Family Outcomes in Early Intervention: A Framework for Program Evaluation and Efficacy Research

1998 ◽  
Vol 64 (3) ◽  
pp. 313-328 ◽  
Author(s):  
Donald B. Bailey ◽  
R. A. McWilliam ◽  
Lynette Aytch Darkes ◽  
Kathy Hebbeler ◽  
Rune J. Simeonsson ◽  
...  

Much of the focus on the relationship between parents and professionals in early intervention has been on the rationale for working with families and the processes by which that rationale should be implemented. Although some discussion has occurred regarding desired outcomes, approaches and strategies by which the attainment of family outcomes could be documented have not been widely discussed or agreed upon by the field. In this article we suggest eight questions that could serve as a framework for determining the extent to which early intervention has accomplished the goals inherent in a family-centered approach. Conceptual issues and methodological considerations associated with documenting these outcomes are presented, and recommendations regarding implementation and future directions are made.

Author(s):  
Brielle C. Stark ◽  
Sharice Clough ◽  
Melissa Duff

Purpose When we speak, we gesture, and indeed, persons with aphasia gesture more frequently. The reason(s) for this is still being investigated, spurring an increase in the number of studies of gesture in persons with aphasia. As the number of studies increases, so too does the need for a shared set of best practices for gesture research in aphasia. After briefly reviewing the importance and use of gesture in persons with aphasia, this viewpoint puts forth methodological and design considerations when evaluating gesture in persons with aphasia. Method & Results We explore several different design and methodological considerations for gesture research specific to persons with aphasia, such as video angle specifications, data collection techniques, and analysis considerations. The goal of these suggestions is to develop transparent and reproducible methods for evaluating gesture in aphasia to build a solid foundation for continued work in this area. Conclusions We have proposed that it is critical to evaluate multimodal communication in a methodologically robust way to facilitate increased knowledge about the relationship of gesture to spoken language, cognition, and to other aspects of living with aphasia and recovery from aphasia. We conclude by postulating future directions for gesture research in aphasia.


2021 ◽  
Author(s):  
Brielle C Stark ◽  
Sharice Clough ◽  
Melissa Duff

Purpose: When we speak, we gesture, and indeed, persons living with aphasia gesture more frequently. The reason(s) for this is still being investigated, spurring an increase in the number of studies of gesture usage by persons living with aphasia. As the number of studies increase, so too does the need for a shared set of standards and best practices for gesture research in aphasia. Here, we offer some considerations regarding best practices for future work involving gesture in persons living with aphasia. Methods & Results: First, we briefly review the importance and use of gesture in persons living with aphasia. Then, we explore several different design and methodological considerations for gesture research specific to persons living with aphasia, aiming to develop a transparent and reproducible evaluation of this important multimodal communication resource. Conclusions: We have proposed that it is critical to evaluate multimodal communication in a methodologically robust way in order to facilitate increased knowledge about the relationship of gesture to spoken language, cognition, and to other aspects of living with aphasia and recovery from aphasia. We conclude by postulating future directions for gesture research in aphasia.


2010 ◽  
Vol 76 (4) ◽  
pp. 496-510 ◽  
Author(s):  
Melissa Raspa ◽  
Donald B. Bailey ◽  
Murrey G. Olmsted ◽  
Robin Nelson ◽  
Nyle Robinson ◽  
...  

This article reports data from a large-scale assessment using the Family Outcomes Survey with families participating in early intervention. The study was designed to determine how families describe themselves with regard to outcomes achieved, the extent to which outcomes are interrelated, and the extent to which child, family, and program factors are associated with outcomes. Families reported positive outcomes, but there was variability in their responses. Factor analysis revealed that outcomes clustered in two areas: (a) family knowledge and ability, and (b) family support and community services. Hierarchical linear models indicated race/ethnicity, income, time in early intervention, perception of early intervention, and family-centered services were related to family outcomes. Recommendations for how to best use survey data are discussed.


1995 ◽  
Vol 20 (4) ◽  
pp. 34-39 ◽  
Author(s):  
Chris Fyffe ◽  
Susana T. Gavidia-Payne ◽  
Jeffrey McCubbery

Families are increasingly understood as inter-related systems where each component interacts with other components in diverse ways. Contemporary research on families which have children with disabilities emphasises the complexity of families and the futility of searching for one characteristic of a family as predictive of family outcomes. The current study investigated the relationship between family needs, family supports, and demographic information for rural families who were eligible for early intervention services. The study did not attempt to review specific early intervention services, but rather to associate the characteristics of services which families found most and least effective. The results are discussed in terms of the practice of providing family-focused models of service delivery. This project was funded by the Golden North Centre, Spastic Society, Bendigo


1995 ◽  
Vol 4 (2) ◽  
pp. 31-36 ◽  
Author(s):  
Joanne E. Roberts ◽  
Elizabeth Crais ◽  
Thomas Layton ◽  
Linda Watson ◽  
Debbie Reinhartsen

This article describes an early intervention program designed for speech-language pathologists enrolled in a master's-level program. The program provided students with courses and clinical experiences that prepared them to work with birth to 5-year-old children and their families in a family-centered, interdisciplinary, and ecologically valid manner. The effectiveness of the program was documented by pre- and post-training measures and supported the feasibility of instituting an early childhood specialization within a traditional graduate program in speech-language pathology.


2018 ◽  
Author(s):  
David Barner ◽  
Alan Bale

We review advances in the experimental study of the mass-count distinction and highlight problems that have emerged. First, we lay out what we see to be the scientific enterprise of studying the syntax and semantics of mass-count distinction, and the assumptions we believe must be made if additional progress is to occur, especially as the empirical facts continue to grow in number and complexity. Second, we discuss the new landscape of cross-linguistic results that has been created by widespread use of the quantity judgment task, and what these results tell us about the nature of the mass-count distinction. Finally, we discuss the relationship between the mass-count distinction and non-linguistic cognition, and in particular the object-substance distinction.


Author(s):  
Adrián Yoris ◽  
Adolfo M. García ◽  
Paula Celeste Salamone ◽  
Lucas Sedeño ◽  
Indira García-Cordero ◽  
...  

Dimensional and transdiagnostic approaches have revealed multiple cognitive/emotional alterations shared by several neuropsychiatric conditions. While this has been shown for externally triggered neurocognitive processes, the disruption of interoception across neurological disorders remains poorly understood. This chapter aims to fill this gap while proposing cardiac interoception as a potential common biomarker across disorders. It focuses on key aspects of interoception, such as the mechanisms underlying different interoceptive dimensions; the relationship among interoception, emotion, and social cognition; and the roles of different interoceptive pathways. It considers behavioral and brain evidence in the context of an experimental and clinical agenda to evaluate the potential role of interoception as a predictor of clinical outcomes, a marker of neurocognitive deficits across diseases, and a general source of insights for breakthroughs in the treatment and prevention of multiple disorders. Finally, future directions to improve the dimensional and transdiagnostic assessment of interoception are outlined.


Author(s):  
Maureen L. Whittal ◽  
Melisa Robichaud

The cornerstone of cognitive treatment (CT) for OCD is based upon the knowledge that unwanted intrusions are essentially a universal experience. As such, it is not the presence of the intrusion that is problematic but rather the associated meaning or interpretation. Treatment is flexible, depending upon the nature of the appraisals and beliefs, but can include strategies focused on inflated responsibility and overestimation of threat, importance and control of thoughts, and the need for perfectionism and certainty. The role of concealment and the relationship to personal values are important maintaining and etiological factors. The short-term and long-term treatment outcome is reviewed, along with predictors of treatment response and mechanisms of action, and the chapter concludes with future directions regarding CT for OCD.


Author(s):  
Elizabeth S. Cole

The author discusses current challenges to increasing family-centered practice within child welfare agencies. The article focuses on two issues: (1) child welfare's collaboration with early-intervention and family-support services and (2) maintaining family-preservation services despite growing criticism of such services.


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