The purpose of this paper is threefold: (1) to describe the relevant ethical and legal issues associated with decisional capacity among minors and to discuss the importance of these concepts for children and adolescents living with HIV; (2) to provide a framework for assessing the decisional capacity of children and adolescents with HIV; and (3) to present a model for thinking about how to use this assessment data to guide action along the protection-autonomy continuum.
Childhood obesity is a growing public health concern and is increasingly prevalent in recent years. There are a variety of risk factors for obesity in children with autism spectrum disorder (ASD). To estimate the prevalence of obesity in children with ASD, a secondary data analysis was conducted on the nationally representative National Survey of Children's Health (NSCH; 2011-2012) archival database. Variables specific to ASD as well as body mass index were analyzed using a cross-tabulation analysis to compare a sample of children with ASD with a random control sample. The prevalence of obesity in children with ASD was 12.6% compared with 7.2% of children without ASD. Additionally, 9.3% of children with ASD met criteria for being overweight compared to 7.5% of those without ASD. These findings suggest that children with ASD could benefit from applied behavioral interventions to reduce risk factors for obesity. Specific recommendations for behavior-analytic treatment are discussed as well as recommendations for future research to better understand these risk factors.
Assessed 88 infants at risk for mental retardation on the Bayley Scales of Infant Development and a measure of visual recognition memory at 3 months corrected age. Bayley scales were administered again when the infants were 1-year-old. At 3 months of age the Bayley scales and the measure of visual recognition memory were not significantly correlated. Both measures, however, showed significant correlation to the Bayley scales administered at 1 year of age. Results from regression analyses indicated that each measure at 3 months of age was related to a different source of variance in the 1-year measure. These results are consistent with the hypothesis that at 3 months of age the visual recognition memory measure is a better early window into later cognitive development than the Bayley scales.
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