1
|
Bos GF, van Wingerden E, Sterkenburg PS. The effectiveness of the use of a technology toolkit on activities and mother-child interactions: children with complex care needs. Disabil Rehabil Assist Technol 2023:1-12. [PMID: 38112320 DOI: 10.1080/17483107.2023.2293870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 12/06/2023] [Indexed: 12/21/2023]
Abstract
PURPOSE Meaningful interactions with significant others are crucial for children's well-being, including those with severe to profound intellectual and multiple disabilities. This study aimed to gain more insight into the potential of an ICT-Toolkit in enhancing or contributing to the interaction between parents and their children with complex care needs. METHODS A multiple case study with an AB experimental design was conducted. Four mother-child dyads were observed during eight two-and-a-half-hour home visits. Children between 6 and 16 years with severe to profound intellectual and multiple disabilities were included. A participatory research observation approach was used. RESULTS Using the ICT-Toolkit compared to the baseline phase stimulated a decrease in the repetitive activities of two of the four dyads. Overall, the activity repertoire of the children and the length of time being engaged in individual activities increased, and the activities together increased in three of the dyads. There were more turn-taking interactions; the children took more initiative to engage their mother in their activity, and the children exhibited more affection when engaging with the ICT-Toolkit items. Three mothers followed their children more in their play, and all mothers were more verbally and physically active in instructing and/or motivating their children. DISCUSSION All mothers noticed their child's "new" behaviour when interacting with an ICT-Toolkit item. The mothers followed the child's lead when engaged with the ICT-Toolkit. The ICT-Toolkit's added effect may be due to the predictability, uncomplicated and highly perceivable stimuli it provides with minimal effort and maximum effect.
Collapse
Affiliation(s)
- G F Bos
- Department of Care Ethics, University of Humanistic Studies, Utrecht, Netherlands
| | - E van Wingerden
- Clinical Child and Family Studies and Amsterdam Public Health Research Institute, Vrije Universiteit, Amsterdam, Netherlands
- Department of Assessment and Treatment, Bartiméus, Netherlands
| | - P S Sterkenburg
- Clinical Child and Family Studies and Amsterdam Public Health Research Institute, Vrije Universiteit, Amsterdam, Netherlands
- Department of Assessment and Treatment, Bartiméus, Netherlands
| |
Collapse
|
2
|
Mohamed AR. Using Attachment and Biobehavioral Catch-up with young children with developmental delays: A multiple-baseline trial of attachment, sensitivity, and cortisol. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023; 27:847-870. [PMID: 35648732 PMCID: PMC10647892 DOI: 10.1177/17446295221104614] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/13/2022] [Indexed: 06/15/2023]
Abstract
The Attachment and Biobehavioral Catchup intervention potentially offsets psychosocial risks facing dyads in which children have intellectual disability or developmental delays. In this single-case multiple-baseline study the efficacy of this intervention was tested across three such South African families. Maternal sensitivity, attachment security, and child affect regulation were measured weekly during a baseline and intervention period, using the Ainsworth Maternal Sensitivity Scales, Attachment Q-sort and salivary cortisol, respectively. Furthermore, post-intervention interviews invited parents' and intervenors' evaluations of the intervention. Visual analysis broadly indicated improvement in maternal sensitivity and attachment security across subjects over time following the introduction of the intervention, although randomisation tests were not statistically significant. Effects on affect regulation were not clearly observed and may have been influenced by case-specific variables. Parent-participants and intervenors also identified particularly helpful contributions from the intervention. Findings underscore the importance of individual-level effects evaluation, especially when implementing interventions outside the original population.
Collapse
Affiliation(s)
- Ahmed Riaz Mohamed
- Ahmed Riaz Mohamed, Department of Psychology, University of Pretoria, Private Bag X20, Hatfield, 0028, Pretoria, South Africa.
| |
Collapse
|
3
|
Alexander SL, Frederico M, Long M, Vicendese D. Attachment security in children with disability or developmental delay: Systematic review of quality and interventions. JOURNAL OF OCCUPATIONAL THERAPY, SCHOOLS, & EARLY INTERVENTION 2023. [DOI: 10.1080/19411243.2023.2177237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Affiliation(s)
- Stacey L. Alexander
- Department of Occupational Therapy, Social Work, and Social Policy, La Trobe University, Melbourne, Victoria, Australia
| | - Margarita Frederico
- Department of Occupational Therapy, Social Work, and Social Policy, La Trobe University, Melbourne, Victoria, Australia
| | - Maureen Long
- Department of Occupational Therapy, Social Work, and Social Policy, La Trobe University, Melbourne, Victoria, Australia
| | - Don Vicendese
- Department of Occupational Therapy, Social Work, and Social Policy, La Trobe University, Melbourne, Victoria, Australia
| |
Collapse
|
4
|
Mohamed AR, Sterkenburg P, van Rensburg E, Schuengel C. Adapting Attachment and Biobehavioral Catch-up for infants and young children with intellectual disabilities and developmental delays in South Africa: Reflections and recommendations from local stakeholders. Infant Ment Health J 2023; 44:54-75. [PMID: 36538474 PMCID: PMC10107761 DOI: 10.1002/imhj.22027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Accepted: 10/02/2022] [Indexed: 12/24/2022]
Abstract
Attachment and Biobehavioral Catch-up (ABC) is an intervention targeted at enhancing the socioemotional and regulatory functioning of at-risk infants. However, to use the ABC for infants/toddlers with intellectual disabilities/developmental delays (ID/DD) and in novel cultural contexts, such as South Africa, adaptations may be required. This study aimed, therefore, to explore the opinions of clinical experts and perceptions of caregivers regarding the use of ABC for children with ID/DD in South Africa. It also sought to incorporate the experiences of families of children with ID/DD who received, and intervenors who delivered, ABC in its first implementation in South Africa. Semi-structured interviews were conducted with 18 participants. Thematic analysis explicated 12 main themes: Intervention Strengths, Points of Concern, and Recommendations (Experts); Focus on Caregiver-child Relationship, and Intervention Targets and Duration (Caregivers); Benefits of ABC, and Cultural Considerations (ABC Recipients); Focused and Targeted, Value of Feedback, Supportive Supervision, Working Alliance, and Challenges Experienced (ABC Intervenors). Practice and training recommendations include psychoeducation for parents and training for intervenors that is ID/DD-specific, expanding supervision capacity, building intervenors' cultural/linguistic sensitivity and competence, accessing referral networks, including local Community Health Workers as intervenors, and greater flexibility in how the sessions are organized.
Collapse
Affiliation(s)
- Ahmed Riaz Mohamed
- Department of Clinical Child and Family Studies, and Amsterdam Public Health Research Institute, Vrije Universiteit, Amsterdam, Netherlands.,Department of Psychology, North-West University, Potchefstroom, South Africa.,Department of Psychology, University of Pretoria, Pretoria, South Africa
| | - Paula Sterkenburg
- Department of Clinical Child and Family Studies, and Amsterdam Public Health Research Institute, Vrije Universiteit, Amsterdam, Netherlands.,Department of Assessment and Treatment, Bartiméus, Doorn, Netherlands
| | - Esmé van Rensburg
- Department of Psychology, North-West University, Potchefstroom, South Africa
| | - Carlo Schuengel
- Department of Clinical Child and Family Studies, and Amsterdam Public Health Research Institute, Vrije Universiteit, Amsterdam, Netherlands
| |
Collapse
|
5
|
Variation in differential reactions to comfort by parents versus strangers in children with severe or profound intellectual disabilities: the role of parental sensitivity and motor competence. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-021-02501-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
6
|
Maes B, Nijs S, Vandesande S, Van Keer I, Arthur-Kelly M, Dind J, Goldbart J, Petitpierre G, Van der Putten A. Looking back, looking forward: Methodological challenges and future directions in research on persons with profound intellectual and multiple disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 34:250-262. [PMID: 33073444 DOI: 10.1111/jar.12803] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 06/29/2020] [Accepted: 07/29/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Within the context of the Special Interest Research Group (SIRG) on Persons with Profound Intellectual and Multiple Disabilities (PIMD), researchers often discuss the methodological problems and challenges they are confronted with. The aim of the current article was to give an overview of these challenges. METHODS The challenges are centred on six topics. These reflect the main components of a study's design: (a) participant demarcation, (b) participant recruitment, (c) data collection and instruments, (d) data analysis, (e) ethics/including the "voice" of persons with PIMD and (f) theoretical models. RESULTS Next, to describing the specific challenges, possible solutions and pathways to address them are discussed. These are illustrated by recent studies by the authors and other researchers in the field. CONCLUSIONS The current contribution wants to stimulate further discussion and exchange of ideas, and the development of creative research techniques.
Collapse
Affiliation(s)
- Bea Maes
- Faculty of Psychology and Educational Sciences, Research Unit Parenting and Special Education, Catholic University of Leuven, Leuven, Belgium
| | - Sara Nijs
- Faculty of Psychology and Educational Sciences, Research Unit Parenting and Special Education, Catholic University of Leuven, Leuven, Belgium
| | - Sien Vandesande
- Faculty of Psychology and Educational Sciences, Research Unit Parenting and Special Education, Catholic University of Leuven, Leuven, Belgium
| | - Ines Van Keer
- Faculty of Psychology and Educational Sciences, Research Unit Parenting and Special Education, Catholic University of Leuven, Leuven, Belgium
| | | | - Juliane Dind
- Département de Pédagogie spécialisée, Université de Fribourg, Fribourg, Switzerland
| | - Juliet Goldbart
- Faculty of Health, Psychology & Social Care, Manchester Metropolitan University, Manchester, UK
| | | | - Annette Van der Putten
- Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, The Netherlands
| |
Collapse
|
7
|
Vandesande S, Bosmans G, Maes B. Can I be your safe haven and secure base? A parental perspective on parent-child attachment in young children with a severe or profound intellectual disability. RESEARCH IN DEVELOPMENTAL DISABILITIES 2019; 93:103452. [PMID: 31398559 DOI: 10.1016/j.ridd.2019.103452] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Revised: 07/10/2019] [Accepted: 07/20/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND The general developmental as well as the disability specific literature has stressed the crucial influence of parents on their child's social-emotional development. Attachment theory provides a framework to describe parental roles within the parent-child attachment relationship. The current study explored parents' perspectives on their role as attachment figure and the preconditions they consider necessary to establish secure attachment in children with severe or profound intellectual disability (ID). METHODS Semi-structured interviews with 54 parents on their child's social-emotional development, attachment behaviour and the parent-child attachment bond were analysed using the Framework Method. All children were between 15 months and seven years old and had a severe or profound ID. RESULTS Parents reported their child's clear preference towards them and acknowledged the role they fulfil as stress regulator. Children differed in the extent to which they use their parent to explore new environments. Overall, parents described the attachment relationship with their child as positive but challenging. CONCLUSIONS Parents acknowledged the roles they fulfil both as a safe haven for their child, and (to a lesser extent) as a secure base. Clinical practice could benefit from a parental perspective to identify particular challenges parents encounter in building a secure attachment relationship.
Collapse
Affiliation(s)
- Sien Vandesande
- KU Leuven, Special Education and Parenting, Leopold Vanderkelenstraat 32, 3000 Leuven, Belgium.
| | - Guy Bosmans
- KU Leuven, Special Education and Parenting, Leopold Vanderkelenstraat 32, 3000 Leuven, Belgium
| | - Bea Maes
- KU Leuven, Special Education and Parenting, Leopold Vanderkelenstraat 32, 3000 Leuven, Belgium
| |
Collapse
|
8
|
Vandesande S, Bosmans G, Sterkenburg P, Schuengel C, Van Den Noortgate W, Maes B. Comfort provided by parents versus strangers after eliciting stress in children with severe or profound intellectual disabilities: does it make a difference? Attach Hum Dev 2019; 22:425-447. [PMID: 31476969 DOI: 10.1080/14616734.2019.1659835] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
The relationships between children with severe or profound intellectual disabilities (ID) and their parents may fulfil attachment functions, such as regulating emotional responses to stress. This study examined the extent to which children with severe or profound ID differentiate between their parents and a stranger as a resource for stress-regulation. A home-based experimental paradigm was conducted and video-recorded in 38 families. Children (1-8 years) were exposed to four naturalistic stressors followed by comfort, randomly provided by the parents or the stranger. Emotional behaviour (arousal and valence) and the skin conductance level were simultaneously recorded. With regard to both emotional behaviour and skin conductance, children significantly differentiated between their parents as attachment figures and the stranger during stress and comfort, despite their impairments on various developmental domains. Behavioural observation and physiology show complementary manifestations of parent-child attachment in this population.
Collapse
Affiliation(s)
- Sien Vandesande
- Special Education and Parenting, KU Leuven , Leuven, Belgium
| | - Guy Bosmans
- Special Education and Parenting, KU Leuven , Leuven, Belgium
| | - Paula Sterkenburg
- Department of Clinical Child and Family Studies, Vrije Universiteit Amsterdam , Amsterdam, The Netherlands
| | - Carlo Schuengel
- Department of Clinical Child and Family Studies, Vrije Universiteit Amsterdam , Amsterdam, The Netherlands
| | | | - Bea Maes
- Special Education and Parenting, KU Leuven , Leuven, Belgium
| |
Collapse
|