Related Experiment Video

Updated: Nov 4, 2025

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
05:48

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

6.0K

One Size Does Not Fit All: Discharge Teaching and Child Challenging Behaviors

Norah L Johnson1, Stacee Lerret2, Michele Polfuss3,4

  • 1College of Nursing, Marquette University, Milwaukee, WI, USA.

Western Journal of Nursing Research
|May 28, 2021
PubMed

Insights

An interactive iPad application for discharge teaching was less effective for parents of children with challenging behaviors compared to usual care. Further research is needed to optimize discharge support for this specific population.

Area of Science:

  • Pediatric Nursing
  • Health Informatics
  • Patient Education

Background:

  • Effective discharge teaching and care coordination are crucial for positive patient outcomes.
  • Children with challenging behaviors present unique needs in healthcare settings.
  • Digital health interventions are increasingly used to support patient education and care transitions.

Purpose of the Study:

  • To compare the quality of discharge teaching and care coordination for parents of children with challenging behaviors using an interactive iPad application versus usual discharge care.
  • To assess the effectiveness of a digital discharge teaching tool for a specific pediatric population.

Main Methods:

  • A quasi-experimental longitudinal project comparing an interactive iPad application to usual discharge care.
  • Data collected from parents of children with challenging behaviors (n=14) receiving the application and a control group (n=11) receiving usual care.
  • Utilized the quality of discharge teaching scale-delivery subscale and the Care Transition Measure for evaluation.

Main Results:

  • Parents using the iPad application reported lower scores on discharge teaching quality (M=8.2) compared to usual care (M=9.6).
  • The application group also scored lower on the Care Transition Measure (M=2.44) than the usual care group (M=3.02).
  • Moderate to large effect sizes (0.554-0.775) indicated significant differences, with the application being less effective for this subset.

Conclusions:

  • The interactive iPad application for discharge teaching was less effective for parents of children with challenging behaviors.
  • Alternative discharge teaching strategies may be necessary for this specific patient group.
  • Further research with larger, targeted samples is recommended to address the unique needs of parents of children with challenging behaviors and improve their discharge experience.

Keywords:
Child challenging behaviorsDischarge teachingParent engagement

More Related Videos

Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children07:01

Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children

Published on: March 1, 2019

8.1K
A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research08:42

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research

Published on: July 31, 2017

8.4K

Related Concept Videos

Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
209
Punishment01:27

Punishment

Negative reinforcement and punishment are often confused but serve distinct functions in behavior modification. Reinforcement, whether positive or negative, increases the likelihood of a desired behavior, while punishment decreases it.
Punishment can be positive or negative. Positive punishment involves adding an undesirable stimulus, such as scolding, to decrease a behavior. Negative punishment involves removing a desirable stimulus, such as taking away a favorite toy, to decrease behavior....
508
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
230
Behavior Modification01:21

Behavior Modification

Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
359
Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.1K
Learning Disabilities01:25

Learning Disabilities

Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
340