Parent–child discrepancies in the assessment of children’s and adolescents’ happiness

López‐Pérez, Belén; Wilson, Ellie

doi:10.1016/j.jecp.2015.06.006

Cited by 40 publications

(29 citation statements)

References 29 publications

(40 reference statements)

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“…There may be a role for using happiness as a goal in order to engage patients, even if the physician cannot measure that as an outcome. There are recent studies linking measures of happiness with physical activity in adults; [ 31 , 32 ] one of the challenges in measuring happiness in this age group in particular is relying on parental report of child happiness, which tends to correlate more with their own happiness rather than that of their child [ 33 ]. Another interpretation may be that happiness is highly important to parents regardless and the responses do not explicitly link weight management behaviors and happiness as an outcome of those behaviors.…”

Section: Discussionmentioning

confidence: 99%

Developing a patient-centered outcome for targeting early childhood obesity across multiple stakeholders

et al. 2018

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BackgroundPatient-centered outcome measures for childhood obesity are limited. Identifying outcomes that patients and families consider important could be a viable avenue for better engagement of patients and interventions that are efficacious and acceptable to patients. Latino children experience high rates of obesity, and under-recognition of obesity in preschool aged children is common.MethodsWe used growth chart data to identify low-income, Latino children 2–5 years of age with obesity who decreased their adiposity (positive deviants) and a set of controls. We used qualitative interview data to identify themes around goals parents used in addressing weight. Then, we applied a modified Delphi approach across groups of caregivers and providers to identify common goals. We conducted focus groups to explore conflicts and congruency between caregivers and providers related to goals. Using the focus group data, we developed a decision tool for use between patients and providers relevant for early childhood obesity.ResultsWe identified 257 children who successfully reduced adiposity (positive deviants) from 1621 eligible growth charts. From interviews with 44 parents (21 positive deviants and 23 controls), we coded and categorized outcomes such as increased happiness, clothing size and improved activity. We recruited 81 parents, grandparents and health care providers to participate in the modified Delphi process of ranking outcomes by importance and feasibility. Focus groups (2, total n = 24) suggested potential methods for a common framework to discuss goals, including a modified growth chart. We created a decision-tool that incorporated a growth chart and a section for discussion of patient-centered goals. A final focus group (1, n = 10) provided feedback on the tool as acceptable and potentially useful.ConclusionsThe development of a patient-centered tool around achieving a healthy weight in early childhood identified common goals between providers and parents. While the tool has been developed, prospective testing of this patient-centered tool and its effects on engagement, parent motivation, and behavior change would be a useful next step.Electronic supplementary materialThe online version of this article (10.1186/s40608-018-0216-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Developing a patient-centered outcome for targeting early childhood obesity across multiple stakeholders

et al. 2018

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“…It also stresses the relevance of future studies in more diverse populations. Even though youth's behavior is frequently assessed by parental proxy reports, a recent study showed that parents' self-reported well-being associates with their assumptions of their children's well-being [ 35 ]. Based on this parental proxy bias, it seems worthwhile to examine if the relation between parental well-being and problem behavior diminishes when youth's reporting of their own functioning is used.…”

Section: Discussionmentioning

confidence: 99%

Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study

Eilander

Snoek

Rotteveel

et al. 2017

Journal of Diabetes Research

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Objective To evaluate (1) the longitudinal relationship between parental well-being and glycemic control in youth with type 1 diabetes and (2) if youth's problem behavior, diabetes parenting behavior, and parental diabetes-distress influence this relationship. Research Design and Methods Parents of youth 8–15 yrs (at baseline) (N = 174) participating in the DINO study completed questionnaires at three time waves (1 yr interval). Using generalized estimating equations, the relationship between parental well-being (WHO-5) and youth's HbA1c was examined. Second, relationships between WHO-5, Strength and Difficulties Questionnaire (SDQ), Diabetes Family Behavior Checklist (DFBC), Problem Areas In Diabetes-Parent Revised (PAID-Pr) scores, and HbA1c were analyzed. Results Low well-being was reported by 32% of parents. No relationship was found between parents' WHO-5 scores and youth's HbA1c (β = −0.052, p = 0.650). WHO-5 related to SDQ (β = −0.219, p < 0.01), DFBC unsupportive scale (β = −0.174, p < 0.01), and PAID-Pr (β = −0.666, p < 0.01). Both DFBC scales (supportive β = −0.259, p = 0.01; unsupportive β = 0.383, p = 0.017), PAID-Pr (β = 0.276, p < 0.01), and SDQ (β = 0.424, p < 0.01) related to HbA1c. Conclusions Over time, reduced parental well-being relates to increased problem behavior in youth, unsupportive parenting, and parental distress, which negatively associate with HbA1c. More unsupportive diabetes parenting and distress relate to youth's problem behavior.

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“…This indicates that the opinion of parents or clinicians in most cases does not represent that of the adolescent when it comes to body/weight concerns. Despite the fact that literature lacks when it comes to on the accuracy of parental observations with regard to potential DEBs or those of the clinicians, previous studies have shown that indeed parents and pediatric diabetes teams are not in agreement with adolescents in terms of adolescents' psychosocial well‐being .The assessment of DEBs should thus preferably involve the adolescent him of herself.…”

Section: Discussionmentioning

confidence: 99%

Disturbed eating behaviors in adolescents with type 1 diabetes. How to screen for yellow flags in clinical practice?

Eilander

Rotteveel

Aanstoot³

et al. 2016

Pediatr Diabetes

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Parent–child discrepancies in the assessment of children’s and adolescents’ happiness

Cited by 40 publications

References 29 publications

Developing a patient-centered outcome for targeting early childhood obesity across multiple stakeholders

Developing a patient-centered outcome for targeting early childhood obesity across multiple stakeholders

Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study

Disturbed eating behaviors in adolescents with type 1 diabetes. How to screen for yellow flags in clinical practice?

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