Patricia DeCosta

Ms. Patricia DeCosta

orcid

Research Focus & Metrics

Academic Career Length

10Years (2017-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 June 2017 in Appetite
Verified
Journal Article
Open access
PDPatricia DeCosta
Patricia DeCosta
PMPer Møller
Per Møller
Michael Bom FrøstMichael Bom Frøst
Michael Bom Frøst
AOAnnemarie Olsen
Annemarie Olsen
The interest in children's eating behaviours and how to change them has been growing in recent years. This review examines the following questions: What strategies have been used to change children's eating behaviours? Have their effects been experimentally demonstrated? And, are the effects transient or enduring? Medline and Cab abstract (Ovid) and Web of Science (Thomson Reuters) were used to identify the experimental studies. A total of 120 experimental studies were identified and they are presented grouped within these 11 topics; parental control, reward, social facilitation, cooking programs, school gardens, sensory education, availability and accessibility, choice architecture and nudging, branding and food packaging, preparation and serving style, and offering a choice. In conclusion, controlling strategies for changing children's eating behaviour in a positive direction appear to be counterproductive. Hands-on approaches such as gardening and cooking programs may encourage greater vegetable consumption and may have a larger effect compared to nutrition education. Providing children with free, accessible fruits and vegetables have been experimentally shown to positively affect long-term eating behaviour. The authors recommend future research to examine how taste and palatability can positively affect children's attitudes and eating behaviour.


18 April 2023 in Qualitative Research in Psychology
Verified
Journal Article
Open access
PDPatricia DeCosta
Patricia DeCosta
TSTimothy C. Skinner
Timothy C. Skinner
JSJette Led Sørensen
Jette Led Sørensen
MTMartha Krogh Topperzer
Martha Krogh Topperzer
DGDan Grabowski
Dan Grabowski
The aim of this article is to provide researchers a detailed framework for conducting high-quality research with young children 3–6 years of age. We argue that young children’s insider perspectives, perceptions and experiences are underrepresented in research owing to methodological challenges. In this article, we present a narrative and play-based approach to eliciting the perspectives of young children, 3–6 years of age, through a developmentally sensitive and child-centred approach to interviewing. We will present a practical step-by-step guide to conducting narrative and play-based interviews with young children. Throughout the article, we will provide practical examples and insights from young children. We will discuss the theory and guiding principles of child-centredness and the child’s perspective that underpin the method. Last, we will consider the advantages and limitations of the method.

12 May 2021 in Children
Verified
Journal Article
Open access
PDF file
PDPatricia DeCosta
Patricia DeCosta
TSTimothy Skinner
Timothy Skinner
DGDan Grabowski
Dan Grabowski
Using the theoretical framework of Guido Möllering conceptualising trust as a mental process composed of three elements—expectation, interpretation and suspension—we examined the role of trust in relation to young children’s (age ≤ 7 years) psychosocial needs when diagnosed with type 1 diabetes. Based on qualitative interviews with health care professionals (HPCs) from paediatric diabetes clinics in all regions of Denmark, we identified four main themes: trust through meaningful interaction, trust as a key factor at the time of diagnosis, trust in a long-term perspective and caregivers as the bridge to trust. We conclude that trust between young children and HCPs is central to children’s psychosocial experience, as well as a primary need, when children are diagnosed with type 1 diabetes. Trusting relationships counteract children’s experience of fear, anxiety and needle phobia and reinforce HCPs’ experience of providing good psychosocial as well as medical care. The present study offers insights into how trust can positively affect young children’s experience of diagnosis. This study also points out some key barriers to and facilitators of creating trusting relationships. This research is a first step towards a greater understanding that can inform collective future guidelines on the psychosocial care of young children.

30 October 2018 in BMC Psychiatry
Verified
Journal Article
Open access
PDF file
NHN. F. Hempler
N. F. Hempler
RPR. A. S. Pals
R. A. S. Pals
LPL. Pedersbæk
L. Pedersbæk
PDPatricia DeCosta
Patricia DeCosta
Health education is particularly important for people with mental illness because they are at higher risk of becoming overweight or obese and developing type 2 diabetes than are members of the general population. However, little is known about how to provide health education activities that promote engagement and motivation among people with mental illness. This study used ethnographic methods to examine barriers and facilitators of effective health education targeting people with mental illness by applying the concept of flow as a theoretical framework. Flow refers to immersion in an activity and is related to motivation. Data were collected through participant observation during eight health-educating activities and were thematically analysed using the concept of flow. Fieldwork was carried out between May and July 2015 in Denmark. Barriers to flow included: 1) information overload, particularly of biomedical rationales for behaviour change; 2) a one-size-fits-all approach that failed to address the needs and preferences of the target group; and 3) one-way communication allowing little time for reflection. Educators promoted a state of flow when they spoke less and acted outside of a traditional expert role, thus engaging participants in the activity. Flow was facilitated when educators were attentive and responsive to people with mental illness, and when they stimulated reflection about health and health behaviour through open-ended questions, communication tools and in small group exercises. This study suggests that more focus should be paid to training of educators in terms of skills to involve and engage people with mental illness in health education activities.

18 October 2023 in Journal of Pediatric Nursing
Verified
Journal Article
Open access
PDPatricia DeCosta
Patricia DeCosta
TSTimothy C. Skinner
Timothy C. Skinner
JSJette Led Sørensen
Jette Led Sørensen
MTMartha Krogh Topperzer
Martha Krogh Topperzer
DGDan Grabowski
Dan Grabowski
To explore young children's (age 3-6 years) own experiences and perceptions of treatment and care when living with a chronic illness. The study employed a qualitative research design using a narrative and play-based interview approach. Individual face-to-face, narrative and play-based interviews were conducted with eight young children age 3-6 years with type 1 diabetes or cystic fibrosis. The play sessions took place at the home of the children and were video recorded. Interpretative phenomenological analysis was used to analyse the data and frame the study. Our analysis identified six main themes: 1. Children understood illness through their bodily experience of treatment and care, 2. Children's experience of care and treatment ranged from a feeling of powerlessness to a sense of agency, 3. Children depended on their parents to provide comfort, advocacy and protection, 4. Children's perceptions of treatment and care were inherently related to their experiences of familiarity, interpersonal relationships and trust, 5. Children with type 1 diabetes did not perceive that they played an active role during consultations, and 6. Children associated medical treatment with receiving tangible rewards or positive feedback. Children expressed a need to feel safe and build agency. They experienced this through participation and interpersonal relationships with healthcare professionals. We should prioritize the establishment and implementation of age-appropriate psychosocial care practices that support young children in participating, forming relationships, and building trust.