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Impact of Child Characteristics and Mother's Educational Level on Child Engagement Levels 儿童特征和母亲受教育程度对儿童参与水平的影响
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-01-01 DOI: 10.1097/IYC.0000000000000154
C. P. Morales-Murillo, Pau García-Grau, M. D. Grau-Sevilla, Beatriz Soucase-Lozano
This study looked at the effect of mother's educational level, child emotional difficulties, peer interactions, age, and gender on children's sophistication level of engagement. Eighty-six randomly selected children, aged between 36 and 72 months, and 20 teachers from 5 early childhood education centers in Valencia, Spain, participated in the study. Teachers reported on children's sophistication levels of engagement, interaction with peers, and emotional difficulties. Mothers reported on their highest educational level. The results indicated a direct effect of age, emotional difficulties, peer interactions, and mother's educational level on sophistication level of engagement. Emotional difficulties mediated the relation between mother's educational level and children's sophistication level of engagement, and peer interactions mediated the relation between sophistication level of engagement and age. Our results and those of other studies suggest promoting children's interactions with peers and emotionally secure environments as best practices for supporting children's higher sophistication levels of engagement in early childhood education routines.
这项研究考察了母亲的教育水平、孩子的情感困难、同伴互动、年龄和性别对孩子参与的复杂程度的影响。86名年龄在36至72个月之间的儿童和20名来自西班牙瓦伦西亚5个幼儿教育中心的教师参与了这项研究。老师们报告了孩子们参与的复杂程度、与同龄人的互动以及情感上的困难。母亲们的受教育程度最高。结果表明,年龄、情绪困难、同伴互动和母亲的受教育程度对参与的复杂程度有直接影响。情绪困难在母亲受教育程度与儿童敬业程度的关系中起中介作用,同伴互动在儿童敬业程度与年龄的关系中起中介作用。我们和其他研究的结果表明,促进儿童与同伴和情感安全环境的互动是支持儿童在早期儿童教育常规中更高层次参与的最佳实践。
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引用次数: 2
Overimitation of Children With Cochlear Implants or Hearing Aids in Comparison With Children With Normal Hearing 与听力正常儿童相比,人工耳蜗或助听器儿童的过度模仿
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-01-01 DOI: 10.1097/IYC.0000000000000157
Zhidan Wang, Xiaoyu Zhu, Frankie T. K. Fong, Jing Meng, Haijing Wang
Our proclivity toward high-fidelity transmission of knowledge is one of the key mechanisms that underpins our success as a species. This study evaluated overimitation within children with hearing impairments (who had either a cochlear implant or a hearing aid) in relation to those with normal hearing. A total of seventy-two 4-year-old children were shown how to operate novel objects using a series of causally irrelevant actions, followed by causally relevant action. We measured the degree to which children reproduced the irrelevant actions as an indicator of imitative fidelity. Children with either hearing impairments or normal hearing replicated the irrelevant actions at rates above the baseline. However, imitative fidelity of the former group was significantly lower. In addition, children with hearing impairments were also less likely to identify and achieve the outcome by performing the relevant act. This study advances our understanding of social learning in children with hearing impairments and proposes potential weakness of social-cognitive skills within this population.
我们对高保真知识传播的倾向是支撑我们作为一个物种成功的关键机制之一。本研究评估了听力受损儿童(植入人工耳蜗或助听器)与听力正常儿童的过度模仿。研究人员向72名4岁的儿童展示了如何使用一系列因果无关的动作来操作新物体,然后是因果相关的动作。我们测量了儿童复制不相关动作的程度,以此作为模仿忠实度的指标。听力受损或听力正常的儿童重复不相关行为的比率高于基线。然而,前一组的模仿保真度明显较低。此外,有听力障碍的儿童也不太可能通过执行相关行为来识别和实现结果。这项研究促进了我们对听力障碍儿童社会学习的理解,并提出了这一人群中社会认知技能的潜在弱点。
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引用次数: 1
A Review of Problem Solving and Reflection as Caregiver Coaching Strategies in Early Intervention 问题解决和反思作为照护者早期干预辅导策略的综述
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-01-01 DOI: 10.1097/IYC.0000000000000156
Ciera M. Lorio, M. Romano, Juliann Woods, Jennifer A. Brown
An increasing number of researchers are examining the benefits and outcomes of caregiver-implemented interventions for young children with delays or disabilities. Most report the incorporation of multiple coaching strategies within their approach; however, definitions and descriptions of coaching strategies and processes continue to be limited. This scoping review examined the use of various coaching strategies across models of caregiver coaching in early intervention, with a specific focus on problem solving and reflection coaching strategies occurring in the literature between 2011 and 2018. Problem solving and reflection are 2 coaching strategies incorporated into coaching approaches to build caregiver competency, confidence, and independence within intervention implementation. The results of this review may guide the field in further defining caregiver coaching as well as specific coaching strategies, such as problem solving and reflection.
越来越多的研究人员正在研究照顾者对有迟缓或残疾的幼儿实施干预的好处和结果。大多数报告说,在他们的方法中结合了多种指导策略;然而,对教练策略和过程的定义和描述仍然有限。本综述研究了早期干预中护理人员辅导模式中各种辅导策略的使用情况,特别关注2011年至2018年文献中出现的问题解决和反思辅导策略。问题解决和反思是两种教练策略,被纳入到教练方法中,以在干预实施中建立照顾者的能力、信心和独立性。本综述的结果可能会指导该领域进一步定义照顾者辅导以及具体的辅导策略,如解决问题和反思。
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引用次数: 16
From the Editor 来自编辑
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-01-01 DOI: 10.1097/iyc.0000000000000159
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引用次数: 0
Implementation of Developmental Screening by Childcare Providers 托儿服务提供者实施发育筛查
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-01-01 DOI: 10.1097/IYC.0000000000000158
Jeffrey D. Shahidullah, S. Forman, Amy M. Norton, Jill F Harris, Mohammed H. Palejwala, A. Chaudhuri
Early identification of young children at developmental risk is important for linkage to needed services. Yet, despite guidelines for developmental screening, many pediatricians do not systematically use screening tools. Because many young children spend time in childcare settings, conducting screening in these settings may improve rates of early identification. Surveys were sent to 356 childcare providers who attended brief developmental screening training to determine practices and perceptions related to implementation of screening in the childcare setting. A 51.7% useable response rate was obtained. A majority of respondents strongly agreed that developmental screening should be conducted in childcare centers, that it is important for staff to discuss developmental concerns with parents and to link children with concerns to resources, and that their center director supported use of the screening tool. Several attitudes both about developmental screening and about organizational support had a positive and significant relationship with current use and intended future use of developmental screening tools. Findings suggest that even brief staff training may positively impact screening attitudes and practices, although follow-up technical assistance may result in fuller, more effective implementation.
早期发现有发育风险的幼儿对于与所需服务联系非常重要。然而,尽管有发育筛查的指导方针,许多儿科医生并没有系统地使用筛查工具。由于许多幼儿在儿童保育环境中度过时间,在这些环境中进行筛查可能会提高早期识别率。研究人员向356名参加过简短发育筛查培训的托儿服务提供者发送了调查问卷,以确定在托儿服务环境中实施筛查的做法和看法。有效应答率为51.7%。大多数受访者强烈同意在托儿中心进行发育筛查,工作人员与家长讨论发育问题并将儿童与资源联系起来是很重要的,他们的中心主任支持使用筛查工具。对发展性筛查和组织支持的一些态度与目前使用和预期未来使用发展性筛查工具有积极和显著的关系。调查结果表明,即使是简短的工作人员培训也可能对筛查态度和做法产生积极影响,尽管后续技术援助可能导致更充分、更有效的实施。
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引用次数: 8
“The Constant by Our Side”—Mothers' Experiences of Early Intervention Therapy Services for Infants With Emerging Signs of Complex Neurodevelopmental Difficulties “我们身边的永恒”——母亲对出现复杂神经发育障碍迹象婴儿早期干预治疗服务的经验
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2019-10-01 DOI: 10.1097/IYC.0000000000000149
D. Gibbs, P. Harniess, Siew-Lian Crossley
Infants who require admission to a neonatal unit and who ultimately present with complex neurodevelopmental difficulties often require more sustained engagement with early intervention services during admission and beyond. However, there is little research exploring families' experiences of early intervention (EI) therapy received throughout a neonatal unit admission and continuing through transition into the community setting. This study was designed to explore parents' perceptions of EI therapy for infants with complex emerging neurodevelopmental difficulties. Using a descriptive qualitative approach, interviews were conducted with 6 mothers whose infants had been admitted to a neonatal unit and were receiving EI therapy services for their child. Interviews were audio-recorded and transcribed and then thematically analyzed. Four key themes emerged articulating the parent experiences during their evolving relationship with therapy providers in the neonatal unit and following discharge: (a) a vulnerable start—adjusting to the unexpected; (b) becoming a mother—becoming a family; (c) the therapy journey; and (d) a new reality. Attributes that enhanced the developing parent–provider relationship were identified including the importance of developing collaborative communication styles, supporting families in developing their expectations of the parent–provider relationship, and ensuring clarity in the nature, scope, and contribution of EI therapy to their child and overall family development. Early introduction of EI therapists during an infant's admission to a neonatal unit can serve to strengthen the parent–provider relationship by offering a support continuum during a vulnerable time.
需要入住新生儿病房的婴儿和最终出现复杂神经发育困难的婴儿通常需要在入院期间和以后更持续地参与早期干预服务。然而,很少有研究探讨早期干预(EI)治疗的家庭经验,从新生儿入院到继续过渡到社区环境。本研究旨在探讨父母对具有复杂新发神经发育困难的婴儿进行情绪干预治疗的看法。采用描述性定性方法,对6位母亲进行了访谈,这些母亲的婴儿曾住进新生儿病房,并为他们的孩子接受了EI治疗服务。采访被录音并转录,然后按主题进行分析。在新生儿病房和出院后,在父母与治疗提供者的关系不断发展的过程中,出现了四个关键主题,阐明了父母的经历:(a)脆弱的开始——适应意外;(b)成为母亲——成为一个家庭;(c)治疗过程;(d)新的现实。增强发展中的父母-提供者关系的属性被确定,包括发展协作沟通方式的重要性,支持家庭发展他们对父母-提供者关系的期望,以及确保明确的性质、范围和EI治疗对孩子和整体家庭发展的贡献。在婴儿入住新生儿病房期间,早期引入EI治疗师可以通过在脆弱时期提供持续的支持来加强父母与提供者的关系。
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引用次数: 4
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
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Infants & Young Children
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