Objective Increased physical activity (PA) may be beneficial for children with asthma. Knowledge about how to intervene and encourage children with asthma to be physically active is required. In the present study, we aimed to pilot a 6-week exercise intervention designed as active play and examine attendance rate, exercise intensity and children's perceptions of participating. Open Access Article
All research requires ethical scrutiny of the harm it may cause participants, yet we know relatively little about the actual experiences of service users who participate. This paper explores the views of parents and carers (n = 97) involved in an English study into outcomes for children known to Children's Services.
The compliance and cooperation of a child are essential when treating paediatric patients and may be very challenging. Often this may include painful or uncomfortable procedures such as taking blood or checking for vital signs. This may be required in multiple clinical settings and may take place in environments which are not the most child friendly..... To read the full article, log in using your NHS OpenAthens details.
Conclusion- Medication adherence was reduced during school holidays and on weekends in children with T1D. Clinical characteristics including socioeconomic status and the presence of adverse effects did not predict adherence.. To read the full article, log in using your NHS OpenAthens details.
This paper describes the use of the Attachment Style Interview (ASI) for adolescents and the Vulnerable Attachment Style Questionnaire (VASQ) self-report in a pilot study of young people in residential care in the UK and Isle of Man. The aim was to test these relatively new measures in practice contexts administered by practitioners, and to determine rates of insecure and disorganised attachment style to compare with other studies.
In 1996, Brazier and Bridge raised the question ‘is adolescent autonomy truly dead and buried’ following judicial decisions which had seemed to reverse the Gillick-inspired trend for greater child autonomy in healthcare. Subsequent decisions by the courts have reinforced the view that those below 18 years in England and Wales remain children with limited rights to refuse treatment compared with adults. This is at variance with the daily experience of those working with young people who increasingly seek to actively involve them in making freely informed decisions about their healthcare, in accordance with the principles enunciated in the UN Convention of the Rights of the Child and the UK Children Acts. We review the derivation of the law in England and Wales in this area, in the light of another recent family court judgement enforcing treatment on a ‘competent’ child without his or her consent and ask: ‘How can the Common Law and the ethical practice of those caring for young people have diverged so far?’ Either young people can decide whether to have a recommended treatment, or they cannot. Given Ian McEwan's book, the Children Act, has stimulated wider social debate in this area might this be an opportune moment to seek public policy resolution with regards to healthcare decision making by young people? We argue that events since the Gillick case have underlined the need for a comprehensive review of legal policy and practice in this area. While absolute autonomy and freedom of choice are arguably inconsistent with the protection rights that society has agreed are owed to children, healthcare practitioners need clarity over the circumstances in which society expects that autonomous choices of adolescents can be overridden. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
What happens to our adolescent patients when they leave our care? At least in the UK, the suspicion is that the care they receive from adult services is not as good. Most of the evidence for this has come from disease-specific or subjective qualitative studies. A cross-sectional study using universal standard hospital episode statistics from NHS England gives some more objective support for this view (Wijlaars L et al. BMJ Open. doi.org/10. 1136/bmjopen- 2017–0 21 015). To read the full article, log in using your NHS OpenAthens details.
K. Gyllstrom, and M. Moens. SIGIR '10: Proceeding of the 33rd international ACM SIGIR conference on Research and development in information retrieval, page 731--732. New York, NY, USA, ACM, (2010)