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Ugwuanyi LT, Egbe CI, Nnamani AP, Ubah JC, Adaka TA, Adama GN, Ejide AB, Uloh-Bethels AC, Emelogu NU, Ossai RC, Okoyeukwu NG, Agbo PA, Otu MS. Rational emotive health therapy for the management of depressive symptoms among parents of children with intellectual and reading disabilities in English language. Medicine (Baltimore) 2022; 101:e30039. [PMID: 35960096 PMCID: PMC9371501 DOI: 10.1097/md.0000000000030039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND There is little data in developing countries such as Nigeria with regard to the impact of caring for their children with intellectual and reading disability (IRD) on the quality of life of the parents and the risk of psychopathology. OBJECTIVE The main objective of the study was to assess the level of psychopathology, i.e., depression among parents of children with intellectual and reading disabilities. METHODS This was pretest/posttest control group design with 198 parents (99 fathers/99 mothers) of 100 children with the diagnosis of IRD. The measures used in this study for data collection was Beck Depression Inventory (BDI). Repeated measures analysis of variance (ANOVA) was employed for data analysis. RESULTS Result obtained showed a significant high proportion of depressive symptoms among parents of children with intellectual and reading disabilities at initial assessment. Furthermore, the REHT intervention resulted in a significant reduction in depression of parents in treatment group as compared to those in the control group. CONCLUSION The presence of a child with intellectual and reading disabilities does not cause parents to become depressed but irrational beliefs about their children's mental and reading deficiencies may contribute to unhealthy thinking and feelings about the future of their children. REHT is very effective in assisting depressed parents of children with intellectual and reading disabilities to think rationally about their children and work towards overcoming disability-related as well as behavior-related irrational beliefs. The mental health providers, therapists and counselors should apply the REHT in managing people with psychological distress especially parents of children with intellectual and reading disabilities who may have psychological diagnosis of depression.
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Affiliation(s)
| | - Cajetan Ikechukwu Egbe
- Department of Arts Education, University of Nigeria, Nsukka
- *Correspondence: Cajetan Ikechukwu Egbe, Department of Arts Education, University of Nigeria, Nsukka
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Mbada CE, Onilude AT, Oyewole OO, Olorunmoteni OE, Fatoye C, Ogundele AO, Fatoye F. Exploração qualitativa do itinerário terapêutico de crianças com deficiência física na Nigéria usando análise de conteúdo temática. ESCOLA ANNA NERY 2021. [DOI: 10.1590/2177-9465-ean-2020-0361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo Explorar o itinerário terapêutico na busca de cuidados para crianças com deficiências físicas pelos cuidadores. Métodos Um plano qualitativo descritivo que recrutou nove cuidadores de crianças com deficiência física, com consentimento, que frequentavam um Hospital Universitário Nigeriano. Foi utilizado um guia de entrevista semi-estruturado para coletar dados sobre o itinerário terapêutico, que foi definido como os caminhos percorridos pelos indivíduos para resolver o seu problema de saúde. As entrevistas foram gravadas em áudio e transcritas literalmente. Os dados foram analisados utilizando a análise do conteúdo temático. Resultados os temas emergentes revelaram que os cuidadores iniciaram o itinerário terapêutico para os respetivos filhos após a observação de quaisquer deficiências que vão para além de doenças casuais. A falta de capacidade dos hospitais privados, que servem como ponto inicial de entrada na busca de cuidados, encorajou a procura por cuidados nos hospitais públicos, lares espirituais, e clínicas tradicionais. A entrada na fisioterapia dependia de auto-referências, referências por parentes e médicos. Cuidar de crianças com deficiência física prejudicou de modo significativo a vida social, as finanças, o trabalho do cuidador; e expectativas não alcançadas de que a criança melhorasse o mais cedo possível encorajaram um pluralismo contínuo. Conclusão e implicações para a prática O fato de ter crianças com deficiências e de ter havido atraso nos progressos levou os cuidadores a práticas múltiplas e complexas na busca de cuidados de saúde.
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Affiliation(s)
| | | | | | | | - Clara Fatoye
- Manchester Metropolitan University, United Kingdom
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Marquis SM, McGrail K, Hayes M. Mental health of parents of children with a developmental disability in British Columbia, Canada. J Epidemiol Community Health 2019; 74:173-178. [PMID: 31744849 PMCID: PMC6993017 DOI: 10.1136/jech-2018-211698] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Revised: 09/26/2019] [Accepted: 11/08/2019] [Indexed: 01/23/2023]
Abstract
Background There is evidence in the literature that parents of children who have a developmental disability experience an increased risk of mental health problems. Methods This study used population-level administrative data from the Ministry of Health, British Columbia, Canada, to assess the mental health of parents of children who have a developmental disability compared with the mental health of parents of children who do not have a developmental disability. Population-level and individual explanatory variables available in the data were included in the models. Results At a population level, the study found strong evidence that parents of children who have a developmental disability experience higher odds of depression or other mental health diagnoses compared with parents of children who do not have a developmental disability. Age of the parent at birth of the child, income and location of healthcare services were all associated with outcomes. Conclusion Parents of children who have a developmental disability may be in need of programmes and services that support their mental health.
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Affiliation(s)
- Sandra Maureen Marquis
- School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia, Canada
| | - Kimberlyn McGrail
- Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada
| | - Michael Hayes
- School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia, Canada
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Marquis S, Hayes MV, McGrail K. Factors Affecting the Health of Caregivers of Children Who Have an Intellectual/Developmental Disability. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2019. [DOI: 10.1111/jppi.12283] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Sandra Marquis
- School of Public Health and Social PolicyUniversity of Victoria Victoria BC Canada
| | - Michael V. Hayes
- School of Public Health and Social PolicyUniversity of Victoria Victoria BC Canada
| | - Kimberlyn McGrail
- Centre for Health Services and Policy ResearchUniversity of British Columbia Vancouver BC Canada
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Algood C, Davis AM. Inequities in Family Quality of Life for African-American Families Raising Children with Disabilities. SOCIAL WORK IN PUBLIC HEALTH 2019; 34:102-112. [PMID: 30646824 DOI: 10.1080/19371918.2018.1562399] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Over time, groundbreaking changes in societies' views and treatment of persons with disabilities, along with significant legislative and policy changes, have impacted the quality of life of African-American families raising children with disabilities. This article presents some of the challenges and inequities faced by African-American families that impact their quality of life using critical race theory (CRT). Also, it reviews results obtained by a study of 123 African-American families raising children with disabilities. The article offers implications for policy and practice and discusses the role for social workers in addressing disparities in healthcare and other areas.
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Affiliation(s)
- Carl Algood
- a Department of social work , Bowie State University
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Pérez-García D, Brun-Gasca C, Pérez-Jurado LA, Mervis CB. Behavioral Profiles of Children With Williams Syndrome From Spain and the United States: Cross-Cultural Similarities and Differences. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2017; 122:156-172. [PMID: 28257245 PMCID: PMC5339738 DOI: 10.1352/1944-7558-122.2.156] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
To identify similarities and differences in the behavioral profile of children with Williams syndrome from Spain (n = 53) and the United States (n = 145), we asked parents of 6- to 14-year-olds with Williams syndrome to complete the Child Behavior Checklist 6-18. The distribution of raw scores was significantly higher for the Spanish sample than the American sample for all of the higher-order factors and half of both the empirically based and Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented scales. In contrast, analyses based on country-specific T-scores indicated that the distribution for the Spanish sample was significantly higher than for the American sample only on the Social Problems scale. No gender differences were found. Genetic and cultural influences on children's behavior and cultural influences on parental ratings of behavior are discussed.
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Affiliation(s)
- Débora Pérez-García
- Unitat de Genètica, Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), 08003, Barcelona, Spain
- Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY 40292, USA
| | - Carme Brun-Gasca
- Department of Clinical Psychology and Health Psychology, Universitat Autònoma de Barcelona, 08193 Bellatera (Cerdanyola del Vallés), Spain
| | - Luis A. Pérez-Jurado
- Unitat de Genètica, Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), 08003, Barcelona, Spain
| | - Carolyn B. Mervis
- Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY 40292, USA
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McConnell D, Parakkal M, Savage A, Rempel G. Parent-mediated intervention: adherence and adverse effects. Disabil Rehabil 2014; 37:864-72. [DOI: 10.3109/09638288.2014.946157] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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8
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Block SR, Rosenberg SA, Kellar-Guenther Y, Robinson CC, Goetze L. Child and Parent Characteristics Affecting the Authorization and Expenditure of Funds for Early Intervention Services. JOURNAL OF DISABILITY POLICY STUDIES 2014. [DOI: 10.1177/1044207313518070] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This article examines parent and child characteristics that are associated with utilization of funds authorized under Part C of the Individuals With Disabilities Education Act (IDEA). Child age and the presence of parent service needs are among the variables that influence how much early intervention service is available for infants and toddlers with developmental delays and disabilities, as authorized by the Individual Family Service Plan (IFSP). Higher levels of child need were associated with a larger number of services authorized, and greater amounts of unspent funds. It appears that children of high needs parents are less likely to use additional services their children need. These findings are interpreted to suggest that family and child characteristics that promote larger authorizations for Part C services may also limit their ability to utilize all of the services identified in the IFSP. In addition, this study found that contrary to expectations, the home environment was not superior to specialty and clinic settings on parent involvement in early intervention activities.
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Affiliation(s)
- Stephen R. Block
- University of Colorado Denver, USA
- Rocky Mountain Human Services, Denver, CO, USA
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Kishore MT. Disability impact and coping in mothers of children with intellectual disabilities and multiple disabilities. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2011; 15:241-51. [PMID: 22158461 DOI: 10.1177/1744629511431659] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Understanding the disability impact on parenting and caregiving is important for intervention. The present study was designed to understand the differences in perceived disability impact and related coping in mothers having children with intellectual disabilities alone compared to those having children with intellectual disabilities and additional disabilities. Accordingly, 30 mothers of children with intellectual disabilities and 30 mothers of children with intellectual and additional disabilities were assessed for disability impact and coping. Group differences for disability impact were present in specific domains but not overall. Despite variations in coping pattern, both positive and negative coping strategies were observed in both groups. The results may imply that the impact of intellectual disability is so pervasive that except in certain domains mothers may not perceive the further impact of additional disabilities. Positive coping does not rule out negative coping strategies. These findings have specific relevance to service delivery in a cultural context.
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Benzies KM, Trute B, Worthington C, Reddon J, Keown LA, Moore M. Assessing psychological well-being in mothers of children with disability: evaluation of the Parenting Morale Index and Family Impact of Childhood Disability scale. J Pediatr Psychol 2010; 36:506-16. [PMID: 20843877 PMCID: PMC3131705 DOI: 10.1093/jpepsy/jsq081] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Objective Process model of stress and coping guided psychometric assessment of two brief measures of psychological well-being: Parenting Morale Index (PMI); Family Impact of Childhood Disability (FICD) scale. Methods Canadian mothers (N = 195) of children with disability (CWD) completed PMI, FICD, and validation measures (Brief Family Assessment Measure [FAM], Personal Well-Being Index, Positive and Negative Affect Schedule, General Self-Efficacy Scale, Social Desirability Scale) via computer-assisted telephone interview. Of these, 154 completed additional validation measures (Center for Epidemiological Studies—Depression Scale, Parenting Stress Index, Family Hardiness Index, Brief FAM) 1 year later. Results Factor structures of PMI and FICD were supported; both demonstrated internal consistency, temporal stability, and convergent and discriminant validity. After 1 year, PMI and FICD jointly predicted depressive symptoms, parenting stress, family hardiness, and family adjustment. Conclusion PMI and FICD can identify mothers of CWD at risk for poor psychological well-being to increase the specificity of supports.
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Affiliation(s)
- Karen M Benzies
- Faculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, Alberta, T2N 1N4, Canada.
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Dauz Williams P, Piamjariyakul U, Graff JC, Stanton A, Guthrie AC, Hafeman C, Williams AR. Developmental disabilities: effects on well siblings. ACTA ACUST UNITED AC 2010; 33:39-55. [PMID: 20121579 DOI: 10.3109/01460860903486515] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Forty studies performed between 1970 and 1995 indicated that 60% of parents with children with developmental disabilities reported manifestations of increased risk or negative effects on the well siblings. METHOD A secondary data analysis was performed using qualitative data gathered during the baseline of a randomized controlled clinical trial of an intervention for siblings/families of children with long-term conditions, including developmental disabilities. Content analysis was used to identify themes from responses of 151 parents to an open-ended question on their perceptions of the effects on well siblings of living at home with a brother/sister with developmental disabilities. RESULTS Of 363 themes identified, 61.1% reflected negative manifestations of increased risk in well siblings; 1.7% indicated no risk; and 37.2% reflected positive outcomes, suggesting the continued need for potential interventions. CONCLUSION Contemporary family life in these families, as portrayed by parents' descriptions, reflects need in child health care for more intervention research on this vulnerable population.
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Waldman HB, Perlman SP, Rader R. Hardships of raising children with special health care needs (a commentary). SOCIAL WORK IN HEALTH CARE 2010; 49:618-629. [PMID: 20711942 DOI: 10.1080/00981381003635189] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Providing health care services for youngsters with special health care needs (SHCN) requires understanding of the medical circumstances that impact on the particular youngster, as well as an increased awareness and sensitivity to their particular family setting, and the issues that impact on the child, his/her parents, and siblings. To this end a review was carried out regarding the variable affects on these youngsters, such as poverty, parental, and family issues, as well as considerations of who is at risk for SHCN and demographics of individuals with SHCN who have unmet health needs. The particular need for dental services, the health service most commonly reported as needed, but not received, is highlighted.
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Affiliation(s)
- H Barry Waldman
- Department of General Dentistry, Stony Brook University, Stony Brook, New York, USA.
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Hatton C, Emerson E, Kirby S, Kotwal H, Baines S, Hutchinson C, Dobson C, Marks B. Majority and Minority Ethnic Family Carers of Adults with Intellectual Disabilities: Perceptions of Challenging Behaviour and Family Impact. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2010. [DOI: 10.1111/j.1468-3148.2009.00544.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Fujiura GT. Aging Families and the Demographics of Family Financial Support of Adults With Disabilities. JOURNAL OF DISABILITY POLICY STUDIES 2009. [DOI: 10.1177/1044207309350560] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Using data from the 2007 American Community Survey (ACS), the study estimated the degree of family financial support for adult members with disabilities living at home. Using the Internal Revenue Service definition of a “qualifying dependent,” need for financial support was defined in terms ability to financially contribute to one’s own support. Estimates indicated that 32.3% of the family-based population of adults with disabilities needed financial support. Among those meeting the support test, approximately 4 in 10 lived in households where the primary income earner was 60 years or older. Results are discussed in terms of greater attention to the impact of emerging family demographics for policy and assumption of a family perspective in policy making.
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Olson HC, Oti R, Gelo J, Beck S. “Family matters:” Fetal alcohol spectrum disorders and the family. ACTA ACUST UNITED AC 2009; 15:235-49. [PMID: 19731388 DOI: 10.1002/ddrr.65] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Heather Carmichael Olson
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA.
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Mayo-Wilson E, Montgomery P, Dennis JA. Personal assistance for children and adolescents (0-18) with both physical and intellectual impairments. Cochrane Database Syst Rev 2008:CD006859. [PMID: 18646173 DOI: 10.1002/14651858.cd006859.pub2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND There is a high and increasing prevalence of impairments among children and adolescents in the West. Many countries offer personal assistance in the form of individualised support for people living in the community by a paid assistant other than a healthcare professional for at least 20 hours per week. OBJECTIVES To assess the effectiveness of personal assistance for children and adolescents with both physical and intellectual impairments, and the impacts of personal assistance on others, compared to other interventions. SEARCH STRATEGY Electronic databases including CENTRAL, MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Dissertation Abstracts International and a variety of specialist Swedish databases were searched from 1980 to June 2005; reference lists were checked; 345 experts, organisations, government bodies and charities were contacted in an attempt to locate relevant research. SELECTION CRITERIA Children and adolescents with both physical and intellectual impairments (0-18 years) living in the community who require assistance to perform tasks of daily living (e.g., bathing and eating) and participate in normal activities due to permanent impairments. Controlled studies of personal assistance in which participants were prospectively assigned to study groups and in which control group outcomes were measured concurrently with intervention group outcomes were included. DATA COLLECTION AND ANALYSIS Titles and abstracts were examined by two reviewers. 130 full papers were examined. None met the inclusion criteria. MAIN RESULTS No eligible studies were found. AUTHORS' CONCLUSIONS Research in this field is limited, though one related review provides some evidence of the effectiveness of personal assistance for children and adolescents with intellectual impairments. When implementing new programmes, recipients could be randomly assigned to different forms of assistance. While advocates may support personal assistance for myriad reasons, this review demonstrates that further studies are required to determine which models of personal assistance are most effective and efficient for particular people.
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Affiliation(s)
- Evan Mayo-Wilson
- Centre for Evidence-Based Intervention , University of Oxford, Barnett House, 32 Wellington Square, Oxford, UK, OX1 2ER.
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Mayo-Wilson E, Montgomery P, Dennis JA. Personal assistance for children and adolescents (0-18) with intellectual impairments. Cochrane Database Syst Rev 2008:CD006858. [PMID: 18646172 DOI: 10.1002/14651858.cd006858.pub2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
BACKGROUND There is a high and increasing prevalence of intellectual impairments among children and adolescents in the West. Many countries offer personal assistance in the form of individualised support for people living in the community by a paid assistant other than a healthcare professional for at least 20 hours per week. OBJECTIVES To assess the effectiveness of personal assistance for children and adolescents with intellectual impairments, and the impacts of personal assistance on others, compared to other interventions. SEARCH STRATEGY Electronic databases including CENTRAL, MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Dissertation Abstracts International and a variety of specialist Swedish databases were searched from 1980 to June 2005; reference lists were checked; 345 experts, organisations, government bodies and charities were contacted in an attempt to locate relevant research. SELECTION CRITERIA Children and adolescents with intellectual impairments (0-18 years) living in the community who require assistance to perform tasks of daily living (e.g., bathing and eating) and participate in normal activities due to permanent impairments. Controlled studies of personal assistance in which participants were prospectively assigned to study groups and in which control group outcomes were measured concurrently with intervention group outcomes were included. DATA COLLECTION AND ANALYSIS Titles and abstracts were examined by two reviewers. Outcome data were extracted. Studies were assessed for the possibility of bias. Results and potential sources of bias are presented for included studies. MAIN RESULTS One included study randomised 1002 participants to personal assistance or usual care. Whilst personal assistance was generally preferred over other services, some people prefer other models of care. This review indicates that personal assistance may have some benefits for some recipients and may benefit caregivers. However, near complete dependence on proxy respondents raises concerns about the validity of these results. Paid assistance probably substitutes for informal care and may cost government more than alternatives; however, the total costs to recipients and society are currently unknown. AUTHORS' CONCLUSIONS Research in this field is limited. When implementing new programmes, recipients could be randomly assigned to different forms of assistance. While advocates may support personal assistance for myriad reasons, this review demonstrates that further studies are required to determine which models of personal assistance are most effective and efficient for particular people.
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Affiliation(s)
- Evan Mayo-Wilson
- Centre for Evidence-Based Intervention , University of Oxford, Barnett House, 32 Wellington Square, Oxford, UK, OX1 2ER
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Montgomery P, Mayo-Wilson E, Dennis JA. Personal assistance for children and adolescents (0-18) with physical impairments. Cochrane Database Syst Rev 2008:CD006277. [PMID: 18646141 DOI: 10.1002/14651858.cd006277.pub2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
BACKGROUND There is a high and increasing prevalence of impairments among children and adolescents in the West. Many countries offer personal assistance in the form of individualised support for people living in the community by a paid assistant other than a healthcare professional for at least 20 hours per week. OBJECTIVES To assess the effectiveness of personal assistance for children and adolescents with physical impairments, and the impacts of personal assistance on others, compared to other interventions. SEARCH STRATEGY Electronic databases including CENTRAL, MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Dissertation Abstracts International and a variety of specialist Swedish databases were searched from 1980 to June 2005; reference lists were checked; 345 experts, organisations, government bodies and charities were contacted in an attempt to locate relevant research. SELECTION CRITERIA Children and adolescents with physical impairments (0-18 years) living in the community who require assistance to perform tasks of daily living (e.g., bathing and eating) and participate in normal activities due to permanent impairments. Controlled studies of personal assistance in which participants were prospectively assigned to study groups and in which control group outcomes were measured concurrently with intervention group outcomes were included. DATA COLLECTION AND ANALYSIS Titles and abstracts were examined by two reviewers. 130 full papers were examined. None met the inclusion criteria. MAIN RESULTS No eligible studies were found. AUTHORS' CONCLUSIONS Research in this field is limited. When implementing new programmes, recipients could be randomly assigned to different forms of assistance. While advocates may support personal assistance for myriad reasons, this review demonstrates that further studies are required to determine which models of personal assistance are most effective and efficient for particular people.
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Affiliation(s)
- Paul Montgomery
- Centre for Evidence-Based Intervention, University of Oxford, Barnett House, 32 Wellington Square, Oxford, UK, OX1 2ER.
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Neely-Barnes S, Graff JC, Marcenko M, Weber L. Family decision making: benefits to persons with developmental disabilities and their family members. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2008; 46:93-105. [PMID: 18426257 DOI: 10.1352/0047-6765(2008)46[93:fdmbtp]2.0.co;2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Family involvement in planning and choosing services has become a key intervention concept in developmental disability services. This study (N = 547) modeled patterns of family decision making and assessed benefits to persons with developmental disabilities (DDs) and their family members. A latent profile analysis identified 4 classes that were highly involved in decision making (n = 118), involved only in planning (n = 166), involved only in financial decisions (n = 75), and uninvolved (n = 188). Multiple regression analysis indicated that consumers with DD whose family members were highly involved received more services than consumers in other families. A multivariate analysis of covariance indicated that the family members in the highly involved and planning classes experienced more family member satisfaction than others. Findings have implications for practice.
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Reilly DE, Hastings RP, Vaughan FL, Huws JC. Parental bereavement and the loss of a child with intellectual disabilities: a review of the literature. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2008; 46:27-43. [PMID: 18271610 DOI: 10.1352/0047-6765(2008)46[27:pbatlo]2.0.co;2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Inequalities in health care and other risk factors mean that children with intellectual disabilities are more likely to predecease their parents. Research on the effects on family members when a child with intellectual disability dies is sparse. In the present review, the authors describe 5 studies of bereavement in intellectual disability and then turn to general parental bereavement research to inform the field of intellectual disability. Questions for future research and some implications for services and professionals are discussed. In particular, professionals should be aware of dissatisfaction with care pre-loss, disenfranchised grief, and post-loss support needs of family members.
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Affiliation(s)
- Deirdre E Reilly
- School of Psychology, University of Wales, Bangor, United Kingdom.
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Turnbull HR, Stowe MJ, Agosta J, Turnbull AP, Schrandt MS, Muller JF. Federal family and disability policy: Special relevance for developmental disabilities. ACTA ACUST UNITED AC 2007; 13:114-20. [PMID: 17563894 DOI: 10.1002/mrdd.20145] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The article reviews the federal statutes and relevant decisions of the U.S. Supreme Court that constitute the core concepts of disability policy and their application to persons with disabilities (especially developmental disabilities) and their families.
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Parish SL. Juggling and Struggling: A Preliminary Work–Life Study of Mothers With Adolescents Who Have Developmental Disabilities. ACTA ACUST UNITED AC 2006; 44:393-404. [PMID: 17132034 DOI: 10.1352/0047-6765(2006)44[393:jasapw]2.0.co;2] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
A focus group study was conducted to develop an understanding of the experiences of mothers who are trying to balance employment with caring for an adolescent with developmental disabilities. Mothers reported facing considerable difficulties balancing work and caregiving responsibilities because support services rapidly declined when their child reached adolescence. Service cuts were related to the fact that adolescents are expected to be able to care for themselves, despite the fact that for many adolescents with disabilities, this is not possible. The mothers also reported that the preponderance of the responsibility for arranging care for their children was theirs and was not shouldered by their partners. Policy implications are discussed.
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Affiliation(s)
- Susan L Parish
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
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Abstract
PURPOSE OF REVIEW This review includes recent research pertaining to family functioning when there is a child or adult offspring with intellectual disability. The purpose was to broaden the examination of families research from an adjustment/coping perspective to consideration of more contextual factors (environment, culture, service delivery). RECENT FINDINGS Studies continue to focus on parental well being, with parents of children with intellectual disability still showing evidence of stress and depression. Increasing evidence is accruing, however, that child behavior problems or specific syndrome more directly relate to poorer parental well being. On the other hand, parenting behaviors also contribute to child behaviors, with studies highlighting the importance of parenting context and dynamics. Interventions focus on child behaviors as well as on stress reduction for parents. Finally, the continued involvement of parents across the lifespan of their young adult with intellectual disability is apparent from studies of quality of life and living arrangements. SUMMARY The well being of family members continues to be an area of interest, with special emphasis on siblings and cultural context. Methodological rigor in families research also continues to increase, with diverse methodologies represented. There is still a need, however, for the development of theoretical models within which to frame future research on topics such as siblings, as well as both negative and positive impact on families.
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Affiliation(s)
- Jan Blacher
- Graduate School of Education, University of California, Riverside 92521, USA.
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