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Shorter sleep duration can negatively impact children's daytime functioning and health. Latino children living near urban areas in the Mainland U.S. and Island Puerto Rico (PR) can be exposed to urban poverty and sociocultural stressors that challenge optimal sleep outcomes. Interventions to improve urban Latino children's sleep health should consider families' cultural background and environmental context to enhance acceptability and feasibility. This work describes our stepwise, multimethod approach to adapting a culturally and contextually tailored "School Intervention to Enhance Latino Students' Time Asleep (SIESTA)" for sixth- to eighth-grade Latino children residing in Greater Providence and San Juan and findings from a pilot randomized control trial (RCT) demonstrating SIESTA's efficacy. Results indicated high acceptability and greater improvement of sleep duration and behaviors in SIESTA versus control participants. The SIESTA shows potential to improve sleep outcomes in urban Latino middle schoolers. Results will inform a large-scale RCT to evaluate SIESTA's effectiveness and barriers to implementation.
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http://dx.doi.org/10.1177/00099228231207307 | DOI Listing |
J Math Biol
September 2025
School of Mathematical Sciences and Institute of Natural Sciences, MOE-LSC, CMA-Shanghai, Shanghai Jiao Tong University, Shanghai, China.
It has been noticed that when the waiting time distribution exhibits a transition from an intermediate time power-law decay to a long-time exponential decay in the continuous time random walk model, a transition from anomalous diffusion to normal diffusion can be observed at the population level. However, the mechanism behind the transition of waiting time distribution is rarely studied. In this paper, we provide one possible mechanism to explain the origin of such a transition.
View Article and Find Full Text PDFSubst Use Misuse
September 2025
Population Sciences in the Pacific Program, University of Hawai'i Cancer Center, Honolulu, HI, USA.
: While there are known high rates of tobacco and betel (areca) nut use in the U.S.-Affiliated Pacific Islands (USAPI), there have been limited efforts at preventing the initiation of tobacco and betel nut among those living in the region, particularly, adolescents.
View Article and Find Full Text PDFJ Pediatr Surg
September 2025
Harvard Medical School, Boston, MA, United States; Medically Engineered Solutions in Healthcare Incubator, Innovation in Operations Research Center, Mass General Brigham, Boston, MA, United States. Electronic address:
Introduction: Large language models (LLMs) have been shown to translate information from highly specific domains into lay-digestible terms. Pediatric surgery remains an area in which it is difficult to communicate clinical information in an age-appropriate manner, given the vast diversity in language comprehension levels across patient populations and the complexity of procedures performed. This study evaluates LLMs as tools for generating explanations of common pediatric surgeries to increase efficiency and quality of communication.
View Article and Find Full Text PDFJ Med Internet Res
September 2025
Mo-Im Kim Nursing Research Institute, Institution for Innovation in Digital Healthcare, College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.
Background: Liver cirrhosis (LC) is a morbid condition associated with frequent hospitalization and high mortality. Effective self-management is essential for patients with LC to monitor fluctuating symptoms and follow complex treatment regimens. However, strategies are often unsustainable and insufficiently tailored to individuals with cognitive impairments.
View Article and Find Full Text PDFJMIR Res Protoc
September 2025
Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, United States.
Background: Children in the United States have poor diet quality, increasing their risk for chronic disease burden later in life. Caregivers' feeding behaviors are a critical factor in shaping lifelong dietary habits. The Strong Families Start at Home/Familias Fuertes Comienzan en Casa (SFSH) was a 6-month, home-based, pilot randomized-controlled feasibility trial that aimed to improve the diet quality of 2-5-year-old children and promote positive parental feeding practices among a predominantly Hispanic/Latine sample.
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