578 results on '"Richart‐Martínez, Miguel"'
Search Results
2. Psychometric properties of the toddler feeding style questionnaire in fathers and its gender invariance
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Lozano-Casanova, Mar, Escribano, Silvia, Oliver-Roig, Antonio, Richart-Martinez, Miguel, and Sospedra, Isabel
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- 2024
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- View/download PDF
3. Factor structure and validity of the Parental Competence Questionnaire in the Paediatric Hospital Emergency Setting (ECP-U)
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Montoro-Pérez, Néstor, Montejano-Lozoya, Raimunda, Escribano, Silvia, Juliá-Sanchis, Rocio, Oliver-Roig, Antonio, and Richart-Martínez, Miguel
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- 2023
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4. Development and validation of a parental competence questionnaire in the paediatric hospital emergency setting (ECP-U)
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Montoro-Pérez, Néstor, Montejano-Lozoya, Raimunda, Escribano, Silvia, Oliver-Roig, Antonio, Juliá-Sanchis, Rocio, and Richart-Martínez, Miguel
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- 2023
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5. Factors associated with frequent users in hospital paediatric emergency departments: A single centre study in Spain
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Montoro-Pérez, Néstor, Montejano-Lozoya, Raimunda, Escribano, Silvia, and Richart-Martínez, Miguel
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- 2023
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6. Factors associated with the inappropriate use of the pediatric emergency department. A systematic review
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Montoro-Pérez, Néstor, Richart-Martínez, Miguel, and Montejano-Lozoya, Raimunda
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- 2023
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7. Predicting exclusive breastfeeding in maternity wards using machine learning techniques
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Oliver-Roig, Antonio, Rico-Juan, Juan Ramón, Richart-Martínez, Miguel, and Cabrero-García, Julio
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- 2022
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8. Addressing antimicrobial resistance: The potential role of parental health literacy and intensive parenting attitudes in antibiotic use.
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Montoro-Pérez, Néstor, Castro-Sánchez, Enrique, Escribano, Silvia, Richart-Martínez, Miguel, and Montejano-Lozoya, Raimunda
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- 2024
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9. Adaptation and validation of the Spanish version of the Being a Mother scale.
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Riera-Martín, Anna, Oliver-Roig, Antonio, Cormenzana, Susana, Richart-Martínez, Miguel, and Martínez-Pampliega, Ana
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FACTOR analysis ,POSTPARTUM depression ,SPANISH language ,PSYCHOMETRICS ,TEST validity - Abstract
Background: Becoming a mother is a very important process because of the impact it can have on women and their families. Currently, there is no validated questionnaire that evaluates the process of becoming a mother in the Spanish population. Moreover, no consistent results have been obtained to identify significant differences between primiparous and multiparous mothers. Aim: (1) Linguistic and metric validation of the Being a Mother scale (BaM-13) in the Spanish population, (2) analysis of possible differences between primiparous and multiparous mothers' experience of motherhood. Methods: Instrumental design. In 2016–2017, a sample of 579 mothers with children between 6 and 11 months of age completed the Spanish version of BaM-13. The instrument was translated using forward and back translation. Construct validity, internal consistency, and criterion validity were empirically analyzed. Results: Factorial analyses showed that the scale presented two adequate factors. Internal consistency of the global scale (α = 0.818, ω = 0.861), the Postnatal bonding factor (α = 0.773, ω = 0.784), and the Adult's experience factor (α = 0.710, ω = 0.721) was adequate. Significant associations were found with postpartum depression (r = 0.560), parental competence (r = − 0.584) and postnatal bonding (r = − 0.327). In terms of parity, primiparous mothers have greater difficulty in postnatal bonding, compared to multiparous mothers (p = 0.006). Conclusions: The Spanish version of the BaM-13 scale is valid for measuring mothers' experience of motherhood in a wide range of domains. The findings of the study show the importance of considering parity in the experience of becoming a mother, highlighting the approach to postnatal bonding in primiparous mothers. Additionally, we underline that it should not be assumed that multiparous mothers experience fewer difficulties in their motherhood process. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Factors associated with non-urgent presentations in the paediatric emergency department using Andersen's behavioural model: A cross-sectional descriptive study
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Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Escribano, Silvia, Richart-Martínez, Miguel, Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Escribano, Silvia, and Richart-Martínez, Miguel
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Objectives: To explore the rate of NUPs and associated factors in the PED of the ‘Hospital Universitario y Politécnico La Fe’ in Valencia (Spain) using Andersen's Behavioural Model. Methods: We conducted a descriptive cross-sectional study using Andersen's Behavioural Model in parents visiting the PED with their children at the ‘Hospital Universitario y Politécnico La Fe’ in Valencia (Spain). Results: The study involved a total of 530 participants, of whom 419 (79%) had made an NUP. The predisposing factors identified were: (I) paediatric patients brought in by their fathers (OR = 0.460; p= 0.005), (II) lower educational attainment (OR = 3.841; p= 0.000), (III) first-time parenthood (OR = 2.335; p= 0.000) and (IV) higher parental stress (OR = 1.974; p= 0.023). The enabling factors included: (I) responsibility for a significant part of the childcare shared with others (OR = 0.348; p= 0.041) and (II) the perception that PEDs provide better care than primary care (PC) services (OR = 1.628; p= 0.005). The need factors were: (I) existing chronic illness in the child seeking care (OR = 0.343; p= 0.000) and (II) the perceived severity of the urgency (OR = 0.440; p= 0.031). Conclusions: The NUP rates found in this study are similar to those found interna tionally. In accordance with Andersen's Behavioural Model, we identify predisposing, enabling and need factors to explain the multifactorial nature of NUPs in PEDs. Implications for Practice: Identifying the factors associated with NUPs enables interven tions to be targeted at those groups most likely to engage in NUPs, thereby optimising the functioning of the PED and improving the well-being of children and families. These interventions should focus on improving parental health literacy, providing education on making appropriate decisions about accessing health services and recognising severe symptoms in children, as well as improving access to high-quality PC services. Providing support to parents during the transition t
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- 2024
11. The combined effect of family environment and parents' characteristics on the use of food to soothe children
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Universidad de Alicante. Departamento de Enfermería, Lozano-Casanova, Mar, Sospedra, Isabel, Oliver-Roig, Antonio, Richart-Martínez, Miguel, Gutiérrez-Hervás, Ana, Universidad de Alicante. Departamento de Enfermería, Lozano-Casanova, Mar, Sospedra, Isabel, Oliver-Roig, Antonio, Richart-Martínez, Miguel, and Gutiérrez-Hervás, Ana
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Parental feeding practices, such as the use of food to soothe, can be shaped by various factors, including the family environment and parents' psychological characteristics and capacities. To our knowledge, the combined effect of these factors has not been studied. Furthermore, parental feeding practices have mainly been studied in women, resulting in a gender gap in the research. This study aims to investigate the combined effect of family environment and parental characteristics on the likelihood of using food to soothe children, taking the gender of both parents into account. This cross-sectional study included a sample of 846 parents (36.3% men) of 1-year-old children from different regions of Spain. Participants completed an online survey that included questionnaires to measure whether parents used food to soothe children, the family environment, parents' characteristics, and their psychological capacities. Binary logistic regression analyses were performed to identify associations between the variables. The final model showed that, within the family environment, higher levels of dyadic adjustment between couples (OR = 0.965; p = .026) were associated with a reduced likelihood of using food to soothe children, whereas the psychological characteristic of parental fatigue (OR = 1.053; p = .007) appeared to be associated with an increased likelihood. Also associated with an increased likelihood of this practice were higher parental sense of competence (OR = 1.028; p = .029) and the attention dimension of emotional intelligence (OR = 1.043; p = .007). Our study suggests that using food to soothe children may be influenced by factors at different levels, from the quality and adjustment of the couple's relationship to parental fatigue, self-competence, and emotional intelligence. For future research, it may be worthwhile contextualizing parental practices to gain a better understanding of children's behavior.
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- 2024
12. Satisfaction with life and its predictive factors in a cohort of fathers 24-months postpartum
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Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Psicología de la Salud, Cabañero-Martínez, María José, Oliver-Roig, Antonio, Richart-Martínez, Miguel, Escribano, Silvia, Fernández-Alcántara, Manuel, Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Psicología de la Salud, Cabañero-Martínez, María José, Oliver-Roig, Antonio, Richart-Martínez, Miguel, Escribano, Silvia, and Fernández-Alcántara, Manuel
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Satisfaction with life is considered an essential indicator of quality of life and has implications not only for parents but also for the general health of society. It is relevant to know the factors that could explain differences in parents’ satisfaction with life. The objectives of this study were to analyse the degree of satisfaction with life of a cohort of fathers 13–24 months after the birth of their child and to analyse the predictive capacity of sociodemographic, physical, psychological, and social factors on their long-term life satisfaction. This was a longitudinal study with follow-up at 6–12 months and at 13–24 months (n = 152 fathers). The Fatigue Assessment Scale, Athens Insomnia Scale, Parental Stress Scale and short version of the Dyadic Adjustment Scale were completed online at 6–12 months. Finally, Satisfaction with Life Scale was assessed between 13 and 24 months after birth. The mean score of life satisfaction of the participants 13–24 months after the birth of their child was 18.72 (SD = 3.71) and was negatively correlated with fatigue, insomnia, and stress (p < 0.01), and positively correlated with dyadic adjustment (p < 0.01). The final hierarchical regression model showed that educational levels and insomnia were the main predictive variables for life satisfaction during the second-year postpartum. This work has important implications for clinical practice because it allows health professionals to understand the factors influencing satisfaction with life and health among fathers and to plan more effective antenatal and postnatal care.
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- 2024
13. Demand and stigma in paediatric emergency care: Interventions and potential solutions
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Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Richart-Martínez, Miguel, Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, and Richart-Martínez, Miguel
- Abstract
Over the past decade, we have seen a steady increase in the demand for care in paediatric emergency departments (PED). Internationally, the annual increase is estimated at around 3–6% [1], which equates to approximately 23 million users seeking care across different emergency departments [2]. As a result of this growing demand, emergency healthcare systems around the world are facing significant challenges. In the context of this contemporary issue, our main objectives are: 1) to provide a comprehensive analysis of the underlying causes of this increase in demand for care and the stigmatisation of PED users, and 2) to identify interventions and potential solutions to tackle this complex issue.
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- 2024
14. Factors associated with non‐urgent presentations in the paediatric emergency department using Andersen's behavioural model: A cross‐sectional descriptive study.
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Montoro‐Pérez, Néstor, Montejano‐Lozoya, Raimunda, Escribano, Silvia, and Richart‐Martínez, Miguel
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HEALTH services accessibility ,CROSS-sectional method ,PREDICTION models ,ACADEMIC medical centers ,PSYCHOLOGICAL distress ,STATISTICAL sampling ,QUESTIONNAIRES ,FISHER exact test ,LOGISTIC regression analysis ,RESPONSIBILITY ,HOSPITAL emergency services ,DESCRIPTIVE statistics ,CHI-squared test ,MANN Whitney U Test ,PARENTHOOD ,PEDIATRICS ,ODDS ratio ,RESEARCH methodology ,CONCEPTUAL structures ,STATISTICS ,DATA analysis software ,CONFIDENCE intervals ,SOCIODEMOGRAPHIC factors ,NONPARAMETRIC statistics ,EDUCATIONAL attainment - Abstract
Objectives: To explore the rate of NUPs and associated factors in the PED of the 'Hospital Universitario y Politécnico La Fe' in Valencia (Spain) using Andersen's Behavioural Model. Methods: We conducted a descriptive cross‐sectional study using Andersen's Behavioural Model in parents visiting the PED with their children at the 'Hospital Universitario y Politécnico La Fe' in Valencia (Spain). Results: The study involved a total of 530 participants, of whom 419 (79%) had made an NUP. The predisposing factors identified were: (I) paediatric patients brought in by their fathers (OR = 0.460; p = 0.005), (II) lower educational attainment (OR = 3.841; p = 0.000), (III) first‐time parenthood (OR = 2.335; p = 0.000) and (IV) higher parental stress (OR = 1.974; p = 0.023). The enabling factors included: (I) responsibility for a significant part of the childcare shared with others (OR = 0.348; p = 0.041) and (II) the perception that PEDs provide better care than primary care (PC) services (OR = 1.628; p = 0.005). The need factors were: (I) existing chronic illness in the child seeking care (OR = 0.343; p = 0.000) and (II) the perceived severity of the urgency (OR = 0.440; p = 0.031). Conclusions: The NUP rates found in this study are similar to those found internationally. In accordance with Andersen's Behavioural Model, we identify predisposing, enabling and need factors to explain the multifactorial nature of NUPs in PEDs. Implications for Practice: Identifying the factors associated with NUPs enables interventions to be targeted at those groups most likely to engage in NUPs, thereby optimising the functioning of the PED and improving the well‐being of children and families. These interventions should focus on improving parental health literacy, providing education on making appropriate decisions about accessing health services and recognising severe symptoms in children, as well as improving access to high‐quality PC services. Providing support to parents during the transition to parenthood would also be beneficial. Reporting Method: This paper adheres to the STROBE initiative guidelines. Contribution from patients or members of the public: Participants, who voluntarily agreed to take part, contributed to the study by completing a paper‐based questionnaire containing all the study variables as prepared by the research team. [ABSTRACT FROM AUTHOR]
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- 2024
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15. The impact of volunteering in mental health settings on nursing students' attitudes
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Juliá-Sanchis, Rocío, Sanjuan-Quiles, Ángela, Richart-Martínez, Miguel, and Cabrero-García, Julio
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- 2020
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16. Factors Related to the Intra-Partner Postnatal Sense of Security in a Spanish Sample
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Escribano, Silvia, Oliver-Roig, Antonio, Cano-Climent, Antoni, Richart-Martínez, Miguel, and Juliá-Sanchis, Rocio
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- 2020
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17. Psychometric properties of the Maternal Breastfeeding Evaluation Scale: confirmatory factor analysis
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Escribano, Silvia, primary, Herrero-Oliver, Raquel, additional, Oliver-Roig, Antonio, additional, and Richart-Martínez, Miguel, additional
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- 2024
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18. Measuring the levels of burnout syndrome and empathy of Spanish emergency medical service professionals
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Juliá-Sanchis, Rocío, Richart-Martínez, Miguel, García-Aracil, Noelia, José-Alcaide, Lourdes, Piquer-Donat, Tamara, and Castejón-de-la-Encina, Mª Elena
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- 2019
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19. Validity and Reliability of the Spanish Version of the Pregnancy-Related Thoughts Scale
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Oliva-Pérez, José, Cabrero-García, Julio, Cabañero-Martínez, María José, Richart-Martínez, Miguel, and Oliver-Roig, Antonio
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- 2019
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20. Development and Validation of a New Questionnaire Assessing Feeding Styles in Toddlers: Toddler Feeding Style Questionnaire (TFSQ)
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Avecilla-Benítez, María Angeles, Sospedra, Isabel, Cano-Climent, Antonio, Richart-Martínez, Miguel, and Oliver-Roig, Antonio
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- 2019
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21. Psychometric properties of parental stress scales used in paediatric health care settings: A systematic review1
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Montoro‐Pérez, Néstor, primary, Oliver‐Roig, Antonio, additional, Montejano‐Lozoya, Raimunda, additional, and Richart‐Martínez, Miguel, additional
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- 2023
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22. Parental feeding styles: how parents' classifications change using variable or person-centered approaches
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Lozano-Casanova, Mar, Sospedra, Isabel, Oliver-Roig, Antonio, Richart-Martinez, Miguel, and Escribano, Silvia
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- 2024
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23. Evaluación del equilibrio alimentario de los menús escolares de la Comunidad Valenciana (España) mediante un cuestionario
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Llorens-Ivorra, Cristóbal, Arroyo-Bañuls, Ilona, Quiles-Izquierdo, Joan, and Richart-Martínez, Miguel
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- 2018
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24. Corrigendum to ‘Factors associated with the inappropriate use of the pediatric emergency department. A systematic review’ [Journal of Pediatric Nursing 69C (2023) 38–46]
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Montoro-Pérez, Néstor, primary, Richart-Martínez, Miguel, additional, and Montejano-Lozoya, Raimunda, additional
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- 2023
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25. Psychometric properties of parental stress scales used in paediatric health care settings: A systematic review1.
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Montoro‐Pérez, Néstor, Oliver‐Roig, Antonio, Montejano‐Lozoya, Raimunda, and Richart‐Martínez, Miguel
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MEDICAL care research ,CONSENSUS (Social sciences) ,DATABASES ,MEDICAL quality control ,CRONBACH'S alpha ,CENTER for Epidemiologic Studies Depression Scale ,MEDICAL care ,RESEARCH methodology evaluation ,RESEARCH evaluation ,HOSPITAL care ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,PEDIATRICS ,SYSTEMATIC reviews ,MEDLINE ,STATE-Trait Anxiety Inventory ,PSYCHOMETRICS ,PSYCHOLOGICAL stress ,PSYCHOLOGY of parents ,ONLINE information services ,HEALTH outcome assessment ,PSYCHOLOGICAL tests ,PSYCHOLOGY information storage & retrieval systems - Abstract
Aim: To identify scales that assess parental stress in the paediatric clinical population and to analyse their psychometric properties. Methods: Four electronic databases (PubMed, Web of Science, PsycINFO, and Scopus) and metasearch engines (Google Scholar and Open Grey) were searched with no time period limitations. Methodological quality was assessed using the COnsensus‐based Standards for the selection of health Measurement INstruments (COSMIN) and quality of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach modified by COSMIN. Finally, recommendations were made for the instruments with the highest quality of evidence. Results: A total of 38 studies reporting on 11 different instruments for assessing parental stress in the paediatric clinical setting were included. Six instruments were 'A' rated (recommended) in the final phase in line with COSMIN guidelines. The Paediatric Inventory for Parents was the instrument that evaluated the highest number of psychometric properties and obtained the highest methodological quality, global assessment, and quality of evidence for the different psychometric properties. Conclusions: This systematic review provides an overview of the measurement properties of the parental stress instruments used in the paediatric clinical setting. The Paediatric Inventory for Parents stands out as being one of the most robust instruments for measuring stress in parents with a hospitalised or sick child. Evidence needs to be generated for all the parental stress scales used in the clinical setting. Impact: Given that the psychometric properties of the existing parental stress scales used in paediatric health care settings have not been systematically assessed, the present review utilised comprehensive methods according to COSMIN. No Patient or Public Contribution: Reporting method: PRISMA statement and COSMIN reporting guidelines for studies on measurement properties of patient‐reported outcome measures. [ABSTRACT FROM AUTHOR]
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- 2024
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26. Traducción y validación de la versión española de la escala Parental Sense of Competence en una población de madres y padres españoles durante los primeros meses después del parto
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Richart-Martínez, Miguel, Oliver-Roig, Antonio, Universidad de Alicante. Departamento de Enfermería, Oltra‐Benavent, Paloma, Richart-Martínez, Miguel, Oliver-Roig, Antonio, Universidad de Alicante. Departamento de Enfermería, and Oltra‐Benavent, Paloma
- Abstract
Antecedentes: La transición a la parentalidad implica cambios complejos para los padres, los cuales se reflejan en modificaciones cognitivas, emocionales y conductuales. También afectan los niveles de estrés y felicidad experimentados durante esta etapa. Los determinantes de la parentalidad son influenciados por factores internos y externos, los cuales se dividen en características de los padres (como el sexo, la edad, el nivel educativo y la paridad), los hijos (como el sexo y la edad) y el contexto en el que se desenvuelven. Entre todos estos factores, las características de los padres tienen una influencia más significativa, ya que son los principales agentes de socialización en la crianza de los hijos. Un aspecto importante de la parentalidad es la competencia parental percibida, que se refiere a la autopercepción de los padres sobre su capacidad para cuidar y educar a sus hijos. Esta competencia tiene un impacto en la competencia objetiva de los padres y en su bienestar psicológico. Además, desempeña un papel crucial durante la transición a la parentalidad, afectando el desarrollo y la salud de los niños. Para medir la competencia parental percibida, se utiliza la escala Parental Sense of Competence (PSOC). Esta escala evalúa la capacidad de los padres para asumir su rol parental (autocompetencia) y su satisfacción con su propia competencia (satisfacción). Ha sido estudiada en relación a la salud mental de los padres, el comportamiento de los hijos, las relaciones de pareja y el funcionamiento familiar. Aunque la versión original del PSOC ha sido ampliamente utilizada en diferentes países e idiomas, no existe una adaptación cultural al contexto español con propiedades psicométricas sólidas. Objetivos: El objetivo principal de la tesis es validar lingüísticamente la versión original en inglés de la escala PSOC al español en una muestra de madres y padres. Para lograr este objetivo, se plantearon los siguientes objetivos específicos: (i) realizar la traducción y
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- 2023
27. Psychometric Properties of the Spanish Version of the Iowa Infant Feeding Attitude Scale in Fathers
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Universidad de Alicante. Departamento de Enfermería, Escribano, Silvia, Tomás-Almarcha, Rosa, Oliver-Roig, Antonio, Richart-Martínez, Miguel, Juliá-Sanchis, Rocío, Universidad de Alicante. Departamento de Enfermería, Escribano, Silvia, Tomás-Almarcha, Rosa, Oliver-Roig, Antonio, Richart-Martínez, Miguel, and Juliá-Sanchis, Rocío
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Background: Research gaps exist with regard to paternal attitudes towards breastfeeding and the association between fathers’ attitudes and the type of breastfeeding. Research Aims: (1) To analyze the psychometric properties of the Spanish version of the Iowa Infant Feeding Attitude Scale in fathers, and (2) to examine the association between fathers’ attitudes and type of breastfeeding. Method: We used a cross-sectional study design to analyze the scale’s psychometric properties and performance. Results: A total of 639 fathers participated in the study. The mean age was 35.83 years (SD = 4.65) and 67.3% (n = 430) were married or in a civil partnership. We observed an adequate fit in the confirmatory factor analysis: TLI = 0.96, CFI = 0.97 and RMSEA = 0.05. The overall internal consistency was 0.76. Between 1–6 months, 48% (n = 307) of participants’ babies were exclusively breastfed, 35.2% (n = 225) were partially breastfed, and 16.7% (n = 107) were exclusively formula fed. Statistically significant differences were shown in attitudes towards breastfeeding, depending on the type of breastfeeding, between 1 and 6 months (F = 54.67; p < .001). Fathers who reported that their baby had been exclusively breastfed scored higher on attitudes towards breastfeeding. Statistically significant differences were also found between partial breastfeeding and formula feeding. Conclusions: The Spanish version of the Iowa Infant Feeding Attitude Scale is a valid and reliable instrument for measuring paternal attitudes towards breastfeeding., Antecedentes: Existen otras lagunas de investigación en relación con la promoción de la lactancia materna, específicamente en las actitudes de los padres. Objetivos: Los objetivos del presente trabajo fueron: 1) analizar las propiedades psicométricas de la versión española de Iowa Infant Feeding Attitude Scale en padres, y 2) examinar la asociación entre las actitudes paternas y el tipo de lactancia materna. Método: nosotros llevamos a cabo un diseño transversal para analizar las propiedades psicométricas y el funcionamiento de la escala. Resultados: participaron 639 padres con una edad media de 35.83 (DE = 4.65) y el 67.3% estaban casadas o eran pareja de hecho. Observamos un ajuste adecuado en el análisis factorial confirmatorio: TLI = 0.96, CFI = 0.97, y RMSEA = 0.05. La consistencia interna total fue de 0.76. Entre el mes y los seis meses, el 48% de sus bebés se alimentaba exclusivamente con lactancia materna, el 35.2% lactancia mixta y el 16.7% solo utilizaba lactancia con fórmula. Se mostraron diferencias estadísticamente significativas en la actitud hacia la lactancia materna en función de la lactancia realizada entre el mes y los 6 meses (F = 54.67; p < .001). Los padres que notificaron que su bebe amamantaba de manera exclusiva tenían una puntuación más elevada en la actitud hacia la lactancia materna. También se encontraron diferencias estadísticamente significativas entre la lactancia mixta y la lactancia artificial. Conclusiones: La versión en español de Iowa Infant Feeding attitude Scale es un instrumento válido y fiable para evaluar las actitudes hacia la lactancia materna en padres.
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- 2023
28. Predictors of childbirth experience: Prospective observational study in eastern Spain
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Universidad de Alicante. Departamento de Enfermería, Soriano-Vidal, Francisco Javier, Oliver-Roig, Antonio, Richart-Martínez, Miguel, Cabrero-García, Julio, Universidad de Alicante. Departamento de Enfermería, Soriano-Vidal, Francisco Javier, Oliver-Roig, Antonio, Richart-Martínez, Miguel, and Cabrero-García, Julio
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Background. In recent years, birth experience has been highlighted by national and international organisations as a relevant value in measuring maternal health care quality. According to a standardised tool, we aimed to assess which clinical indicators had the most significant influence on the birth experience. Methods. This prospective observational study was carried out in fourteen hospitals in eastern Spain. 749 women consented to the collection of birth variables at discharge, and subsequently, at 1-4 months, data were collected on the birth experience as measured by the Spanish version of the Childbirth Experience Questionnaire. Next, a linear regression analysis was performed to determine which clinical birth indicators greatly influence the birth experience measure. Result. The study sample (n = 749) was predominantly Spanish and primipara, with 19.5% vaginal births. The predictors that emerged in the linear regression model were to have a birth companion (B = 0.250, p = 0.028), drink fluids during labour (B = 0.249, p < 0.001), have early skin-to-skin contact (B = 0.213, p < 0.001) and being transferred to a specialised room for the second stage of labour (B = 0.098, p = 0.016). The episiotomy (B = -0.100, p < 0.015) and having an operative birth (B = -0.128, p < 0.008) showed a negative influence. Conclusion. Our study supports that intrapartum interventions recommended according to clinical practice guidelines positively influence the mother's birth experience. Episiotomy and operative birth should not be used routinely as they negatively influence the birth experience.
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- 2023
29. Acceptance and Privacy Perceptions Toward Video-based Active and Assisted Living Technologies: Scoping Review
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Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Tecnología Informática y Computación, Mujirishvili, Tamara, Maidhof, Caterina, Flórez-Revuelta, Francisco, Ziefle, Martina, Richart-Martínez, Miguel, Cabrero-García, Julio, Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Tecnología Informática y Computación, Mujirishvili, Tamara, Maidhof, Caterina, Flórez-Revuelta, Francisco, Ziefle, Martina, Richart-Martínez, Miguel, and Cabrero-García, Julio
- Abstract
Background: The aging society posits new socioeconomic challenges to which a potential solution is active and assisted living (AAL) technologies. Visual-based sensing systems are technologically among the most advantageous forms of AAL technologies in providing health and social care; however, they come at the risk of violating rights to privacy. With the immersion of video-based technologies, privacy-preserving smart solutions are being developed; however, the user acceptance research about these developments is not yet being systematized. Objective: With this scoping review, we aimed to gain an overview of existing studies examining the viewpoints of older adults and/or their caregivers on technology acceptance and privacy perceptions, specifically toward video-based AAL technology. Methods: A total of 22 studies were identified with a primary focus on user acceptance and privacy attitudes during a literature search of major databases. Methodological quality assessment and thematic analysis of the selected studies were executed and principal findings are summarized. The PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines were followed at every step of this scoping review. Results: Acceptance attitudes toward video-based AAL technologies are rather conditional, and are summarized into five main themes seen from the two end-user perspectives: caregiver and care receiver. With privacy being a major barrier to video-based AAL technologies, security and medical safety were identified as the major benefits across the studies. Conclusions: This review reveals a very low methodological quality of the empirical studies assessing user acceptance of video-based AAL technologies. We propose that more specific and more end user– and real life–targeting research is needed to assess the acceptance of proposed solutions.
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- 2023
30. What Is Privacy? Perceptions of Older Adults in the South of Spain About the Concept of Privacy and in Terms of Video-Based AAL Technologies
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Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Tecnología Informática y Computación, Mujirishvili, Tamara, Richart-Martínez, Miguel, Cabrero-García, Julio, Flórez-Revuelta, Francisco, Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Tecnología Informática y Computación, Mujirishvili, Tamara, Richart-Martínez, Miguel, Cabrero-García, Julio, and Flórez-Revuelta, Francisco
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Privacy is a very complex concept that concerns all areas of human activity. Even more so, it has acquired whole new importance and has become a hot-button topic in the era of ubiquitous computing. The emergence of Active and Assisted Living (AAL) technologies is offering the improvement of the quality of life and maintaining the independence of older adults in their preferred environment. Especially with the advancement of computer vision, video-based technological solutions are giving us promising results but bring along significant risks of privacy violation. With this qualitative study, we aim to explore older adults’ understanding of privacy as a construct and their privacy considerations for technology-based monitoring applications in eldercare, for video-based systems among them. Exploratory interview sessions were conducted with 12 older adults 66 and plus of age living in care homes and in private households. Findings indicate that the concept of privacy is indeed difficult to understand and define for older adults. However, the context of video monitoring elicits clear privacy concerns. The nudity aspect of privacy was proved to be the most important among the participants, yet, the attitudinal shift in the perception of nudity was observed in older adults living in care homes. Eight out of 12 interviewed older adults did not like the idea of having a camera-based assistive technology, however, some of their worries were alleviated after explaining to them the possible technology’s inherent privacy-preserving techniques.
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- 2023
31. Psychometric properties of parental stress scales used in paediatric health care settings: A systematic review
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Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Oliver-Roig, Antonio, Montejano Lozoya, Raimunda, Richart-Martínez, Miguel, Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Oliver-Roig, Antonio, Montejano Lozoya, Raimunda, and Richart-Martínez, Miguel
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Aim: To identify scales that assess parental stress in the paediatric clinical population and to analyse their psychometric properties. Methods: Four electronic databases (PubMed, Web of Science, PsycINFO, and Scopus) and metasearch engines (Google Scholar and Open Grey) were searched with no time period limitations. Methodological quality was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and quality of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach modified by COSMIN. Finally, recommendations were made for the instruments with the highest quality of evidence. Results: A total of 38 studies reporting on 11 different instruments for assessing parental stress in the paediatric clinical setting were included. Six instruments were ‘A’ rated (recommended) in the final phase in line with COSMIN guidelines. The Paediatric Inventory for Parents was the instrument that evaluated the highest number of psychometric properties and obtained the highest methodological quality, global assessment, and quality of evidence for the different psychometric properties. Conclusions: This systematic review provides an overview of the measurement properties of the parental stress instruments used in the paediatric clinical setting. The Paediatric Inventory for Parents stands out as being one of the most robust instruments for measuring stress in parents with a hospitalised or sick child. Evidence needs to be generated for all the parental stress scales used in the clinical setting. Impact: Given that the psychometric properties of the existing parental stress scales used in paediatric health care settings have not been systematically assessed, the present review utilised comprehensive methods according to COSMIN. No Patient or Public Contribution. Reporting method: PRISMA statement and COSMIN reporting guidelines for studies on measurement properties of patient-reported outcom
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- 2023
32. Factor structure and validity of the Parental Competence Questionnaire in the Paediatric Hospital Emergency Setting (ECP-U)
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Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Escribano, Silvia, Juliá-Sanchis, Rocío, Oliver-Roig, Antonio, Richart-Martínez, Miguel, Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Escribano, Silvia, Juliá-Sanchis, Rocío, Oliver-Roig, Antonio, and Richart-Martínez, Miguel
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Objective: To confirm the structure and examine the psychometric properties of the Parental Competence Questionnaire in the Paediatric Hospital Emergency Setting (ECP-U). Methods: An instrumental validation study of the ECP-U questionnaire and an examination of its psychometric properties were carried out. Results: The participants were 260 mothers and fathers seeking care in the paediatric emergency department of a hospital in Valencia (Spain) with children aged 0 to 14 years old. The five-factor structure of the ECP-U was confirmed with excellent statistical fits. Second-order models and a more parsimonious four-factor structure with adequate but marginal fits are proposed. With the exception of the “parental agency” factor (in both models examined) and the “active social support” factor (in the original five-factor structure), the internal consistency of the different factors was modest (≥ 0.70). A negative correlation was found between the Parental Stress Scale and the ECP-U for most factors. Conclusions: Validity and reliability analyses indicate that the ECP-U is an instrument with modest psychometric properties. Implications for practice: The ECP-U is an instrument that can be used by future researchers to identify different levels of parental competence in paediatric hospital emergency departments. This will enable help to be given to families with parenting issues and problems. The underlying concern is to reduce the number of frequent users and “Non-Urgent Presentations” to paediatric emergency departments due to low parental competence.
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- 2023
33. Factors associated with frequent users in hospital paediatric emergency departments: A single centre study in Spain
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Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Escribano, Silvia, Richart-Martínez, Miguel, Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Escribano, Silvia, and Richart-Martínez, Miguel
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Background: Over the last decade, the demand for hospital paediatric emergency departments (PEDs) has been on the rise. Studies have been carried out in adults, but in paediatrics, and in Spain, they are few and far between. In order to develop interventions to alleviate this problem, it is necessary to understand the factors that predispose people to use these services. Objective: The main objective of this study was to identify the factors associated with frequent users of PEDs in Spain. Methods: A descriptive, cross-sectional study conducted between September 2021 and December 2022 in the PED of a referral hospital in Spain. Results: There were 530 participants, 12.07% of whom were frequent users. There was an indirect association between frequent use and having a secondary level of education (OR = 0.282, p = 0.002). The factors which were directly associated included: perceived urgency (OR = 10.209, p = 0.002) and the perception that PEDs provide better care than primary care (PC) (OR = 2.664, p = 0.044). Conclusions: The percentage of frequent users is comparable with international levels. As a strategy to reduce the frequency of visits, health interventions are needed to ensure that parents know how to correctly interpret their children’s symptoms and are well informed about the recommended flow of care.
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- 2023
34. Paternal feeding practices and styles: a systematic review
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Universidad de Alicante. Departamento de Enfermería, Lozano-Casanova, Mar, Gutiérrez-Hervás, Ana, Richart-Martínez, Miguel, Oliver-Roig, Antonio, Sospedra, Isabel, Universidad de Alicante. Departamento de Enfermería, Lozano-Casanova, Mar, Gutiérrez-Hervás, Ana, Richart-Martínez, Miguel, Oliver-Roig, Antonio, and Sospedra, Isabel
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Context: Studies on parenting, including feeding styles and practices in general, have focused mainly on mothers. Consequently, there is a gap with respect to fathers in the scientific literature. Objective: This study's main objective is to determine paternal feeding styles toward children aged 0 to 18 years and to identify those most commonly used by men. Data Sources: The PubMed, Scopus, Web of Science, Cochrane, and PsycINFO databases were consulted. Data Extraction: Articles that were not published in English, Spanish, or Italian were excluded, as well as those that referred to other subjects, those whose sample did not include men, or those studying children with pathologies that could influence their diet. All the articles ultimately included were assessed using the STROBE checklist. Data Analysis: A total of 183 articles were found. Of these, 13 were included in the review. No trend was found for paternal parenting style, and disparities existed among the authoritative, authoritarian, and permissive styles. In terms of feeding practices, men were more likely to use coercion. The most reported feeding styles were authoritarian and permissive. Conclusions: The findings of systematic review suggest cultural and gender differences exist with respect to parenting styles and feeding styles and practices. In terms of paternal parenting styles, there is some disparity. However, when it comes to feeding, men showed a tendency toward an authoritarian feeding style and coercive feeding practices.
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- 2023
35. Development and validation of a parental competence questionnaire in the paediatric hospital emergency setting (ECP-U)
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Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Escribano, Silvia, Oliver-Roig, Antonio, Juliá-Sanchis, Rocío, Richart-Martínez, Miguel, Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Montejano Lozoya, Raimunda, Escribano, Silvia, Oliver-Roig, Antonio, Juliá-Sanchis, Rocío, and Richart-Martínez, Miguel
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Objective: To develop and validate a parental competence questionnaire for parents of children seeking care in hospital emergency departments. Methods: An instrumental study of the development of an assessment questionnaire was carried out in three phases: 1) review of relevant measures and item generation, 2) content validity evaluation, 3) psychometric evaluation. Exploratory factor analysis was performed to examine the factorial structure. Internal consistency was evaluated using ordinal alpha. Hypothesis testing was determined between the resulting factors, the Parental Stress Scale and the State-Trait Anxiety Inventory. Results: The participants were 270 parents of children aged 0–14 years old from a referral hospital in Valencia (Spain). An 18-item questionnaire was developed, comprising five factors that explain 53.0% of the variance: 1) “emotional management and expression”, 2) “passive social support”, 3) “parental agency”, 4) “basic needs and care” and 5) “active social support”. The internal consistency for the different factors was modest (>0.70). A negative correlation between the Parental Stress Scale and the parental competence questionnaire was found for most of the factors. Conclusions: This questionnaire on parental competence in the hospital emergency department (ECP-U) is a useful and simple self-report instrument for assessing the parental competence of parents with children in the emergency department. Practical implications: The resulting questionnaire is of practical value to both healthcare professionals and researchers in this field. It can be administered quickly in clinical practice and used to identify parents' levels of parental competence and refer those with difficulties to appropriate support services.
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- 2023
36. The Parental Stress Scale: Psychometric Properties in Pediatric Hospital Emergency Setting
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Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Escribano, Silvia, Richart-Martínez, Miguel, Mármol-López, María Isabel, Montejano Lozoya, Raimunda, Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Escribano, Silvia, Richart-Martínez, Miguel, Mármol-López, María Isabel, and Montejano Lozoya, Raimunda
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Parental psychological distress has been identified as a predisposing factor in attendance at and the inappropriate use of hospital pediatric emergency departments (PEDs). The aim of the study was to validate the Parental Stress Scale (PSS), a 12-item Spanish scale, in parents seeking care at PEDs. The study involved 270 participants with a mean age of 37.9 (SD = 6.76) years, of which 77.4% were women. The properties of the PSS were analyzed. The scale showed adequate internal consistency for the different factors (0.80 for the “Stressors” factor and 0.78 for the “Baby’s Rewards” factor) and optimal model fit (chi-square = 107.686; df = 53; CFI = 0.99; TLI = 0.98; RMSEA = 0.028; 90% CI = 0.00–0.05). The 12-item Spanish version of the PSS is a valid and reliable instrument for assessing the stress levels of parents seeking care in PEDs.
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- 2023
37. Factors associated with the inappropriate use of the pediatric emergency department. A systematic review
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Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Richart-Martínez, Miguel, Montejano Lozoya, Raimunda, Universidad de Alicante. Departamento de Enfermería, Montoro-Pérez, Néstor, Richart-Martínez, Miguel, and Montejano Lozoya, Raimunda
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Background: Pediatric emergency department (PED) admissions have risen in recent years, a trend not justified by the severity of the pathologies presented. The aim of this study is to analyse factors related to the inappropriate use of pediatric emergency departments. Methods: This is a systematic review reported in accordance with the PRISMA statement. We searched the PubMed, Web of Science and Science Direct databases, using keywords extracted from MeSH, and conducted a reverse search using Google Scholar and Open Grey, for the period January 2017 to August 2022. The quality of the papers was assessed using STROBE, CASPe, AMSTAR-2, GRADE, Levels Of Evidence and Grades Of Recommendation. Results: A total of 20 studies were selected. Factors related to inappropriate use included the younger age of children, black caregivers, lower socioeconomic status, lower parental educational attainment, perceived urgent demand for care, parental emotions in response to their children's health problems, psychological distress, the ineffective exercise of the parental role, the advantages of the PED and the nature of health insurance. Conclusions and implications: The results illustrate the heterogeneous nature of the phenomenon under investigation. Gaining an understanding of the factors related to the inappropriate demand of PEDs, from the perspective of health professionals, can help in developing interventions to reduce unnecessary consultations and relieve pressure on these healthcare services.
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- 2023
38. Reliability and Validity of the Reduced Spanish Version of the Iowa Infant Feeding Attitude Scale
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Tomás-Almarcha, Rosa, Oliver-Roig, Antonio, and Richart-Martinez, Miguel
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- 2016
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39. Psychometric Properties of the Spanish Version of the Iowa Infant Feeding Attitude Scale in Fathers
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Escribano, Silvia, Tomás-Almarcha, Rosa, Oliver-Roig, Antonio, Richart-Martínez, Miguel, Juliá-Sanchis, Rocío, Universidad de Alicante. Departamento de Enfermería, Person-centred Care and Health Outcomes Innovation / Atención centrada en la persona e innovación en resultados de salud (PCC-HOI), Salud y Cuidados en Grupos Vulnerables (SACU), and Calidad de Vida, Bienestar Psicológico y Salud
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Actitudes ,Fathers ,Psychometrics ,Spain ,Attitudes ,Lactancia materna ,Breastfeeding ,Padres ,Psicometría ,Exclusive breastfeeding ,Iowa Infant Feeding Attitude Scale - Abstract
Background: Research gaps exist with regard to paternal attitudes towards breastfeeding and the association between fathers’ attitudes and the type of breastfeeding. Research Aims: (1) To analyze the psychometric properties of the Spanish version of the Iowa Infant Feeding Attitude Scale in fathers, and (2) to examine the association between fathers’ attitudes and type of breastfeeding. Method: We used a cross-sectional study design to analyze the scale’s psychometric properties and performance. Results: A total of 639 fathers participated in the study. The mean age was 35.83 years (SD = 4.65) and 67.3% (n = 430) were married or in a civil partnership. We observed an adequate fit in the confirmatory factor analysis: TLI = 0.96, CFI = 0.97 and RMSEA = 0.05. The overall internal consistency was 0.76. Between 1–6 months, 48% (n = 307) of participants’ babies were exclusively breastfed, 35.2% (n = 225) were partially breastfed, and 16.7% (n = 107) were exclusively formula fed. Statistically significant differences were shown in attitudes towards breastfeeding, depending on the type of breastfeeding, between 1 and 6 months (F = 54.67; p
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- 2023
40. Predictors of childbirth experience: Prospective observational study in eastern Spain
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Soriano-Vidal, Francisco Javier, Oliver-Roig, Antonio, Richart-Martínez, Miguel, Cabrero-García, Julio, Universidad de Alicante. Departamento de Enfermería, Person-centred Care and Health Outcomes Innovation / Atención centrada en la persona e innovación en resultados de salud (PCC-HOI), and Calidad de Vida, Bienestar Psicológico y Salud
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Eastern Spain ,Predictors ,Childbirth experience - Abstract
Background. In recent years, birth experience has been highlighted by national and international organisations as a relevant value in measuring maternal health care quality. According to a standardised tool, we aimed to assess which clinical indicators had the most significant influence on the birth experience. Methods. This prospective observational study was carried out in fourteen hospitals in eastern Spain. 749 women consented to the collection of birth variables at discharge, and subsequently, at 1-4 months, data were collected on the birth experience as measured by the Spanish version of the Childbirth Experience Questionnaire. Next, a linear regression analysis was performed to determine which clinical birth indicators greatly influence the birth experience measure. Result. The study sample (n = 749) was predominantly Spanish and primipara, with 19.5% vaginal births. The predictors that emerged in the linear regression model were to have a birth companion (B = 0.250, p = 0.028), drink fluids during labour (B = 0.249, p < 0.001), have early skin-to-skin contact (B = 0.213, p < 0.001) and being transferred to a specialised room for the second stage of labour (B = 0.098, p = 0.016). The episiotomy (B = -0.100, p < 0.015) and having an operative birth (B = -0.128, p < 0.008) showed a negative influence. Conclusion. Our study supports that intrapartum interventions recommended according to clinical practice guidelines positively influence the mother's birth experience. Episiotomy and operative birth should not be used routinely as they negatively influence the birth experience. This work has been funded by the Project PI11/02124 and PI14/01549 within the Government R&D&I plan 2013–2016 and co-funded by ISCIII General Sub-Directorate for Evaluation and Promotion of research the European Regional Development Fund (FEDER) "A way to make Europe".
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- 2023
41. The Parental Stress Scale: Psychometric Properties in Pediatric Hospital Emergency Setting
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Montoro-Pérez, Néstor, primary, Escribano, Silvia, additional, Richart-Martínez, Miguel, additional, Mármol-López, María Isabel, additional, and Montejano-Lozoya, Raimunda, additional
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- 2023
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42. What Is Privacy? Perceptions of Older Adults in the South of Spain About the Concept of Privacy and in Terms of Video-Based AAL Technologies
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Mujirishvili, Tamara, primary, Richart-Martínez, Miguel, additional, Cabrero-García, Julio, additional, and Flórez-Revuelta, Francisco, additional
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- 2023
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43. Versión en español de la escala Maternal Breastfeeding Evaluation Scale: Análisis de fiabilidad y validez
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Piñeiro Albero, Rosa Maria, primary, Negrín Hernández, Miguel A, primary, Richart Martínez, Miguel, primary, and Oliver-Roig, Antonio, primary
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- 2022
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44. What do older people understand by mobility-related difficulties?
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Ramos-Pichardo, Juan Diego, Cabrero-García, Julio, González-Llopis, Lorena, Cabañero-Martínez, María José, Muñoz-Mendoza, Carmen Luz, Sanjuan-Quiles, Angela, Richart-Martínez, Miguel, and Reig-Ferrer, Abilio
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- 2014
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45. Understanding life experiences of people affected by Crohnʼs disease in Spain. A phenomenological approach
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García‐Sanjuán, Sofía, Lillo‐Crespo, Manuel, Richart‐Martínez, Miguel, and Sanjuán Quiles, Ángela
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- 2018
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46. Relationships between parent–infant bonding, dyadic adjustment and quality of life, in an intra‐partner sample
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Escribano, Silvia, primary, Oliver‐Roig, Antonio, additional, Juliá‐Sanchis, Rocio, additional, and Richart‐Martínez, Miguel, additional
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- 2022
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47. Variability in management of implantable ports in oncology outpatients
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Fernández-de-Maya, José and Richart-Martínez, Miguel
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- 2013
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48. Análisis de la efectividad de la rehabilitación cardíaca en España: una revisión sistemática exploratoria
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Universidad de Alicante. Departamento de Enfermería, Pujalte, María Faz, Richart-Martínez, Miguel, Perpiñá-Galvañ, Juana, Universidad de Alicante. Departamento de Enfermería, Pujalte, María Faz, Richart-Martínez, Miguel, and Perpiñá-Galvañ, Juana
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Se sabe poco sobre las características de los programas de rehabilitación cardíaca implantados en la actualidad en España, por lo que el objetivo de este estudio fue conocer la efectividad de la rehabilitación cardíaca en pacientes con cardiopatía isquémica en España, mediante una revisión sistemática exploratoria de la literatura científica en distintas bases de datos desde 2010 hasta 2018. Se incluyeron 35 artículos cuyo objetivo era medir la efectividad de los programas de rehabilitación cardíaca desde distintas perspectivas. Participaron más del doble de hombres que de mujeres y solo el 8,6% fueron ensayos clínicos. Se observaron mejoras en relación con la mortalidad y las variables fisiológicas y de calidad de vida de los pacientes, pero con resultados dispares en morbilidad, estados de ánimo, mantenimiento de hábitos saludables a largo plazo y rentabilidad de los programas., Little is known about the characteristics of the cardiac rehabilitation programs currently implemented in Spain, the aim was therefore to know more about the effectiveness of cardiac rehabilitation in patients with ischemic heart disease in Spain, through an exploratory systematic review of the scientific literature on cardiac rehabilitation carried out in different databases from 2010 to 2018. We reviewed 35 articles whose objective was to measure the effectiveness of cardiac rehabilitation programs from different perspectives. More than twice as many men as women participated and only 8.6% were clinical trials. The studies showed improvements in relation to mortality and physiological and quality of life variables, but with discrepant results in morbidity, moods, maintenance long-term healthy habits and profitability of the programs.
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- 2022
49. Predicting exclusive breastfeeding in maternity wards using machine learning techniques
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Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Lenguajes y Sistemas Informáticos, Oliver-Roig, Antonio, Rico-Juan, Juan Ramón, Richart-Martínez, Miguel, Cabrero-García, Julio, Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Lenguajes y Sistemas Informáticos, Oliver-Roig, Antonio, Rico-Juan, Juan Ramón, Richart-Martínez, Miguel, and Cabrero-García, Julio
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Background and objective: Adequate support in maternity wards is decisive for breastfeeding outcomes during the first year of life. Quality improvement interventions require the identification of the factors influencing hospital benchmark indicators. Machine Learning (ML) models and post-hoc Explainable Artificial Intelligence (XAI) techniques allow accurate predictions and explaining them. This study aimed to predict exclusive breastfeeding during the in-hospital postpartum stay by ML algorithms and explain the ML model’s behaviour to support decision making. Methods: The dataset included 2042 mothers giving birth in 18 hospitals in Eastern Spain. We obtained information on demographics, mothers’ breastfeeding experiences, clinical variables, and participating hospitals’ support conditions. The outcome variable was exclusive breastfeeding during the in-hospital postpartum stay. We tested algorithms from different ML families. To evaluate the ML models, we applied 10-fold stratified cross-validation. We used the following metrics: Area under curve receiver operating characteristic (ROC AUC), area under curve precision-recall (PR AUC), accuracy, and Brier score. After selecting the best fitting model, we calculated Shapley’s additive values to assign weights to each predictor depending on its additive contribution to the outcome and to explain the predictions. Results: The XGBoost algorithms showed the best metrics (ROC AUC = 0.78, PR AUC = 0.86, accuracy = 0.75, Brier = 0.17). The main predictors of the model included, in order of importance, the pacifier use, the degree of breastfeeding self-efficacy, the previous breastfeeding experience, the birth weight, the admission of the baby to a neonatal care unit after birth, the moment of the first skin-to-skin contact between mother and baby, and the Baby-Friendly Hospital Initiative accreditation of the hospital. Specific examples for linear and nonlinear relations between main predictors and the outcome and heterogene
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- 2022
50. Relationships between parent–infant bonding, dyadic adjustment and quality of life, in an intra-partner sample
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Universidad de Alicante. Departamento de Enfermería, Escribano, Silvia, Oliver-Roig, Antonio, Juliá-Sanchis, Rocío, Richart-Martínez, Miguel, Universidad de Alicante. Departamento de Enfermería, Escribano, Silvia, Oliver-Roig, Antonio, Juliá-Sanchis, Rocío, and Richart-Martínez, Miguel
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The transition to parenthood represents a moment of change and adaptation in which the dyadic marital relationship becomes a triadic relationship. Facilitating a positive transition requires a thorough understanding of the explanatory model of the relationship between parental–infant bonding, dyadic adjustment and quality of life (QoL) from an integrative perspective of the family unit. The aim of this work was to analyse the relationships between parent–infant bonding, dyadic adjustment and QoL from an intra-partner perspective, 6–12 months after the birth of a child. A cross-sectional observational study was performed in a convenience sample of 222 couples 6–12 months postpartum, enrolled from October 2013 to March 2016. The mean age of the mothers was 34.07 years (SD = 3.67), and for the fathers, it was 35.75 years (SD = 4.02). Mothers perceived better QoL and greater mother–infant bonding compared to fathers. The perception of an adequate dyadic adjustment, together with positive parent–infant bonding, had positively influenced the individual QoL of both members of the couple 6–12 months after birth. From an intra-partner perspective, the positive transition was influenced by the relationship between parent–infant bonding, dyadic adjustment and QoL. Positive parent–infant bonding in mothers and fathers, as well as promotion of the quality of the relationships between couples, can help promote a better QoL. Positive health results can be achieved in terms of individual and family well-being by designing healthcare interventions that encourage the presence and participation of the family unit.
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- 2022
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