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1.
Medicine (Baltimore) ; 99(50): e23272, 2020 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-33327250

RESUMO

School sandplay group therapy is a useful clinical treatment method for adolescents who cannot adapt to school due to various emotional and behavioral problems. In this study, we conducted 10 weeks of group therapy in 70 adolescents referred to as maladjustment behavior problem in the school. The purpose of this study was to evaluate the clinical effects of sandplay therapy on the emotions and behaviors objectively through minnesota multiphasic personality test -2. There was a statistically significant difference in clinical scales such as depression, masculinity- femininity, social introversion, anger, subjective depression, need for affection, somatic complaint, and internal/external alienation after school sandplay group therapy. Sandplay therapy is estimated to have clinical effects not only on the emotional problems of maladapted high school students but also on physical problems.


Assuntos
Transtornos do Comportamento Infantil/terapia , MMPI , Ludoterapia , Psicoterapia de Grupo , Adolescente , Transtornos do Comportamento Infantil/psicologia , Feminino , Humanos , Masculino , Ludoterapia/métodos , Psicoterapia de Grupo/métodos , República da Coreia , Instituições Acadêmicas , Inquéritos e Questionários , Resultado do Tratamento
2.
PLoS One ; 15(10): e0239812, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33002024

RESUMO

The literature indicates that theatre and drama-based interventions have the potential to improve older adults' well-being and health. The goal of the current study was to characterize the process of a creative group intervention in adult day centers (ADCs), which integrates playback theatre and life-review principles. Our objective was to provide an evidence-informed framework for drama therapy interventions, which would allow older adults to bring up and explore their life-stories in a dramatic creative process in their own community. A total of 27 participants ranging in age from 63 to 91, took part in one of three playback theatre groups. The playback theatre group intervention comprised 12 weekly sessions. All sessions were videotaped to capture the lived experience of the creative process and were analyzed in post-intervention interviews. In addition, focus group meetings were conducted with 13 ADC staff members to decipher further the effects of the participation as perceived by people outside the groups. Three types of potential transformation were identified in the qualitative analysis: the evolution of life stories, evolution of playfulness, and expansion of social engagement. The results indicate the potential of the integrative framework to serve as a creative intervention in ADC communities, as well as its potential to bring about a personal transformation and expand it to enable a person's social engagement in the community. The findings imply the potential benefits of using playback theatre groups to supplement the routine care provided in ADCs.


Assuntos
Centros-Dia de Assistência à Saúde para Adultos , Terapia pela Arte/métodos , Ludoterapia/métodos , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Vida Independente , Masculino , Pessoa de Meia-Idade
3.
Phys Ther ; 100(8): 1343-1352, 2020 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-32329778

RESUMO

OBJECTIVE: The aim of this project is to study the effect of a physical therapist intervention provided in the first months of life on developmental outcomes of infants born very preterm. Secondary aims are to investigate the impact of intervention timing on the efficacy and impact of the intervention on infants with and without cerebral palsy. METHODS: This study is a multisite longitudinal controlled trial comparing developmental outcomes from infants in the Supporting Play, Exploration, and Early Development Intervention (SPEEDI)_Late or SPEEDI_Early group to a usual care group. SETTINGS ARE URBAN: Urban and rural areas surrounding 2 academic medical centers. There will be 90 preterm infants enrolled in this study born at <29 weeks of gestation. SPEEDI is a developmental intervention provided by collaboration between a physical therapist and parent to support a child's motor and cognitive development. The primary outcome measure is the Bayley Scale of Infant and Toddler Development Cognitive and Gross Motor Scaled Scores. Secondary measures include behavioral coding of early problem solving skills, the Gross Motor Function Measure, and Test of Infant Motor Performance. IMPACT: More than 270,000 infants are born very preterm in the United States each year, 50% of whom will have neurological dysfunction that limits their ability to keep pace with peers who are typically developing. This study is a step toward understanding the impact that intensive developmental intervention could have in this population in the first months of life.


Assuntos
Desenvolvimento Infantil/fisiologia , Deficiências do Desenvolvimento/prevenção & controle , Intervenção Médica Precoce/métodos , Terapia por Exercício/métodos , Lactente Extremamente Prematuro/crescimento & desenvolvimento , Ludoterapia/métodos , Paralisia Cerebral/diagnóstico , Paralisia Cerebral/reabilitação , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Transtornos Motores/prevenção & controle , Destreza Motora/fisiologia , Resolução de Problemas , Fatores de Tempo
4.
Trials ; 21(1): 133, 2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32014029

RESUMO

BACKGROUND: Doll therapy is a non-pharmacological intervention for people with dementia aimed to reduce distressing behaviours. Reliable results on the efficacy of Doll therapy for people with dementia are needed. The concept of attachment theorised by Bowlby has been proposed to explain the Doll therapy process, but it has not been proven to influence the response to doll presentation. METHODS/DESIGN: This single-blind, randomised controlled trial will involve people with dementia living in nursing homes of the Canton Ticino (Switzerland). Participants will be randomised to one of two interventions: Doll Therapy Intervention or Sham Intervention with a non-anthropomorphic object, using a 1:1 allocation ratio. The two interventions will consist of 30 daily sessions lasting an hour at most, led by a trained nurse for an hour at most. We will enrol 64 participants per group, according to power analysis using an estimated medium effect size (f = 0.25), an alpha level of 0.05, and a power of 0.8. The primary goal is to test the efficacy of the Doll Therapy Intervention versus the Sham Intervention as the net change in the following measures from baseline to 30 days (blinded outcomes): the Neuropsychiatric Inventory-Nursing Home administered by a trained psychologist blinded to group assignment, the professional caregivers' perceived stress scale of the Neuropsychiatric Inventory-Nursing Home, patients' physiological indices of stress (salivary cortisol, blood pressure and heart rate) and interactive behaviours. The secondary goal is to assess the relationship between attachment styles of people with dementia (detected by means of the Adult Attachment Interview to the patients' offspring) and their caregiving behaviours shown during the Doll Therapy Intervention. DISCUSSION: This is the first single-blind, randomised controlled trial on the efficacy of Doll therapy for dementia and an explanatory model of the response of people with dementia to doll presentation. TRIAL REGISTRATION: ClinicalTrials.gov, ID: NCT03224143. Retrospectively registered on 21 July 2017.


Assuntos
Demência/terapia , Casas de Saúde , Ludoterapia/métodos , Cuidadores/psicologia , Feminino , Humanos , Enfermeiras e Enfermeiros/psicologia , Psicologia , Método Simples-Cego , Suíça , Resultado do Tratamento
5.
Artigo em Inglês | MEDLINE | ID: mdl-31947884

RESUMO

BACKGROUND: Overweight and obesity are the result of a complex interaction between genetic and environmental factors, which begins prenatally. AIM: To analyse an intervention based on play as a means of improving the body composition of children who are overweight or obese. METHODS: The Kids-Play study is a randomized clinical trial (RCT) consisting of 49 children aged 8-12 years on a nine-month intervention programme based on physical activity, play and nutritional advice. Controls had another 49 children, who received only nutritional advice. RESULTS: The play-based intervention achieved a moderate-vigorous level of physical activity in the study group of 81.18 min per day, while the corresponding level for the control group was only 37.34 min. At the start of the intervention, the children in the study group had an average body fat content of 41.66%, a level that decreased to 38.85% by the end of the programme. Among the control group, body fat increased from 38.83% to 41.4% during the same period. CONCLUSIONS: The intervention programme considered, based on both play and nutritional recommendations, produced a decrease in body fat among children aged 8-12 years. However, the control group, which received only nutritional recommendations, experienced an increase in body weight.


Assuntos
Terapia Comportamental/métodos , Exercício Físico/fisiologia , Exercício Físico/psicologia , Sobrepeso/prevenção & controle , Obesidade Pediátrica/prevenção & controle , Ludoterapia/métodos , Criança , Feminino , Humanos , Masculino , Estudantes/psicologia , Estudantes/estatística & dados numéricos
6.
J Pediatr Oncol Nurs ; 37(1): 65-75, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31540566

RESUMO

Children with cancer suffer from symptoms and burdensome treatments that often cause distress to children and their families. Mortality is one aspect of cancer diagnosis, while another is the quality of life and well-being during and after the treatment. By supporting children's communication, self-efficacy and coping ability in the care situation, children are given the possibilities for increased independence and participation and are allowed to develop an influence over their care. The aim of this study was to develop and evaluate the feasibility and acceptability of an adult-facilitated pretend play intervention for children with cancer. Five children with ongoing treatment for cancer were invited to a play intervention that consisted of six to eight sessions of structured pretend play aimed at increasing participation, independence, and well-being. A mixed method design was used to evaluate the feasibility and acceptability of the play intervention. Measures were collected before and after interventions, and in conjunction with every play session. Results suggest that the children enjoyed the play intervention. Findings indicate small improvements regarding self-efficacy in care situations and equal or increased quality of life for participants. A main finding was that no adverse events or increased worrying was reported in conjunction with play sessions. Therefore, the intervention is regarded as safe, feasible, and acceptable as reported by participants and their primary caregivers and a possible means of increasing participation and independence in children with a cancer diagnosis.


Assuntos
Crianças com Deficiência/psicologia , Neoplasias/psicologia , Neoplasias/terapia , Enfermagem Oncológica/métodos , Enfermagem Pediátrica/métodos , Ludoterapia/métodos , Qualidade de Vida/psicologia , Adolescente , Criança , Pré-Escolar , Estudos de Viabilidade , Feminino , Humanos , Lactente , Masculino
7.
Scand J Occup Ther ; 27(5): 373-384, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31703170

RESUMO

Background: Play is a right for children; an essential childhood occupation influenced by their family environment. Despite increasing recognition of unstructured outdoor play benefits, children with disabilities experience limited play opportunities.Aim: To apply a capabilities approach lens to understand outdoor play decision-making by mothers of children with disabilities within a culturally and linguistically diverse community.Materials and methods: Data collection for this case study involved semi-structured interviews with five mothers of primary school-aged children with disabilities and a week-long survey that profiled their children's outdoor play. Analysis was thematic and involved identifying barriers and opportunities at each ecocultural layer, aggregating strategies families used to address the barriers, and understanding their overall play decision-making.Findings: Mothers considered the child's interests and abilities, valued play as both a means and ends, planned for play, and facilitated in the moment as required. Multiple factors influenced mothers' outdoor play decisions. Mothers' values were child-centred, positively influencing the child's play opportunities.Conclusion and significance: This study's capabilities lens could inform professions such as occupational therapy to support families of children with disabilities from culturally diverse communities to advocate for play opportunities across settings.


Assuntos
Crianças com Deficiência/psicologia , Crianças com Deficiência/reabilitação , Crianças com Deficiência/estatística & dados numéricos , Mães/psicologia , Ludoterapia/métodos , Jogos e Brinquedos/psicologia , Adulto , Criança , Feminino , Humanos , Masculino , Inquéritos e Questionários
8.
J Autism Dev Disord ; 50(2): 467-481, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31655965

RESUMO

Children with autism spectrum disorder (ASD) have deficits in joint attention and play behaviors. We examined whether a robot-based play-drama intervention would promote these skills. Chinese-speaking preschool children were randomly assigned to an intervention group (N = 12) and a waitlist control group (N = 11). Children in the intervention group watched three robot dramas and engaged in role-plays with both robots and human experimenters over the course of 9 weeks. There were significant improvements in joint attention initiations and functional play behaviors in the intervention group. Parents of this group of children also reported less severe social impairments. It was therefore concluded that a robot-based play-drama intervention can enhance the joint attention and play behaviors of children with ASD.


Assuntos
Atenção , Transtorno do Espectro Autista/reabilitação , Ludoterapia/métodos , Robótica/métodos , Comportamento Social , Grupo com Ancestrais do Continente Asiático/psicologia , Pré-Escolar , Drama , Feminino , Humanos , Masculino
9.
Rev. bras. enferm ; 72(5): 1203-1210, Sep.-Oct. 2019. tab
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1042139

RESUMO

ABSTRACT Objective: To analyze the playful educational interventions in the knowledge of schoolchildren about intestinal parasitosis. Method: This is a quasi-experimental, non-randomized study, based on pre- and post-intervention, conducted in a public elementary school in a peripheric neighborhood in the city of Ribeirão Preto (SP). The study population consisted of 101 students enrolled in the 5th and 6th grade. For comparison, we used the generalized version of the McNemar chi-squared test. Results: Of the 101 schoolchildren who participated in the study, 48 (47.5%) were female and 53 (52.5%) were male, aged from 9 to 14 years. Students' knowledge on intestinal parasitic infections has increased significantly after the playful educational intervention. Conclusion: Playful educational interventions are an excellent didactical resource in the teaching-learning process of schoolchildren.


RESUMEN Objetivo: Analizar las intervenciones educativas lúdicas en el conocimiento de escolares sobre enteroparasitosis. Método: Se trata de estudio casi-experimental, no aleatorizado, basado en la pre y pos-intervención, que ha sido ocurrido en escuela pública de enseñanza primaria de un barrio de la periferia en la ciudad de Ribeirão Preto (SP). La población del estudio ha sido conformada por 101 alumnos que cursaban el 5º y el 6º año. Para realizar la comparación ha sido utilizada la versión generalizada de la prueba chi-cuadrada de McNemar. Resultados: De los 101 escolares que han participado del estudio, 48 (el 47,5%) eran del sexo femenino y 53 (el 52,5%) del sexo masculino, con edad entre 9 a 14 años. El conocimiento de los alumnos sobre enteroparasitosis después de la intervención educativa lúdica se ha incrementado significativamente. Conclusión: Las intervenciones educativas lúdicas son un excelente recurso didáctico en el contexto del proceso enseñanza-aprendizaje de escolares.


RESUMO Objetivo: Analisar as intervenções educativas lúdicas no conhecimento de escolares sobre enteroparasitoses. Método: Trata-se de estudo quase-experimental, não randomizado, baseado na pré e pós-intervenção, ocorrido em escola pública de ensino fundamental de um bairro da periferia na cidade de Ribeirão Preto (SP). A população do estudo foi composta por 101 alunos que cursavam o 5º e o 6º ano. Para efetuar a comparação foi utilizada a versão generalizada do teste qui-quadrado de McNemar. Resultados: Dos 101 escolares que participaram do estudo, 48 (47,5%) eram do sexo feminino e 53 (52,5%) do sexo masculino, com idade entre 9 a 14 anos. O conhecimento dos alunos sobre enteroparasitoses após a intervenção educativa lúdica aumentou significativamente. Conclusão: As intervenções educativas lúdicas são um excelente recurso didático no contexto do processo ensino-aprendizagem de escolares.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Ludoterapia/métodos , Educação em Saúde/métodos , Enteropatias/psicologia , Ludoterapia/instrumentação , Ludoterapia/estatística & dados numéricos , Instituições Acadêmicas/organização & administração , Instituições Acadêmicas/estatística & dados numéricos , Educação em Saúde/estatística & dados numéricos , Inquéritos e Questionários , Giardíase/psicologia , Amebíase/psicologia , Enteropatias/terapia
10.
Rev Bras Enferm ; 72(5): 1203-1210, 2019 Sep 16.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31531642

RESUMO

OBJECTIVE: To analyze the playful educational interventions in the knowledge of schoolchildren about intestinal parasitosis. METHOD: This is a quasi-experimental, non-randomized study, based on pre- and post-intervention, conducted in a public elementary school in a peripheric neighborhood in the city of Ribeirão Preto (SP). The study population consisted of 101 students enrolled in the 5th and 6th grade. For comparison, we used the generalized version of the McNemar chi-squared test. RESULTS: Of the 101 schoolchildren who participated in the study, 48 (47.5%) were female and 53 (52.5%) were male, aged from 9 to 14 years. Students' knowledge on intestinal parasitic infections has increased significantly after the playful educational intervention. CONCLUSION: Playful educational interventions are an excellent didactical resource in the teaching-learning process of schoolchildren.


Assuntos
Educação em Saúde/métodos , Enteropatias/psicologia , Ludoterapia/métodos , Adolescente , Amebíase/psicologia , Criança , Feminino , Giardíase/psicologia , Educação em Saúde/estatística & dados numéricos , Humanos , Enteropatias/terapia , Masculino , Ludoterapia/instrumentação , Ludoterapia/estatística & dados numéricos , Instituições Acadêmicas/organização & administração , Instituições Acadêmicas/estatística & dados numéricos , Inquéritos e Questionários
11.
NeuroRehabilitation ; 45(2): 255-263, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31498138

RESUMO

BACKGROUND: Studies have demonstrated that the combination of Nintendo Wii (NW) with Conventional Exercises (CE) was effective in the rehabilitation of patients with Parkinson's Disease (PD), but there are no studies comparing the effects of this combination on both techniques isolated. OBJECTIVE: To investigate if the effects of the combination of NW to CE are superior to isolated techniques in the rehabilitation of balance, gait, functional mobility and improvement of the quality of life of individuals with PD. METHODS: 45 patients with PD were divided into three groups, NW alone, CE alone and NW plus EC. The sessions occurred for 50 minutes, twice a week and evaluations administered before and after the 2-month intervention. RESULTS: Significant differences were found in the pre and post intervention analyzes of all the outcomes in the three groups, but there was no difference between the groups. The effect size was evaluated, in which the NW plus CE group had a greater magnitude of the therapeutic effect. CONCLUSION: The NW plus CE was statistically as effective as each intervention alone in the rehabilitation of patients with PD, however, the use of this combination provided a magnitude of the therapeutic effect superior to the other groups.


Assuntos
Terapia por Exercício/métodos , Reabilitação Neurológica/métodos , Doença de Parkinson/reabilitação , Ludoterapia/métodos , Jogos de Vídeo , Idoso , Feminino , Marcha , Humanos , Masculino , Pessoa de Meia-Idade , Equilíbrio Postural , Qualidade de Vida , Método Simples-Cego
12.
J Autism Dev Disord ; 49(12): 4847-4861, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31463634

RESUMO

This study aimed at investigating the effectiveness of audio script and script-fading procedure in teaching initiation to children with ASD. Three children with ASD and a parent of each child participated in the study. A nonconcurrent multiple baseline design across children was used. The findings showed that the initiation emitted by the children increased during audio script and script-fading procedure. Children also generalized initiation across different conditions and maintained the acquired skills. Finally, the social validity findings showed that the opinions of the parents regarding the procedure were overall positive. Results were discussed in terms of recommendations for practitioners and future research.


Assuntos
Transtorno do Espectro Autista/reabilitação , Idioma , Ludoterapia/métodos , Gravação em Fita , Criança , Pré-Escolar , Feminino , Generalização Psicológica , Humanos , Masculino , Pais/psicologia , Habilidades Sociais
13.
Nurs Child Young People ; 31(2): 32-36, 2019 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-31468769

RESUMO

BACKGROUND: Play specialists work closely with doctors and nurses to improve outcomes and the hospital experience for young patients. Documentation is an important but challenging aspect of their work. It should be incorporated into their workflow through a user-friendly format to minimise workload and record information that is useful to the multidisciplinary team (MDT) at the same time. AIM: To develop a play specialist progress note format and to evaluate its capacity to generate useful information for the MDT. METHOD: A questionnaire and inductive coding were used to develop a format incorporating the advantages of a structure focused on capturing useful information and the narrative style of documentation. The format, Well-being, Interests, Strategies, Evaluation (WISE), was aligned with play specialists' workflow and allowed for documentation of play in children's hospital care. Post-implementation evaluation comprised a usefulness survey and qualitative analyses of documentation. RESULTS: Perception of the usefulness of the WISE format was positive with nurses giving higher ratings than doctors. Gaps were identified for further investigation and improvement. CONCLUSION: Play specialists could either adapt the WISE format or adopt a similar process in developing and evaluating documentation suitable for their own work environment.


Assuntos
Documentação/métodos , Ludoterapia/métodos , Documentação/tendências , Hospitais , Humanos , Nova Zelândia , Ludoterapia/instrumentação , Pesquisa Qualitativa , Inquéritos e Questionários
14.
Int J Eat Disord ; 52(9): 1065-1069, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31273826

RESUMO

OBJECTIVE: The current case presentation examines the treatment and recovery of a 5-year-old girl diagnosed with comorbid anorexia nervosa and major depressive disorder. Researchers have shown that children as young as 3-years-old may be dissatisfied with their bodies and have concerns about their weight. This case presentation of a 5-year-old child demonstrates that the age range defining early onset of eating disorders can span into early childhood, which requires treatment tailored to the developmental level of these young children. METHOD: A new method "focused family play therapy" was applied. It goes beyond free play or structured play therapy, in that the therapist involves the parents in the play and not only models the situation which creates the child's fears, but also shows through dolls how to be brave and overcome the fears. RESULTS: The current case report demonstrates how the combination of refeeding the child during family meals, participating in focused family play therapy to help the child overcome her fears of eating, and prescribing sertraline to treat her depression was an effective treatment for both the anorexia nervosa and depression. DISCUSSION: This technique may be effective with children ranging in age from 3 to 6 years.


Assuntos
Anorexia Nervosa/terapia , Depressão/terapia , Terapia Familiar/métodos , Ludoterapia/métodos , Pré-Escolar , Comorbidade , Feminino , Humanos , Resultado do Tratamento
15.
J Autism Dev Disord ; 49(10): 4219-4231, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31292899

RESUMO

This study explored characteristics of children with autism with large intervention effects following a peer-mediated pragmatic language intervention, to devise algorithms for predicting children most likely to benefit. Children attended a 10-week intervention with a typically-developing peer. Data from a pilot study and RCT formed the dataset for this study. The POM-2 measured intervention outcomes. Children completed the EVT-2, TACL-4, and Social Emotional Evaluation at baseline, and parents completed the CCC-2 and CCBRS. High CCC-2 Use of Context and CCBRS Separation Anxiety scores and comparatively lower EVT-2, CCC-2 Nonverbal Communication and Cohesion scores predicted children with large intervention effects. Results can be used by clinicians to predict which children within their clinics might benefit most from participating in this intervention.


Assuntos
Transtorno Autístico/terapia , Ludoterapia/métodos , Criança , Pré-Escolar , Feminino , Humanos , Idioma , Masculino , Pais/psicologia , Grupo Associado
16.
Compr Child Adolesc Nurs ; 42(sup1): 122-134, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192736

RESUMO

Healthy and clean living behaviors among school-aged children are still relatively low in Indonesia, exposing them to the risk of experiencing health problems in the future, such as diarrhea. This school-age period is actually the earliest phase in which children can develop healthy behaviors, hence making this phase a strategic target for health improvements. School-aged children are in a period of concrete operational development and they require specific health education methods that can reflect real and interactive experiences. The aim of the study was to determine the most influential factors to effectiveness therapeutic sociodramatic play on diarrheal preventive behaviors among school-aged children (6-12 years). The study design was quasi-experimental with pre- and post-tests, involving 102 school-age children who were divided into an intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. The results showed that parental knowledge had a significant effect on therapeutic sociodramatic play improving students' knowledge (p = 0.001), attitudes (p = 0.004), and diarrheal prevention skills (p = 0.003). Therapeutic sociodramatic play will be more effective when followed by good parental knowledge. The study recommends that therapeutic sociodramatic play could be applied in an effort to enhance healthy and clean living behaviors and to prevent diarrhea among school-aged children, and it could be integrated into school nursing services.


Assuntos
Pais/psicologia , Ludoterapia/normas , Adolescente , Análise de Variância , Criança , Estudos Transversais , Feminino , Educação em Saúde/métodos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Indonésia , Masculino , Ludoterapia/métodos , Ludoterapia/tendências , Estudantes/psicologia , Inquéritos e Questionários
18.
Trials ; 20(1): 113, 2019 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-30744672

RESUMO

BACKGROUND: Autism spectrum disorder (ASD) is a common lifelong condition affecting 1 in 100 people. ASD affects how a person relates to others and the world around them. Difficulty responding to sensory information (noise, touch, movement, taste, sight) is common, and might include feeling overwhelmed or distressed by loud or constant low-level noise (e.g. in the classroom). Affected children may also show little or no response to these sensory cues. These 'sensory processing difficulties' are associated with behaviour and socialisation problems, and affect education, relationships, and participation in daily life. Sensory integration therapy (SIT) is a face-to-face therapy or treatment provided by trained occupational therapists who use play-based sensory-motor activities and the just-right challenge to influence the way the child responds to sensation, reducing distress, and improving motor skills, adaptive responses, concentration, and interaction with others. With limited research into SIT, this protocol describes in detail how the intervention will be defined and evaluated. METHODS: This is a two-arm pragmatic individually 1:1 randomised controlled trial with an internal pilot of SIT versus usual care for primary school aged children (aged 4 to 11 years) with ASD and sensory processing difficulties; 216 children will be recruited from multiple sources. Therapy will be delivered in clinics meeting full fidelity criteria for manualised SIT over 26 weeks (face-to-face sessions: two per week for 10 weeks, two per month for 2 months; telephone call: one per month for 2 months). Follow-up assessments will be completed at 6 and 12 months post-randomisation. Prior to recruitment, therapists will be invited to participate in focus groups/interviews to explore what is delivered as usual care in trial regions; carers will be invited to complete an online survey to map out their experience of services. Following recruitment, carers will be given diaries to record their contact with services. Following intervention, carer and therapist interviews will be completed. DISCUSSION: Results of this trial will provide high-quality evidence on the clinical and cost effectiveness of SIT aimed at improving behavioural, functional, social, educational, and well-being outcomes for children and well-being outcomes for carers and families. TRIAL REGISTRATION: ISRCTN14716440 . Registered on 8 November 2016.


Assuntos
Transtorno do Espectro Autista/terapia , Comportamento Infantil , Desenvolvimento Infantil , Terapia Ocupacional/métodos , Ludoterapia/métodos , Limiar Sensorial , Adaptação Psicológica , Fatores Etários , Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/psicologia , Criança , Pré-Escolar , Sinais (Psicologia) , Feminino , Humanos , Masculino , Destreza Motora , Projetos Piloto , Ensaios Clínicos Pragmáticos como Assunto , Comportamento Social , Fatores de Tempo , Resultado do Tratamento , Reino Unido
19.
J Autism Dev Disord ; 49(6): 2231-2242, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30701435

RESUMO

Despite widespread clinical use of group-based social skills training (SST) for children with autism spectrum disorder (ASD), there remains a lack of follow-up data, generalisation effects, common definition of social skills, and teacher report data. This study evaluated the effectiveness of an 8-week SST intervention with a play component (unstructured versus semi-structured) for children with ASD across a range of social, behavioural and emotional measures. Forty-five children aged 8-12 years (M = 10.16, SD = 1.26) were assigned to one of three groups: (a) SST with unstructured play; (b) SST with semi-structured play; and (c) waitlist control. Compared to a waitlist control group, children who participated in the SST intervention showed significant gains in social skills and social competence over time.


Assuntos
Transtorno do Espectro Autista/psicologia , Transtorno do Espectro Autista/terapia , Ludoterapia/métodos , Psicoterapia de Grupo/métodos , Habilidades Sociais , Adaptação Psicológica/fisiologia , Criança , Emoções/fisiologia , Feminino , Humanos , Masculino , Pais/psicologia , Professores Escolares/psicologia , Comportamento Social
20.
Int J Speech Lang Pathol ; 21(4): 412-424, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30175619

RESUMO

Purpose: This study trialled a play-based, peer-to-peer intervention with children with autism spectrum disorder (ASD) to identify suitable instruments for measuring changes in pragmatic language following the intervention, and evaluate preliminary effectiveness. It also aimed to investigate the appropriateness of the intervention for participants. Method: Ten children with ASD, their typically developing peers, and parents participated. The Pragmatics Observational Measure (POM), Social Emotional Evaluation (SEE) and Profiling Elements of Prosody in Speech Communication (PEPS-C) measured the participant's social communication skills before, after, and 2-months following the intervention. Parent interviews were conducted two months after the intervention and responses were analysed using a thematic approach. Result: Children demonstrated gains in pragmatic language on the POM (χ2(3) = 11.160, p = 0.011) and related higher-level language on the SEE (χ2(2) = 6.686, p = 0.035). The PEPS-C did not produce any significant results. Parent interview responses indicated the intervention was appropriate for the children and families involved. Conclusion: The intervention warrants further investigation of effectiveness with a more robust research design. Consideration should be given to using observational measures of pragmatic language away from the clinic environment to evaluate generalisation, and future development of the intervention might consider variations in playmates and group size.


Assuntos
Transtorno do Espectro Autista/complicações , Transtornos da Linguagem/etiologia , Transtornos da Linguagem/terapia , Ludoterapia/métodos , Criança , Estudos de Viabilidade , Feminino , Humanos , Masculino , Grupo Associado
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