Accuracy of Body Size Estimation in Youth with Cystic Fibrosis and Association with Health-Related Quality of Life.

Accuracy of body size estimation may impact motivation to adhere to treatment recommendations and health-related quality of life (HRQOL) in youth with cystic fibrosis (CF), but this has not yet been investigated. Thus, the goal of the current study was to examine accuracy of body size estimation in youth with CF, and associations with HRQOL, lung functioning, and dietary intake. Fifty-four youth diagnosed with CF (M = 13.61 years) completed the Figure Rating Scale, the Cystic Fibrosis Questionnaire-Revised, and a 24-h diet recall interview. Cohen's Weighted Kappa Coefficient evaluated agreement between body size estimation and BMI percentile. Binary logistic regression analyses examined associations between body size accuracy and HRQOL, lung functioning, and dietary intake. A less than adequate agreement was found between youth body size estimation and BMI percentile. Most participants overestimated body size (69.8%). Body Image HRQOL, but neither lung functioning nor dietary intake, was significantly associated with body size estimation accuracy. Working with patients to improve perceptions of body size may also improve HRQOL scores and allow for discussion about treatment goals related to body size.

Adolescents' Civic Engagement: Concordant and Longitudinal Associations Among Civic Beliefs and Civic Involvement.

Associations between adolescent civic and organized activities (volunteering, standard political, social movement, school/community, religious) and civic beliefs (comprised of should, obligation, and respect judgments) were examined. Cross-sectional models (N = 703, Mage  = 15.87) indicated domain specificity between adolescent civic beliefs and behaviors. Longitudinal models (n = 219, Mage  = 15.39) indicated that adolescents' standard political beliefs predicted greater levels of standard political involvement one year later, and school/community activities predicted greater standard political beliefs a year later. Youth volunteering predicted lower standard political beliefs, and standard political involvement predicted lower community service beliefs one year later. Findings support the assessment of adolescent sociomoral civic beliefs and demonstrate how civic experiences and civic beliefs can mutually promote each other during adolescence.

Is the Scoutreach Initiative of Boy Scouts of America Linked to Character Development among Socioeconomically, Racially, and Ethnically Diverse Youth?: Initial Explorations.

Youth development programs represent key tools in the work of youth-serving practitioners and researchers who strive to promote character development and other attributes of youth thriving, particularly among youth who may confront structural and social challenges related to their racial, ethnic, and/or economic backgrounds. This article conducts secondary analyses of two previously reported studies of a relatively recent innovation in Boy Scouts of America (BSA) developed for youth from low-income communities, Scoutreach. Our goal is to provide descriptive and admittedly preliminary exploratory information about whether these data sets-one involving a sample of 266 youth of color from socioeconomically impoverished communities in Philadelphia (M age = 10.54 years, SD = 1.58 years) and the other involving a pilot investigation of 32 youth of color from similar socioeconomic backgrounds in Boston (M age = 9.97 years, SD = 2.46 years)-provide evidence for a link between program participation and a key indicator of positive development; that is, character development. Across the two data sets, quantitative and qualitative evidence suggested the presence of character development among Scoutreach participants. Limitations of both studies are discussed and implications for future longitudinal research are presented. We suggest that future longitudinal research should test the hypothesis that emotional engagement is key to creating the conditions wherein Scoutreach participation is linked to character development.

Physical Activity and Quit Motivation Moderators of Adolescent Smoking Reduction.

OBJECTIVES: We examined participant characteristics as moderators of adolescents' smoking cessation outcomes as a function of intervention: Not-on-Tobacco (N-O-T), N-O-T with a physical activity (PA) module (N-O-T+FIT), or Brief Intervention (BI). METHODS: We randomly assigned youth (N = 232) recruited from public high schools to an intervention, and measured their baseline levels of PA and motivation to quit. The number of cigarettes/day for weekdays and weekends was obtained at baseline and 3-month follow-up. RESULTS: Across timepoints, cigarette use declined for youth in N-O-T (p = .007) and N-O-T+FIT (ps < .02), but not BI (n.s.). For N-O-T+FIT youth, the steepest declines in weekday smoking occurred for those with high PA levels (p = .02). Weekend cigarette use decreased for N-O-T+FIT youth with moderate-high levels of intrinsic motivation to quit (ps < .04). CONCLUSIONS: Adolescents may benefit from interventions designed to address the barriers faced during a quit attempt, including their motivation to make a change and their engagement in other healthy behaviors such as physical activity.

Social competence in pediatric burn survivors: A systematic review.

OBJECTIVE: Youth sustaining burn injuries during childhood have dramatically increased survival rates due to improvements in medical treatment and multidisciplinary approaches to burn critical care and recovery. Despite positive advancements in burn treatment, youth sustaining such injuries may experience social deficits. Thus, this systematic review without meta-analysis investigation contributes to the growing literature on this topic by comparing social competence of pediatric burn survivors to youth without burns, and examining potential correlates of social competence among children and adolescents who have sustained burn injuries. METHOD: Fifteen empirical studies assessing social competence among youth with burns and published in the last 4 decades (i.e., 1980-2015) were identified. Data from youth, parent, and teacher perspectives related to social competence in pediatric burn survivors were extracted from studies meeting inclusion criteria. RESULTS: Results comparing social competence levels between pediatric burn survivors and youth without burns were mixed; some studies indicate that the social competence levels of pediatric burn survivors fell within the normal range, whereas other work found these youth to display social deficits. CONCLUSIONS: Implications for clinical practitioners, methodological strengths and limitations of the included research studies, and directions for future research are discussed. (PsycINFO Database Record

Associations Between Food-Related Parenting Behaviors and Adolescents' Engagement in Unhealthy Eating Behaviors.

Food-related parenting behaviors have the potential to impact youth eating behaviors and nutrition knowledge. The present study examined associations between parental behaviors specific to eating (i.e., rules, solicitation, and the creation of a health-focused home environment) and specific unhealthy eating behaviors prevalent during adolescence. Additional analyses examined whether such associations were explained by adolescent nutrition knowledge. A total of 145 adolescents ( M = 14.48, SD = 1.75 years) and their mothers ( M = 43.52, SD = 6.76 years) completed questionnaires as part of a larger study investigating parent-adolescent communication. Mothers' food-related parenting behaviors were not directly associated with adolescents' engagement in unhealthy eating behaviors. However, more parental rules were associated with greater adolescent nutrition knowledge. In addition, mothers' creation of a health-focused home environment was indirectly associated with less fast food consumption through greater adolescent nutrition knowledge. Implications and future directions are discussed.

Character Development within Youth Development Programs: Exploring Multiple Dimensions of Activity Involvement.

We examined links among three dimensions of youth involvement (intensity, duration, and engagement) in Boy Scouts of America (BSA), an international out-of-school time (OST) youth development program designed to promote moral and performance character in boys. Using data from 737 youth and their parents who participated in one of 40 BSA program sites (commonly referred to as "packs"), we first considered how individual- and pack-level measures of program involvement were differentially linked with character development. Next, we examined whether pack-level involvement characteristics moderate individual-level involvement characteristics, hypothesizing that highly involved packs would serve to further enhance the positive effects of high levels of individual involvement. Results indicated engagement was the strongest, most frequent predictor of increases in both moral and performance character. Although there were no direct effects of pack-level intensity, duration, or engagement, the effects of individual-level engagement were moderated by pack-level engagement, suggesting that the largest increases in moral and performance character occurred among highly engaged youth who were enrolled in highly engaged packs. These results highlight the need to examine multiple dimensions of OST program involvement simultaneously, and suggest that strengthening youth engagement in programming may provide a means for enhancing the positive effects of high-quality youth programming.

Developmental Trajectories of Youth Character: A Five-Wave Longitudinal Study of Cub Scouts and Non-Scout Boys.

Youth development programs, such as the Boy Scouts of America, aim to develop positive attributes in youth (e.g., character virtues, prosocial behaviors, and positive civic actions), which are necessary for individuals and societies to flourish. However, few developmental studies have focused on how specific positive attributes develop through participation in programs such as the Boy Scouts of America. As part of the Character and Merit Project, this article examined the developmental trajectories of character and other positive attributes, which are of focal concern of the Boy Scouts of America and the developmental literature. Data were collected from 1398 Scouts (M = 8.59 years, SD = 1.29 years, Range 6.17-11.92 years) and 325 non-Scout boys (M = 9.06 years, SD = 1.43 years, Range 6.20-11.81 years) over five waves of testing across a two-and-half-year period. Latent growth-curve analyses of self-report survey data examined the developmental trajectories of the attributes. Older youth rated themselves lower than younger participants on helpfulness, reverence, thriftiness, and school performance. However, all youth had moderately high self-ratings on all the attributes. Across waves, Scouts' self-ratings increased significantly for cheerfulness, helpfulness, kindness, obedience, trustworthiness, and hopeful future expectations. Non-Scout boys' self-ratings showed no significant change for any attributes except for a significant decrease in religious reverence among non-Scout boys from religious institutions. We discuss implications for positive youth development and for the role of the Boy Scouts of America programming in character development.