Seeking Validation and Creating Meaningful Interactions

Danika L. Pfeiffer, Christine Reiner Hess, Rebecca J Landa
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Abstract

Infancy, a formative period for development, has been identified as an advantageous time to provide family-centered support for children with delays. Families should be included as stakeholders during development of such interventions to ensure social value. We describe a preliminary randomized controlled trial evaluating Infant Achievements (IA), an 8-week (16-session) parent-mediated intervention for parents of infants 8–12 months old with social and communication delays. This study reports our qualitative examination of the intervention's social validity. We conducted focus groups with seven IA parent participants and analyzed their responses using conventional content analysis. Five themes emerged: (a) difficulty identifying resources to address concerns; (b) seeking validation of concerns; (c) seeking support to enhance children's development; (d) experiencing a supportive coaching relationship; and (e) creating meaningful interactions to support children's communication and social skills. Our results emphasize the necessity of partnering with families in the development of evidence-based, family-centered interventions for infants with developmental delays to maximize their social value.
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婴儿期是发育的形成期,被认为是为发育迟缓儿童提供以家庭为中心的支持的有利时期。在制定此类干预措施时,应将家庭作为利益相关者纳入其中,以确保其社会价值。我们介绍了一项初步随机对照试验,评估了 "婴儿成就"(Infant Achievements,简称 IA),这是一项为期 8 周(16 节课)、以家长为中介的干预措施,针对的是 8-12 个月大的社交和沟通迟缓婴儿的家长。本研究报告对该干预措施的社会有效性进行了定性分析。我们与 7 名参加 IA 的家长进行了焦点小组讨论,并采用传统的内容分析法对他们的回答进行了分析。我们发现了五个主题:(a)难以找到资源来解决关注的问题;(b)寻求对关注问题的验证;(c)寻求支持以促进儿童的发展;(d)体验支持性的辅导关系;以及(e)创造有意义的互动以支持儿童的沟通和社交技能。我们的研究结果表明,在为发育迟缓婴儿制定以家庭为中心的循证干预措施时,有必要与家庭合作,以最大限度地发挥他们的社会价值。
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