Cerebral palsy (CP) can be considered the most frequent childhood physical disorder. The severity and type of dysfunction depend on the brain injury. Movement and posture are the most affected areas. CP is a lifelong condition, and parenting a child with this disorder brings additional challenges (e.g., dealing with grief) and needs (e.g., information). Identifying and characterizing their challenges and needs are pivotal to enrich the knowledge in this field and help draw more suitable support for parents. Interviews with 11 parents of children with CP attending elementary school were conducted. The discourse was transcribed, and a thematic analysis was performed. Three themes emerged from the data: (i) challenges of parenting a child with CP (e.g., internal challenges), (ii) crucial needs for parents to cope with a child with CP (e.g., information), and (iii) the intersection between challenges and needs of parents of children with CP (e.g., unawareness). Regarding the challenges and needs characterization, lifespan was the most frequent period of child development, and the microsystem was the context of life most reported. The findings may inform the design of educational and remediation interventions to support families of children with CP attending elementary school.

Background: Despite the enormous investment governments allocate to fight obesity, its worldwide prevalence is still on the rise. Moreover, the majority of the programs implemented are still targeting adults struggling with overweightness and focusing on transmitting knowledge about food. However, research shows that obesity prevention is more efficacious and cheaper, and beliefs about healthy eating have a stronger influence on eating behavior than declarative knowledge about food. In fact, knowledge about healthy eating only influences weight status when combined with self-regulation competences. Thus, the main goal of the current project is to develop and evaluate the efficacy of an online preventive intervention program, the HEP-S. This program is designed to promote and develop a set of transversal skills and strategies, related to self-regulation, on the healthy eating domain among school-aged children. Methods: A three-armed randomized controlled trial will be conducted in several schools in Portugal. It will include a standard control group, with no intervention; an online intervention group, with the program for 20 weeks; and an enhanced online intervention group, with the program for 20 weeks embedded with gamification strategies throughout the program. Per research group, 40 groups of about 15 children each will be recruited and measured at five different time points. The three research groups will complete the same assessment protocol at the same timings (baseline, post-intervention, and 3, 6, and 9 months’ follow-ups). The assessment protocol will include anthropometric and psychological measures. The primary outcome measures will be the development of self-regulation skills for healthy eating over time, the development of self-efficacy attitudes, knowledge about healthy eating over time, and others. The secondary outcome measures will include the effect of gamification strategies, engagement, and satisfaction with the program, among others. The program will comprise the following: (i) a weekly group synchronous videoconference session with a trained educational psychologist serving as a mediator and (ii) a weekly parental involvement activity. Narratives, or story-tools, embedded with self-regulation strategies are at the core of the intervention. Discussion: The program may play an important role in preventing risky and unhealthy eating behaviors by focusing on the development of self-regulation skills and strategies among elementary school children. Trial registration: ClinicalTrials.gov NCT04099498. Registered on 23 September 2019.

Cerebral palsy is a neurodevelopmental disorder that can impair self-regulatory skills. Narrative-based tools, such as “The Incredible Adventures of Anastácio, the Explorer”, have shown promise in fostering these competencies in children with cerebral palsy. This study evaluated a training program for psychologists using a story-based intervention to promote self-regulation skills in children with cerebral palsy. A sequential explanatory mixed-methods design assessed declarative and procedural knowledge and self-efficacy changes. Seventeen psychologists completed a three-level program: Level 1 included sociodemographic and declarative knowledge assessments (pre/post); Level 2 focused on self-efficacy (pre/post) and a procedural knowledge task; and Level 3 reassessed self-efficacy (post 2). Semi-structured interviews explored participants’ experiences qualitatively. Results showed a significant increase in declarative knowledge, confirming the effectiveness of training. All participants demonstrated positive levels of procedural knowledge despite individual variations. Self-efficacy did not increase significantly, likely due to the tool’s high initial score and novelty. Qualitative findings highlighted the value of balancing theoretical and practical components in training. Although self-efficacy gains were limited, the program enhanced psychologists’ declarative and procedural knowledge. Findings suggest that narrative-based training may help professionals update their knowledge and practices, supporting the promotion of self-regulatory skills in children with cerebral palsy.