scholarly journals Randomized Clinical Trial Comparing Dialogical Family Guidance with Ordinary Clinical Treatment for Families with a Child with Neurodevelopmental Disorders

2021 ◽  
Author(s):  
Diana Cavonius-Rintahaka ◽  
Mervi Roos ◽  
Christopher Gillberg ◽  
Eva Billstedt ◽  
Anna Liisa Aho
Keyword(s):  
Social Support ◽  
Family Functioning ◽  
Neurodevelopmental Disorders ◽  
Daily Life ◽  
Intervention Group ◽  
Family Health ◽  
Clinical Treatment ◽  
Control Group ◽  
Analytical Strategy ◽  
Targeted Interventions

Abstract Objectives Previous studies have highlighted the need to offer targeted interventions to strengthen the wellbeing of family members in families with children with neurodevelopmental disorders (NDD). Interventions for this target group require research and development. The purpose of this study was to test a new family intervention: Dialogical Family Guidance (DFG). Methods Families of children with NDD were randomized into an intervention group that was delivered DFG and a comparison group provided with ordinary clinical treatment. The Family Functioning, Family Health and Social Support (FAFHES) and the DFG instrument were used to collect data at baseline and after 3 months. Repeated measure analysis of variance (ANOVA) was used as an analytical strategy. Results There was a significant within-subjects effect of time on family health and social support, indicating that family health and social support increased in both groups over time. There was also a significant between-subjects effect of group and interaction between time and group on social support, indicating that social support increased more in the intervention group than in the control group. Managing in daily life and the relationship between parents were associated with family functioning and family health. Conclusion DFG can strengthen parental experiences of social support. Managing in daily life, relationship between parents, practical guidance, psychoeducation, dialogue, and receiving positive feedback on parenting were strengthening factors during DFG. However, the results of this study must be considered as only preliminary, as they relate only to parental perceptions of the intervention effects. Trial registration ClinicalTrials.gov NCT04892992 (retrospectively registered).

scholarly journals Parental Experiences Before and After Dialogical Family Guidance in Families With a Child With Neurodevelopmental Disorders

2021 ◽  
Author(s):  
Diana Cavonius-Rintahaka ◽  
Mervi Roos ◽  
Christopher Gillberg ◽  
Eva Billstedt ◽  
Anna Liisa Aho
Keyword(s):  
Family Support ◽  
Neurodevelopmental Disorders ◽  
Daily Life ◽  
Intervention Group ◽  
Family Health ◽  
Family Intervention ◽  
Group I ◽  
Group Ii ◽  
The Relationship ◽  
Family Functionality

Abstract Background: Previous studies have highlighted the need to offer targeted effective interventions to strengthen the wellbeing of all family members in families with children with neurodevelopmental disorders (NDD). Interventions for this target group requires development and research. The purpose of this study was to test a new family intervention (Dialogical Family Guidance / DFG).Method: Fifty families of children with NDD took part in this study. Families were randomized into two groups. Families in Intervention group I were delivered DFG immediately, and families in Intervention group II were delivered DFG after three months. Family functionality, health and support (FAFHES) and DFG intervention parent questionnaires were used to collect data at baseline, and after three and six months. Thirty-four families completed the whole protocol.Results: Intervention group I experienced better family health and family support after DFG compared to baseline, and the experience of increased support remained at the three month follow-up. Intervention group II also experienced better family support after three months compared to baseline, although they were still waiting for DFG to initiate. Intervention group II continued to increase the experience of support throughout DFG. The positive changes were statistically significant concerning the experience of social support.Managing as a parent in daily life and the relationship between parents were associated with family functionality and family health. Most parents` reported that DFG had helped them manage better with their child with NDD, and that they would recommend DFG to other families.Conclusion: The study findings suggest that the DFG intervention may strengthen parent experiences of family support. Managing as a parent in daily life and the relationship between parents was associated with family functionality and family health. DFG parent questionnaire inform that practical guidance, psychoeducation, dialogue with the staff and positive feedback for own parenthood are strengthening factors. Delivering DFG as a family intervention implemented by healthcare staff can be recommended as an additional type of support for families with a child with NDD.Trial registration: ClinicalTrials.gov NCT04892992 (retrospective registered)

Effect of a brief training program for primigravid adolescents on parenting self-efficacy and mother-infant bonding in the southeast of Iran

2017 ◽  
Vol 0 (0) ◽  
Author(s):  
Zahra Moudi ◽  
Behjat Talebi ◽  
Mahnaz Shahraki Pour
Keyword(s):  
Social Support ◽  
Training Program ◽  
Self Efficacy ◽  
Intervention Group ◽  
Routine Care ◽  
Control Group ◽  
Middle Income ◽  
Brief Training ◽  
Quasi Experimental ◽  
Limited Health

Abstract Background Annually, about 16 million adolescent girls give birth, accounting for 11% of all births worldwide. Ninety-five percent of these births occur in low- and middle-income countries, and previous studies have addressed the need for parenting interventions in developing countries with limited health care resources to improve parenting behaviors. Objective To explore the effect of a brief training program for primigravid adolescents on parenting self-efficacy and mother-infant bonding. Subjects We enrolled 116 married pregnant adolescents. Methods This quasi-experimental study was conducted during August 22, 2016–February 3, 2017. The intervention group received three sessions of training on neonatal care, while the control group received the routine care. We evaluated parenting self-efficacy using the Perceived Maternal Parenting Self-Efficacy (PMP S-E) questionnaire, the mother-infant bonding using the Postpartum Bonding Questionnaire (PBQ) and social support by means of the Multidimensional Scale of Perceived Social Support (MSPSS). The participants were followed up for 1 month. Results The mean ages of the intervention and the control groups were 16.37 ± 0.97 and 16.27 ± 1.12 years, respectively. The intervention group obtained higher self-efficacy and bonding scores compared to the control group. The logistic regression model showed that the second (evoking behaviors) and the third (reading behavior or signaling) subscales of the PMP S-E, the route of delivery and women’s educational levels could predict the mother-infant bonding scores. Conclusion Primigravid adolescents can benefit from brief interventions during pregnancy through improving their parenting self-efficacy and mother-infant bonding.

Clinical Observation of Electro acupuncture Combined with Early Rehabilitation Training to Treat Hypertensive Cerebral Hemorrhage in Basal Ganglia

2021 ◽  
Author(s):  
Wei Wei ◽  
Tu Qin ◽  
Wang Yafen ◽  
Zeng Lang ◽  
Man Liao
Keyword(s):  
Cerebral Hemorrhage ◽  
Blood Stasis ◽  
Intervention Group ◽  
Clinical Treatment ◽  
Early Rehabilitation ◽  
Control Group ◽  
Rehabilitation Training ◽  
Significant Difference ◽  
The Difference ◽  
Hypertensive Intracerebral Hemorrhage

In this study, we investigated the clinical efficacy and poor prognosis of patients with limb disorders after the operation of hypertensive cerebral hemorrhage, using the treatment of removing blood stasis and Shengxin acupuncture combined with early rehabilitation training using a randomized trial. A total of 100 patients with hypertensive intracerebral hemorrhage who underwent surgery in our hospital from May 2019 to May 2021 were selected and divided into control group were treated with early rehabilitation training, and the intervention group was treated with acupuncture for removing blood stasis and promoting new acupuncture based on the control group. We observed that there was no significant difference in the evaluation of limb function recovery between the two groups of patients (P>0.05). After the intervention, the modified Ashworth score, FMA score, and B1 index of the two groups were significantly different in the ADL scores and the scores of families and friends support were remarkably improved. The clinical treatment efficiency of the intervention group was 94.00%,significantly higher than that of the control groupof80.00%, and the difference was statistically significant (P<0.05). The study demonstrated that the rehabilitation training combined with removing blood stasis and Shengxin acupuncture is significantly better than rehabilitation training alone to improve postoperative limb dysfunction, daily life and quality of life and is a clinical treatment for hypertension.

scholarly journals U-EXCEL’S “@ HOME” PROGRAM: STAFF SUPPORTED BALANCE EXERCISE INTERVENTION AND ADHERENCE FOR LIFE CARE RESIDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S975-S975
Author(s):  
Marilyn R Gugliucci ◽  
Erica Robertson ◽  
Ashley Cronkright ◽  
Sujaay Jagannathan
Keyword(s):  
Social Support ◽  
Repeated Measures ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Living Environment ◽  
Falls Prevention ◽  
Control Group ◽  
Life Care ◽  
Select Group ◽  
The Impact

Abstract Introduction: The University of New England College of Osteopathic Medicine U-ExCEL Program was established in 2006 and specializes in older adult fitness and balance programming. Falls account for $54 billion costs in direct and Indirect costs. Methods: This randomized control single blinded pilot project included an 8 week intervention to measure the impact of supported consistent individual balance programming in individuals’ apartments for a select group of older adults residing in a life care living environment. Twenty residents (75-92 y/o) were recruited, however 12 participants (6 intervention/6 control group) participated in the study. The remaining 8 participants were pulled from the wait list as attrition occurred. Demographic data collection and 6 validated assessments were conducted at baseline and at study completion. The intervention group conducted the Balancing Act (Falls Prevention) Program 3 times/week with social support. The control group only received social support. Data analysis included descriptive statistics, SAS 5.1 was used for non-parametric Mann-Whitney U Test (Wilcoxon Rank Sum Test); a repeated measures ANOVA was also conducted. Results: The effects of the intervention (Balancing Act Program) on Oxygen Saturation (p=0.009), Wong Baker Score (p=0.008), and the Rapid Assessment of Physical Activity (RAPA) 2 (p=0.008) test were statistically significant. The effect of the intervention on all other variables was not statistically significant including validated balance measures. Conclusion: Quantitative measures failed so show significant improvement in balance from the start to the end of the intervention; however improvements were experienced and expressed by the intervention group. Social Support is necessary for adherence.

scholarly journals The Effect of “SELF-HELP Packages” on Post Stroke Depression among Ischemic Stroke Survivors

2020 ◽  
Vol 10 (3) ◽  
pp. 361-375
Author(s):  
Fitria Handayani ◽  
Setyowati Setyowati ◽  
Dwi Pudjonarko ◽  
Dian Ratna Sawitri
Keyword(s):  
Social Support ◽  
Ischemic Stroke ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
Stroke Survivors ◽  
Post Stroke ◽  
Self Help ◽  
Confounding Variables ◽  
Post Stroke Depression

Background: There are several factors that contribute to Post Stroke Depression (PSD). Since a single intervention is proven ineffective to deal with PSD, an intervention which includes biological, psychological, social, and spiritual aspects (“SELF-HELP Packages”), therefore, needs to be established.Purpose: The purpose of the study was to investigate the effect of “SELF HELP Packages” intervention on PSD among ischemic stroke survivors after three months from onset and its effect after confounding variables were controlled.Methods: This study was a pre and post quasi-experiment with a control group involving 34 ischemic stroke survivors each group. The inclusion criteria were survivors after three months from ischemic stroke, no aphasia, having a good hearing, and having Mini Mental Status Examination (MMSE) score of ≥ 22. GRID-HAMD 17, Multidimensional Scale of Perceived Social Support (MSPSS), and Barthel-Index were used to measure PSD, social support, and functional status respectively. “SELF-HELP Packages” intervention was delivered in three sessions, namely information delivery, discussion and activity. Statistical analyses were conducted using McNemar test, Chi-square and logistic regression.Results: The result showed that “SELF-HELP Packages” considerably decreased PSD in the intervention group (p=0.004). There were also significant differences in PSD after the intervention between two groups (p=0.008). Logistic regression showed that ‘SELF-HELP Package” had no effect on PSD when other confounding variables were controlled (p=0.075, OR=0.288, 95% CI 0.073 – 1.135).Conclusion: SELF-HELP Packages” should be applied in providing the nursing intervention among stroke ischemic survivors in clinical setting. A longer period of time for the intervention is also recommended for the next study in order to obtain a more robust result.   

scholarly journals The Effect Of Family Psychoeducation On Social Support Among Congestive Heart Failure Patients

2020 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Susanti Niman ◽  
Achir Yani S Hamid ◽  
Ice Yulia W
Keyword(s):  
Social Support ◽  
Intervention Group ◽  
Sampling Procedure ◽  
Control Group ◽  
P Value ◽  
Comprehensive Treatment ◽  
Family Psychoeducation ◽  
The Family ◽  
The Impact ◽  
Support Family

The prevalence of CHF is increasing every year. The impact of a psychosocial condition requiring comprehensive treatment for CHF in all aspects. One contributing factor to success is the involvement of the family. Purpose: This study aimed to determine the differences of social support towards clients with CHF who were receiving family psychoeducation.  Method: This study used a Quasi -experimental pre-post test without a control group”.  A sample of  25 respondents and sample retrieval techniques with a purposive sampling procedure. The instrument used was an ISSB questionnaire for measuring social support. The intervention group was provided with family psychoeducation that performed 5 sessions. Result and conclusion: The finding this study showed was a significant change before and after the family support family psychoeducation (p-value 0.00<α).  Characteristics of the family and the client is not associated with social support. Family psychoeducation research way recommended developed in a public hospital.

scholarly journals A 12-Week Electronic Mentoring Employment Preparation Intervention for Youth With Physical Disabilities: Pilot Feasibility Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Sally Lindsay ◽  
Elaine Cagliostro ◽  
Joanne Leck ◽  
Jennifer Stinson
Keyword(s):  
Social Support ◽  
Randomized Controlled Trial ◽  
Physical Disabilities ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Determination ◽  
Control Group ◽  
Electronic Mentoring ◽  
Youth With Disabilities ◽  
Randomized Controlled

BACKGROUND Youth with disabilities are at high risk of unemployment compared with youth without disabilities. They often encounter challenges in accessing vocational programs that meet their needs. One promising approach that could help to address barriers that youth encounter while also enhancing social support is through electronic mentoring (e-mentoring). Although there is an increase in e-mentoring for youth with disabilities, little is known about its impact for youth with physical disabilities. OBJECTIVE This study aimed to assess the acceptability and initial impact of a Web-based peer electronic mentor employment intervention for youth with physical disabilities. METHODS The Empowering Youth Towards Employment intervention was evaluated using a pilot randomized controlled trial (RCT). Youth, aged 15-21 years, with physical disabilities were randomly assigned to an intervention (ie, mentored) or control (ie, not mentored) group. Trained mentors (ie, near peers) with a physical disability led the online discussion forums and provided peer support and resources for 12 modules (1 topic per week over 12 weeks). Primary outcomes focused on self-determination, career maturity, and social support. We also explored program adherence and dosage, participant satisfaction, and areas for improvement. RESULTS A total of 13 youth (mean age 17.3 years, SD 1.88; 54%, 7/13 female) completed the RCT. In the intervention group (n=9), 56% (5/9) of the youth were females, and in the control group (n=4), 50% (2/4) of the youth were female. Participants reported satisfaction with the program and that it was feasible and acceptable. Participants’ mean engagement level with the program was 5.22 (SD 2.48) for the intervention group and 5.40 (SD 4.56) for controls. Participants in the intervention group demonstrated significant improvements in self-determination (t12=2.49; P<.04) compared with the control group. No adverse events were reported. CONCLUSIONS The Empowering Youth Towards Employment is a promising intervention that enhances self-determination among youth with physical disabilities. CLINICALTRIAL ClinicalTrials.gov NCT02522507; https://clinicaltrials.gov/ct2/show/NCT02522507 (Archived by WebCite at http://www.webcitation.org/6uD58Pvjc)

scholarly journals Effectiveness of the Elderly Caring Model as an Intervention to Prevent the Neglect of the Elderly in the Family

2019 ◽  
Vol 7 (14) ◽  
pp. 2365-2370
Author(s):  
Ezalina Ezalina ◽  
Rizanda Machmud ◽  
Nusyrwan Effendi ◽  
Yantri Maputra
Keyword(s):  
Older People ◽  
Family Support ◽  
Social Relations ◽  
Intervention Group ◽  
Family Health ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Social Activities ◽  
The Family

BACKGROUND: The increasing number of older people is racing against diseases and problems that accompany the elderly, so it is very important to check the care of the elderly. Family concern as a caregiver is needed in carrying out care for the elderly to ensure that the elderly are not neglected. AIM: The study aims to determine the effectiveness of the elderly caring model as an intervention to prevent the neglect of the elderly in the family. MATERIAL AND METHODS: The quasi-experimental design with the pre-control group non-equivalent test post-test was the provision of training in the elderly caring model by comparing 2 groups namely the intervention group using the module and control group without using the module. The sample is a family that has an elderly (age ≥ 60 years) who are the main caregivers of the elderly with a total of 50 people each for each group taken by multistage cluster sampling. Data collection through questionnaires to determine the variables of family older people about family support, family health assignments, social relations, and elderly social activities and preventive behavior of elderly neglect. Data analysis used the independent sample t-test and general linear model report measure (GLM-RM) test for repeated measurements. RESULTS: The results showed that there was an influence of the caring elderly model on increasing family support in the elderly, increasing family health duties on the elderly towards increasing social relations and social activities in the elderly and neglecting the neglect behaviour of the elderly in the family (p-value = 0,000). Improve the behaviour of preventing neglect of the elderly in the family compared to groups that do not use modules where the value of p = 0,000. CONCLUSION: It can be concluded that the elderly caring model effectively prevents my employees from neglecting the elderly in the family.

scholarly journals Effects of Predictive Nursing Intervention among Patients with Acute Stroke

2021 ◽  
Author(s):  
Lina Gong ◽  
Chunhong Ruan ◽  
Xuan Yang ◽  
Wanli Lin
Keyword(s):  
Sleep Quality ◽  
Acute Stroke ◽  
Daily Life ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Hunan Province ◽  
Control Group ◽  
Significant Difference ◽  
Movement Function ◽  
Neurologic Function

Background: To explore the effects of predictive nursing intervention among patients with acute stroke. Methods: One hundred and sixty participants were included. They were hospitalized in the Department of Neurology of a third-level first-class hospital in Changsha, Hunan Province, from January to August 2019. They were categorized into control group and intervention group by random number table, with 80 patients in each group. General nursing for patients in Neurology Department was offered to the control group. On the basis of general nursing, predictive nursing intervention was offered to the intervention group. The effectiveness of predictive nursing intervention were evaluated by disparity in neurologic function, movement function, daily life ability and sleep quality before intervention and 2 weeks after intervention. The neurologic function, movement function, daily life ability and sleep quality were evaluated by National Institute of Health acute stroke scale (NIHSS), Fugl-Meyer scale, Barthel indicator, and Pittsburgh sleep quality indicator (PSQI), respectively. Results: There was no significant difference in gender, age, complications and treatment methods between two groups. There was no significant difference in the scores of NIHSS, Fugl-Meyer scale, Barthel indicator, and PSQI before intervention. The scores of NIHSS and PSQI were significantly lower in the intervention group than those in the control group, and the scores of Fugl-Meyer scale and Barthel indicator were significantly higher in the intervention group than those in the control group (P <0.05). Conclusion: Predictive nursing intervention could help improve not only neurologic function, movement function, and daily life ability, but also sleep quality among patients with acute stroke.

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