AI-based chatbot micro-intervention for parents: Meaningful engagement, learning, and efficacy

IntroductionMental health issues have been on the rise among children and adolescents, and digital parenting programs have shown promising outcomes. However, there is limited research on the potential efficacy of utilizing chatbots to promote parental skills. This study aimed to understand whether parents learn from a parenting chatbot micro intervention, to assess the overall efficacy of the intervention, and to explore the user characteristics of the participants, including parental busyness, assumptions about parenting, and qualitative engagement with the chatbot.MethodsA sample of 170 parents with at least one child between 2–11 years old were recruited. A randomized control trial was conducted. Participants in the experimental group accessed a 15-min intervention that taught how to utilize positive attention and praise to promote positive behaviors in their children, while the control group remained on a waiting list.ResultsResults showed that participants engaged with a brief AI-based chatbot intervention and were able to learn effective praising skills. Although scores moved in the expected direction, there were no significant differences by condition in the praising knowledge reported by parents, perceived changes in disruptive behaviors, or parenting self-efficacy, from pre-intervention to 24-hour follow-up.DiscussionThe results provided insight to understand how parents engaged with the chatbot and suggests that, in general, brief, self-guided, digital interventions can promote learning in parents. It is possible that a higher dose of intervention may be needed to obtain a therapeutic change in parents. Further research implications on chatbots for parenting skills are discussed

Jouer en bibliothèque

Le développement du jeu vidéo mais également l’engouement des jeunes adultes pour les jeux de plateau, l’utilisation de dispositifs ludiques comme outils de médiation ou associés aux apprentissages sont venus prolonger les services des ludothèques et conduisent les bibliothèques à se réinventer pour devenir les lieux naturels où permettre la pratique de l’expérience du jeu dans toutes ses dimensions. Le plan s’organise autour de quatre parties : connaître le contexte (les espaces, les équipes, le droit), acquérir/valoriser (les fonds, jouets et serious games), animer/créer (projet de service, partenariats, médiation), et participer (une approche orientée communauté)

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

La philosophie de l'imaginaire chez Carl Gustav Jung

REIMS-BU Droit-Lettres (514542102) / SudocSudocFranceF

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International audienc

Identification moléculaire des agents de la dermatite cercarienne : application à un foyer en Champagne-Ardenne

REIMS-BU Santé (514542104) / SudocSudocFranceF

Circonstances de diagnostic et prise en charge des hommes présentant un syndrome de Klinefelter. (Etude rétrospective sur 10 ans au CHU de Reims)

REIMS-BU Santé (514542104) / SudocSudocFranceF

Stereoelectronic control of oxazolidine ring-opening: structural and chemical evidences

International audienc

One-step synthesis and reduction of triphenylphosphine carbonyl palladium clusters of variable nuclearities

Heteroleptic triphenylphosphine carbonyl palladium clusters of different nuclearities were prepared under mild conditions by only varying the amount of ligand (PPh(3)) used in the synthesis: three different clusters were successfully isolated after CO bubbling in a solution of [Pd(2)(dba)(3)] (dba = dibenzylideneacetone) with 3, 1 or 0.5 equiv of PPh(3), which led, respectively, to [Pd(4)(CO)(5)(PPh(3))(4)] (1), [Pd(10)(CO)(12)(PPh(3))(6)] (2) and [Pd(n)(CO)(x)(PPh(3))(y)] (3) (n approximate to 24). The molecular structures of compounds 1 and 2 were determined by X-ray crystallography. The metal cores in these compounds were shown to consist in a butterfly for 1 and a bridged octahedron for 2. Compound 3 was shown to be at the boundary between molecular clusters and colloidal particles with tentative formulation arising from characterization data. These three clusters and the known [Pd(10)(CO)(12)(PBu(3))(6)] and [Pd(12)(CO)(15)(PBu(3))(7)] were submitted to NaBH(4) reduction. The Pd(4) cluster 1 did not react. The colloidal Pd(n) species led to no isolable product. By contrast, the two Pd(10) and the Pd(12) clusters led to reduction products, isolated as NEt(4)(+) salts. In the case of the reduced Pd(12) cluster, its structure was resolved by X-ray crystallography: the metal core consists of a face-capped octahedron. The reduced species reacted readily with Au(PPh(3))(+), confirming their anionic nature. (C) 2011 Elsevier B. V. All rights reserved

Anomeric effects in non-carbohydrate compounds: conformational differences between the oxazolidine rings of a cis-fused bicyclic system

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