Parent adoption and implementation of obesity prevention practices through building children's asking skills at family child care homes

BackgroundEarly childhood education programs provide a setting to reach children and parents to modify home environments to prevent obesity. The Healthy Opportunities for Physical Activity and Nutrition Home (HOP’N) Home project was a novel approach that linked Family Child Care Homes (FCCH) to home environments by developing children’s asking skills for healthful home environmental change through curricular activities.ObjectiveTo evaluate the feasibility of engaging parents in obesity prevention practices through building children's asking skills at FCCH.MethodsFCCHs (n = 5 settings) and children (n = 25; aged 3−5 years; female = 36 %; non-Hispanic white = 91 %; low socioeconomic status = 28 %; overweight/obese = 52 %) and parents (n = 25) participated in a pre-post cohort design. We assessed children's body mass index and self-report variables at three time points. HOP'N Home included continuous staff training, group time, dramatic play, meal prompts, songs, and home activities.ResultsFCCH providers implemented 83%–100% of intervention activities. All parents (100 %) adopted the program, most (87 %) returned completed homework activities to FCCHs, and over 90 % implemented changes in the home. Percent of overweight/obese children decreased from pre-intervention (50 %) to post-intervention (29 %,p = 0.06) and follow-up (38 %,p = 0.06).ConclusionsIt is feasible to build children's asking skills and pair this strategy with home activities to engage parents to prevent obesity.     

Restoring and Sustaining Home: The Impact of Home Modifications on the Meaning of Home for Older People

ABSTRACT

The importance of a supportive home environment to successful aging has been well-established in the literature, with home modifications increasingly acknowledged as ways of removing barriers to function and increasing independence for older people. Home modification literature and practice primarily focus on the home environment as a physical space in which to perform tasks and on the impact of modification on competencies and function. Home, however, is much more than a physical environment. Within a transactive framework, people and places are seen as engaged in a dynamic, reciprocal relationship through which home becomes a place of significant personal meaning. Through a qualitative framework, this study examines the experience of older people living in the community who are recipients of a home modification service. It explores the impact modifying the physical environment has on their experience of home as a place of meaning and provides insight into how home modifications can strengthen the home as a place of personal and social meaning as well as improve safety and comfort for the older person at home.     

Summerhouse Dialogues between Mobilier and Immobilier

Abstract

Addressing processes of cultural memory and mental appropriation in leisure architecture, this study relies on the fact that, in Denmark, summerhouses are often sold with furniture and objects representing the former owners and their ways of life. The theoretical starting point is formed by a discussion of Gaston Bachelard’s notion of “childhood home.” A menaced phenomenon in today’s urbanized reality, the childhood home and its mental values may indirectly be cultivated and reinterpreted by way of summerhouses. Buying a partly furnished summerhouse involves a joint encounter with immobilier (real estate) and mobilier (movables). In this way, a dialogue between the actual residents and a larger cultural history comes about. Built 1960/1971, the summerhouse studied here belongs to the author and his family. Archival and photographic experiments carried out after the acquisition in 1998 support reflections on space and life, now and in the previous history of the house.     

Putting Fathers Back in the Picture

SUMMARY

Drawing on over a quarter of a century of Panel Study of Income Dynamics data, this paper examines links between childhood home environment (as reported by fathers during those childhood years) and children's outcomes in early adulthood. The emphasis is on the role of fathers and the unique contribution of their activities and characteristics to children's development, measured in terms of the children's completed schooling, wage rates, and nonmarital childbearing in early adulthood. The paper shows that fathers' abilities add substantial predictive power to models based on maternal characteristics. Fathers' church attendance and the precautionary actions of parents are also strong predictors of children's adult outcomes, although differentially so for sons and daughters.     

Enhancing the Quality of Care in Residential and Nursing Homes: More than Just a Professional Responsibility

ABSTRACT

This article highlights a range of issues considered essential to improving the quality of care received by older people in residential and nursing home settings. It is argued that improving such care represents a societal as well as a professional responsibility and that remedial action is needed at a number of levels. Five ‘routes’ to achieving quality are outlined, and it is suggested that these are not simply alternatives but that each requires attention if genuine progress is to be made.     

Childhood trauma and problem behavior: Examining the mediating roles of experiential avoidance and mindfulness processes

Objective: Childhood trauma is associated with a variety of risky, unhealthy, or problem behaviors. The current study aimed to explore experiential avoidance and mindfulness processes as mechanisms through which childhood trauma and problem behavior are linked in a college sample. Participants: The sample consisted of college-aged young adults recruited November-December, 2016 (N = 414). Methods: Participants completed self-report measures of childhood trauma, current problem behavior, experiential avoidance, and mindfulness processes. Bootstrapped mediation analyses examined the mechanistic associations of interest. Results: Mediation analyses indicated that experiential avoidance was a significant mediator of the association between childhood trauma and problem behavior. Additionally, multiple mediation analyses indicated that specific mindfulness facets–act with awareness and nonjudgment of inner experience–significantly mediated the same association. Conclusions: Interventions for college students who have experienced childhood trauma might profitably target mechanisms such as avoidance and mindfulness in order to minimize engagement in problem behavior.     

Perceived consequences of hazing exposure during the first year of college: Associations with childhood victimization

Objective: This study investigates the association between histories of childhood victimization and perceived consequences of college hazing. Participants: First-year college students at four US universities (N?=?120). Method: Participants completed Web-based surveys asking about childhood victimization (eg, child maltreatment), peer victimization, and perceived consequences of hazing during college. Results: Results indicated that college students with childhood victimization histories perceived hazing to be negative. In particular, physical dating violence and a greater total number of childhood victimization exposures were related to a higher number of perceived negative consequences. Conclusion: Past victimization exposures confer risk on college students who experience hazing, in that these students are more likely to perceive negative consequences of hazing. Hazing-related policies and outreach efforts should consider these potential negative consequences, and counselors should be aware of the link between past victimization and how hazing might be experienced.     

The Meaning of Queer Home

Abstract

This article positions two proto-queer texts together in order to demonstrate how the development of American “queer subjectivity” arose as a discernible discursive and embodied notion related to “home.” Written before the arrival of the queer category, Audre Lorde’s Zami: A New Spelling of My Name (The Crossing Press, Freedom, CA, 1982) and Leslie Feinberg’s Stone Butch Blues (Alyson Press, Los Angeles, CA, 2003, original work published 1993) concentrate upon the home as a site conditioned by twin concerns that would become central to queer politics: “the home” as narrative metaphor and homes as real-world shelters. Queering the home stretches and scrambles the home category (“dyke bar as home,” “Black lesbian sisterhood as home,” “body as home”) while insisting upon self-defined, material structures of protection and comfort for queers. The article performs a “reading through skin” of queer scholarship and of sociological data. It argues that these queer-emergent texts helped establish notions of “queer home” via exploring metaphoric and empirical axes related to domestic space.     

Evaluating the consistency of scales used in adult attention deficit hyperactivity disorder assessment of college-aged adults

Objective: Neurocognitive evaluations are commonly integrated with clinical assessment to evaluate adult Attention Deficit Hyperactivity Disorder (ADHD). Study goal is to identify measures most strongly related to ADHD diagnosis and to determine their utility in screening processes. Participants: 230 students who were evaluated at the Vanderbilt University Psychological and Counseling Center between July 2013 and October 2015. Methods: We retrospectively examined charts, including clinical diagnosis, family history, childhood parental reported and current self-reported ADHD symptoms, psychiatric comorbidities, and continuous performance test (CPT). Result: Positive report of childhood and current ADHD symptoms, and lack of comorbid psychiatric symptoms were strongly associated with clinical diagnosis. CPT results were not associated with an ADHD diagnosis. The absence of reported childhood and current ADHD symptoms may serve as a contradictory marker for ADHD diagnosis. Conclusion: Clinical assessment of ADHD symptoms and ADHD childhood history, but not CPT, contributes to an accurate diagnosis of ADHD in college-aged adults.     

Childhood Obesity Differences in Single-Father and Single-Mother Families

ABSTRACT

Prior research consistently finds that children living in two-parent families are less likely to be obese than children in single-parent families. Most of the research that explores the relationship between family structure and childhood obesity is limited in its conceptualization of family structure, however, either ignoring single-father families or bunching them in the same category as single-mother families. Research on gender and families suggests that single fathers are different from single mothers in ways that may influence a child’s risk of obesity. We use data from the kindergarten wave of the Early Childhood Longitudinal Study, Kindergarten Class of 1998–1999 to explore differences in obesity rates for young children in single-father and single-mother families. Compared to single mothers, single fathers earn more and provide a slightly healthier home environment (less TV watching and more sharing of meals) but are more likely to work outside the home full-time. Children in single-father families are also more likely to be white and have fewer siblings. These differences counteract one another, resulting in similar levels of obesity in these two types of single-parent families.     

Dangerous Houses

ABSTRACT

The home, in its material and symbolic dimensions, holds a special place within the Anglophone countries of the West as a sphere of privacy and security, of sanctuary. Lifestyle television has played a key role in this process. Yet this article explores how two Australian lifestyle television programs, Is Your House Killing You? and Carbon Cops, present the home as a site of danger, either to the private sphere and its inhabitants or to the broader environmental public sphere. It is argued that such programs play a role in disseminating neoliberal ideologies, encouraging the implementation of governmental regimes to discipline, transform, and ultimately self-regulate householder and consumer behavior. Through such regimes, the subjects produce less dangerous houses, and the home is restored as a sanctuary and site of ontological security.     

Coping and Adjustment in Male and Female Survivors of Childhood Sexual Abuse

ABSTRACT

This study investigates the effects of childhood sexual abuse for male and female survivors, characteristics of the abuse experience, current coping strategies, and current psychological adjustment. Nineteen male and 59 female adult survivors of childhood sexual abuse, recruited from both local and national support groups, completed a background questionnaire, dispositional coping inventories measuring current and retrospective abuse-specific coping styles, and measures of current psychological adjustment. In response to sexual abuse experienced during childhood, avoidance coping emerged as the most frequently used strategy by both sexes. Although there were no gender differences in current use of problem-focused and avoidance strategies, males related more use of acceptance whereas females utilized more emotion-focused coping. In general* females reported significantly greater trauma-related distress than males, including higher levels of anxiety, depression, and post-trauma symptoms.     

Transition from Paroxysmal Disorder in Infancy to the Masturbatory Orgasm in Childhood

ABSTRACT

Patients younger than 1 year of age may be diagnosed with paroxysmal disorder, or infantile masturbation. It remains unclear whether the paroxysmal disorder seen in infants who have yet to develop self-awareness or ideas about sex is equivalent to the masturbatory orgasm seen later on in childhood, when the patient has a clear self-awareness and sexual interest. This article details a case that may answer this question. Paroxysmal disorder was initially observed in a female patient at an age of 5 months. It presented regularly throughout her infancy and childhood, up age 8 years. She described the sensations that she experienced during episodes as pleasant as early as age 3 years. In a clinical interview, she confirmed that she experienced pleasure with the rhythmic contractions of her vagina, suggestive of episodes of masturbatory orgasm. This suggests that the paroxysmal disorder seen in infancy is most likely similar to the masturbatory orgasm seen in childhood. The scientific and clinical meaning of early paroxysmal disorder in sexual medicine is discussed.     

The Role of Shame in Women's Recovery from Alcoholism

Abstract

This study compares the recovery experience of female members of Alcoholics Anonymous (AA) who reported a history of childhood sexual abuse (68%) with those who did not report experiencing childhood sexual abuse. A sample of 53 women was obtained from AA. A significant relationship was found between shame and two measures of difficulties in recovery-problems in social adjustment and relapse. Though the hypothesis that experiences of child sexual abuse predicted difficulty in recovery was not supported, these data suggest that shame may be an important variable in both the etiology and treatment of alcoholism in women.     

Cognitive and health-related outcomes after exposure to early malnutrition: The Leiden longitudinal study of international adoptees

BackgroundWe followed 190 internationally adopted children from infancy to young adulthood to examine the long-term consequences of early malnutrition on cognitive and health-related outcomes.MethodWe measured birth weight and physical condition in infancy, IQ and somatic problems in middle childhood, adolescence and young adulthood; in young adulthood, socioeconomic success was also assessed.ResultsEarly malnutrition negatively affected IQ in middle childhood and to a lesser extent IQ in young adulthood, but a negative effect on socioeconomic success was absent. Higher levels of early malnutrition predicted more somatic problems in middle childhood.ConclusionsVariation in early malnutrition explains differences in cognitive and health-related outcomes, with early malnutrition predicting lower IQs in middle childhood and in young adulthood. Early malnutrition did however not negatively affect the young adult's socioeconomic success, indicating that early malnutrition may be compensated by later experiences.     

Adverse childhood experiences,post-traumatic stress disorder symptoms,and self-reported stress among traditional and nontraditional college students

Abstract

Objective: To investigate the relationships between adverse childhood experiences (ACEs), post-traumatic stress disorder symptoms (PTSD-S), and self-reported stress among college students. Participants: A total of 236 undergraduate students enrolled in nursing courses participated. Method: Using a correlational design, participants completed questionnaires online. To examine PTSD moderation between ACE and self-reported stress, multiple regression was employed. Stress outcomes were examined using a 4-group variable. Mean differences in stress response between these four groups were examined. Differences in ACE, PTSD-S, and stress response between traditional and nontraditional students were also examined. Results: PTSD-S moderated the relationship between ACEs, and self-reported stress. This indicates that students who report PTSD-S following childhood adversity perceive higher levels of stress. Nontraditional and traditional students differed in their responses to the ICLRE scale. Conclusion: Individuals who report PTSD-S following childhood adversity perceive higher levels of stress later in life. Stress reduction programs may be beneficial for students.     

Inviting intimacy: The interview as therapeutic opportunity

This paper explores the notions of time and texture --or the interplay of the temporal and cultural dimensions of social life--as the conceptual foundation for the development of longitudinal qualitative (LQ) methodologies. It illustrates the different ways in which time is theorized among both qualitative and quantitative researchers in order to draw out the creative potential offered by LQ methodologies for understanding the dynamics of everyday life. The paper concludes by exploring how LQ methodologies might be used in the context of childhood research and for revisioning the process of 'growing up'.     

Cultural Identity and Place in Adult Korean-American Intercountry Adoptees

ABSTRACT

This study explores the interrelationship between cultural identity and place in the lives of adult Korean adoptees living primarily in the Twin Cities area of Minnesota. Using life histories derived through multiple semi-structured interviews, a web of related themes emerged which reveal the interplay between ethnicity, identity, gender, and place. From childhood to adulthood, most Korean adoptees followed a similar developmental trajectory of denial, self-awareness, and emerging cultural consciousness about their Korean heritage, particularly upon their departure from their adoptive homes after high school. These journeys were mediated and nuanced by environmental factors including -but not limited to -places adoptees lived or visited in Korea, the U.S. or elsewhere abroad. This study highlights the limitations of previous studies that focused only on adoptive parents or adoptees as children, an approach which loses the life course perspective of inter-country adoptees' search for identity, belonging, and a sense of home.     

The Collective Turkish Home in Vienna: Aesthetic Narratives of Migration and Belonging

ABSTRACT

This article explores how Turkish people in Vienna create a collective sense of belonging and position themselves in a complex web of diasporic relations, through the materiality and aesthetics of their homes. It aims to show how the efforts of displaced people to construct a belonging to the new place of dwelling are intertwined with the aesthetic and material practices of making homes. Based on ethnographic research, it will be argued that a particular “Turkish home” is collectively created through shared aesthetic practices and discourses and serves as a material and social medium both for imagining and building collectivities and for constructing and expressing ambiguities, conflicts, multiplicities and contests, played out in the aesthetics of the everyday. Challenging the common view that homes in diasporic or migratory resettlements reflect past lives and locations or a mixture of two cultures and two sets of different objects associated with them, it will be argued that Turkish homes in Vienna are made through a new and particular aesthetic, which serves to produce and reproduce a communal Turkish narrative of migration to and dwelling in Vienna.