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Deribe L, Addissie A, Girma E, Gidey A, Teferra S, Lindström NB. Level of Family centered care and associated factors among parents of children with cancer at tertiary level hospital, Ethiopia. J Pediatr Nurs 2024; 76:e69-e76. [PMID: 38307760 DOI: 10.1016/j.pedn.2024.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 01/16/2024] [Accepted: 01/20/2024] [Indexed: 02/04/2024]
Abstract
OBJECTIVE To determining level and factors affecting Family Centered Care (FCC) in pediatric oncology unit of Tikur Anbessa Specialized hospital (TASH), Ethiopia. METHOD A cross sectional study was conducted from June to December 2022. Three hundred ninety-three parents of children with cancer were consecutively interviewed using Measure of Processes of Care (MPOC-20). Multivariable linear regression was used to identify independent predictors of FCC. RESULT The total MPOC 20 means was 3.71(SD = 1.04). The mean score for respectful and supportive care, coordinated and comprehensive care, enabling and partnership, providing specific information and providing general information were found to be 4.8, 4.6, 3.7, 2.3 and 2.6, respectively. Family employment (-0.33(95% CI = -0.63, -0.03; P = .029)), low family education (-0.40 (95% CI = -0.70, -0.11; P = .008)), referral cases (-0.37(95% CI = -0.59, -0.14; P = .001)), shorter time spent in hospital (-0.49(95% CI = -0.85, -0.12; P = .010)) and psychological distress (-0.01(95% CI = -0.026, -0.001; P = .028)) were associated with lower mean score of FCC. CONCLUSION The total FCC mean score was found to be low. From the five FCC components providing general and specific information scored the lowest mean level. PRACTICE IMPLICATIONS Mechanism to improve information delivery that address parents from different background and referred from other health facility should be in place in order to improve FCC level. In addition, the FCC should be designed to address parents of children with different lengths of stay.
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Affiliation(s)
- Leul Deribe
- School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia.
| | - Adamu Addissie
- School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia
| | - Eshetu Girma
- School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia
| | - Abdulkadir Gidey
- School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
| | - Solomon Teferra
- School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
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Tebar-Yébana S, Navarro-Mateu D, Gómez-Domínguez MT, Gómez-Dominguez V. Educational inclusion and satisfaction of families of students with intellectual disabilities: a bibliometric study. Front Psychol 2024; 15:1335168. [PMID: 38586293 PMCID: PMC10995399 DOI: 10.3389/fpsyg.2024.1335168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 03/11/2024] [Indexed: 04/09/2024] Open
Abstract
This bibliometric study scrutinizes the corpus of scientific output within the Web of Science pertaining to familial satisfaction among parents raising children with intellectual disabilities, focusing specifically on the milieu of educational inclusion. The analysis discerns a discernible ascension in scholarly interest in this domain, encapsulating 77 papers emanating from 75 journals, incorporating an aggregate of 3,497 cited references. Our investigation delineated 354 researchers across 39 nations, underscoring the transnational purview of this scholarly endeavor. The United States emerged as the pre-eminent contributor, with Canada and the United Kingdom following suit. Collaboration on an international scale was notably led by the US, with the UK and Australia trailing in tandem. Prominent institutions were identified for their scholarly output; the University of Kansas led with four papers, followed closely by Monash University, University of California Los Angeles, and University of California Riverside, each contributing three papers. Of particular note, the University of Kansas accrued 250 global citations (TGCS). A total of 75 journals were encompassed in this study. The Journal of Intellectual Disability Research emerged as the vanguard with four published papers, closely trailed by Child Care Health and Development and Exceptional Children. Notably, the latter boasted the highest impact factor (JCR = 4.09; Q1). In summation, this review proffers a meticulous and expansive overview of extant scholarship concerning the experiences of families rearing children with disabilities within the inclusive education framework.
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Affiliation(s)
- Susana Tebar-Yébana
- Doctoral School, Catholic University of Valencia San Vicente Mártir, Valencia, Spain
- Department of Specific Educational Needs and Attention to Diversity, Faculty of Education Sciences, Catholic University of Valencia San Vicente Mártir, Valencia, Spain
| | - Diego Navarro-Mateu
- Department of Specific Educational Needs and Attention to Diversity, Faculty of Education Sciences, Catholic University of Valencia San Vicente Mártir, Valencia, Spain
| | - María Teresa Gómez-Domínguez
- Department of Specific Educational Needs and Attention to Diversity, Faculty of Education Sciences, Catholic University of Valencia San Vicente Mártir, Valencia, Spain
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Lo JWK, Ma JLC, Wong MMC, Yau-Ng MLT. Virtual care during the pandemic: Multi-family group sessions for Hong Kong Chinese families of adolescents with intellectual disabilities. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023; 27:336-353. [PMID: 35343306 PMCID: PMC8961203 DOI: 10.1177/17446295221076693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
The suspension of social services in Hong Kong during the COVID-19 pandemic increased the caregiver strain for families of adolescent children with intellectual disabilities, possibly aggravating their family relationships. This article reports on an online Multi-Family Group (MFG) conducted during the pandemic for Hong Kong Chinese families of adolescents affected by mild-to-moderate intellectual disabilities. A thematic analysis of the experiences of the participating service users revealed three positive effects of the intervention model: improved family relationships, mutual helpful influences occurring among families, and a new understanding of family members with intellectual disabilities. The therapeutic group process used to promote family development is illustrated by a group vignette. The challenges and the practical considerations for conducting an MFG online are discussed.
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Affiliation(s)
- Julia Wing Ka Lo
- Department of Social Work, The Chinese University of Hong Kong, Hong Kong, China
| | - Joyce Lai Chong Ma
- Department of Social Work, The Chinese University of Hong Kong, Hong Kong, China
| | - Mooly Mei Ching Wong
- Department of Social Work, The Chinese University of Hong Kong, Hong Kong, China
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McCarthy E, Guerin S. Family-centred care in early intervention: A systematic review of the processes and outcomes of family-centred care and impacting factors. Child Care Health Dev 2022; 48:1-32. [PMID: 34324725 DOI: 10.1111/cch.12901] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 07/17/2021] [Accepted: 07/19/2021] [Indexed: 11/26/2022]
Abstract
Family-centred care (FCC) has been established as a best practice model for child disability services internationally. However, further empirical support is required to explore the operationalization and efficacy of FCC, in the absence of a universal practice model. This review aimed to identify the key processes and outcomes of FCC in early intervention (EI) settings and the factors that impact FCC. A systemic review was conducted exploring the processes and outcomes of FCC delivered to children predominantly aged 0-6 years with disabilities/suspected disabilities and families as part of EI or early services. The search procedure was informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Moher et al., 2009). Narrative analysis of data was guided by Braun and Clarke (2006, 2014). Data were presented as per the standards for reporting qualitative research (SRQR; O'Brien et al., 2014). Forty-two studies were included. The majority (90.5%) outlined the processes of FCC, with 59.5% of studies detailing outcomes. Processes were largely reported as qualitative data and/or subscales of the Measure of Processes of Care (MPOC; King et al., 1995), which were subsequently collated. Findings indicated eight key operational processes and corresponding outcomes. Variables that hinder or facilitate FCC included family/professional characteristics, family/service resources, and parent attitudes, engagement and agency. FCC was largely conceptualized as the application of services to children and their families. Critical perspectives on FCC are discussed. It is hoped this research will contribute to the development of a framework of FCC in EI to inform services provided to young children with complex needs and their families and future research.
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Affiliation(s)
- Elaine McCarthy
- UCD School of Psychology, University College Dublin, Dublin, Ireland.,Health Service Executive, CHO Area 5, Dublin, Ireland
| | - Suzanne Guerin
- UCD School of Psychology, University College Dublin, Dublin, Ireland
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5
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Vanderkerken L, Heyvaert M, Onghena P, Maes B. Family-centered practices in home-based support for families with children with an intellectual disability: Judgments of parents and professionals. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2021; 25:331-347. [PMID: 31885306 DOI: 10.1177/1744629519897747] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
BACKGROUND The realization of the family-centered approach (FCA) in home-based support (HBS) for families with children with an intellectual disability (ID) in Flanders was investigated, and parents' and family workers' perspectives were compared. The relation between parents' educational level, the family worker's education, and his/her experience in HBS; and parents' and family workers' judgments on the realization of the FCA was considered. METHOD Parents (N = 58 families) and family workers (N = 46) completed the helpgiving practices scale and the enabling practices scale. RESULTS The FCA was largely present, parents rated its realization higher than family workers. Considering family workers' answers, parents' educational level appeared an important factor for parental autonomy. CONCLUSIONS The study confirms recent research on the realization of the FCA. Including different perspectives, a nuanced view on the realization of the FCA was obtained. Further research on the concrete meaning, interpretation, and elaboration of the FCA is needed.
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Rodocanachi Roidi ML, Grange F, Cozzi F, Pari E, Toshimori K, Ripamonti E. Parents' perception of health care services for girls with Rett syndrome. Child Care Health Dev 2019; 45:417-422. [PMID: 30870585 DOI: 10.1111/cch.12660] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Revised: 03/09/2019] [Accepted: 03/09/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND Rett syndrome (RTT) is a severe neurodevelopmental disorder, implying impairment and disability across several domains. METHOD We investigated parents' perception of the caregiving process in a sample of 55 mothers and fathers of girls with RTT using the MPOC-20 questionnaire. The association of parents' satisfaction with clinical variables has also been explored. RESULTS We obtained intermediate levels of satisfaction on the MPOC-20 Coordinated and Comprehensive Care and Respectful and Supportive Care scales. The performance was lower on the scales Providing General Information and Providing Specific Information. Mothers' assessment was not associated with clinical variables such as walking disability, presence of scoliosis, or epilepsy. For children with greater degree of walking impairment, fathers expressed the need of having more information available. CONCLUSIONS Although parents seemed satisfied of the caregiving process, clinicians should put more emphasis on their need of receiving general and specific information on RTT along the entire rehabilitation program.
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Affiliation(s)
| | | | | | - Elisa Pari
- IRCCS Fondazione Don Carlo Gnocchi, Milano, Italy
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Faundes V, Salas I, Correa-Burrows P, Soto P, Peña MI, Pugin Á, Bravo P, Santa María L, Morales P, Curotto B, Aliaga S, Alliende MA. Patients With Fragile X Syndrome Attending a Specialized Centre in Chile: Parent Satisfaction, Costs and Adherence. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2018. [DOI: 10.1111/jppi.12229] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Víctor Faundes
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Isabel Salas
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Paulina Correa-Burrows
- Unidad de Nutrición Pública; Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Paula Soto
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - María Ignacia Peña
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Ángela Pugin
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Paulina Bravo
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Lorena Santa María
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Paulina Morales
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Bianca Curotto
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - Solange Aliaga
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
| | - María Angélica Alliende
- Centro de Diagnóstico, Manejo y Tratamiento del Síndrome X Frágil (CDTSXF); Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile; Santiago Chile
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Olsson LM, Elgmark Andersson E, Granlund M, Huus K. Habilitation Service Utilization Patterns Among Children With Mild Intellectual Disability. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2017. [DOI: 10.1111/jppi.12174] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Lena M. Olsson
- Department of Social Work; School of Health and Welfare, Jönköping University; Jönköping Sweden
- CHILD; Institute of Disability Research, Jönköping University; Sweden
| | - Elisabeth Elgmark Andersson
- CHILD; Institute of Disability Research, Jönköping University; Sweden
- Department of Rehabilitation; School of Health and Welfare, Jönköping University; Jönköping Sweden
| | - Mats Granlund
- Department of Social Work; School of Health and Welfare, Jönköping University; Jönköping Sweden
- CHILD; Institute of Disability Research, Jönköping University; Sweden
- Department of Special Education; Oslo University; Oslo Norway
| | - Karina Huus
- CHILD; Institute of Disability Research, Jönköping University; Sweden
- Department of Nursing; School of Health and Welfare, Jönköping University; Jönköping Sweden
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Karlsson P, Johnston C, Barker K. Stakeholders' views of the introduction of assistive technology in the classroom: How family-centred is Australian practice for students with cerebral palsy? Child Care Health Dev 2017; 43:598-607. [PMID: 28419501 DOI: 10.1111/cch.12468] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2016] [Revised: 03/02/2017] [Accepted: 03/13/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND With family-centred care widely recognized as a cornerstone for effective assistive technology service provision, the current study was undertaken to investigate to what extent such approaches were used by schools when assistive technology assessments and implementation occurred in the classroom. METHOD In this cross-sectional study, we compare survey results from parents (n = 76), school staff (n = 33) and allied health professionals (n = 65) with experience in the use of high-tech assistive technology. Demographic characteristics and the stakeholders' perceived helpfulness and frequency attending assessment and set-up sessions were captured. To evaluate how family-centred the assistive technology services were perceived to be, the parents filled out the Measure of Processes of Care for Caregivers, and the professionals completed the Measure of Processes of Care for Service Providers. Descriptive statistics and one-way analysis of variance were used to conduct the data analysis. RESULTS Findings show that parents are more involved during the assessment stage than during the implementation and that classroom teachers are often not involved in the initial stage. Speech pathologists in particular are seen to be to a great extent helpful when implementing assistive technology in the classroom. This study found that family-centred service is not yet fully achieved in schools despite being endorsed in early intervention and disability services for over 20 years. No statistically significant differences were found with respect to school staff and allied health professionals' roles, their years of experience working with students with cerebral palsy and the scales in the Measure of Processes of Care for Service Providers. CONCLUSION To enhance the way technology is matched to the student and successfully implemented, classroom teachers need to be fully involved in the whole assistive technology process. The findings also point to the significance of parents' involvement, with the support of allied health professionals, in the process of selecting and implementing assistive technology in the classroom.
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Affiliation(s)
- P Karlsson
- Cerebral Palsy Alliance, The University of Sydney, Sydney, NSW, Australia
| | - C Johnston
- School of Education, Western Sydney University, Penrith, NSW, Australia
| | - K Barker
- School of Education, Western Sydney University, Penrith, NSW, Australia
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Zaidman-Zait A, Most T, Tarrasch R, Haddad E. Mothers’ and fathers’ involvement in intervention programs for deaf and hard of hearing children. Disabil Rehabil 2017; 40:1301-1309. [DOI: 10.1080/09638288.2017.1297491] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Anat Zaidman-Zait
- Department of School Counseling and Special Education, Tel Aviv University, Tel Aviv, Israel
| | - Tova Most
- Department of School Counseling and Special Education, Tel Aviv University, Tel Aviv, Israel
| | - Ricardo Tarrasch
- Department of School Counseling and Special Education, Tel Aviv University, Tel Aviv, Israel
| | - Eliana Haddad
- Department of School Counseling and Special Education, Tel Aviv University, Tel Aviv, Israel
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Solan LG, Beck AF, Brunswick SA, Sauers HS, Wade-Murphy S, Simmons JM, Shah SS, Sherman SN. The Family Perspective on Hospital to Home Transitions: A Qualitative Study. Pediatrics 2015; 136:e1539-49. [PMID: 26620060 DOI: 10.1542/peds.2015-2098] [Citation(s) in RCA: 76] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Transitions from the hospital to home can be difficult for patients and families. Family-informed characterization of this vulnerable period may facilitate the identification of interventions to improve transitions home. Our objective was to develop a comprehensive understanding of hospital-to-home transitions from the family perspective. METHODS Using qualitative methods, focus groups and individual interviews were held with caregivers of children discharged from the hospital in the preceding 30 days. Focus groups were stratified based upon socioeconomic status. The open-ended, semistructured question guide included questions about communication and understanding of care plans, transition home, and postdischarge events. Using inductive thematic analysis, investigators coded the transcripts, resolving differences through consensus. RESULTS Sixty-one caregivers participated across 11 focus groups and 4 individual interviews. Participants were 87% female and 46% nonwhite; 38% were the only adult in their household, and 56% resided in census tracts with ≥15% of residents living in poverty. Responses from participants yielded a conceptual model depicting key elements of families' experiences with hospital-to-home transitions. Four main concepts resulted: (1) "In a fog" (barriers to processing and acting on information), (2) "What I wish I had" (desired information and suggestions for improvement), (3) "Am I ready to go home?" (discharge readiness), and (4) "I'm home, now what?" (confidence and postdischarge care). CONCLUSIONS Transitions from hospital to home affect the lives of families in ways that may affect patient outcomes postdischarge. The caregiver is key to successful transitions, and the family perspective can inform interventions that support families and facilitate an easier re-entry to the home.
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Affiliation(s)
- Lauren G Solan
- Division of Pediatric Hospital Medicine, University of Rochester Medical Center, Rochester, New York;
| | - Andrew F Beck
- Divisions of General and Community Pediatrics, Hospital Medicine, and
| | | | | | | | - Jeffrey M Simmons
- Hospital Medicine, and James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and
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Nicol P, Anthonappa R, King N, Slack-Smith L, Cirillo G, Cherian S. Caries burden and efficacy of a referral pathway in a cohort of preschool refugee children. Aust Dent J 2015; 60:73-9. [PMID: 25721281 DOI: 10.1111/adj.12269] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2014] [Indexed: 12/25/2022]
Abstract
BACKGROUND This study aimed to assess the early caries experience and the efficacy of a community based dental referral pathway in preschool refugees in Western Australia. METHODS Preschool refugee children referred to the Western Australian paediatric hospital Refugee Health Clinic were prospectively screened for caries by a paediatric dentist before being referred to community dental clinics. Dental forms and medical records were audited to assess decayed, missing and filled teeth (dmft), medical data and dental services engagement. Poisson regression analysis determined the contribution of count variables to the final model. RESULTS Among the 105 screened children (54% male, median age 3.2 years, 41% Burmese), community dental clinic engagement was low (46%, n=48). Of the 62% with caries (n=65/105, mean dmft 5.2, SD 4.1), 45% were recommended for specialist dental services and 48% were treated. After adjustment for age, gender and total number of teeth, caries incidence was significantly associated with BMI-for-age Z score (p=0.02). CONCLUSIONS Preschool refugee caries burden was high. The community dental referral pathway was ineffective compared to co-located intersectorial dental screening. Specialist dental service needs are high in this cohort and require a targeted approach.
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Affiliation(s)
- P Nicol
- School of Paediatrics and Child Health, The University of Western Australia, Perth, Australia
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Povee K, Roberts L, Bourke J, Leonard H. Family functioning in families with a child with Down syndrome: a mixed methods approach. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2012; 56:961-73. [PMID: 22533693 DOI: 10.1111/j.1365-2788.2012.01561.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
BACKGROUND This study aimed to explore the factors that predict functioning in families with a child with Down syndrome using a mixed methods design. The quantitative component examined the effect of maladaptive and autism-spectrum behaviours on the functioning of the family while the qualitative component explored the impact of having a child with Down syndrome on family holidays, family activities and general family functioning. METHODS Participants in this study were 224 primary caregivers of children with Down syndrome aged 4-25 years (57.1% male; 42.9% female) currently residing in Western Australia (74.0% in metropolitan Perth and 26.0% in rural Western Australia). RESULTS Maladaptive and autism-spectrum behaviour were associated with poorer family functioning. Mean total scores on the measures of family functioning and marital adjustment were comparable to that of families of typically developing children. Consistent with the quantitative findings, normality was the most common theme to emerge in the qualitative data. Child problem behaviours were also identified by parents/carers as having a negative impact on the family. CONCLUSIONS This study has implications for the development of programs to support families with a child with Down syndrome and may dispel some of the myths surrounding the impact of intellectual disability on the family.
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Affiliation(s)
- K Povee
- School of Psychology and Speech Pathology, Curtin University, Perth, WA, Australia
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Rodger S, O’Keefe A, Cook M, Jones J. Parents’ and Service Providers’ Perceptions of the Family Goal Setting Tool: A Pilot Study. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2012; 25:360-71. [DOI: 10.1111/j.1468-3148.2011.00674.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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