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Preparing Occupational Therapists for Effective Family-Centered Best Practice in Early Intervention 准备职业治疗师在早期干预中有效的以家庭为中心的最佳实践
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-10-01 DOI: 10.1097/IYC.0000000000000150
Beth K. Elenko
The State University of New York (SUNY) Downstate's occupational therapy (OT) Program has worked over the last decade and a half providing advanced training in early intervention (EI) through 3 OT programs for practicing and preservice occupational therapists. There are many challenges in the preparation of entry-level practitioners to work effectively using family-centered best practices. This article describes a family partnership experience (FPE), which is part of SUNY Downstate's advanced training in EI. This article outlines the evolution of our FPE through 3 advanced training programs. In these FPEs, the OT students spend time with families who receive EI during their daily lives. Students complete assignments to identify the families' priorities and concerns, understand roles and routines, and assist families to access community resources. Through this FPE, students learn about the family's perspective. This article presents quantitative and qualitative data of the FPE through students' report in course evaluations, pre- and post–self-assessed competency, and informal interviews over the 3 higher education OT programs.
纽约州立大学(SUNY)下州职业治疗(OT)项目在过去的15年里一直致力于通过3个OT项目为执业和职前职业治疗师提供早期干预(EI)的高级培训。在准备入门级从业人员利用以家庭为中心的最佳做法有效工作方面存在许多挑战。这篇文章描述了家庭合作经验(FPE),这是纽约州立大学下州分校情商高级培训的一部分。本文概述了我们FPE通过3个高级培训项目的发展。在这些fpe中,OT学生在日常生活中与接受EI的家庭共度时光。学生完成作业,以确定家庭的优先事项和关注点,了解角色和惯例,并帮助家庭获得社区资源。通过FPE,学生们了解了家庭的观点。本文通过学生的课程评估报告、自我评估前后的能力评估报告以及非正式访谈,对三个高等教育OT项目的FPE进行了定量和定性分析。
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引用次数: 1
Building Professional Capacity to Strengthen Parent/Professional Relationships in Early Intervention: The FAN Approach 在早期干预中建立专业能力以加强父母/专业关系:FAN方法
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-10-01 DOI: 10.1097/IYC.0000000000000148
K. Cosgrove, Linda Gilkerson, A. Leviton, M. Mueller, C. Norris-Shortle, Marcia Gouvêa
A strong relationship between parents and professionals is essential to successful early intervention. Yet, programs struggle to engage families in services. This article describes a successful pilot project to strengthen parent/professional relationships for families with children with disabilities living in a high-poverty urban area. Early intervention (EI) providers were trained to use the FAN (Facilitating Attuned Interactions) approach to increase their attunement to parent concerns and capacity to collaborate with parents during early intervention therapy sessions. Over the pilot project, the providers felt more empathic with parents, more collaborative, and more effective and satisfied in their roles. FAN is a promising approach and practical tool to strengthen relationships between parents and professionals in EI.
父母和专业人员之间牢固的关系对于成功的早期干预至关重要。然而,项目很难让家庭参与到服务中来。本文描述了一个成功的试点项目,旨在加强生活在高度贫困城市地区有残疾儿童的家庭的父母/专业关系。早期干预(EI)提供者接受了使用FAN(促进协调互动)方法的培训,以提高他们在早期干预治疗期间与父母合作的能力。在试点项目中,服务提供者对父母更感同身受,更愿意合作,对自己的角色更有效、更满意。FAN是一种很有前途的方法和实用的工具,可以加强家长和EI专业人员之间的关系。
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引用次数: 7
Parent-Mediated Targeted Intervention for Young Children at Risk for Autism Spectrum Disorder 儿童自闭症谱系障碍风险家长介导的针对性干预
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-09-11 DOI: 10.1097/IYC.0000000000000226
Alicia Azzano, Rebecca Ward, T. Vause, Maurice A. Feldman
Interventions for young children at risk for autism spectrum disorder (ASD) may improve key developmental skills and remediate early ASD signs. Parents of 3 children (19, 23, and 26 months old) showing possible early signs of ASD participated. The Parent Observation of Early Markers Scale (POEMS) identified specific child concerns confirmed in baseline observations. Multiple baseline designs across parent and child behaviors evaluated a parent-mediated behavioral intervention, called Parent Intervention for Children At-Risk for Autism (PICARA), to increase targeted developmental skills (e.g., responding to name, imitation, requesting). Parents received individual behavioral skills training in their home 1 hr per week over 12, 18, and 29 sessions, respectively, based on the number of child skills trained and child performance. All parent and child skills improved and were maintained at the 46-, 12-, and 6-week follow-up periods, respectively. With training, parents of young children at risk for ASD may be able to improve child skills deficits often seen in children with ASD.
对有自闭症谱系障碍(ASD)风险的幼儿进行干预可能会改善关键的发展技能,并纠正早期的ASD症状。有三个孩子(19、23和26个月大)表现出可能的ASD早期迹象的父母参与了研究。父母早期标记观察量表(POEMS)确定了在基线观察中确认的特定儿童关注点。跨父母和儿童行为的多个基线设计评估了父母介导的行为干预,称为自闭症风险儿童的父母干预(PICARA),以提高目标发展技能(例如,对名字,模仿,请求作出反应)。根据儿童技能培训的数量和儿童的表现,父母们在家中接受了每周1小时的个人行为技能培训,分别为12次、18次和29次。所有父母和孩子的技能都有所提高,并分别在46周、12周和6周的随访期间保持不变。通过培训,有自闭症风险的幼儿的父母可能能够改善自闭症儿童经常出现的技能缺陷。
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引用次数: 0
Family Outcomes for Families of 4–5-Year-Old Children on the Autism Spectrum Who Have Received Early Childhood Intervention in Australia 在澳大利亚接受早期儿童干预的4 - 5岁自闭症谱系儿童的家庭结果
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-07-01 DOI: 10.1097/IYC.0000000000000143
D. Adams, Deb Keen, H. Heussler, Rachelle Wicks, Jacqueline Roberts
Early childhood intervention (ECI) services for children on the autism spectrum commonly espouse a family-centered approach but outcomes studies often focus solely upon the child. Mothers of 96 children on the spectrum (aged 4–5 years) completed a measure of access to ECI and the Family Outcomes Survey—Revised. Family outcomes after ECI were generally positive, although a notable proportion of mothers rated that their child still did not participate in social, recreational, or religious activities that they would want to (15.6%) and that as parents, they did not know about post-ECI options (14.6%). Family outcomes and perceived helpfulness of ECI did not differ with demographic data with the exception of Accessing the community subscale, which was significantly higher in families with incomes above AUD$80,000.
针对自闭症儿童的早期儿童干预(ECI)服务通常采用以家庭为中心的方法,但结果研究往往只关注儿童。96名儿童(4-5岁)的母亲完成了对儿童智力指数和家庭结果调查修订的测量。ECI后的家庭结果总体上是积极的,尽管有相当比例的母亲认为她们的孩子仍然没有参加她们想要参加的社交、娱乐或宗教活动(15.6%),而且作为父母,她们不知道ECI后的选择(14.6%)。家庭结果和感知的ECI帮助与人口统计数据没有差异,除了访问社区亚量表,在收入超过8万澳元的家庭中显着更高。
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引用次数: 6
Utility of the Early Delay and Disabilities Code Set for Exploring the Linkage Between ICF-CY and Assessment Reports for Children With Developmental Delay 应用早期迟缓和残疾代码集探索发展迟缓儿童ICF-CY与评估报告之间的联系
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-07-01 DOI: 10.1097/IYC.0000000000000144
Yi-Ling Pan, A. Hwang, R. Simeonsson, Lu Lu, H. Liao
Supplemental Digital Content is Available in the Text. The International Classification of Functioning, Disability and Health (ICF) offers a universal language of codes to document childhood functioning. The ICF-CY Code Set for Infants with Early Delay and Disabilities (EDD Code Set) has been developed to facilitate the practical application of the ICF for children. The purpose of this study was to examine the utility of the EDD Code Set by exploring the linkage between ICF and children's assessment reports. We reviewed 30 Comprehensive Assessment Reports (CAR) for children with developmental delay (DD), aged 9–34 months in a joint evaluation center. Meaningful concepts in compulsory and supplementary sections of the CAR were identified and linked to the EDD Code Set. Linkage was measured by (a) number of linked codes and (b) average of code-only and code-with-qualifier percentages. Content in the CAR was linked to 72 of the 82 EDD codes with more codes linked from the supplementary (71) than the compulsory section (58). The largest proportion of linked codes was activities and participation (85%). The EDD Code Set can be used to examine the ICF linkage of pediatric assessment reports and guide future development or revision of pediatric documentation and participation-based intervention.
补充数字内容可在文本中获得。《国际功能、残疾和健康分类》提供了一种记录儿童功能的通用代码语言。制定了《早期迟缓和残疾婴儿ICF- cy代码集》(EDD代码集),以促进儿童ICF的实际应用。本研究的目的是通过探索ICF和儿童评估报告之间的联系来检验EDD代码集的效用。我们回顾了30例9-34月龄发育迟缓(DD)儿童的综合评估报告(CAR)。在CAR的必修和补充部分中确定了有意义的概念,并将其链接到EDD代码集。通过(a)链接代码的数量和(b)仅代码和带限定词的代码百分比的平均值来测量链接。CAR中的内容链接到82个EDD代码中的72个,从补充部分(71个)链接的代码比从强制部分(58个)链接的代码多。链接代码的最大比例是活动和参与(85%)。EDD代码集可用于检查ICF与儿科评估报告的联系,并指导未来儿科文件的开发或修订以及基于参与的干预措施。
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引用次数: 2
Construct, Convergent, and Discriminant Validity of the Beach Center Family Quality of Life Scale for Singapore 新加坡海滨中心家庭生活品质量表之建构、收敛与判别效度
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-07-01 DOI: 10.1097/IYC.0000000000000145
N. Waschl, Huichao Xie, Mo Chen, K. Poon
Family quality of life (FQoL) constitutes an important aspect of early intervention. However, the culture bound nature of this construct necessitates validation of FQoL measures when being used in a culture different from the one in which they were developed. This study sought to understand the psychometric properties and construct validity of the Beach Center FQoL (BCFQoL) scale in Singapore. Data from 307 caregivers of children in an early intervention program were used. These caregivers completed the BCFQoL scale and external validity measures of family outcomes, psychological distress, and life situation. Confirmatory factor analysis and correlations were used to examine the factor structure and convergent and discriminant validity of the BCFQoL scale. Results indicated support for 5 FQoL dimensions and a higher-order FQoL factor. External convergent and discriminant validity, as well as internal statistical discriminant validity of the individual BCFQoL dimensions were supported. Despite evidence of internal statistical discriminant validity, there was little variation in the strength of the relationships between individual BCFQoL dimensions and the various external validity measures. Overall, the results of this study support the use of the BCFQoL scale as a valid measure of FQoL in Singapore.
家庭生活质量(FQoL)是早期干预的重要方面。然而,这种结构的文化约束性质需要在不同文化中使用FQoL测量时进行验证。本研究旨在了解新加坡Beach Center FQoL (BCFQoL)量表的心理测量特性和构建效度。数据来自307名儿童早期干预项目的照顾者。这些照顾者完成BCFQoL量表和家庭结局、心理困扰和生活状况的外部效度测量。采用验证性因子分析和相关分析对BCFQoL量表的因子结构、收敛效度和判别效度进行检验。结果支持5个FQoL维度和一个高阶FQoL因子。BCFQoL各维度的外部收敛效度和判别效度以及内部统计判别效度均得到支持。尽管存在内部统计判别效度的证据,但BCFQoL个体维度与各种外部效度测量之间的关系强度几乎没有变化。总体而言,本研究的结果支持在新加坡使用BCFQoL量表作为FQoL的有效测量。
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引用次数: 11
The Use of Peer Mediation and Educator Facilitation to Promote Turn Taking in Young Children With Autism Spectrum Disorder in Inclusive Childcare 同伴调解和教育者促进在全纳托儿中促进自闭症谱系障碍幼儿轮班的作用
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-07-01 DOI: 10.1097/IYC.0000000000000146
Coral Kemp, J. Stephenson, M. Cooper, K. Hodge
A multiple-probe design across participants was used to investigate the effect of a peer-mediated intervention on the turn-taking behavior of 3 children with autism spectrum disorder (ASD) attending inclusive childcare centers. An educator trained peers to support the child with a disability to take turns playing a game on an iPad. The educator was also available to provide coaching for the peer when needed. An intervention effect was demonstrated for each of the children, and 2 were able to demonstrate maintenance of the skill when the training and coaching procedures were not implemented by the educator. Although some elements of the treatment procedures were not consistently applied by the educators or typical peers, the intervention was sufficiently robust to enable the children with ASD to improve their turn-taking skills.
采用多探针设计,探讨同伴干预对3名自闭症谱系障碍(ASD)儿童在全纳托儿中心轮流行为的影响。一位教育工作者训练同龄人支持残疾儿童轮流在iPad上玩游戏。教育工作者也可以在需要时为同伴提供指导。每个孩子都被证明了干预的效果,当教育者没有实施培训和指导程序时,2个孩子能够证明技能的维持。尽管教育工作者或典型的同龄人并没有始终如一地应用治疗程序的某些要素,但干预措施足以使患有ASD的儿童提高他们的轮流技巧。
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引用次数: 5
Assessing Toddlers and Preschool Children Using the Checklist for Autism Spectrum Disorder 使用自闭症谱系障碍检查表评估幼儿和学龄前儿童
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-04-01 DOI: 10.1097/IYC.0000000000000136
S. Mayes
Brief, clinically feasible instruments are needed to assess autism spectrum disorder (ASD) in toddlers and preschoolers so that children can access early evidence-based intervention. Study purposes were to (1) compare scores on the 30-item Checklist for Autism Spectrum Disorder (CASD) and 6-item CASD-Short Form (CASD-SF) for toddlers and preschoolers and older children with ASD to determine whether scores differed by age and (2) establish sensitivity and specificity for the CASD and CASD-SF for toddlers and preschoolers. Samples were 1,266 children with ASD 1–17 years of age, 97 toddlers and preschoolers with diagnoses other than ASD, and 65 typical toddlers and preschoolers. CASD and CASD-SF scores were somewhat higher for toddlers and preschoolers than for older children with ASD, indicating that young children were not at increased risk for being missed. All toddlers and preschoolers with ASD had CASD scores in the autism range, and 99.7% had CASD-SF scores in the autism range. CASD and CASD-SF scores correctly identified 100% and 96.9% of typical toddlers and preschoolers and 100% and 96.2% of toddlers and preschoolers with disorders other than ASD, respectively, as not having ASD. Results demonstrate high CASD and CASD-SF sensitivity and specificity for toddlers and preschoolers.
简而言之,需要临床可行的工具来评估幼儿和学龄前儿童的自闭症谱系障碍(ASD),以便儿童能够获得早期循证干预。研究目的是:(1)比较幼儿、学龄前儿童和年龄较大的ASD儿童在30项自闭症谱系障碍(CASD)和6项自闭症谱系障碍短表(CASD- sf)上的得分,以确定得分是否因年龄而异;(2)建立幼儿和学龄前儿童的CASD和CASD- sf的敏感性和特异性。样本包括1,266名1-17岁的ASD儿童,97名非ASD诊断的幼儿和学龄前儿童,以及65名典型的幼儿和学龄前儿童。幼儿和学龄前儿童的CASD和CASD- sf得分略高于年龄较大的ASD儿童,这表明幼儿被遗漏的风险并不会增加。所有患有自闭症的幼儿和学龄前儿童的CASD得分都在自闭症范围内,99.7%的儿童的CASD- sf得分在自闭症范围内。CASD和CASD- sf分数分别正确地识别出100%和96.9%的典型幼儿和学龄前儿童以及100%和96.2%的非ASD障碍幼儿和学龄前儿童没有ASD。结果显示幼儿和学龄前儿童具有较高的CASD和CASD- sf敏感性和特异性。
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引用次数: 2
Parent–Child Relationships and Preschoolers' Social-Emotional Functioning Among Low-Income Families: The Moderating Role of Parental Nativity 低收入家庭亲子关系与学龄前儿童社会情感功能:父母出生的调节作用
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-04-01 DOI: 10.1097/IYC.0000000000000138
Lixin Ren, Aileen S. Garcia, Jan M. Esteraich, Amy Encinger, H. Raikes, I. Acar
The demographic composition in the United States has undergone shifts due to increasing immigration. This may change the way we think about families and children in the United States, and it is important to include immigrant families in parenting research. This study examined the relations between parent–child relationships and preschool-aged children's social-emotional functioning in the context of low-income families in the United States. We also explored how the relations between the two were moderated by parental nativity, specifically focusing on parents born in the United States and those who were born in Mexico and emigrated to the United States. The sample included 199 preschool children enrolled in Educare/Head Start programs and their parents, with 134 of the parents born in the United States and 65 born in Mexico. Parents reported parent–child closeness and conflict. Teachers reported children's social-emotional strengths and behavioral concerns. Assessors evaluated children's executive function and behavior regulation using structured tasks. The results showed that more parent–child conflict was related to more behavioral concerns and lower levels of executive function among children with U.S.-born parents but not among those with Mexico-born parents. The study suggests that the role of parenting in child social-emotional functioning may vary depending on cultural backgrounds among low-income families.
由于移民的增加,美国的人口结构发生了变化。这可能会改变我们对美国家庭和孩子的看法,将移民家庭纳入育儿研究是很重要的。本研究以美国低收入家庭为研究对象,探讨了亲子关系与学龄前儿童社会情感功能的关系。我们还探讨了父母出生如何调节这两者之间的关系,特别关注出生在美国的父母和出生在墨西哥并移民到美国的父母。样本包括199名参加Educare/Head Start项目的学龄前儿童及其父母,其中134名父母出生在美国,65名出生在墨西哥。父母报告了亲子关系的亲密和冲突。老师们报告了孩子们的社会情感力量和行为问题。评估人员使用结构化任务评估儿童的执行功能和行为调节能力。结果显示,在美国出生的孩子中,更多的亲子冲突与更多的行为担忧和较低的执行功能有关,而在墨西哥出生的父母中则不然。研究表明,在低收入家庭中,父母在儿童社会情感功能中的作用可能因文化背景而异。
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引用次数: 3
Introduction Assessment in Early Childhood 幼儿介绍评估
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-01-01 DOI: 10.1007/978-3-030-10635-5_1
Rachel Stein, Wanjikũ F. M. Njoroge, D. M. Dunn
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引用次数: 0
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Infants & Young Children
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