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Child Maltreatment-Focused Intervention Research 以虐待儿童为重点的干预研究
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-06-12 DOI: 10.1097/IYC.0000000000000267
Rashida Banerjee, Sara Movahedazarhouligh, Ekta Ghosh
Child maltreatment is a significant public health concern that affects children’s health and well-being throughout their life. Children who are maltreated are at an increased risk of developing a disability or delay and are more vulnerable to a range of mental health-related problems, including depression, anxiety, substance abuse, criminality, and other forms of poorly regulated emotional behavior. Children with disabilities are also at a higher risk for maltreatment, and their needs often go unmet. This systematic literature review aimed to identify, analyze, and summarize the preventive programs and intervention practices between 2009 and 2021, addressing maltreatment in children from birth through 8 years of age. The initial search identified 616 peer-reviewed articles on the topic. Seventeen intervention studies met inclusion criteria and were reviewed and coded using systematic procedures. The findings suggest that home visiting and parent education are the most highly investigated educational intervention programs, with parents and caregivers as the primary recipients of the interventions. Studies of maltreatment interventions in children with disabilities are limited, with inadequate methodological rigor. We recommend future robust and wide-ranging investigations to prevent and mitigate the effects of maltreatment of children, particularly children with disabilities, and replications of studies that show promise.
虐待儿童是一个重大的公共卫生问题,会影响儿童一生的健康和幸福。受到虐待的儿童罹患残疾或发育迟缓的风险更高,更容易出现一系列与心理健康相关的问题,包括抑郁、焦虑、药物滥用、犯罪和其他形式的情绪管理不善行为。残疾儿童遭受虐待的风险也更高,他们的需求往往得不到满足。本系统性文献综述旨在识别、分析和总结 2009 年至 2021 年间针对出生至 8 岁儿童虐待问题的预防计划和干预措施。初步检索发现了 616 篇经同行评审的相关文章。有 17 项干预研究符合纳入标准,并采用系统程序进行了审查和编码。研究结果表明,家访和家长教育是调查最多的教育干预项目,家长和照顾者是干预的主要接受者。针对残疾儿童的虐待干预研究非常有限,方法不够严谨。我们建议今后开展强有力的广泛调查,以预防和减轻虐待儿童(尤其是残疾儿童)的影响,并对有希望的研究进行复制。
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引用次数: 0
Supporting Families of Children Living in Multiple Households 为多子女家庭提供支助
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-06-12 DOI: 10.1097/IYC.0000000000000269
Jane Puhlman, Daniel Puhlman
Family-centered early intervention should include all caregivers. For some children, this may be caregivers that live in separate homes, providing a unique challenge to interventionists wanting to ensure the strategies taught are happening throughout all of the child’s contexts. One-hundred and ninety seven interventionists completed an online survey examining their perceptions of importance in sharing information across households and their strategies to do so. Despite interventionists expressing the importance of sharing information across caregivers (93%), only 12% work with both parents when working with families and 26% exclusively take measures to actively share information with the parent not present in the sessions. This may indicate potential barriers involving both parents and sharing information with them. Strategies to better incorporate parents into services when they live in separate homes are discussed.
以家庭为中心的早期干预应包括所有照料者。对于一些儿童来说,这些看护人可能生活在不同的家庭中,这就给干预人员带来了独特的挑战,因为他们要确保所教授的策略在儿童的所有环境中都能实施。197 名干预人员完成了一项在线调查,调查内容是他们对跨家庭共享信息的重要性的看法以及他们为此采取的策略。尽管干预人员表达了跨照料者共享信息的重要性(93%),但只有 12% 的干预人员在与家庭合作时与父母双方一起工作,26% 的干预人员专门采取措施,积极与未参加会议的父母共享信息。这可能表明,让父母双方都参与进来并与他们分享信息可能存在障碍。我们讨论了当父母分居两地时,如何更好地将他们纳入服务的策略。
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引用次数: 0
Reconceptualizing Family-Centered Partnerships in Parent-Implemented Interventions 在家长干预措施中重新认识以家庭为中心的伙伴关系
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-06-12 DOI: 10.1097/IYC.0000000000000271
S. Harbin, Gounah Choi, Angel Fettig
Parents are recognized as having a significant impact on their young child’s learning and development. Parent-implemented intervention (PII) is an evidence-based practice that provides parents with ample opportunities to learn and implement new strategies that support their child’s development. However, implementation of these training programs in the field of early intervention and early childhood special education (EI/ECSE) is often practitioner-driven, which may diminish positive outcomes for children and families and negatively impact the effectiveness of PII. Delivering PII without careful attention to the family’s strengths and resources can compromise parents’ sense of agency and create barriers to parent–practitioner collaboration. In response, this paper describes a framework for PII in EI/ECSE that moves toward a more holistic parent–practitioner relationship and supports family-centered PII partnerships that emphasize the cultural contexts of families and practitioners. A thorough description of the framework and its key constructs are provided.
家长被认为对幼儿的学习和发展具有重要影响。家长实施干预(PII)是一种以证据为基础的做法,它为家长提供了充分的机会来学习和实施支持孩子发展的新策略。然而,在早期干预和儿童早期特殊教育(EI/ECSE)领域,这些培训计划的实施往往是由从业人员主导的,这可能会减少对儿童和家庭的积极成果,并对 PII 的有效性产生负面影响。在提供儿童早期干预时,如果不认真关注家庭的优势和资源,可能会损害家长的主体意识,并对家长与从业人员的合作造成障碍。为此,本文介绍了在幼儿发展/幼儿保育和教育中开展家长参与式教 育(PII)的框架,该框架旨在建立更全面的家长与实践者的关系,支持以家庭为中 心的家长参与式教育伙伴关系,强调家庭和实践者的文化背景。本文对这一框架及其关键结构进行了详尽的描述。
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引用次数: 0
Parent Perspectives of Early Childhood Special Education Transition 家长对幼儿特殊教育过渡的看法
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-06-12 DOI: 10.1097/IYC.0000000000000268
Catherine R. Gaspar, Laudan B. Jahromi
The transition from early childhood special education into school-based special education services is often the first major educational change for children with special needs. Parents are critical to children’s successful transitions. This systematic review compiled parent-reported data from 20 peer-reviewed quantitative and qualitative empirical studies to identify consistent themes regarding parents’ experiences during the early childhood special education transition. Themes for parents’ reported experiences reflected three ecological contexts of children’s development: family, school, and the special education system. Parents reported challenges relating to communication with their new schools and confusion navigating special education procedures but relied on support from their early childhood service providers. These experiences were differentially related to parents employing advocacy strategies for their child or taking a passive role in the process. Findings suggest a need for improved parent resources to support families’ adjustment and their roles in their child’s education in this transition period.
从幼儿特殊教育过渡到以学校为基础的特殊教育服务,往往是有特殊需要的儿童在教育方面的第一次重大转变。家长对儿童的成功过渡至关重要。本系统性综述汇编了来自 20 项经同行评审的定量和定性实证研究的家长报告数据,以确定有关家长在幼儿特殊教育过渡期间经历的一致主题。家长报告经验的主题反映了儿童发展的三个生态环境:家庭、学校和特殊教育系统。家长们报告了在与新学校沟通方面遇到的挑战,以及在特殊教育程序方面遇到的困惑,但他们依靠幼儿服务提供者的支持。这些经历与家长为其子女采取宣传策略或在这一过程中扮演被动角色有着不同的关系。研究结果表明,有必要改善家长资源,以支持家庭在这一过渡时期的调整及其在子女教育中的作用。
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引用次数: 0
A Content Analysis of Public-Facing Part C Early Intervention Websites of US States and Territories 美国各州和地区面向公众的 C 部分早期干预网站内容分析
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-06-12 DOI: 10.1097/IYC.0000000000000270
Priscilla Weaver, M. Rapport, Tricia A. Catalino, Jessica Barreca
In the United States (US), early intervention (EI) programs under Part C of the Individuals with Disabilities Education Act have demonstrated a commitment to teaming and collaboration through multidisciplinary assessment and coordinated service delivery. However, there continues to be broad variability as to the EI service delivery model described on public-facing EI program websites and in state-level documents. In this study, we performed a review of the websites of EI programs in all 50 states, the District of Columbia, five US territories, and two federal departments responsible for providing EI services to specific constituencies. Using a qualitative content analysis approach to analyze the data from all 58 entities led to three primary findings: (1) the challenge of finding information on public-facing websites and related documents about teaming practices within each state, (2) the inconsistency in the types of documents, dates, and ages of posted information, and (3) the variability across states, including the language used to describe and discuss teaming models and practices. These results lead to a call for action to improve the consistency of information on teaming models and the implementation of practices that better support all children and families served under Part C.
在美国,《残障人士教育法案》C 部分规定的早期干预(EI)计划已通过多学科评估和协调服务的提供,展示了对团队合作的承诺。然而,在面向公众的儿童早期干预计划网站和州一级的文件中,对儿童早期干预服务提供模式的描述仍然存在很大差异。在本研究中,我们对美国 50 个州、哥伦比亚特区、五个美国属地和两个负责向特定人群提供幼儿保 育服务的联邦部门的幼儿保育计划网站进行了审查。使用定性内容分析法对来自所有 58 个实体的数据进行分析,得出了三个主要发现:(1)在各州面向公众的网站上查找有关团队合作实践的信息和相关文件是一项挑战;(2)发布信息的文件类型、日期和年代不一致;(3)各州之间存在差异,包括用于描述和讨论团队合作模式和实践的语言。这些结果呼吁采取行动,提高团队合作模式信息的一致性,并实施能更好地支持 C 部分服务的所有儿童和家庭的实践。
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引用次数: 0
Developmental Monitoring in Special Supplemental Nutrition Programs for Women, Infants, and Children (WIC) Increases Referrals to Social Supports 妇女、婴儿和儿童特殊补充营养计划(WIC)中的发育监测增加了社会支持转介的机会
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-06-12 DOI: 10.1097/IYC.0000000000000266
Kate Barlow, Kara Ghiringhelli, Kelsey Sullivan, Ava Daly
To examine the impact of developmental monitoring on child referrals, a retrospective data review, comparing seven pilot programs with seven matched controls in Special Supplemental Nutrition Programs for Women, Infants, and Children (WIC) was completed. Pilot programs were trained on developmental monitoring and how to refer families to their local Early Intervention (EI) program, Special Education, or Family TIES (Together in Enhancing Support), services when there is a developmental concern. The “Learn the Signs. Act Early” developmental monitoring program was implemented, and the outcomes included the number of referrals made over a 6-month period. The results indicated a statistically significant difference (p = <.001) in referrals made preimplementation compared to postimplementation with a large effect size (d = 0.96) for pilot programs. Additionally, when analyzing between-groups there were significantly more referrals (p = .001) made at the pilot programs compared to the control programs, again with a large effect size (d = 2.10). This study shows that the implementation of developmental monitoring within WIC programs was effective in increasing referrals to intervention services designed to support families with early identification of developmental delay.
为了研究发育监测对儿童转介的影响,我们完成了一项回顾性数据审查,比较了妇女、婴儿和儿童特殊补充营养计划(WIC)中的七个试点项目和七个匹配对照项目。试点计划接受了发育监测方面的培训,以及如何在出现发育问题时将家庭转介到当地的早期干预(EI)计划、特殊教育或家庭 TIES(共同加强支持)服务。了解迹象。及早行动 "发展监测计划,其结果包括 6 个月内的转介数量。结果表明,实施前与实施后的转介数量在统计学上有显著差异(p = <.001),试点项目的效应大小较大(d = 0.96)。此外,在进行组间分析时,试点项目与对照项目相比,转介人数明显较多(p = .001),同样具有较大的效应大小(d = 2.10)。这项研究表明,在 WIC 计划内实施发育监测能有效地增加转介到旨在支持家庭早期识别发育迟缓的干预服务。
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引用次数: 1
Factors Associated With Service Referrals and Uptake in Early Head Start: The Importance of Care Setting. 与早期启蒙教育服务转介和使用相关的因素:护理环境的重要性。
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-04-01 Epub Date: 2024-03-08 DOI: 10.1097/IYC.0000000000000263
Russell A Carleton, Ann M DiGirolamo, Lisa McGarrie, Ani S Whitmore, Annelise Gilmer-Hughes

Secondary analysis of the Early Head Start Family and Child Experiences Survey 2018 data set (Baby FACES 2018) explored links between family risk events and referral-making and referral uptake among families receiving Early Head Start (EHS) services. Referrals to both behavioral health and entitlement programs were considered. Results showed that referrals to behavioral health programs were much more likely to be given to families receiving care from home-based care than center-based care, and that referrals were slightly more likely to be given to families who did not have any family risk events. Several factors also moderated the relationship between family risk and referrals, including perceived closeness of the parent/caregiver-EHS staff relationship, family conflict, and caregiver depression. There were no observed effects for referrals to entitlement programs. Caregiver depression weakened the link between family risk and service uptake for entitlement programs.

对 2018 年早期启蒙家庭和儿童经历调查数据集(Baby FACES 2018)的二次分析探讨了接受早期启蒙(EHS)服务的家庭中家庭风险事件与转介和转介吸收之间的联系。转介到行为健康和权益计划的情况都被考虑在内。结果显示,接受家庭护理的家庭转介到行为健康计划的可能性远远高于接受中心护理的家庭,而转介给没有任何家庭风险事件的家庭的可能性略高。有几个因素也调节了家庭风险和转介之间的关系,包括家长/照顾者与保健服务人员关系的亲密程度、家庭冲突和照顾者抑郁。没有观察到转介到福利计划的影响。照护者抑郁削弱了家庭风险与福利项目服务接受度之间的联系。
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引用次数: 0
Early Identification of Developmental Language Delay 语言发育迟缓的早期识别
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1097/IYC.0000000000000256
C. Wiefferink, Conja Adriaanse, Margot van Denderen, Carla van Schie, N. Uilenburg
Despite the importance of identifying children with developmental language delay, no accurate screening instruments are available for 3-year-olds. The aim of the present study is to compare the accuracy of the General Language Screen (GLS), focusing on receptive and expressive language and intelligibility with the accuracy of the VTO Language Screening Instrument (VTO-LSI)-3-year, focusing on expressive language and intelligibility. We hypothesize that the GLS is more accurate in identifying children with language delay, because it also assesses receptive language. Ninety-seven 3-year-old children were included based on their language screening score at the age of 2. At the age of 3, children were assessed with the VTO-LSI-3-year and the GLS. Diagnostic tests were used as reference tests. The GLS was better than the VTO-LSI-3-year in identifying children with language delay. Receiver operating characteristic analysis of the discriminative power showed higher areas under the receiver operating characteristic curve for the GLS. Moreover, the GLS was better in detecting receptive language concerns. Given these results the GLS may serve as a reliable screening tool, especially for children with receptive problems. Because receptive language problems are persistent, early diagnosis and intervention is very important for these children.
尽管识别语言发育迟缓儿童非常重要,但目前还没有针对 3 岁儿童的准确筛查工具。本研究的目的是比较通用语言筛查(GLS)与 VTO 语言筛查工具(VTO-LSI)-3 年期的准确性,前者侧重于接受语言、表达语言和理解能力,后者侧重于表达语言和理解能力。我们假设,由于 GLS 也评估接受性语言,因此它在识别语言迟缓儿童方面更为准确。根据儿童 2 岁时的语言筛查得分,我们纳入了 97 名 3 岁儿童。诊断测试被用作参考测试。在识别语言发育迟缓儿童方面,GLS优于VTO-LSI-3-year。辨别力的接收者操作特征分析表明,GLS 的接收者操作特征曲线下的面积更大。此外,GLS 在检测接受性语言问题方面也更胜一筹。鉴于这些结果,GLS 可以作为一种可靠的筛查工具,尤其是针对有接受能力问题的儿童。由于接受性语言问题具有顽固性,因此早期诊断和干预对这些儿童非常重要。
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引用次数: 0
Correlations Between State-Level Monitoring and Screening Rates and Early Identified ASD/DD Across Racial and Ethnic Groups 州级监测和筛查率与不同种族和族裔群体早期发现的 ASD/DD 之间的相关性
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1097/IYC.0000000000000258
Brian Barger, Ashley Salmon, Gail Chödrön
This study combined data from the National Survey of Children's Health (NSCH; 2016–2019) to develop state-level percentages of Hispanic, non-Hispanic Black, non-Hispanic other race, and non-Hispanic White children receiving developmental screening and/or monitoring and diagnosed with an autism spectrum disorder or developmental delay (ASD/DD). Analyses for the entire sample indicated no significant correlations between state-level screening/monitoring and ASD/DD; stratified analyses indicated correlations between monitoring and ASD/DD for Black populations and conjoint monitoring/screening and ASD/DD for Hispanic populations. Findings are contextualized around the limitations of the NSCH items, scope of community partners engaged in screening and monitoring, the importance of monitoring for identifying Black and Hispanic children with ASD/DD, and the utility of the NSCH's multiyear design.
本研究结合全国儿童健康调查(NSCH;2016-2019 年)的数据,得出了各州接受发育筛查和/或监测并被诊断患有自闭症谱系障碍或发育迟缓(ASD/DD)的西班牙裔、非西班牙裔黑人、非西班牙裔其他种族和非西班牙裔白人儿童的百分比。对整个样本的分析表明,州级筛查/监测与自闭症谱系障碍/发育迟缓之间没有显著相关性;分层分析表明,对黑人群体的监测与自闭症谱系障碍/发育迟缓之间存在相关性,对西班牙裔群体的联合监测/筛查与自闭症谱系障碍/发育迟缓之间存在相关性。研究结果围绕国家儿童健康计划项目的局限性、参与筛查和监测的社区合作伙伴的范围、监测对识别患有 ASD/DD 的黑人和西班牙裔儿童的重要性以及国家儿童健康计划多年期设计的效用等方面展开。
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引用次数: 0
Aligning Professional Development With Service Coordinator Knowledge and Skills 根据服务协调员的知识和技能调整专业发展
IF 1.1 4区 医学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1097/IYC.0000000000000257
Dana C. Childress, Seb M. Prohn, Corinne F. Hill, Lisa M. Terry
Service coordinators under Part C of the Individuals With Disabilities Education Act (IDEA, 2004) help families navigate the early intervention (EI) system and ensure regular communication among team members so services are aligned with family priorities and recommended EI practices. To meet the demands of service coordination, personnel entering the EI field who will serve as service coordinators must receive high-quality professional development to orient them to their unique roles and responsibilities. The purpose of this program evaluation was to examine the effectiveness of one state's service coordination training program and its alignment with the Knowledge and Skills for Service Coordinators (KSSC), a resource document in the Division for Early Childhood and IDEA Infant Toddler Coordinators Association (DEC & ITCA) Joint Position Statement: Service Coordination in Early Intervention (2020). Survey results suggested that the training program was associated with increased knowledge and skills for service coordinator participants in many of the KSSC areas. Participants also reported using what they learned in their work with families. The rubric used to evaluate this training program could be a resource for state-level professional development providers to evaluate alignment of current and future training for service coordinators with the KSSC.
根据《残障人士教育法案》(IDEA,2004 年)C 部分的规定,服务协调员要帮助家庭驾驭早期干预(EI)系统,并确保团队成员之间的定期沟通,从而使服务与家庭的优先事项和推荐的 EI 实践保持一致。为了满足服务协调的要求,进入早期干预领域担任服务协调员的人员必须接受高质量的专业培训,使他们了解自己独特的角色和责任。本计划评估的目的是检查一个州的服务协调培训计划的有效性及其与服务协调员知识和技能(KSSC)的一致性,KSSC 是儿童早期教育司和 IDEA 婴儿和幼儿协调员协会(DEC & ITCA)联合立场声明中的一份资源文件:早期干预中的服务协调(2020 年)。调查结果表明,培训计划提高了服务协调员在许多 KSSC 领域的知识和技能。学员们还报告说,他们在与家庭的合作中运用了所学到的知识。用于评估该培训计划的评分标准可作为州级专业发展提供者的资源,以评估当前和未来的服务协调员培训是否与 KSSC 保持一致。
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引用次数: 0
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Infants & Young Children
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