Day 1 :
University of New Brunswick, Canada
Time : 10:15-10:45
Dr. MacDonald completed a Master’s degree in Nursing at the University of Toronto, Canada and a PhD at the University of Manchester in the UK. Currently she is a Professor in the Faculty of Nursing at the University of New Brunswick (Canada). Dr. MacDonald’s doctoral work examined respite for parents who were caring for children who required complex care. This paper comes from that work. Dr. MacDonald has three children of her own.
Current literature states that advances in nursing and medical care and developments in pharmaceutical and health technologies, have led to an increasing number of severely disabled children who require complex health care. These children who require complex care are being cared for in their homes by their parents. The purpose of this study was to better understand parents’ caregiving experiences and to explore the values, beliefs, and practices that influence parents’ use and satisfaction with respite services.rnAn ethnographic study involving 19 mothers, 4 fathers, and 4 grandmothers and 3 grandfathers of children between the ages of 8 and 16 years of age who required complex care and their respite providers, including 13 nurses, and 4 social workers from 3 counties in Northwest England was conducted. Data were collected through in-depth interviews, participant observation and document review.rnThe context of caring for a child with complex care needs was described and four broad themes were identified in the data. These themes include: parents caring, caring and the impact on parental identity, the nature of respite, and fair play. These themes will be discussed in the presentation.rn
University of Minnesota, USA
Keynote: Parents’ Health Literacy and its Link to Children’s Health and Mental Health Service Utilization and Outcomes in Asian American Immigrants: A Finding from Population-Based Survey
Time : 10:45-11:15
Hee Yun Lee is a Professor and Director of Research at the University of Minnesota, Twin Cities, in USA. Her major research areas include cancer health disparity and health literacy among immigrant and refugee populations. She is currently conducting several RCT trials to improve cancer screening behavior and health literacy funded by the National Cancer Institute, Susan Komen for the Cure Foundation, and Department of Defense. She has published more than 47 papers in reputed medical/public health journals and has been serving as an editorial board member and currently serving as an Associate Editor for a high impact journal.
Health literacy is an important barrier to health service utilization and outcomes due to its impact on an individual’s ability to communicate with a service provider and ability to understand and follow health instructions. Most of the research thus far has examined its impact on physical health service utilization or outcomes, with findings generally supporting a link between parental health literacy and child physical health service utilization and outcomes. However, very little research has been done looking at the impact of parental health literacy levels on child mental health service utilization or outcomes. Due to the service gap that exists between children in need of services and those who receive services, it is important that we understand the barriers that may prevent children from receiving the mental health services they need. The present study used data from the 2007 California Health Interview Survey, with 9,399 parents included in the final sample. Multiple regression analyses were conducted to examine the impact of parental health literacy on both child mental health service utilization and mental health outcomes. The results did not support a link between parental health literacy and service utilization for children or teens, but did support a link with child mental health outcomes for Asian and African American children, but not teens. These results suggest that not only should the impact of health literacy be looked at within rather than across groups, but also that while health literacy may not be barrier to utilization of services it may impact experience and outcome of services. rn
University of Akita, Japan
Keynote: Assessment of nocturnal sleep architecture by actigraphy and one-channel electroencephalography in early infancy
Time : 11:30-12:00
Hideya Kodama graduated from Akita university of Medicine in 1982, and promoted to a professor of the department of maternity child nursing at Akita university graduate school of medicine and faculty of medicine in 2000. Since them, he have studied about a human circadian rhyme, including a sleep-wake cycle, a melatonin rhythm, regulation of autonomic nervous system and a body thermal rhythm, with nurses who entered his postdoctoral course. Now, he manages several research projects of the doctorial course regarding this issue, and his research subjects include early infants, pregnant women, puerperant and adolescent girls.
Objective: To elucidate characteristic sleep architecture of different nocturnal sleep patterns in early infancy. Methods: Participants were 27 infants at the same conceptional age of 3-4 months. Nocturnal sleep of these infants was monitored at home by simultaneously using actigraphy and a one-channel portable EEG device. According to the infants' activity for 6 hours from sleep onset, each night's sleep pattern was classified into three categories: sleeping through the night (STN), sleeping with weak signals (crying/fuss episodes <10 minutes or fed), and sleeping with strong signals (crying/fuss episodes≧10 minutes). Associations of sleep patterns with sleep variables (percentage of time in sleep stages, pattern of slow-wave sleep (SWS) recurrence, etc.) were investigated. Results： Analysis was conducted in 95 nights. STN pattern (n=36) was characterized by suppressed body movements while EEG represented a state of wakefulness. Weak signal pattern (n=27) tended to indicate rich and regular distributions of SWS across the night. Strong signal pattern (n=32) was characterized by reduced sleep time, although the amount of SWS was not reduced to that degree. Exclusively breastfed infants accounted for 78% of weak signal patterns, whereas formula-feeding infants, 67% of STN patterns. In several nights with STN or strong signal pattern, SWS did not occur in >50% of the sleep cycles. Multiple regression analysis showed that exclusive breastfeeding may increase the proportion of SWS in non-REM sleep. Conclusions: Each nocturnal sleep pattern was associated with some sleep architecture, part of which would be attributed to infant's feeding methods.