682 participants); four at low risk-of-bias. Twelve studies reported at least one positive result for an outcome of interest. All 12 positive studies reported parental involvement in the intervention, compared to two-thirds of ineffective studies. In 10 of the 12 positive studies, parental involvement was substantial (e.g. attending sessions; phone/video communication) rather than being provided with written information. School-based self-management intervention can improve health outcomes and substantial parental involvement in school-based programmes seemed important for positive outcomes among primary school children.
    Matched MeSH terms: Parents
  2. Wan Mohd Annuar WSH, Pien LS, Makhtar A
    Enferm Clin, 2021 04;31 Suppl 2:S377-S380.
    PMID: 33849204 DOI: 10.1016/j.enfcli.2020.09.029
    The objective is to identify the available literature on parents' experiences in caring for children in the Paediatric Intensive Care Unit (PICU). Original research on parents experience in caring their child in PICU were identified from five online databases, namely CINAHL, Science Direct, Proquest, Cochrane, and Pubmed (2008-2018) using the terms "parent," "experience," "children", "paediatric intensive care" and "caring." We included articles addressing the parent's experiences while their child was admitted to PICU their needs and participation in the care of the child. Twenty-two papers have met the criteria for inclusion. Further review of these articles resulted in summarised topics - PICU parents' experience, parental stressors, and parental needs. Current research demonstrates a diversity of parent's experiences while caring for their child; however, little is known about interventions to improve and support parents who are in a difficult situation when their child being treated in PICU.
    Matched MeSH terms: Parents*
  3. Awaluddin SM, Ismail N, Yasin SM, Zakaria Y, Mohamed Zainudin N, Kusnin F, et al.
    Front Public Health, 2020;8:577407.
    PMID: 33384977 DOI: 10.3389/fpubh.2020.577407
    Introduction: The trends of tuberculosis (TB) treatment success rate among children in Malaysia plateaued at 90% from 2014 to 2017. Malaysia sets a higher treatment success target of 95% to be achieved in line with an affordable, accessible, and holistic approach in managing TB among children. Objective: This study aims to explore the parents' experiences and perspectives toward achieving treatment success among children who were diagnosed with TB in two districts in Selangor state, Malaysia. Methods: The study was conducted using phenomenology study design via an in-depth interview of 15 mothers who were purposively sampled from the list of pediatric TB cases in the MyTB version 2.1 database in Klang and Petaling Districts of Selangor state. The R-based qualitative data analysis package of R version 0.2-8 was used to perform the thematic analysis. Results: Two main themes were identified from this study. The first theme was trust toward the healthcare services with the subthemes of acceptance, self-efficacy, holistic care, and perceived benefits. The second theme was the motivation to take or continue medication. The subthemes were support from family, healthcare workers' (HCWs') support, the convenience of healthcare services, community support, personal strength, and child's character. Conclusion: TB treatment success for children can be achieved when parents develop trust in healthcare services and have strong motivational factors to remain steadfast in achieving a successful treatment goal. Psychosocial support should be provided to the primary caregiver who faced any difficulty, while good relationships between parents and HCWs should be maintained. These results will inform the TB program managers to strengthen the holistic approach and identify the motivational factors among parents of children with TB disease.
    Matched MeSH terms: Parents*
  4. Yen J, Tam CL, Lee SL
    Psych J, 2021 Aug;10(4):574-586.
    PMID: 33928765 DOI: 10.1002/pchj.450
    This study examined the perceptions of parental bonding, depressive experiences of self-criticism and dependency, and the current level of depressive symptomology among 212 college students from Sabah, Malaysia. The participants completed the brief version of the Parental Bonding Instrument, the Reconstructed Depressive Experiences Questionnaire, and the Patient Health Questionnaire. The results showed significant direct effects of maternal care, maternal overprotection, paternal care, self-criticism, and dependency on depressive symptomology. In contrast, the indirect effects of self-criticism and dependency on the relationship between parental bonding and depressive symptomology were not significant. These findings were in line with previous studies that have highlighted the significance of parent-child bonding, self-criticism, and dependency in the development of depressive symptomology. However, they contradicted previous results on the significant indirect effects of self-criticism and dependency. This study highlights the importance of parental care and overprotection, as they can predict the manifestation of depressive symptomology at a later stage in life.
    Matched MeSH terms: Parents*
  5. Ainuddin HA, Loh SY, Low WY, Sapihis M, Roslani AC
    Asian Pac J Cancer Prev, 2012;13(12):6289-94.
    PMID: 23464447
    BACKGROUND: Research evidence suggests a debilitating impact of the diagnosis of cancer on the quality of life of the afflicted individuals, their spouses and their families. However, relatively few studies have been carried out on the impact on the QOL of adolescents living with parents diagnosed with cancer. This paper presents a sub- analysis on the impact of parental cancer (colorectal, breast and lung) on adolescents.

    MATERIALS AND METHODS: This is a cross-sectional study on adolescents aged 13-18 years old. Upon ethical clearance obtained from UMMC Medical Ethics Committee, patients with colorectal, breast or lung cancer and their adolescent children were recruited from the Clinical Oncology Unit of University of Malaya Medical Centre. Respondents who gave consent completed a demographic questionnaire and the Pediatric Quality of Life Inventory, via the post, email, home visit or meetings at the clinics.

    RESULTS: 95 adolescents from 50 families responded, giving a response rate of 88 percent. The adolescent's mean age was 16 years (ranging between 13-18 years). Adolescents with parental cancer had the lowest mean score in emotional functioning (p<0.05). Male adolescents had significantly higher quality of life overall and in physical functioning compared to female adolescents. Adolescents with a father with cancer had better school functioning compared to adolescents whose mothers had cancer. Families with household income of RM 5000 and above have significantly better quality of life compared to families with lower household income.

    CONCLUSIONS: Adolescent sons and daughters of parents with a cancer diagnosis show lowered QOL, particularly with reference to emotional functioning and school performance. Addressing the needs of this young group has been slow and warrants special attention. Revisiting the risk and resilience factors of adolescents might also inform tailored programs to address the needs of this neglected adolescent population.

    Matched MeSH terms: Parents/psychology
  6. Zalilah MS, Anida HA, Merlin A
    Med J Malaysia, 2003 Dec;58(5):743-51.
    PMID: 15190662 MyJurnal
    The aim was to determine the differences in parents' perceptions of boys' and girls' body shapes and the explanations for the emphasis on body shape care of children. Subjects were low-income parents (n = 158) of preschoolers attending preschools in Kuala Lumpur, Malaysia. Parental perceptions of children's body shapes were assessed based on their rankings (scale of 1 to 7) of four attributes (ideal, healthy, fat and thin) for boy and girl figures. Parental responses to five questions on the importance of body shape were also obtained. Parental rankings of ideal and healthy body shapes were significantly lower for girls than boys (p < 0.001). However, mothers' and fathers' rankings of boys' and girls' body shapes were not significantly different. for both boys and girls, parental ratings for ideal body shape were significantly lower than for healthy body shape (p < 0.001). The majority of parents indicated that children's body shape is important for their future health, self enhancement, social interaction and career. With the increasing prevalence of body dissatisfaction among Malaysian children, these findings contribute to the understanding of parental roles in the development of body image and perhaps, in the etiology of body dissatisfaction among children.
    Matched MeSH terms: Parents/psychology*
  7. Louis JP, Ortiz V, Barlas J, Lee JS, Lockwood G, Chong WF, et al.
    PLoS One, 2021;16(1):e0243508.
    PMID: 33481822 DOI: 10.1371/journal.pone.0243508
    BACKGROUND AND OBJECTIVES: Schema therapy (ST) has become a mainstream therapy for the treatment of psychopathology and has been validated through a series of large scale, international randomized control trials. Among other things, schema therapy emphasizes the meeting of core emotional needs in children by primary caregivers as these unmet needs continue to adversely affect their lives into adulthood. An early intervention parenting program has been developed to help parents meet these core emotional needs in order to prevent the development of psychopathology in the first place. The program, Good Enough Parenting, is equally focused on reducing problems and strengthening parenting practices, regardless of where the child is on the "disordered to well-being continuum". This study aims to explore "patient experience" by users of this program. Best clinical research guidelines advocate that participants should be used as collaborators rather than pure recipients; this process should predate large scale trials.

    DESIGN: An exploratory qualitative study with 55 parent-participants of Good Enough Parenting was conducted.

    METHODS: One-to-one interviews were conducted with participants, using critical incident technique and guided by semi-structured interview schedule, to explore their experiences with the program. Transcripts were then analyzed using thematic analysis.

    RESULTS: Coding showed a high degree of inter-rater reliability (kappa value of 0.78). The themes that emerged were Cultivating Awareness of Parents' Own Schemas, Cultivating Intentionality, Working through Developmental Issues, Responses to Challenges at Home, Performing Multiple Roles, and the Learning Process. Participants overwhelmingly reported satisfaction within these key themes.

    CONCLUSIONS: The results support the development of the program and the choice of "participant reported outcome measures" for use in subsequent randomized controlled trials.

    Matched MeSH terms: Parents/psychology*
  8. Hui WJ, Pikkarainen M, Nah SA, Nah SNJ, Pölkki T, Wang W, et al.
    J Pediatr Nurs, 2020 01 24;52:e42-e50.
    PMID: 31983480 DOI: 10.1016/j.pedn.2020.01.004
    PURPOSE: To explore the experiences and needs of parents while waiting for their children undergoing surgery.

    DESIGNS AND METHODS: A descriptive qualitative study was conducted. A purposive sample of 11 parents who went through their first waiting experiences during their children's surgeries in a Singapore public hospital was recruited. Children younger than or equal to 16 years of age were included. A semi-structured interview guide facilitated the individual face-to-face interviews. Thematic analysis was used.

    RESULTS: Four themes were identified: "Care and care provision affecting waiting experiences", "Parental concerns and surgery affecting waiting experiences", "Coping strategies used during waiting periods" and "Recommendations to improve waiting experiences". Pre-operative instructions, the professionalism of medical teams, and a lack of timely updates affected parental experiences. Parents expressed their worries. The complexities and types of surgery influenced how they felt. Their concerns included potential complications, surgical outcomes, anesthesia-related side effects, and post-operative care including pain. They spent their waiting times eating, resting, using their smart devices, and coping with a support system. Environmental improvements, more updates, and mobile applications were recommended by the participants.

    CONCLUSION: For a parent, the wait during his/her child's surgery can be unsettling. Our results give insights into parental waiting experiences and needs during their children's surgeries.

    PRACTICE IMPLICATIONS: These findings can guide the improvement of the current practise based on our evidence or the implementation of newer technology to provide better waiting experiences for parents during their children's surgeries and to enhance the quality of clients' experiences in the hospital.

    Matched MeSH terms: Parent-Child Relations*; Parents*
  9. Annuar WSHWM, Ludin SM, Amran NA
    Enferm Clin, 2021 04;31 Suppl 2:S67-S71.
    PMID: 33849233 DOI: 10.1016/j.enfcli.2020.10.021
    The objective of study is to explore the experiences of parents taking care of their critically ill child at the Neonatal Intensive Care Unit (NICU) or the Paediatric Intensive Care Unit (PICU) in the Malaysian hospital. A total of ten parents were interviewed and selected for purposive sampling. The data was analysed using a thematic analysis based on the Colaizzi's approach. The study identified four emerging themes from data that included participation in care, participation in decision-making, challenges and coping mechanisms throughout the child's hospitalisation. Parents have emphasised the importance of their participation in the care and decision-making of their child. They also have their own coping mechanisms that would make their journey less traumatic. Nurses need to enhance their communication skills and improve nurse-parent relationships.
    Matched MeSH terms: Parents*
  10. Rashid AA, Cheong AT, Hisham R, Shamsuddin NH, Roslan D
    BMJ Open, 2021 01 20;11(1):e041506.
    PMID: 33472781 DOI: 10.1136/bmjopen-2020-041506
    BACKGROUND: The healthcare setting is stressful for many people, especially children. Efforts are needed to mitigate children's healthcare-related anxiety. Medical play using the Teddy Bear Hospital (TBH) concept can expose children to healthcare settings and help them develop positive experiences in these settings. In this role-playing game, children bring their soft toys and act as parents to the 'sick' teddies in a pretend hospital or clinic play setting. The objective of this systematic review is to evaluate the effectiveness of the TBH in improving children's health outcomes and well-being.

    METHODS: We searched the reference lists of included studies from four electronic databases (PubMed, CINAHL, Scopus and Google Scholar) from inception until November 2020. We included pre-post, quasiexperimental and case-control studies, as well as randomised controlled trials (RCTs) that discussed medical play using the TBH concept as an intervention. Studies that involved sick patients and used interventions unlike the TBH were excluded. We assessed the quality of the included studies using the Cochrane Collaboration's 'Risk of bias' tool.

    RESULTS: Ten studies were included in this systematic review. Five specifically investigated the TBH method, while the others involved the same concept of medical play. Only three studies were RCTs. All of the studies report more than one outcome-mostly positive outcomes. Two report lower anxiety levels after intervention. Two found better healthcare knowledge, with one reporting increased feelings of happiness regarding visiting a doctor. Two studies found no change in anxiety or feelings, while another two found increased levels of fear and lowered mood after the medical play (which involved real medical equipment).

    CONCLUSIONS: The practice of TBH has mostly positive outcomes, with lower anxiety levels and improved healthcare knowledge. Its effectiveness should be verified in future studies using a more robust methodology.


    Matched MeSH terms: Parents*
  11. Norliza Ahmad, Hanafiah Mohd Salleh
    This study was designed to examine the role of parents and family in motorcycle riding practices among teenagers and motorcycle accident in FELDA Trolak Utara, Perak. This was a cross sectional study using universal sampling that involved 309 teenage riders aging from 11 to 19 years old. Only 6.1% respondents that rode motorcycle had a valid driving licenses. Mean age of starting to ride was 11.46 ± 1.75 years old. Mean years of riding motorcycle was 3.66 ± 1.95 years. The major buyer of motorcycles for the teenagers were father (78.3%) and other family members (13.7%). About 42.7% of teenagers learnt riding by themselves and in 51.8%, family members taught teenagers to ride motorcycle. The main purpose for riding motorcycle were to go to shop (37.2%), to school (32.7%) and for recreation (25.2%). From the perception of teenagers, about 82.2% parents encouraged them to ride. Mean usual riding speed (n = 296) was 58.72 ± 23.97 km/h. The mean maximum riding speed (n = 290) was 89.81 ± 30.70 km/h. There were positive correlation between years of motorcycle riding and usual motorcycle riding speed (r = 0.292, p < 0.05) and maximum motorcycle riding speed (r = 0.371, p < 0.05). The usual motorcycle riding speed was predictor factor for motorcycle accident. Parents, families and communities should play their role to make sure that their teenage children do not ride at a very young age and ride without a valid license. Reducing years of motorcycle riding among teenagers may reduce usual riding speed and consecutively reducing teenagers’ involvement in motorcycle accidents.
    Key words : role of parents, teenagers’ riding practice, motorcycle
    Matched MeSH terms: Parents
  12. Redzuwan Yahaya, Shahidan Radiman, Saad M. Saleh
    The preformation factor of alpha-decay process in compound nuclei is microscopically proposed with a new perspective. The formation of alpha particle inside the parent nuclei is considered as a quantum-mechanical state which is yielded from a certain interaction among the valance nucleons. This interaction is very similar to that one responsible for the formation of the quasi-bound states in many-body system. This introduced microscopic perspective might give more insight to the understanding of the nuclear structure in the compound nuclei.
    Matched MeSH terms: Parents
  13. Siti Rohana Abdul Hadi, Aida Harlina Abdul Razak, Ek Zakuan Kalil, Wan Salwina Wan Ismail
    ASEAN Journal of Psychiatry, 2014;15(1):83-85.
    Objective: This case report aims to highlight the importance of parental contribution to the school refusal problem. Methods: We report a case of a 9- year old boy who presented with school refusal behaviour. Results: There was no psychiatry diagnosis made in this patient. Parental issues such as ineffective and inconsistent parenting, and parental marital disharmony contribute significantly to the school refusal behaviour. Conclusion: Parents in particular are important team players in the management of school refusal. Parental issues need to be explored and managed accordingly to ensure good outcome. ASEAN Journal of Psychiatry, Vol. 15 (1): January - June 2014: 83-85.
    Matched MeSH terms: Parents
  14. Mohd Shukrimi Awang, Ardilla Hanim bt Abdul Razak, Nurazlina bt Azizi, Nur Amalina Syazwani Bukhori, Hanisah Mohamad Zainuddin, Nora Mat Zin
    Having children with congenital anomalies, particularly congenital talipes
    equinovarus (CTEV) may impact the psychological wellbeing of the parents. This study
    is to assess the psychological impact of CTEV, the related factors, and the coping
    strategies used by the parents in Hospital Tengku Ampuan Afzan (HTAA), Kuantan,
    Pahang. (Copied from article).
    Matched MeSH terms: Parents
  15. Ahmad Rasdan Ismail, Noor Adilah Hamzah, Nor Kamilah Makhtar, Nurul Husna Che Hassan, Darliana Mohamad, Baba Md Deros
    Road transport is the movement of passengers or goods on the road. To date, issues concerning the safety of students
    and school institutions have continued to attract public attention. The recent spate of incidents inside and outside
    the school compound has brought the issue of children safety into our attention. These include the escalating number
    of road casualties. This study was conducted to observe road hazard outside the school compound and analyse the
    safety risks faced by school children by using the risk matrix. The risks are calculated to include likelihood and
    severity of hazard as identified in the Guideline of HIRARC 2008. The area selected was the East Coast state of
    Peninsular Malaysia, with over 111 schools randomly selected in Kelantan. Results were then analysed and six
    highlighted hazards were discussed. The results show that the main road posed the highest risk due to speeding
    vehicles. These vehicles failed to slow down when approaching the school area. The school
    administration must enhance the safety of the staff, students, and public while in the school area. In conclusion, road
    safety awareness must be instilled among teachers, students, parents and road users alike.
    Matched MeSH terms: Parents
  16. Tan H
    Theor Appl Genet, 1977 Jan;50(1):29-34.
    PMID: 24407495 DOI: 10.1007/BF00273794
    Estimates of general combining ability of parents for yield and girth obtained separately from seedlings and their corresponding clonal families in Phases II and IIIA of the RRIM breeding programme are compared. A highly significant positive correlation (r = 0.71***) is found between GCA estimates from seedling and clonal families for yield in Phase IIIA, but not in Phase II (r = -0.03(NS)) nor for girth (r= -0.27(NS)) in Phase IIIA. The correlations for Phase II yield and Phase IIIA girth, however, improve when the GCA estimates based on small sample size or reversed rankings are excluded.When the best selections (based on present clonal and seedling information) are compared, all five of the parents top-ranking for yield are common in Phase IIIA but only two parents are common for yield and girth in Phases II and IIIA respectively. However, only one parent for yield in Phase II and two parents for girth in Phase IIIA would, if selected on clonal performance, have been omitted from the top ranking selections made by previous workers using seedling information.These findings, therefore, justify the choice of parents based on GCA estimates for yield obtained from seedling performance. Similar justification cannot be offered for girth, for which analysis is confounded by uninterpretable site and seasonal effects.
    Matched MeSH terms: Parents
  17. Muhammad Wafiuddin Ahmad, Ed Simor Khan, Rajandra Kumar, Zamzuri Zakaria, Ahmad Faiza, Haidar Nusuruddin, et al.
    Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among teenager. For those indicated, early surgical intervention allows better surgical correction due to flexibility of the spine during teenage years, hence good functional outcome and better cosmetic can be expected. In this case report, there is the management of four patients surgically using the posterior spinal instrumentation and fusion. Pre-operatively patients were examined at IIUM Medical Centre spine clinic, all necessary investigations were carried out. A thorough explanation was done to patient and parents regarding procedure, risk and benefit. All patients were treated using the same surgical technique. Neuromonitoring was used throughout the whole surgery until skin closure. All patients were hospitalized around one week. Post-operatively patients were followed up at two weeks, six weeks, three months, and every six months thereafter. It is important for clinicians to identify patients with AIS as early detection and timely treatment will change the natural history of curve progression. Surgical intervention when necessary will be easier and with less risk of complications when surgery was carried out during teenage years as the spine is more flexible and the deformity is less severe.
    Matched MeSH terms: Parents
  18. Ola Hassouneh, Mona Nsour, Lee Khuan, Haytham Mohammad Al-Oran
    This review provides an overview of the evidence which concerns the parental stress of children with type 1 diabe- tes mellitus. Articles for this review were collected using the Science Direct, CINAHL, PsycINFO, Medline, Scopus, EBSCO, Springer, Ovid, PubMed, Google Scholar, and Cochrane Library. In total, 38 articles were relevant to this review. The findings of the reviewed studies provide an exciting opportunity to advance our knowledge for a differ- ent aspect of parental stress which is related to the disease and predictor’s factor contributes to parental stress. This review sheds new light on developing the educational programs to reduce the level of parental stress and to help them to cope positively with this disease.
    Matched MeSH terms: Parents
  19. Woon TH
    Family Practitioner, 1982;5:53-54.
    Three iIIustrative cases of children with depression managed at the University Hospital, Kuala Lumpur; showed similar features of depressive illness and the association with family problems and depressed parents as described in Western countries. The Multi-Axia System of classification (MAS), as suggested in a WHO publication provided a useful means of classification as well as management. Two of the axes are biological and psycho-social factors in the aetiology of psychiatric syndromes (the third axis) and the intellectual level (the second axis of the child). Appropriate counselling of the parents is an important part in the management of depression in children.
    Matched MeSH terms: Parents
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