Dataset Information

Young Children's Housework Participation in Taiwan: Serial Multiple Mediations.

ABSTRACT: The purpose of this study was to investigate not only the participating in housework but also the parents' attitude and child's preference, in relation to children's health and housework participation in Taiwan. We collected data from the Young Children's Housework Participation Questionnaire on "Google forms". A total of 755 parents with preschool children living in Keelung City, Taipei City, and New Taipei City participated through the snowball method. The results showed that children's health not only directly affected their housework performance but also indirectly influenced their housework participation through the serial multiple mediation of parents' attitude and the child's housework preference. Therefore, this study confirms that, when analyzing the factors of children's housework participation, it is necessary to have a clearer understanding of the relationship between variables to further construct a more complete model framework that affects children's housework participation. Additionally, it is very important for parenting education to improve parents' attitude towards the importance of children's housework and encourage children's preference for housework.

SUBMITTER: Lee CF

PROVIDER: S-EPMC9739837 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Publications

Young Children's Housework Participation in Taiwan: Serial Multiple Mediations.

Lee Ching-Fen CF Tang Shain-May SM

International journal of environmental research and public health 20221122 23

The purpose of this study was to investigate not only the participating in housework but also the parents' attitude and child's preference, in relation to children's health and housework participation in Taiwan. We collected data from the Young Children's Housework Participation Questionnaire on "Google forms". A total of 755 parents with preschool children living in Keelung City, Taipei City, and New Taipei City participated through the snowball method. The results showed that children's health ...[more]

PMID: 36497521

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Project description:BackgroundYoung children with developmental disabilities and delays spend significant amounts of time at home, show decreased participation in home-based activities, and receive home-based early intervention services to improve participation in activities. Yet, knowledge about the relationship between EI service use and children's home participation in activities remains poorly understood but needed for program improvement. The purpose of this study was to understand the relationships between EI service use and children's home participation.MethodsIn a cross-sectional design, data were gathered from caregivers (N = 139) who enrolled in a pilot trial of the Young Children's Participation in Environment Measure (YC-PEM) electronic patient-reported outcome (e-PRO), as implemented within 1 month of their child's next EI progress evaluation. A series of path analytic models were used to estimate EI service intensity as a predictor of parent-reported young children's home participation 1) frequency, 2) level of involvement, and 3) desired change, adjusting for family and child social and functional characteristics. Models included caregiver perceptions of home environmental support to test its indirect (i.e., mediation) effects on the relationship between EI service intensity and each of the three home participation dimensions.ResultsAll three models fit the data well (comparative fit index = 1.00). EI service intensity was not a significant predictor of participation frequency. However, EI service intensity had a significant direct effect on a child's participation according to level of involvement and desired change, explaining between 13.3-33.5% of the variance in home participation. Caregiver perceptions of environmental support had a small yet significant indirect effect on the relationship between EI service intensity and level of involvement and desired change; these models explained between 18.5-38.1% of the variance in home participation.ConclusionsEI service intensity has important links with involvement in and desired change for home-based activities. Caregiver perceptions of environmental support appears to be a factor in the relationship between EI service intensity and home participation. Results warrant longitudinal replication with a control group, which would be possible with the implementation of the YC-PEM e-PRO in a routine EI clinical workflow.Trial retrospectively registeredNCT03904797 .

Project description:BackgroundPractitioner and family experiences of pediatric re/habilitation can be inequitable. The Young Children's Participation and Environment Measure (YC-PEM) is an evidence-based and promising electronic patient-reported outcome measure that was designed with and for caregivers for research and practice. This study examined historically minoritized caregivers' responses to revised YC-PEM content modifications and their perspectives on core intelligent virtual agent functionality needed to improve its reach for equitable service design.MethodsCaregivers were recruited during a routine early intervention (EI) service visit and met five inclusion criteria: (1) were 18 + years old; (2) identified as the parent or legal guardian of a child 0-3 years old enrolled in EI services for 3 + months; (3) read, wrote, and spoke English; (4) had Internet and telephone access; and (5) identified as a parent or legal guardian of a Black, non-Hispanic child or as publicly insured. Three rounds of semi-structured cognitive interviews (55-90 min each) used videoconferencing to gather caregiver feedback on their responses to select content modifications while completing YC-PEM, and their ideas for core intelligent virtual agent functionality. Interviews were transcribed verbatim, cross-checked for accuracy, and deductively and inductively content analyzed by multiple staff in three rounds.ResultsEight Black, non-Hispanic caregivers from a single urban EI catchment and with diverse income levels (Mdn = $15,001-20,000) were enrolled, with children (M = 21.2 months, SD = 7.73) enrolled in EI. Caregivers proposed three ways to improve comprehension (clarify item wording, remove or simplify terms, add item examples). Environmental item edits prompted caregivers to share how they relate and respond to experiences with interpersonal and institutional discrimination impacting participation. Caregivers characterized three core functions of a virtual agent to strengthen YC-PEM navigation (read question aloud, visual and verbal prompts, more examples and/or definitions).ConclusionsResults indicate four ways that YC-PEM content will be modified to strengthen how providers screen for unmet participation needs and determinants to design pediatric re/habilitation services that are responsive to family priorities. Results also motivate the need for user-centered design of an intelligent virtual agent to strengthen user navigation, prior to undertaking a community-based pragmatic trial of its implementation for equitable practice.

Dataset Information

Young Children's Housework Participation in Taiwan: Serial Multiple Mediations.

Publications

Young Children's Housework Participation in Taiwan: Serial Multiple Mediations.

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