Journal of Developmental and Physical Disabilities最新文献_第3页

Long-Term Outcomes after Behavior-Analytic Intervention for Pediatric Feeding Disorders 行为分析干预小儿喂养障碍后的长期疗效

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-04-18 DOI: 10.1007/s10882-024-09960-w

Ashley S. Andersen, Jaime G. Crowley-Zalaket, Christopher W. Engler, Jason R. Zeleny, Kathryn M. Peterson, Aida G. Miles, Cathleen C. Piazza

{"title":"Long-Term Outcomes after Behavior-Analytic Intervention for Pediatric Feeding Disorders","authors":"Ashley S. Andersen, Jaime G. Crowley-Zalaket, Christopher W. Engler, Jason R. Zeleny, Kathryn M. Peterson, Aida G. Miles, Cathleen C. Piazza","doi":"10.1007/s10882-024-09960-w","DOIUrl":"https://doi.org/10.1007/s10882-024-09960-w","url":null,"abstract":"Many children with autism spectrum disorder experience feeding difficulties that can lead to increased health risks (e.g., severe nutrition deficiencies, obesity-related illnesses) if left untreated. Intensive feeding programs that use behavior-analytic interventions have reported positive outcomes for treating challenging behavior associated with pediatric feeding disorders at discharge and up to 1 year post discharge. Whether these children achieve and maintain long-term goals is unknown. The purpose of the current study was to evaluate outcomes of behavior-analytic intervention for pediatric feeding disorders among children with and without autism spectrum disorder in an intensive feeding program post discharge. Caregivers of former patients reported on the positive and negative impact of the program and their child’s growth and diet variety at follow-up. 85% of caregivers reported the program had a positive impact. Increases in height-for-age z scores were significant from admission to discharge from the intensive program, and progress in growth and diet variety remained the same or improved for most children at follow-up. Results suggest that behavior-analytic intervention in an intensive feeding program produced positive short- and long-term outcomes for children and their families.","PeriodicalId":47565,"journal":{"name":"Journal of Developmental and Physical Disabilities","volume":"301 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140609312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying the Correlates of Individual, Peer and Systemic Advocacy Among Parents of Children with Disabilities Who are Interested in Civic Engagement 在有兴趣参与公民事务的残疾儿童家长中识别个人、同伴和系统宣传的相关因素

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-04-15 DOI: 10.1007/s10882-024-09957-5

Meghan M. Burke, Chak Li, Waifong Catherine Cheung, Amanda Johnston, Megan Best, Kelly Fulton, Abby Hardy, Zach Rossetti

引用次数: 0

Communication Modality Preference and the Social Validity of Functional Communication and Mand Training 交流方式偏好与功能性交流和 Mand 培训的社会有效性

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-04-01 DOI: 10.1007/s10882-024-09956-6

引用次数: 0

Redesigning Rooms of Clients With Intellectual Disabilities and Severe Behavioral Problems in a Long-term Care Facility: Three Case Studies 重新设计长期护理机构中智障和严重行为问题客户的房间：三个案例研究

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-03-22 DOI: 10.1007/s10882-024-09955-7

Jacqueline Roos, Andrea Möhn, Albert Ponsioen, Robert Didden

{"title":"Redesigning Rooms of Clients With Intellectual Disabilities and Severe Behavioral Problems in a Long-term Care Facility: Three Case Studies","authors":"Jacqueline Roos, Andrea Möhn, Albert Ponsioen, Robert Didden","doi":"10.1007/s10882-024-09955-7","DOIUrl":"https://doi.org/10.1007/s10882-024-09955-7","url":null,"abstract":"To observe changes in three clients with intellectual disabilities and severe behavioral problems and staff in a long-term care residential facility after redesigning the clients’ rooms by making them more personal and homely, adjusting the amount of stimuli, changing the layout, connecting to the outdoor area, and using high-quality natural materials. Relatively many clients with intellectual disabilities exhibit severe problem behaviors, including self-harm, aggression toward others, and repeated destruction of their own rooms, which can eventually result in a barren, inhumane living environment. Research on these clients is limited. Data were collected in a mixed methods study in which quantitative and qualitative data were analyzed. After the redesigns, positive changes were observed in the well-being and behavior of all three clients, for example, with respect to quality of life, privacy, freedom of choice, problem behavior, mood, cognition, activities of daily living, leisure activities, social behavior, self-harm, and constraints. There were no changes in the use of psychotropic medication. Quality of life scores increased in two cases, but were significant in only one. Emotional and behavioral problem scores decreased significantly in two cases, but in only one case these results were maintained at follow-up. Staff experienced a more pleasant, safe, and functional work environment, with improved provision of indicated care and interaction. Absenteeism decreased significantly in two of the three cases. Redesigning clients’ rooms could potentially be a promising intervention for clients with intellectual disabilities and severe chronic behavioral problems.","PeriodicalId":47565,"journal":{"name":"Journal of Developmental and Physical Disabilities","volume":"42 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Preliminary Trial of an Early Surveillance Program for Autism and Developmental Delays within General Practices 在全科医生中开展自闭症和发育迟缓早期监测计划的初步试验

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-03-15 DOI: 10.1007/s10882-024-09952-w

Lisa Karlov, Anne Masi, Antonia Mendoza Diaz, Feroza Khan, Teresa Winata, Melissa Gilbert, Radhika Nair, Cheryl Dissanayake, Josephine Barbaro, Valsamma Eapen

{"title":"A Preliminary Trial of an Early Surveillance Program for Autism and Developmental Delays within General Practices","authors":"Lisa Karlov, Anne Masi, Antonia Mendoza Diaz, Feroza Khan, Teresa Winata, Melissa Gilbert, Radhika Nair, Cheryl Dissanayake, Josephine Barbaro, Valsamma Eapen","doi":"10.1007/s10882-024-09952-w","DOIUrl":"https://doi.org/10.1007/s10882-024-09952-w","url":null,"abstract":"There are inequities in engagement with established early childhood developmental surveillance programs, eclipsing disadvantaged families. The current study sought to address this by dovetailing developmental surveillance with immunization visits and other opportunistic contacts with children at general practices). While 53 General Practices were recruited, significant COVID-19 disruptions resulted in only 81 children being screened (both parent-administered and GP completed). Of the 81 children, 11 screened positive and all of them along with 5% of screen negatives (i.e. 4 children) received clinician-administered reference-standard assessment for autism and developmental delay (DD) using Autism Diagnostic Observation Schedule (ADOS), Autism Diagnostic Interview Schedule –Revised (ADI-R), and Mullen Scales of Early Learning (MSEL). All children found by reference-standard assessment to have probable autism and/or DD had screened positive during the screening process, and 90.9% of children who screened positive were found by reference-standard assessment to have probable DD or autism. The findings provide early evidence for the feasibility and usefulness of parent completed and GP administered developmental measures during opportunistic contacts with GPs as a promising method to facilitate early identification of DD or autism.","PeriodicalId":47565,"journal":{"name":"Journal of Developmental and Physical Disabilities","volume":"23 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140153892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Promoting Physical Activity Through Telehealth, Peer Support, and Wearables: A Pilot Randomized Controlled Trial Among Adults with Autism Spectrum Disorder 通过远程医疗、同伴支持和可穿戴设备促进体育锻炼：自闭症谱系障碍成人中的试点随机对照试验

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-03-13 DOI: 10.1007/s10882-024-09951-x

Annabel Nunez-Gaunaurd, Melissa Tovin

{"title":"Promoting Physical Activity Through Telehealth, Peer Support, and Wearables: A Pilot Randomized Controlled Trial Among Adults with Autism Spectrum Disorder","authors":"Annabel Nunez-Gaunaurd, Melissa Tovin","doi":"10.1007/s10882-024-09951-x","DOIUrl":"https://doi.org/10.1007/s10882-024-09951-x","url":null,"abstract":"Despite strong evidence in favor of physical activity (PA), adults with autism spectrum disorder (ASD) are not meeting established PA guidelines to engage in at least 150 min of moderate to vigorous PA per week. Barriers to daily PA engagement include limited access to health services, transportation, and reduced self-determined motivation. Telehealth provides a potential alternative to deliver PA programming in a more accessible platform for adults with ASD. This pilot randomized controlled trial (RCT) assessed the preliminary efficacy of a 10-week PA intervention program called Physical Activity Connections via Telehealth (PACT) that utilized telehealth and remote technology, including Fitbit wearable device use, peer-guidance, and individualized home exercise program among adults with ASD. Primary health outcomes, collected at baseline before randomization and post-intervention, included self-determined motivation assessment via Behavioral Exercise Regulation Scale (BREQ-2), self-report PA via Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLT-PAQ), steps per day PA via Fitbit device, body mass index (BMI), and waist-to-height ratio (WtHR). A total of 18 adults, 11 males, with a mean age of 26.4 years, with a primary diagnosis of ASD participated in the study. Although there were no changes in BMI or WtHR at post-intervention, participants receiving PACT, significantly increased both their self-report PA scores (GSLT-PAQ) from 26 to 68, (p = 0.002), and steps per day from 5,828 to 7,443, (p = 0.015) with a moderate effect size (d = 0.72). The results of this pilot study support peer supported telehealth-based PA intervention for adults with ASD to increase PA.","PeriodicalId":47565,"journal":{"name":"Journal of Developmental and Physical Disabilities","volume":"112 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140128202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving the Cultural Responsiveness of Measures for Latino Families of Children with Autism 提高针对拉丁裔自闭症儿童家庭的措施的文化适应性

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-03-12 DOI: 10.1007/s10882-024-09954-8

Meghan M. Burke, Adriana Kaori Terol, Megan Best, W. Catherine Cheung, Abby Hardy

引用次数: 0

Teaching Siblings to Encourage and Praise Play: Supporting Interactions When One Sibling is Autistic 教兄弟姐妹鼓励和赞美游戏：支持兄弟姐妹之一患有自闭症时的互动

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-03-08 DOI: 10.1007/s10882-024-09953-9

{"title":"Teaching Siblings to Encourage and Praise Play: Supporting Interactions When One Sibling is Autistic","authors":"","doi":"10.1007/s10882-024-09953-9","DOIUrl":"https://doi.org/10.1007/s10882-024-09953-9","url":null,"abstract":"<h3>Abstract</h3> Sibling relationships may be strained when one sibling is diagnosed with autism and the other is not. The way that siblings interact during play is one indicator of the quality of this relationship. Non-autistic siblings have been taught to encourage play in their autistic siblings, but there is limited literature examining the impact of intervention on the quality of the siblings’ relationships. In this study, we taught four non-autistic siblings to encourage and praise play with their autistic siblings as well as self-monitor those play skills. We also measured changes in social-communicative behaviors during siblings’ interactions. All non-autistic siblings learned the targeted play skills and the majority increased social-communicative behaviors. Only one autistic child increased their social-communicative behaviors toward their non-autistic sibling. On average, sibling dyads engaged in more interactions, with an increase in the duration of interactions during play. Future sibling intervention research should evaluate child characteristics and intervention factors that may influence children’s response to intervention, additional interventions, and continue to incorporate other measures of relationship quality.","PeriodicalId":47565,"journal":{"name":"Journal of Developmental and Physical Disabilities","volume":"37 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140074258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community care: Exploring Natural and Formal Support for People with Disabilities in the Bastis of Mumbai 社区关怀：探索孟买巴斯提斯为残疾人提供的自然和正式支持

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-03-08 DOI: 10.1007/s10882-024-09947-7

Srishti Jaitely, Navjit Gaurav

{"title":"Community care: Exploring Natural and Formal Support for People with Disabilities in the Bastis of Mumbai","authors":"Srishti Jaitely, Navjit Gaurav","doi":"10.1007/s10882-024-09947-7","DOIUrl":"https://doi.org/10.1007/s10882-024-09947-7","url":null,"abstract":"Mumbai is home to over 22 million people, of which 41.3% are estimated to live in bastis with limited access to basic facilities and support. The number of people with disabilities living in Mumbai was 0.48 million in 2011, expected to rise to 4 million by 2025. For people with disabilities to live a better quality of life, they require a combination of support from the community for their day-to-day living and formal support for their rehabilitation. This study used a qualitative exploratory approach and explored the benefit of integrated support (natural + formal) for people with disabilities. Fifteen people with diverse disabilities and thirteen support providers were purposely recruited from five bastis, and data was collected through face-to face interviews and through a psycho-social helpline. Three themes, i) understanding formal and natural supports in Bastis, ii) the role of the community, and iii) the Intersection of formal and natural support. Findings indicate that while formal and natural supports have their independent benefits, yet together these supports make life easier and more meaningful for people with disabilities.","PeriodicalId":47565,"journal":{"name":"Journal of Developmental and Physical Disabilities","volume":"5 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140074335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ABA Promotes Autonomy and Choice of People with Intellectual and Developmental Disabilities ABA 促进智力和发育障碍人士的自主权和选择权

IF 1.8 4区医学

Journal of Developmental and Physical Disabilities Pub Date : 2024-02-27 DOI: 10.1007/s10882-024-09949-5

Matt Tincani, Matthew T. Brodhead, Art Dowdy

引用次数: 0