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Perspectives on family wellbeing among mothers of children with intellectual disabilities in the Arab World 阿拉伯世界智障儿童母亲对家庭福祉的看法。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 DOI: 10.1016/j.ridd.2025.105140
Ghaleb Alnahdi , Elsayed Elshabrawi Ahmed Hassanein , Taha R. Adawi

Background

This study investigates Family Quality of Life (FQoL) among mothers of children with intellectual disabilities across three Arab countries: Saudi Arabia, Egypt, and Qatar.

Method

Data were collected from 373 mothers using the Beach Center Family Quality of Life Scale. Repeated measures ANOVA and multiple regression analyses were conducted to assess differences across FQoL domains and identify associated demographic predictors.

Results

Results reveal varying levels of satisfaction across FQoL domains, with Family Interaction scoring the highest and Emotional Wellbeing the lowest. Factors such as the mother's age, the child's disability severity, and country of residence significantly influence satisfaction levels in some domains.

Conclusion

The findings highlight the importance of culturally responsive supports, particularly in the emotional domain, and suggest that tailored interventions addressing demographic and contextual factors may enhance the well-being of mothers of children with intellectual disabilities in the Arab region.
背景:本研究调查了三个阿拉伯国家(沙特阿拉伯、埃及和卡塔尔)智障儿童母亲的家庭生活质量(FQoL)。方法:采用比奇中心家庭生活质量量表对373名母亲进行问卷调查。采用重复测量方差分析和多元回归分析来评估FQoL域的差异,并确定相关的人口统计学预测因子。结果:结果揭示了不同程度的满意度在FQoL领域,家庭互动得分最高,情绪健康最低。母亲的年龄、儿童的残疾严重程度和居住国等因素在某些领域显著影响满意度水平。结论:研究结果强调了文化响应性支持的重要性,特别是在情感领域,并表明针对人口和环境因素的量身定制的干预措施可能会提高阿拉伯地区智障儿童母亲的福祉。
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引用次数: 0
Closing measurement gaps in FQoL – A content validity study of a FQoL instrument for families of children with disabilities living in the rural highlands of Peru 缩小残疾儿童生活质量的测量差距——秘鲁农村高地残疾儿童生活质量工具的内容效度研究。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 DOI: 10.1016/j.ridd.2025.105133
Fiorella Guerrero , Jessica Kramer , Milagros Alvarado , Christine T. Myers , Victor Harris , Stella Hartinger , Daniel Maeusezahl

Introduction

Measuring Family Quality of Life (FQoL) is recognized as key to understanding needs and supporting families of children with disabilities (CwD). This study performs initial steps to developing a culturally relevant FQoL instrument for low-resource communities in developing nations by examining the content validity (comprehension, relevance, and comprehensiveness) of a battery of items from existing FQoL instruments with families of CwD in the highlands of Peru.

Methods

Cognitive interviews were conducted using a battery of 59 items with twenty caregivers with at least one child with a disability (M=40.4 years, 85 % female, 90 % lived in poverty, 70 % had elementary education or lower). For comprehension, researchers coded the caregivers’ responses to determine if they were understood as intended. For relevance, caregivers rated the importance of each item, and reasons for unanswered items were documented. For comprehensiveness, caregivers identified any missing concepts.

Results

Twenty-seven of 59 items met the comprehension criterion. Reasons for misinterpretation included item complexity, vague language, use of paradigms unknown to families, and differences in health and disability service systems. All items but one met criteria for relevance, and 16 items could not be administered to some caregivers because of family and child characteristics. Caregivers identified six concepts missing from the item set.

Discussion

To ensure a content-valid assessment of FQoL for families of CwD, items must be revised to ensure comprehension and comprehensiveness. Administrative and item development recommendations are provided for the validity of using a FQoL instrument in low-resource settings in developing nations.
简介:测量家庭生活质量(FQoL)被认为是了解残疾儿童家庭需求和支持残疾儿童家庭的关键。本研究通过对秘鲁高原CwD家庭现有FQoL工具中一系列项目的内容效度(理解性、相关性和综合性)进行检验,为发展中国家低资源社区开发与文化相关的FQoL工具迈出了第一步。方法:对20名至少有一名残疾儿童的照顾者(M=40.4岁,85% %为女性,90% %生活贫困,70% %为小学及以下文化程度)进行认知访谈,共59项。为了理解,研究人员对照顾者的回答进行了编码,以确定他们是否被理解。对于相关性,护理人员评估了每个项目的重要性,并记录了未回答项目的原因。为了全面性,护理人员确定了任何缺失的概念。结果:59个题目中27个符合理解标准。造成误解的原因包括项目复杂、语言模糊、使用家庭未知的范例以及卫生和残疾服务系统的差异。除了一项外,所有项目都符合相关性标准,由于家庭和儿童的特点,16项不能给一些照顾者。护理人员确定了项目集中缺少的六个概念。讨论:为了确保对慢性疾病家庭的FQoL进行内容有效的评估,必须修改项目以确保理解和全面。为在发展中国家低资源环境中使用FQoL工具的有效性提供了行政和项目开发建议。
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引用次数: 0
Improving prognostication for individuals with FOXP1 syndrome: Parent-reported practical and social skills in 52 individuals 改善FOXP1综合征患者的预后:52例家长报告的实践和社交技能
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 DOI: 10.1016/j.ridd.2025.105135
Saskia Koene , Marieke Rothuizen-Lindenschot , Fabienne G. Ropers , Gijs W.E. Santen , Ruth Braden , Angela Morgan , Jannelien Wieland , Helma B.M. van Gameren-Oosterom
Parents perceive a lack of prognostic information among the most challenging consequences of having a child with a rare disease. Although the medical phenotype of FOXP1 syndrome, including neurodevelopmental delay, speech impairment, psychiatric problems and congenital malformations is becoming clearer, there is little detailed information about the acquisition of activities of daily living. This study aimed to provide a detailed picture of practical and daily social skills development in individuals with FOXP1 syndrome. In this cross-sectional study, parents were invited to complete an online questionnaire about the medical issues, milestones and practical abilities of their child with FOXP1 syndrome (n = 52, age 2–54 years). We found that individuals with FOXP1 syndrome have great difficulties with both basic and instrumental activities of daily living, but continue to develop their skills into adulthood. Although most individuals learn to perform some basic daily living tasks independently, the majority heavily rely on their parents, many needing 24–7 supervision to support many aspects of daily life up to adulthood. The results of this study can be used to counsel parents after a diagnosis of FOXP1. We include a visual representation of the results for parents in the Supplementary file.
父母认为,孩子患有罕见疾病最具挑战性的后果之一是缺乏预后信息。尽管FOXP1综合征的医学表型(包括神经发育迟缓、语言障碍、精神问题和先天性畸形)越来越清晰,但关于日常生活活动获得的详细信息却很少。这项研究旨在提供FOXP1综合征患者实际和日常社交技能发展的详细情况。在这项横断面研究中,父母被邀请完成一份关于FOXP1综合征孩子的医疗问题、里程碑和实践能力的在线问卷(n = 52,年龄2-54岁)。我们发现患有FOXP1综合征的个体在日常生活的基本活动和工具活动方面都有很大的困难,但他们在成年后继续发展他们的技能。虽然大多数人学会独立完成一些基本的日常生活任务,但大多数人严重依赖他们的父母,许多人需要全天候的监督来支持日常生活的许多方面,直到成年。本研究的结果可用于为诊断FOXP1的父母提供建议。我们在补充文件中为家长提供了结果的可视化表示。
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引用次数: 0
Linking cognitive flexibility, planning, and autistic traits: The mediating role of cognitive abilities 连接认知灵活性、计划和自闭特征:认知能力的中介作用。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 DOI: 10.1016/j.ridd.2025.105136
Francesca Anderle , Rebecca Barbieri , Angela Pasqualotto , Arianna Bentenuto , Paola Venuti
Autistic children often face cognitive challenges, particularly in executive functions (EFs). Previous research has explored the relationship between EFs and autistic traits, including social abilities and restricted and repetitive behaviours (RRBs). While some consistencies emerge from ecologically valid ratings, results from performance-based measures and studies combining lab tasks with parent reports remain inconsistent. This study investigated associations between EFs and autistic traits, focusing on the mediating role of cognitive abilities. We assessed 110 autistic participants aged 4–17 years (33 with IQ <85; 77 with IQ ≥85) using a comprehensive neuropsychological battery, including the Weschler Intelligence Scale for Children (WISC-IV), performance-based EF tasks (WCST, TOL), clinician ratings (ADOS-2), and parent-reported measures (SRS-2). Results showed significant links between cognitive flexibility and clinician-observed RRBs, and between planning skills and parent-reported autistic traits. Notably, cognitive abilities mediated the relationships of cognitive flexibility and planning with clinician-rated social-communication skills. Lower IQ participants performed worse on most EF measures, except for errors in shifting and planning task timing. Clinicians reported lower social scores only in the lower IQ group. These findings reveal inconsistencies in convergence between performance-based EF measures and autistic traits from parent and clinician reports. Importantly, cognitive abilities play a significant role in clinical assessments of EF and socio-communication, highlighting the need for more sensitive and ecologically valid neuropsychological tools. Conversely, cognitive skills did not influence clinician-rated RRBs or parent reports, suggesting these behaviours may be independent of broader cognitive abilities.
自闭症儿童经常面临认知挑战,特别是在执行功能(EFs)方面。先前的研究已经探索了电磁场与自闭症特征之间的关系,包括社交能力和限制性重复行为(RRBs)。虽然一些一致性来自生态有效的评级,但基于性能的测量和结合实验室任务和家长报告的研究结果仍然不一致。本研究探讨了电磁场与自闭症特征之间的关系,重点探讨了认知能力的中介作用。我们评估了110名4-17岁的自闭症参与者(33名有智商的参与者)
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引用次数: 0
A proposed AI application for enhancing the quality of life of people with disabilities in Saudi Arabia 一项拟议的人工智能应用程序,旨在提高沙特阿拉伯残疾人的生活质量
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-10-31 DOI: 10.1016/j.ridd.2025.105137
Nahedh S. Aloudah , Manal S. Alshehri , Anwar R. Alhamad

Background

Artificial intelligence (AI) holds significant potential to enhance the quality of life (QoL) for individuals with disabilities by improving access to healthcare, promoting social participation, and supporting independence. In Saudi Arabia, however, there is a gap in inclusive AI models tailored to local needs, particularly in addressing the challenges faced by people with disabilities in accessing essential services.

Aims

This article proposes an AI-supported application tailored to improve key QoL dimensions such as healthcare accessibility, social inclusion, and autonomy for people with disabilities in Saudi Arabia.

Methods

A qualitative design was employed, involving 25 semi-structured interviews: 10 experts from medicine, rehabilitation, sociology, and AI and 15 individuals with visual, motor, or mild cognitive disabilities. Participants were recruited through rehabilitation centers, hospitals, and disability associations in Al-Ahsa using official approvals and direct outreach via email, WhatsApp, and personal meetings. Thematic analysis was conducted using Braun and Clarke’s framework.

Results

The proposed AI application supports three key service areas: (1) social services (personalized chatbots, accessibility tools, and AI-driven job matching); (2) health services (telehealth monitoring and genetic-based treatment planning); (3) collaboration with ministries and AI authorities. Sustainability is addressed through measures such as free access, institutional support, and ongoing government involvement.

Conclusions

This study presents a context-specific, actionable AI framework to inform policy and innovation for disability inclusion in Saudi Arabia. By emphasizing local needs, stakeholder collaboration, and user-centered adaptive design, it contributes to closing the service gap for people with disabilities and offers a scalable model for inclusive digital transformation.
人工智能(AI)通过改善获得医疗保健的机会、促进社会参与和支持独立,在提高残疾人生活质量(QoL)方面具有巨大潜力。然而,在沙特阿拉伯,适合当地需求的包容性人工智能模型存在差距,特别是在解决残疾人在获得基本服务方面面临的挑战方面。本文提出了一个人工智能支持的应用程序,旨在改善沙特阿拉伯残疾人的医疗保健可及性、社会包容和自主性等关键生活质量维度。方法采用质性设计,包括25个半结构化访谈:10名医学、康复、社会学和人工智能专家和15名视觉、运动或轻度认知障碍患者。参与者通过Al-Ahsa的康复中心、医院和残疾人协会招募,通过官方批准和通过电子邮件、WhatsApp和个人会议直接外联。主题分析采用Braun和Clarke的框架进行。结果提出的人工智能应用支持三个关键服务领域:(1)社交服务(个性化聊天机器人、无障碍工具和人工智能驱动的工作匹配);(2)保健服务(远程保健监测和基于基因的治疗计划);(3)与部委和人工智能主管部门合作。可持续发展是通过免费准入、机构支持和政府持续参与等措施来解决的。本研究提出了一个针对具体情况的、可操作的人工智能框架,为沙特阿拉伯的残疾人包容政策和创新提供信息。通过强调地方需求、利益相关方协作和以用户为中心的适应性设计,它有助于缩小残疾人服务差距,并为包容性数字化转型提供可扩展的模式。
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引用次数: 0
Transition services for secondary students with moderate intellectual disability in Saudi Arabia: What parents and special education teachers say 沙特阿拉伯中等智力残疾中学生的过渡服务:家长和特殊教育教师的意见
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-10-30 DOI: 10.1016/j.ridd.2025.105139
Mohammed S. Alshuayl
Over the years, policies supporting the provision of services that facilitate a smooth transition to adult life for students with intellectual disability (ID) have increasingly gained attention in the United States of America. However, the same level of importance placed on postschool outcomes for secondary students with ID has not yet been achieved in Saudi Arabia, despite it being a high-income country. The purpose of this study was to investigate the provision of transition services to adult life for secondary students with moderate ID in Saudi Arabia. Over 4 months, the researcher conducted semi-structured interviews with 12 participants, including six parents of students with moderate ID and six male special education teachers who were teaching their sons. Five themes emerged from the participants’ comments, including (a) knowledge about transition services, (b) familiarity with transition-related evidence-based practices, (c) the provision of transition services, (d) support needed to improve the quality of services, and (e) long-term outcomes expected from transition services. When considered collectively, four issues warrant discussion including (a) special education teachers’ lack of pedagogical knowledge related to the transition to adult life, (b) a systemic lack of services that reflect pedagogical knowledge related to the transition to adult life, (c) insufficient infrastructure to establish and maintain services for transition to adult life, and (d) a societal lack of hope for long-term outcomes. The researcher discusses the findings, shares their implications, delineates the limitations of this study, and outlines recommendations for future research.
多年来,支持提供服务以促进智力残疾学生顺利过渡到成人生活的政策在美利坚合众国日益受到关注。然而,尽管沙特阿拉伯是一个高收入国家,但对患有身份证的中学生的毕业后成绩的重视程度尚未达到同样的水平。本研究的目的是调查沙特阿拉伯中等ID中学生向成人生活提供的过渡服务。在四个多月的时间里,研究人员对12名参与者进行了半结构化的访谈,其中包括6名中等ID学生的家长和6名正在教他们儿子的男性特殊教育教师。与会者的意见产生了五个主题,包括(a)关于过渡服务的知识,(b)熟悉与过渡有关的循证实践,(c)提供过渡服务,(d)提高服务质量所需的支持,以及(e)对过渡服务的长期预期成果。综合考虑,有四个问题值得讨论,包括:(a)特殊教育教师缺乏与向成人生活过渡相关的教学知识,(b)系统性缺乏反映与向成人生活过渡相关的教学知识的服务,(c)建立和维持向成人生活过渡服务的基础设施不足,以及(d)社会对长期结果缺乏希望。研究人员讨论了研究结果,分享了它们的含义,描述了本研究的局限性,并概述了对未来研究的建议。
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引用次数: 0
Psychometric validation of the Barkley SCT (sluggish cognitive tempo) scale in Turkish adolescents: Assessing SCT in a clinically referred, culturally distinct population 土耳其青少年Barkley SCT(迟缓认知节奏)量表的心理计量学验证:评估临床参考的SCT,文化差异人群
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-10-30 DOI: 10.1016/j.ridd.2025.105141
Hesna Gül , Ahmet Gül , Burçin Özlem Ateş , Özlem Hekim , Yasemin Taş Torun

Objective

Sluggish Cognitive Tempo (SCT) is characterized by excessive daydreaming, lethargy, slowed thinking, and mental confusion. This study aimed to examine the factorial structure, reliability, and validity of the Turkish version of the Barkley SCT Scale in a clinically referred adolescent sample, and to explore its distinctiveness from Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms.

Methods

The sample included 252 adolescents (aged 11–18, 71 % female) who completed the Turkish-adapted Barkley SCT Scale and the Conners-Wells Adolescent Self-Report Scale (CASS-S). A subsample of 20 adolescents completed the SCT scale again after one week for test–retest analysis. Data were analyzed using Exploratory Structural Equation Modeling (ESEM), Cronbach’s alpha, and Intraclass Correlation Coefficients (ICCs). Convergent validity and gender differences were also assessed.

Results

ESEM supported a two-factor structure, comprising Daydreaming (items 1–5) and Sluggishness (items 6–9), with excellent model fit (RMSEA =.044; CFI =.974; TLI =.964). Internal consistency was good for the total scale (α =.82) and acceptable for both subscales. Test–retest analyses showed moderate stability for single administrations (ICC =.454) and excellent reliability when repeated scores were aggregated (ICC =.937). Daydreaming was strongly associated with cognitive problems/inattention (r = .652), while Sluggishness showed weaker or nonsignificant correlations with hyperactivity/impulsivity, supporting SCT’s distinction from externalizing ADHD features. Females scored significantly higher than males on both SCT subscales.

Conclusion

The Turkish version of the Barkley SCT Scale demonstrates sound psychometric properties for assessing SCT in adolescents. ESEM findings underscore the multidimensionality of SCT and its partial dissociation from ADHD constructs. While these results support the scale’s clinical utility within the Turkish context, further cross-cultural research is needed to determine whether similar findings would emerge in other populations. This study provides an initial foundation for future diagnostic and intervention research.
目的迟滞认知节奏(SCT)表现为过度白日梦、嗜睡、思维迟缓和精神混乱。本研究旨在检验土耳其版Barkley SCT量表在临床转诊青少年样本中的析因结构、信度和效度,并探讨其在注意缺陷/多动障碍(ADHD)症状中的独特性。方法采用土耳其版Barkley SCT量表和Conners-Wells青少年自我报告量表(CASS-S)对252名青少年(11-18岁,女性71% %)进行问卷调查。20名青少年的子样本在一周后再次完成SCT量表进行重测分析。数据分析采用探索性结构方程模型(ESEM)、Cronbach’s alpha和类内相关系数(ICCs)。趋同效度和性别差异也被评估。结果esem支持白日梦(1-5项)和懒惰(6-9项)的双因子结构,模型拟合良好(RMSEA = 0.044; CFI = 0.974; TLI = 0.964)。总量表的内部一致性良好(α = 0.82),两个分量量表均可接受。测试-重测分析显示,单次给药的稳定性中等(ICC =.454),当重复评分汇总时,可靠性极好(ICC =.937)。白日做梦与认知问题/注意力不集中密切相关(r = )。652),而迟缓与多动/冲动的相关性较弱或不显著,支持SCT与外化ADHD特征的区别。女性在两个SCT分量表上的得分都明显高于男性。结论土耳其版巴克利SCT量表在评估青少年SCT方面表现出良好的心理测量特性。ESEM研究结果强调了SCT的多维性及其与ADHD结构的部分分离。虽然这些结果支持该量表在土耳其背景下的临床应用,但需要进一步的跨文化研究来确定类似的发现是否会在其他人群中出现。本研究为今后的诊断和干预研究提供了初步的基础。
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引用次数: 0
“I love it…I love that story”: The perspectives of children with Down syndrome and their mothers on reading experiences at home “我喜欢……我喜欢这个故事”:患有唐氏综合症的孩子和他们的母亲对在家阅读经历的看法
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-10-24 DOI: 10.1016/j.ridd.2025.105129
Katie Cebula, Sarah McGeown

Purpose

Home literacy practices play an important role in shaping the reading development of children with Down syndrome. However, the majority of research to date has been quantitative in nature, and very little has included children’s own perspectives and experiences. This study aimed to provide new research insights into the home literacy practices and reading experiences of children with Down syndrome, from the perspective of the children and their parents.

Methods

There were 19 participants from ten families: ten mothers participated in semi-structured interviews, exploring their views of their child’s reading experiences and how they supported their child’s reading development; nine children with Down syndrome (aged 5–13 years) participated in a ‘book tour’ and conversation about reading. Reflexive thematic analysis was used to develop themes from the mothers’ data, and children’s data were categorised.

Results

Mothers and children both described a diversity of reading experiences within the home. Mothers also highlighted: reading as a source of comfort and connection; the need for flexible and child-led reading routines and strategies which respond to the individual child and their developmental stage; and the complexities of navigating book choice and format. Children also shared clear and positive views about particular books and about being read to by family members.

Conclusion

While some home-based reading practices and experiences share parallels with neurotypical children, many related more specifically to Down syndrome, and highlight the importance of syndrome-specific explorations of reading which focus on understanding both socio-affective and cognitive aspects of reading development and experience.
目的:家庭读写实践对唐氏综合症儿童的阅读发展起着重要作用。然而,迄今为止的大多数研究都是定量的,很少包括儿童自己的观点和经验。本研究旨在从唐氏综合症儿童及其父母的角度,为唐氏综合症儿童的家庭读写实践和阅读体验提供新的研究见解。方法来自10个家庭的19名参与者:10名母亲参与半结构化访谈,探讨她们对孩子阅读经历的看法以及她们如何支持孩子的阅读发展;9名患有唐氏综合症的儿童(5-13岁)参加了一场“图书之旅”和关于阅读的对话。使用反身性主题分析从母亲的数据中开发主题,并对儿童的数据进行分类。结果母亲和孩子都描述了家庭阅读体验的多样性。妈妈们还强调:阅读是一种安慰和联系的来源;需要灵活的、以儿童为主导的阅读习惯和策略,以适应每个儿童及其发展阶段;以及导航图书选择和格式的复杂性。孩子们也对特定的书籍和家庭成员给他们读的书有明确而积极的看法。结论:虽然一些家庭阅读实践和经历与神经正常儿童有相似之处,但许多与唐氏综合症有更具体的关系,并强调了针对唐氏综合症的阅读探索的重要性,这些探索侧重于理解阅读发展和体验的社会情感和认知方面。
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引用次数: 0
Saudi teachers’ attitudes toward community-based vocational instruction for secondary students with intellectual disabilities 沙特教师对以社区为基础的中学智障学生职业教育的态度
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-10-24 DOI: 10.1016/j.ridd.2025.105132
Hussain A. Almalky
Community-Based Vocational Instruction (CBVI) offers students with intellectual disabilities (ID) authentic, work-site learning experiences that support meaningful employment and social inclusion. This national survey examined the attitudes of Saudi secondary special-education teachers toward CBVI and the demographic, institutional, and regional factors influencing their perspectives. Data were collected from 139 teachers (response rate = 38.6 %). Teachers expressed strongly positive attitudes overall (M = 4.44, SD = 0.38), with female teachers reporting significantly higher scores than males (t(137) = –2.01, p = .047, d = 0.38). No other demographic or contextual variables produced statistically significant differences. The findings suggest that Saudi teachers are ready and willing to implement CBVI. The study discusses implications for teacher training, policy alignment with Vision 2030, and multi-agency collaboration to enhance employment pathways for youth with ID.
以社区为基础的职业指导(CBVI)为智障学生提供真实的工作现场学习经验,支持有意义的就业和社会融入。这项全国调查考察了沙特中等特殊教育教师对CBVI的态度,以及影响他们观点的人口、制度和地区因素。调查对象为139名教师,回复率为38.6 %。教师总体表现出强烈的积极态度(M = 4.44, SD = 0.38),其中女教师得分显著高于男教师(t(137) = -2.01,p = )。047, d = 0.38)。没有其他人口统计学或背景变量产生统计学上的显著差异。研究结果表明,沙特教师已经准备好并愿意实施CBVI。该研究讨论了对教师培训、与2030年愿景保持一致的政策以及多机构合作以加强身份证青年就业途径的影响。
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引用次数: 0
Mother-infant interactions in infants at high risk of cerebral palsy compared to a low-risk group: A longitudinal study of the first 15 months 脑瘫高危婴儿与低危组的母婴互动:前15个月的纵向研究
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-10-22 DOI: 10.1016/j.ridd.2025.105131
Julie Enkebølle Hansen , Carlo Schuengel , Agnes Willemen , Anne Stuart , Mette Skovgaard Væver , Katrine Røhder

Aim

To examine group differences and longitudinal trajectories in mother-infant interactions following an interim clinical diagnosis of high risk of CP up to 15 months corrected age.

Method

This prospective observational study followed infants born in Denmark with (n = 23) or without (n = 36) identified high risk of cerebral palsy and their parents over time. Mother-infant interactions were assessed at 15 weeks, 9 months, and 15 months using the Coding Interactive Behavior manual. Group differences and trajectories in mother-infant interactions were analyzed using Generalized Estimating Equations (GEE) with bootstrapping to obtain robust estimates

Results

At 15 weeks (T1), the high-risk CP group differed significantly from the comparison group on all observed interactional dimensions, showing lower levels of maternal acknowledging (b = −0.93, p < .001), infant social initiation (b = −0.54, p = .007), and dyadic reciprocity (b = −0.58, p = .041), and higher levels of maternal intrusiveness (b = 1.04, p < .001) and dyadic constriction (b = 0.73, p = .018). While differences in maternal acknowledging and dyadic reciprocity were only present at 15 weeks, maternal intrusiveness and infant social initiation differences were present at 15 weeks and 15 months. Dyadic constriction differences were present across all time points.

Conclusion

Early differences in mother-infant interaction between dyads with and without infant CP risk underscore the importance of tailoring interventions to read and respond to subtle infant cues. Supporting the parent–infant relationship from early infancy might enhance the effectiveness of early intervention and promote more optimal socio-emotional development.
目的:研究15个月矫正年龄的CP高风险中期临床诊断后母婴互动的组间差异和纵向轨迹。方法:这项前瞻性观察性研究随访了在丹麦出生的(n = 23)或未(n = 36)确定脑瘫高风险的婴儿及其父母。在15周、9个月和15个月时使用编码互动行为手册评估母婴互动。结果:在15周(T1)时,高危CP组在所有观察到的互动维度上都与对照组有显著差异,显示出较低的母亲认知水平(b = -0.93, p )。在有和没有婴儿CP风险的两对母子之间的早期互动差异强调了定制干预的重要性,以阅读和回应婴儿的微妙线索。从婴儿早期开始支持亲子关系可以提高早期干预的有效性,促进更理想的社会情感发展。
{"title":"Mother-infant interactions in infants at high risk of cerebral palsy compared to a low-risk group: A longitudinal study of the first 15 months","authors":"Julie Enkebølle Hansen ,&nbsp;Carlo Schuengel ,&nbsp;Agnes Willemen ,&nbsp;Anne Stuart ,&nbsp;Mette Skovgaard Væver ,&nbsp;Katrine Røhder","doi":"10.1016/j.ridd.2025.105131","DOIUrl":"10.1016/j.ridd.2025.105131","url":null,"abstract":"<div><h3>Aim</h3><div>To examine group differences and longitudinal trajectories in mother-infant interactions following an interim clinical diagnosis of high risk of CP up to 15 months corrected age.</div></div><div><h3>Method</h3><div>This prospective observational study followed infants born in Denmark with (<em>n</em> = 23) or without (<em>n</em> = 36) identified high risk of cerebral palsy and their parents over time. Mother-infant interactions were assessed at 15 weeks, 9 months, and 15 months using the Coding Interactive Behavior manual. Group differences and trajectories in mother-infant interactions were analyzed using Generalized Estimating Equations (GEE) with bootstrapping to obtain robust estimates</div></div><div><h3>Results</h3><div>At 15 weeks (T1), the high-risk CP group differed significantly from the comparison group on all observed interactional dimensions, showing lower levels of maternal acknowledging (<em>b</em> = −0.93, <em>p</em> &lt; .001), infant social initiation (<em>b</em> = −0.54, <em>p</em> = .007), and dyadic reciprocity (<em>b</em> = −0.58, <em>p</em> = .041), and higher levels of maternal intrusiveness (<em>b</em> = 1.04, <em>p</em> &lt; .001) and dyadic constriction (<em>b</em> = 0.73, <em>p</em> = .018). While differences in maternal acknowledging and dyadic reciprocity were only present at 15 weeks, maternal intrusiveness and infant social initiation differences were present at 15 weeks and 15 months. Dyadic constriction differences were present across all time points.</div></div><div><h3>Conclusion</h3><div>Early differences in mother-infant interaction between dyads with and without infant CP risk underscore the importance of tailoring interventions to read and respond to subtle infant cues. Supporting the parent–infant relationship from early infancy might enhance the effectiveness of early intervention and promote more optimal socio-emotional development.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"166 ","pages":"Article 105131"},"PeriodicalIF":2.6,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Research in Developmental Disabilities
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