The family's interactions and its handling of lifestyle changes were important to the adolescent's maintained weight loss. It is fundamental that the entire family is supportive, regardless of family structure and these issues ought to be addressed in future interventions.

The aim of this study was to identify and describe how young children cope with hospitalization in relation to acute and/or critical illness. The study is a qualitative metasynthesis inspired by the approach described by Sandelowski and Barroso. Based on an exhaustive literature search, six studies were included. Data were analyzed through a taxonomic analysis. The findings revealed that the hospitalized children face a variety of challenges during admission to the hospital due to acute and/or critical illness. The main challenge was that hospitalized children strive to cope with different aspects of ‘the unfamiliar’ that emerge in their illness treatment and hospital stay. The unfamiliar refers to unknown experiences on a physical, emotional, and relational level. Subsequently, children cope with the unfamiliar by striving to convert the hospital stay into something more similar to everyday life, using strategies to secure basic needs and constructing familiarity in the hospital stay. The consequences of the children’s coping behavior are discussed and how children strive to keep their integrity intact during illness and hospitalization are revealed.

To investigate the link between adolescents' experiences of participating in a weight-loss programme and their weight status, Health-Related Quality of Life and selfconcept over 5 years. Design and Method: A qualitative study with a hermeneutic approach, focused on interpreting adolescents' experiences. Interviews of 10 adolescents in a weight-loss programme, and their parents, three times over 5 years. The interview findings were supported by BMI-SDS (Body Mass Index standard deviation scores) and questionnaires: Health-Related Quality of Life (HRQOL), and self-concept (Beck Youth Inventories, BSCI-Y). Results: Immediately after completion of the weight-loss programme, the 10 adolescents had all lost weight and experienced other effects, e.g. more energy, making friends and discovering commonalities, along with improved physical parameters, experienced HRQOL and self-concept. However, weight loss was difficult to maintain after completion. Some adolescents who had regained weight 1 year after completion reported lower perceived HRQOL and self-concept and also left the study. Conclusion: Weight loss can be achieved during a treatment programme for overweight adolescents, bringing lower BMI and also potential psycho-social benefits. Focus on weight loss alone may involve overlooking other positive sideeffects of the treatment. There are also overlooked negative effects: Not all participants maintained weight loss, and for regainers, some HRQOL and self-concept scores deteriorated, compared to their situation pre-programme. These negative effects are not described in other studies. Practice Implications: We encourage enhanced professional support for drop-outs and regainers, and we recommend ongoing, open-ended programmes to better retain and support adolescents and their families. Our findings indicate this would improve intervention outcomes for the entire group.

No abstract

Pain in hospitalized infants, children, and young people (ICYP) is a well-known phenomenon but remains undertreated. This study aimed to examine documented pain management practices provided for ICYP and compare practices adopted in neonatal and pediatric units. This national retrospective multi-center study was conducted in 40 of the 42 Danish neonatal and pediatric units in November 2020. Data were collected from the medical records of ICYP admitted to a participating unit. We performed a total of 846 medical record audits of which pain was assessed in 51.9% of the ICYP. Pain assessment was documented for more infants (57.8%) than for children and young people (CYP) (47.4%) ( p = 0.003). CYP more often received pain treatment (37.7%) than infants (6.9%, p < 0.0001) and more frequently had a pain treatment plan (50.8% versus 10.2%, p < 0.0001). Use of non-pharmacological treatment was documented for 6.3% of the ICYP. Our findings indicate that pain assessment is insufficiently documented in Danish neonatal and pediatric units. Among cases in which pain scores indicated that the patient had experienced pain, pain treatment was documented in a larger proportion of the pediatric population than in the neonatal population.