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Differences Between Mothers' and Fathers' Perception of Their Adolescents' Pain Before and After Parent Training Through The Comfort Ability Pain Management Program

Video Author: Rachael Coakley, PhD, Carolina Donado, PhD
Published on: 05.26.2020
Associated with: December 2019, Volume 40, Issue 9;

This study evaluates differences in how mothers and fathers perceive and respond to their adolescents’ chronic pain before and after The Comfort Ability Program (CAP), a one-day cognitive-behavioral intervention. Our research findings suggest that mothers and fathers have different thoughts and responses to their adolescents’ pain at baseline. Participating in CAP may help to align their thinking and promote more adaptive parent responses, reinforcing the value of including both parents in pediatric treatment for chronic pain. For more information about the program, please visit: thecomfortability.com

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Creator: Rachael Coakley, PhD, Carolina Donado, PhD
Duration: 7:18
This study evaluates differences in how mothers and fathers perceive and respond to their adolescents’ chronic pain before and after The Comfort Ability Program (CAP), a one-day cognitive-behavioral intervention. Our research findings suggest that mothers and fathers have different thoughts and responses to their adolescents’ pain at baseline. Participating in CAP may help to align their thinking and promote more adaptive parent responses, reinforcing the value of including both parents in pediatric treatment for chronic pain. For more information about the program, please visit: thecomfortability.com
Creator: Robert Eves
Duration: 4:59
Adults born preterm are at risk of attention problems. However, it is currently unclear as to why these problems come about. In this study of two prospective longitudinal cohorts, the BLS and EPICure, the attention problems and potential predictive factors of preterms and controls were assessed. Results highlighted the roles of executive functioning and general cognitive functioning in why preterms display more attention problems than controls, an important finding for potential interventions. Additionally, it highlighted the disparity between self-report, parent-report and experimenter ratings for attention problems with evidence that preterms do not believe themselves to have problems with attention
Creator: Rachel Morgan and Linda Prudente
Duration: 4:30
School-age children with ADHD participated in an 8-week after-school Tai-Chi that showed robust reductions in core ADHD symptoms of hyperactivity, impulsivity, and inattention after the mindful movement training. Reductions were also seen in associated features including emotion dysregulation and symptoms of ODD. These children also showed robust improvements on an objective assessment of developmental motor control, and these objective improvements in motor control were significantly associated with improvements in subjective parent ratings of ADHD behavior. This suggests that motor control may be a biomarker that could be targeted by the mindful movement intervention to improve behavior in children with ADHD.
Creator: Marissa E. Yingling, PhD, MSW
Duration: 7:49
This video illustrates a study that assessed progress of the Healthy People 2020 objective to increase the proportion of children with autism spectrum disorder (ASD) who receive treatment by 48 months old and that examined the relationship between predisposing, enabling, and need factors and age of initial treatment receipt. Authors used data from the National Survey of Children’s Health, 2016-2017 (N=1333). The HP2020 objective to enroll 57.6% of 8-year-old children with ASD in treatment by 48 months old was not met (40.9%). Findings indicate social inequities and significant differences by provider type and state mandate.
Creator: Libby Matile Milkovich
Duration: 3:08
Phones interrupt in-person interactions. Problematic phone users likely have increased interruptions due to their addiction-like behaviors towards their phones. Child behavior can reflect the quality of in-person, caregiver-child interactions. To explore child behavior and caregiver problematic phone use, we surveyed caregivers of children about their problematic phone use and their perception of their child’s mealtime behavior. Higher ratings of child problematic mealtime behavior were associated with higher symptoms of caregiver problematic phone use. Although the study does not show causality, caregiver-child interactions are bidirectional thus possibly allowing for future child problematic behavioral interventions to address caregiver problematic phone use.
Creator: Christina Buysse, MD and Susanne Martin-Herz, MD, PhD
Duration: 5:00
This video describes the methods and findings of the Rapid Developmental Evaluation (RDE) model, a co-located Developmental-Behavioral Pediatrics (DBP) program within a primary care pediatrics Federally Qualified Health Center. Results of the project suggest that co location of developmental-behavioral pediatricians in pediatric primary care clinics can provide high quality DBP care, decrease time to first developmental assessment, and decrease time to referral for Early Intervention services. It is also well-received by primary care clinicians and enables many families to access specialty care in their medical home without traveling to tertiary referral centers.
Creator: Gerald Giesbrecht and Lianne Tomfohr-Madsen
Duration: 3:29
Video abstract for Parental use of “cry out” in a community sample during the first year of infant life, where we discuss associations between using delayed response to crying and associations with infant-maternal attachment and maternal sensitivity.
Creator: Eunju Lee and Catherine Kramer
Duration: 4:00
This video explains kinship care and describes a study on the well-being of children in informal kinship care. Survey data were matched with child welfare administrative records. Findings indicate that 75% of children had known involvement with Child Protective Services (CPS). Higher numbers of CPS cases were associated with both poorer physical and emotional health outcomes. The authors argue for better recognition of the trauma and the unmet health care needs of these children. The pediatric community should be aware that children raised by kin without a parent have an increased risk for mental health issues.
Creator: Joseph Smith
Duration: 5:12
CDC’s Dr. Lisa Wiggins discusses research findings on wandering among preschool children with and without autism spectrum disorder (ASD) from the Study to Explore Early Development, or SEED. SEED is currently the largest study in the United States to help identify factors that may put children at risk for ASD and other developmental disabilities.
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Duration: 5:05
The efficacy of the group parenting program, Child Adult Relationship Enhancement in Primary-Care (PriCARE), in improving behavior in primary-care patients whose parents had identified a concern for behavior problems was previously demonstrated. In this second RCT, pre-existing behavioral problems were not required for participation, and the efficacy of a peer mentor on improving PriCARE attendance was also evaluated. Both positive parenting (measured by the Parenting Scale), and child behavior (measured by the Eyberg Child Behavior Inventory-ECBI) improved in the treatment arms, even though the majority of children had subclinical ECBI scores at baseline. The peer mentor did not impact attendance.
Creator: Yael Dvir, MD
Duration: 4:42
Our video abstract previews our paper on psychiatric symptoms, prevalence, co-occurrence and functioning among extremely low gestational age newborns at age ten years. We review the study’s objectives, with focus on importance, new information presented, as well as clinical applicability and clinical and research implications.
Creator: Pinar Zengin Akkus
Duration: 4:06
Management of phenylketonuria (PKU) was reported to be time consuming and burdensome for caregivers. This study explored the experiences of families caring for a child with phenylketonuria/mild hyperphenylalaninemia in a country with a high PKU rate. Moreover, the factors associated with parental psychological well-being were highlighted. Read the article.
Creator: Thi-Nhu-Ngoc Nguyen
Duration: 4:12
Children born preterm are at high risk of multiple developmental impairments, including language difficulties across childhood. However, it is unclear as to which biological and socio-environmental factors are reliable predictors of poorer language development, and how the influence of these factors change across childhood in preterm children. This study examined the individual and collective contribution of biological and socioenvironmental factors on language development in a prospective, longitudinal cohort of preterm children (born< 30 weeks' gestation). Results highlight the important and increasing influence of socio-environmental factors on language functioning in preterm children from 2 to 13 years, and points to an important focus on targeting more malleable factors such as parenting behavior and parent education to boost and support preterm children's development. Read the article.
Creator: Andrew R. Riley
Duration: 3:24
Pediatric primary care is an important setting for promoting safe and effective parenting practices, especially with regards to child discipline, but many parents report they receive inadequate behavioral guidance. We conducted a survey to identify which behavioral topics are most important to parents and what delivery method (e.g., faceto- face, books, mobile apps) are most appealing. Participants were 396 parents of young children recruited from primary care offices. Nearly all parents (96%) endorsed a behavioral topic (e.g., aggression) as important, and most preferred to receive intervention during routine medical appointments, but preferences varied by known socioeconomic, child, and parenting risk factors. Tailoring intervention to parents’ preferences may increase engagement with available interventions. Read the article.
Creator: Dr. Elizabeth Berry-Kravis
Duration: 6:23
In this study we characterized toileting milestones and factors related to delayed toilet training in children with Fragile X Syndrome (FXS). For FXS participants in the FORWARD Registry and Database, a multi-variate analysis showed low language ability, behavioral irritability, and autism spectrum disorder diagnosis were strongly associated with late toilet training (>age 10). A Cox proportional-hazards model showed language level and ASD diagnosis predicted chances of toilet training at all ages. Survival curves allow estimation of likelihood of toilet training at any age. These findings will help with setting toileting expectations and creating management plans for toilet training in FXS. Read the article.
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Duration: 4:50
It is unclear whether distinct trajectories of infant sleep problems exist and whether it is possible to predict which infants will have sleep problems. Drawing on longitudinal community cohort data, this study aimed to identify unique patterns of infant sleep problems across the first postnatal year and examine a range of pre and postpartum factors associated with these profiles. Heightened maternal prenatal depressive symptoms and poorer prenatal physical health and wellbeing were associated with increased risk for persistent severe infant sleep problems across the first postnatal year. Read the article.
Creator: Connie Campbell
Duration: 2:03
Early identification of children with Autism Spectrum Disorder (ASD) is important. We redesigned the model of our ASD clinic for children under 3yrs. One of the changes was the integration of a Level 2 screening tool component, the RITA-T (Rapid Interactive Screening Test for Autism in Toddlers). This study examined the psychometric properties of the RITA-T with concerns related to ASD. In the study group (239 participants), we obtained discriminative psychometric properties (sensitivity: 0.97, specificity 0.71) similar to previously published results by Choueiri. When integrated into an ASD screening and diagnostic process, the RITA-T improves the efficiency and helps predict a best estimate clinical diagnosis of ASD. Read the article.
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Duration: 2:30
Evidence has established the association between risk factors and ADHD severity, but less is known about factors that may have protective effects on clinical, academic, and social outcomes among children with ADHD. This cross sectional study using the 2016 National Survey of Children’s Health examined associations between family cohesion, caregiver social support, community support and 1) ADHD severity, 2) school engagement, and 3) difficulty making or keeping friends. Among children with ADHD, family cohesion and community support show protective effects in clinical, academic and social outcomes.
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Brazilian specialists in neurodevelopment in infants and children together with researchers in pediatric infection disease followed a group of children with presumed congenital Zika virus infection. The study was designed to describe the gross motor trajectory during their first 2 years of life. Most of the children presented changes in their gross motor development up to18 months and remained stable in the following month. At the end of the study all participants were diagnosed with cerebral palsy and the majority experienced severe motor impairment according to the Gross Motor Function Classification System (GMFCS).
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Duration: 2:54
Children born to opioid-dependent mothers are at high risk for poor growth and neonatal withdrawal, but little is known about their longer term outcomes. We examined the health and neurodevelopmental outcomes of a cohort of 100 children born to opioid dependent mothers during pregnancy. These mothers and children were followed prospectively from pregnancy to age 4.5 years alongside a comparison group of 110 randomly identified non-methadone-exposed children and their mothers. Findings highlight the complex developmental needs of these children. The risk of later problems was higher for male children born to higher social risk mothers who used more licit and illicit substances during pregnancy and when children were raised in lower quality home environments. Read the article.



Creator: Rachael Coakley, PhD, Carolina Donado, PhD
Duration: 7:18
This study evaluates differences in how mothers and fathers perceive and respond to their adolescents’ chronic pain before and after The Comfort Ability Program (CAP), a one-day cognitive-behavioral intervention. Our research findings suggest that mothers and fathers have different thoughts and responses to their adolescents’ pain at baseline. Participating in CAP may help to align their thinking and promote more adaptive parent responses, reinforcing the value of including both parents in pediatric treatment for chronic pain. For more information about the program, please visit: thecomfortability.com
Creator: Robert Eves
Duration: 4:59
Adults born preterm are at risk of attention problems. However, it is currently unclear as to why these problems come about. In this study of two prospective longitudinal cohorts, the BLS and EPICure, the attention problems and potential predictive factors of preterms and controls were assessed. Results highlighted the roles of executive functioning and general cognitive functioning in why preterms display more attention problems than controls, an important finding for potential interventions. Additionally, it highlighted the disparity between self-report, parent-report and experimenter ratings for attention problems with evidence that preterms do not believe themselves to have problems with attention
Creator: Rachel Morgan and Linda Prudente
Duration: 4:30
School-age children with ADHD participated in an 8-week after-school Tai-Chi that showed robust reductions in core ADHD symptoms of hyperactivity, impulsivity, and inattention after the mindful movement training. Reductions were also seen in associated features including emotion dysregulation and symptoms of ODD. These children also showed robust improvements on an objective assessment of developmental motor control, and these objective improvements in motor control were significantly associated with improvements in subjective parent ratings of ADHD behavior. This suggests that motor control may be a biomarker that could be targeted by the mindful movement intervention to improve behavior in children with ADHD.
Creator: Marissa E. Yingling, PhD, MSW
Duration: 7:49
This video illustrates a study that assessed progress of the Healthy People 2020 objective to increase the proportion of children with autism spectrum disorder (ASD) who receive treatment by 48 months old and that examined the relationship between predisposing, enabling, and need factors and age of initial treatment receipt. Authors used data from the National Survey of Children’s Health, 2016-2017 (N=1333). The HP2020 objective to enroll 57.6% of 8-year-old children with ASD in treatment by 48 months old was not met (40.9%). Findings indicate social inequities and significant differences by provider type and state mandate.
Creator: Libby Matile Milkovich
Duration: 3:08
Phones interrupt in-person interactions. Problematic phone users likely have increased interruptions due to their addiction-like behaviors towards their phones. Child behavior can reflect the quality of in-person, caregiver-child interactions. To explore child behavior and caregiver problematic phone use, we surveyed caregivers of children about their problematic phone use and their perception of their child’s mealtime behavior. Higher ratings of child problematic mealtime behavior were associated with higher symptoms of caregiver problematic phone use. Although the study does not show causality, caregiver-child interactions are bidirectional thus possibly allowing for future child problematic behavioral interventions to address caregiver problematic phone use.
Creator: Christina Buysse, MD and Susanne Martin-Herz, MD, PhD
Duration: 5:00
This video describes the methods and findings of the Rapid Developmental Evaluation (RDE) model, a co-located Developmental-Behavioral Pediatrics (DBP) program within a primary care pediatrics Federally Qualified Health Center. Results of the project suggest that co location of developmental-behavioral pediatricians in pediatric primary care clinics can provide high quality DBP care, decrease time to first developmental assessment, and decrease time to referral for Early Intervention services. It is also well-received by primary care clinicians and enables many families to access specialty care in their medical home without traveling to tertiary referral centers.
Creator: Gerald Giesbrecht and Lianne Tomfohr-Madsen
Duration: 3:29
Video abstract for Parental use of “cry out” in a community sample during the first year of infant life, where we discuss associations between using delayed response to crying and associations with infant-maternal attachment and maternal sensitivity.
Creator: Eunju Lee and Catherine Kramer
Duration: 4:00
This video explains kinship care and describes a study on the well-being of children in informal kinship care. Survey data were matched with child welfare administrative records. Findings indicate that 75% of children had known involvement with Child Protective Services (CPS). Higher numbers of CPS cases were associated with both poorer physical and emotional health outcomes. The authors argue for better recognition of the trauma and the unmet health care needs of these children. The pediatric community should be aware that children raised by kin without a parent have an increased risk for mental health issues.
Creator: Joseph Smith
Duration: 5:12
CDC’s Dr. Lisa Wiggins discusses research findings on wandering among preschool children with and without autism spectrum disorder (ASD) from the Study to Explore Early Development, or SEED. SEED is currently the largest study in the United States to help identify factors that may put children at risk for ASD and other developmental disabilities.
Creator: Samantha Schilling, MD
Duration: 5:05
The efficacy of the group parenting program, Child Adult Relationship Enhancement in Primary-Care (PriCARE), in improving behavior in primary-care patients whose parents had identified a concern for behavior problems was previously demonstrated. In this second RCT, pre-existing behavioral problems were not required for participation, and the efficacy of a peer mentor on improving PriCARE attendance was also evaluated. Both positive parenting (measured by the Parenting Scale), and child behavior (measured by the Eyberg Child Behavior Inventory-ECBI) improved in the treatment arms, even though the majority of children had subclinical ECBI scores at baseline. The peer mentor did not impact attendance.
Creator: Pinar Zengin Akkus
Duration: 4:06
Management of phenylketonuria (PKU) was reported to be time consuming and burdensome for caregivers. This study explored the experiences of families caring for a child with phenylketonuria/mild hyperphenylalaninemia in a country with a high PKU rate. Moreover, the factors associated with parental psychological well-being were highlighted. Read the article.
Creator: Thi-Nhu-Ngoc Nguyen
Duration: 4:12
Children born preterm are at high risk of multiple developmental impairments, including language difficulties across childhood. However, it is unclear as to which biological and socio-environmental factors are reliable predictors of poorer language development, and how the influence of these factors change across childhood in preterm children. This study examined the individual and collective contribution of biological and socioenvironmental factors on language development in a prospective, longitudinal cohort of preterm children (born< 30 weeks' gestation). Results highlight the important and increasing influence of socio-environmental factors on language functioning in preterm children from 2 to 13 years, and points to an important focus on targeting more malleable factors such as parenting behavior and parent education to boost and support preterm children's development. Read the article.
Creator: Andrew R. Riley
Duration: 3:24
Pediatric primary care is an important setting for promoting safe and effective parenting practices, especially with regards to child discipline, but many parents report they receive inadequate behavioral guidance. We conducted a survey to identify which behavioral topics are most important to parents and what delivery method (e.g., faceto- face, books, mobile apps) are most appealing. Participants were 396 parents of young children recruited from primary care offices. Nearly all parents (96%) endorsed a behavioral topic (e.g., aggression) as important, and most preferred to receive intervention during routine medical appointments, but preferences varied by known socioeconomic, child, and parenting risk factors. Tailoring intervention to parents’ preferences may increase engagement with available interventions. Read the article.
Creator: Dr. Elizabeth Berry-Kravis
Duration: 6:23
In this study we characterized toileting milestones and factors related to delayed toilet training in children with Fragile X Syndrome (FXS). For FXS participants in the FORWARD Registry and Database, a multi-variate analysis showed low language ability, behavioral irritability, and autism spectrum disorder diagnosis were strongly associated with late toilet training (>age 10). A Cox proportional-hazards model showed language level and ASD diagnosis predicted chances of toilet training at all ages. Survival curves allow estimation of likelihood of toilet training at any age. These findings will help with setting toileting expectations and creating management plans for toilet training in FXS. Read the article.
Creator: Fallon Cook
Duration: 4:50
It is unclear whether distinct trajectories of infant sleep problems exist and whether it is possible to predict which infants will have sleep problems. Drawing on longitudinal community cohort data, this study aimed to identify unique patterns of infant sleep problems across the first postnatal year and examine a range of pre and postpartum factors associated with these profiles. Heightened maternal prenatal depressive symptoms and poorer prenatal physical health and wellbeing were associated with increased risk for persistent severe infant sleep problems across the first postnatal year. Read the article.
Creator: Carol Duh-Leong
Duration: 2:30
Evidence has established the association between risk factors and ADHD severity, but less is known about factors that may have protective effects on clinical, academic, and social outcomes among children with ADHD. This cross sectional study using the 2016 National Survey of Children’s Health examined associations between family cohesion, caregiver social support, community support and 1) ADHD severity, 2) school engagement, and 3) difficulty making or keeping friends. Among children with ADHD, family cohesion and community support show protective effects in clinical, academic and social outcomes.
Creator: Paloma Ventura
Duration: 2:25
Brazilian specialists in neurodevelopment in infants and children together with researchers in pediatric infection disease followed a group of children with presumed congenital Zika virus infection. The study was designed to describe the gross motor trajectory during their first 2 years of life. Most of the children presented changes in their gross motor development up to18 months and remained stable in the following month. At the end of the study all participants were diagnosed with cerebral palsy and the majority experienced severe motor impairment according to the Gross Motor Function Classification System (GMFCS).
Creator: Rob Stowell, University of Canterbury
Duration: 2:54
Children born to opioid-dependent mothers are at high risk for poor growth and neonatal withdrawal, but little is known about their longer term outcomes. We examined the health and neurodevelopmental outcomes of a cohort of 100 children born to opioid dependent mothers during pregnancy. These mothers and children were followed prospectively from pregnancy to age 4.5 years alongside a comparison group of 110 randomly identified non-methadone-exposed children and their mothers. Findings highlight the complex developmental needs of these children. The risk of later problems was higher for male children born to higher social risk mothers who used more licit and illicit substances during pregnancy and when children were raised in lower quality home environments. Read the article.
Creator: Michelle Greene
Duration: 4:25
Mothers of very low birth weight infants (VLBW, birth weight less than 3 pounds, 5 ounces) experience maternal psychological distress, defined as depression, anxiety and perinatal post-traumatic stress (PPTS).This study estimated maternal distress at time of VLBW infants' birth, modeled change in distress over VLBW infants' first year of life, and examined predictors of distress. Distress declined over VLBW infants' first year of life. Mothers residing in lower income environments had lower PPTS and anxiety at VLBW infant birth. VLBW birth weight and maternal age, respectively, predicted change in anxiety over time, and change in depression over time. Read the article.
Creator: Philip Bertulfo
Duration: 4:25
We sought to develop an improved understanding of attitudes and beliefs surrounding play among families who live in predominantly low-income urban communities. Utilizing qualitative methods, our results demonstrated caregivers of young children describe many important benefits of play. Yet they have misconceptions regarding use of toys and media in promoting development as well as notable barriers to participating in play, which may be opportunities for intervention. Public health programs may be more effectively implemented if they consider these attitudes to develop new or refine existing strategies for promoting parent-child learning activities. Read the article.
Creator: Jessica VanOrmer, M.A.
Duration: 2:30
This study included 2,083 parents of children from the 2016 National Survey of Children’s health database. We examined the relationship between adverse childhood experiences (ACEs) and family resilience, including how these differed by diagnostic category (autism spectrum disorder (ASD), attention-deficit hyperactivity disorder (ADHD), comorbid ASD and ADHD, and neurotypically developing children). We found that ADHD children experienced significantly more ACEs and children with comorbid ASD and ADHD had the lowest levels of family resilience when controlling for demographic variables and ACEs. Further, as the number of ACEs increased, family resilience decreased. Results have implications for early intervention services. Read the article.
Creator: M. Jackson Wilkinson and Carol L. Wilkinson
Duration: 3:45
Primary care providers and parents rely on developmental milestone checklists as tools for tracking a child’s development. However, there are multiple published milestone checklists that vary in their structure and content. Our team systematically evaluated the consistency and variability between four commonly used milestone checklists. We found that there was limited overlap in the content across these four checklists. In addition, the milestones shared across checklists were inconsistent in their estimated ages of when milestones should occur. Our findings highlight the need for objectively defined and accurately normed developmental milestones. Read the article.
Creator: Elizabeth Sinclair, MD
Duration: 2:23
Shared reading practices and early literacy promotion in the first year of life. A summary of our publication detailing reading habits of families with infants during the first year of life. Read the article.
Creator: Jon Izaguirre, Xavier Vall, Dolores Miguel-Ruiz, Jose A. Alda, and Anna Huguet
Duration: 2:37
72 children aged 7-12 years with ADHD were randomized in two groups (mindfulness and control) with the aim to investigate efficacy of a structured mindfulness group intervention program targeting ADHD core symptoms and difficulties in emotion regulation. This study provides evidence supporting mindfulness as a useful intervention modality for the treatment of ADHD. Read the article.
Creator: Bill Hamilton
Duration: 3:15
Shared reading with young children is associated with improved language, literacy, and social-emotional outcomes. Shared reading is also believed to enhance parent-child relationships but the extent to which it reduces harsh parenting, an important aspect of the parent-child relationship, is understudied. In this study, we investigated associations between early shared reading and subsequent harsh parenting. We found that early shared reading was consistently associated with less harsh parenting later in the child’s life and that this association partially operated through enhanced child behaviors. Read the article.
Creator: Dr. Michal Vinker Shuster
Duration: 3:30
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Creator: U.S. Centers for Disease Control and Prevention (CDC)
Duration: 5:52
Together with colleagues at the Brazilian Ministry of Health, the U.S. Centers for Disease Control and Prevention (CDC) conducted the Zika Outcomes and Development in Infants and Children, or ZODIAC, investigation following up with children conceived during the 2015-2016 Zika virus outbreak in Brazil, as well as their primary caregivers. The investigation was designed to document the health and development of children with evidence of congenital Zika virus infection as they approached toddlerhood and the impact on their families. Some children exposed to Zika before birth may have complex health and developmental challenges requiring specialized care throughout their lives. Read the article.

Read the video transcript.
Creator: U.S. Centers for Disease Control and Prevention (CDC)
Duration: 5:28
Researchers conducted a multi-site, randomized controlled trial to examine the impact of the Legacy for Children program on child health and development. Results revealed Legacy has a positive impact on child emotional and behavioral outcomes, child IQ, and mother-child interactions. Read the article.
Creator: Richard Watson, UNMC Public Relations
Duration: 4:53
Behavioral health issues routinely present during primary care visits. To address this, behavioral health providers have been integrating into primary care to improve access to care. This study provides preliminary evidence that offering behavioral health services in pediatric primary care settings results in youth accessing services sooner when symptoms are less severe. While disruptive behavior disorders were the most frequent presenting problem, youth with anxiety disorders were more likely to access services when receiving services within their pediatrician’s office. Read the article.
Creator: Ami Bax
Duration: 6:46
This study's purpose was to investigate the association between Race/Ethnicity, Socioeconomic, and other Demographic factors and ADHD Diagnosis and Treatment in children. Children who were white, had public insurance (i.e. Medicaid), were male, and raised by single parents appear to have increased access to ADHD diagnostic or medication services. ADHD prevalence was lower among Hispanic children but did not vary among other racial groups. New findings included boys and children raised in single-parent households potentially having higher rates of false positive diagnoses, which warrants further exploration. Read the article.
Creator: Jenny Radesky
Duration: 3:53
Dr. Jenny Radesky and Marisa Meyer discuss their article, Advertising in Children's Apps: A Content Analysis, with sample screen shots illustrating their findings. Read the article.
Creator: Chloe Beacham
Duration: 5:34
First-author Chloe Beacham discusses findings from the article “Screening for Autism Spectrum Disorder: Profiles of Children Who Are Missed”. Screening measures such as the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) and the Ages and Stages Questionnaire, 3rd Edition (ASQ-3) are parent-report questionnaires that target autism symptomatology and broad developmental delays respectively. This study sought to examine the profiles of children with autism spectrum disorder who are missed by these commonly used screening measures and also to build upon the current literature on the benefits of a combined screening approach. Read the article.
Creator: Helen Koechlin, Carolina Donado, Joe Kossowsky
Duration: 5:16
In our article, we examined data collected by the National Institute of Child Health and Development for the Study of Early Child Care and Youth Development. This longitudinal cohort followed more than 1,000 children and their families from the child’s birth until the age of 15. Our findings highlight the importance of the context within which a child grows up: not only the family context and the mental health of parents, but also the peer context and friendships are important influences that help decide whether a child develops adjustment problems or not in the face of stressful life events. Read the article.
Creator: Catherine A. Taylor and Ken Tyrolf
Duration: 5:12
Pediatricians are one of the most credible professional sources of advice for parents concerning how best to discipline their children. There is now an overwhelming body of scientific evidence that hitting children, even for disciplinary purposes (i.e., spanking or corporal punishment), leads to increased risk of harm to children’s overall health. This study shows that most U.S. pediatricians are aware of this evidence and do not support hitting children for discipline. Pediatricians can play a crucial role in shifting this long-standing, widely held social norm in the U.S. by sharing their views and pointing parents toward alternative forms of discipline. Read the article.
Creator: C. Thomas Lewis, IUPUI School of Informatics and Computing
Duration: 4:34
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Creator: Dr. Annis Fung, Mr. Toney Lee
Duration: 9:14
Researchers from City University of Hong Kong examined the effectiveness of Chinese martial arts in reducing reactive and proactive aggression among schoolchildren with a longitudinal, placebo-controlled design. The intervention was developed based on the social-information processing model. 298 out of 3,511 schoolchildren were randomly assigned to one of four training conditions (Skills-and-Philosophy condition, Skills-only condition, Philosophy-only condition, Physical Fitness condition). Only the combined Skills-and-Philosophy condition showed a significant reduction in self-ratings of reactive and proactive aggression, delinquent behavior, anxious/depressed problems, and attention problems at post-test and/or 6-month follow-up. This provides important information for helping professionals to design non-labelling and effective intervention for high-risk schoolchildren to reduce reactive and proactive aggression. Read the article.
Creator: Cincinnati Children’s Hospital Medical Center
Duration: 4:12
Lead author, Julia Anixt, MD presents findings from a research study evaluating the types of challenging behaviors parents of children with autism spectrum disorder (ASD) prioritize for treatment during Developmental Behavioral Pediatric (DBP) clinic visits. This study explores how much shared decision making (SDM) occurs during “usual care” DBP clinic visits, how often parent priorities are addressed in the treatment plan, and how often parents feel uncertain about the decision of whether to use medication to treat their children’s challenging behaviors. Read the article.
Creator: Veni Kandasamy; Krysten Carrera (HRSA's Maternal and Child Health Bureau); Milton Thomas (HRSA's Office of the Administrator)
Duration: 2:34
This is a video abstract for the Parental Perception of Flourishing in School-Aged Children: 2011-2012 National Survey of Children's Health manuscript. We discuss what flourishing in children is and its importance. We also discuss our data source, HRSA's National Survey of Children's Health. Our study findings that approximately half of school-aged children were found to be flourishing and that differences by sociodemographic factors in the likelihood of flourishing were reduced with the inclusion of environmental factors are also described. We close with next steps and areas for further study in flourishing. Read the article.
Creator: Jenny Radesky
Duration: 3:16
Jenny Radesky discusses new research on parent mobile device use and parent-child relationships. Her study used the Working Model of the Child Interview (WMCI) to assess maternal mental representations of her child's emotions and experiences, and studied associations with how frequently mothers spontaneously used their mobile devices during videotaped parent-child eating encounters. Read the article.
Creator: Seattle Children’s Research Institute
Duration: 6:36
Lead author, Jennifer Gerdts, PhD, discusses the rationale for developing a streamlined and efficient interdisciplinary diagnostic evaluation for autism spectrum disorder (ASD) at Seattle Children’s Autism Center (SCAC). Dr. Gerdts compares diagnostic outcomes, follow-up care rates, provider satisfaction, billed time, and reimbursement amounts in interdisciplinary teams to those of more traditional psychology-led and physician-led models. She also suggests benefits of this diagnostic approach for families of children with ASD. Click here to read the article.
Creator: University of Maryland
Duration: 3:17
During toddlerhood, children establish regular sleep patterns, with night awakenings followed by returning to sleep without parental intervention. However, some toddlers experience frequent night awakenings and may require parental intervention to return to sleep. Co-sleeping, meaning sharing the same bed or same room, occurs among many families with toddlers. We found that when parents perceive that their toddler has a sleep problem and they co-sleep, mothers lose almost one hour of sleep and report increased symptoms of stress, depression, and anxiety. Practitioners might consider alternatives to co-sleeping when discussing sleep arrangements with parents.Read the article
Creator: Megan Narad, Jessica King
Duration:
We report on the rate need for academic services and academic service utilization among a cohort of children who sustained a traumatic brain injury (TBI) between the ages of 3 and 7 years old, as they transitioned to middle school, approximately 6.8 years after injury. Findings show the need for services among students with a history TBI remains high even years after injury. Rates of unmet need were high across all injury groups (46.2%-63.6%), underscoring the importance of continued monitoring of students with a history of TBI, especially children with less severe injuries who are at risk for being underserved. Read the article
Creator: U.S. Centers for Disease Control and Prevention (CDC)
Duration: 5:51
Attention Deficit Hyperactivity Disorder (ADHD) U.S. Centers for Disease Control and Prevention (CDC). Clinical guidelines provide recommendations for diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD), with specific guidance on caring for children younger than 6 years. This exploratory study describes ADHD diagnosis and treatment patterns among young children in the U.S. using two nationally representative parent surveys. Click here to read the article.
Creator: Dori Jenks
Duration: 4:33
In this video abstract, the lead author for the study describes the importance of examining the association between television viewing and parent-child shared book reading, given the implications that each of these activities has on children’s developmental outcomes. The results of the study are presented along with recommendations for policy makers and health care providers on how to communicate with parents regarding structuring screen time and shared book reading in the home. The video concludes with a challenge posed to the audience to reflect on their own experiences with these two activities. Click here to read the article.
Creator: Mater Research
Duration: 4:47
The Queensland Flood Study (QF2011) took advantage of a severe flood in Queensland, Australia to investigate the effects of disaster-related prenatal maternal stress on temperament characteristics at 6-months-old. Results showed that mothers’ subjective stress reactions and cognitive appraisal of the disaster while pregnant were associated with easier aspects of temperament in their infants. However, with higher levels of hardship in pregnancy, boys (but not girls) were rated as more irritable. Higher levels of hardship in early pregnancy also predicted more arrhythmic behavior. Finally, mothers whose emotional response to the flood exceeded the hardship they endured reported more active-reactive infants. Click here to read the article.
Creator: Bill Hamilton- Rutgers Robert Wood Johnson Medical School
Duration: 2:42
This video provides a brief summary of the study "Access to Developmental Pediatrics Evaluations for At-risk Children ". Using a "mystery shopper" approach Dr. Jimenez and colleagues identified a national wait time estimate for developmental pediatrics appointments and compared experience and wait times when calls were made in English versus Spanish. Click here to read the article.
Creator: Dr. Marisa Toomey
Duration: 3:54
The peer interactions of children with Autism Spectrum Disorder (ASD) are of particular interest to many physicians and researchers who work with children who have ASD. The PROMIS Pediatric Parent-Proxy Peer Relationships Measure was validated in a general pediatric population, but it had not been previously studied in children with ASD. Clinicians from The Children's Hospital of Philadelphia, Boston Children's Hospital, and The Children's Hospital at Montefiore collaborated to evaluate the existing PROMIS Peer Relationships Measure in a population of children with ASD. In this video, Dr. Marisa Toomey highlights the potential significance of the study. Click here to read the article.
Creator: University of Michigan Health System
Duration: 5:08
Dr. Jenny Radesky discusses her qualitative interviews with parents of young children about their mobile device use habits, highlighting the 3 main tensions parents expressed. These included: 1) cognitive tensions, feeling “information overload” and difficulties multitasking between tech and children; 2) emotional tensions, including the feeling that the sometimes “intrusive” nature of mobile media makes it more stress-inducing, but also that they seek it as a way self-regulate when stressed with parenting; 3) dyadic tensions, described as discomfort with how mobile device use during family routines seemed to interrupt moments of connection, but also could act as a peacekeeper.Click here to read the article.
Creator: Piyush Borse, TRIP Lab
Duration: 3:18
Motor vehicle collisions (MVCs) are one of the leading causes of injury and death for adolescents. Driving is a complex activity that is highly reliant on executive function to safely navigate the environment. This study was among the first to utilize the Behavior Rating Inventory of Executive Function (BRIEF) as a potential predictor of problematic adolescent driving outcomes. Self-reported difficulties with planning and organization were associated with greater odds of having a MVC whereas inhibition difficulties were associated with greater odds of receiving a ticket. The BRIEF could offer unique and quick insight into problematic driving behavior during clinical evaluations. Click here to read the article.
Creator: Nanette Gartrell, MD and Dee Mosbacher MD PhD
Duration: 4:01
Using the 2011-2012 National Survey of Children’s Health dataset, we compared spouse/partner relationships and parent-child relationships (family relationships), parenting stress, and children’s general health, emotional difficulties, coping behavior, and learning behavior (child outcomes) in households of same-sex (female) versus different-sex continuously coupled parents with biological offspring. We assessed whether associations among family relationships, parenting stress, and child outcomes were different in the two household types. We found that children with female same-sex parents and different-sex parents demonstrated no differences in outcomes, despite female same-sex parents reporting more parenting stress. Click here to read the article.