scholarly journals PENGARUH PROGRAM PARENTING DALAM MENGURANGI STRES ORANG TUA DENGAN ANAK AUTIS

2019 ◽  
Vol 1 (2) ◽  
pp. 43
Author(s):  
Andikawati Fitriasari ◽  
Ah Yusuf ◽  
Nurilla Kholidah
Keyword(s):  
Systematic Review ◽  
Average Duration ◽  
Parent Stress ◽  
Parenting Program ◽  
Parenting Programs ◽  
Autistic Children ◽  
Post Intervention ◽  
Parenting Support ◽  
Reducing Stress

Pendahuluan: Pola asuh orang tua sangat berpengaruh terhadap pertumbuhan dan perkembangan anak, apalagi jika pada anak  mengalami autis. Umumnya orang tua yang memiliki anak autis mengalami stres, oleh karena itu bagaimana program pemberian parenting sangat penting dikaji agar orang tua dapat memperlakukan anak autis dalam mencapai perkembangan optimalnya. Systematic review ini bertujuan untuk menjelaskan pengaruh program parenting dalam mengurangi stres orang tua dengan anak autis.Metode: Pencarian jurnal dilakukan pada database Scopus dan Sience Direct, pembatasan jurnal pada 10 tahun terakhir mulai 2008-2017, area jurnal Nursing, Psychologi, Disabilitas, Child, dan Psychiatri dengan kata kunci Parenting, Parent Stress and Autism. Prosedur seleksi dan ekstraksi data menggunakan pendekatan PICOT.Hasil: Total keseluruhan partisipan dari seluruh penelitian yang diriview adalah 2107 dengan orangtua yang mengalami kecemasan atau stress akibat memiliki anak autis. Intervensi yang digunakan dalam semua penelitian adalah intervensi program parenting dan support parenting. Rerata durasi interfensi selama 3 minggu dengan rerata follow up 12 bulan. Efek signifikan ditemukan secara statistik dari program parenting atau support parenting untuk hasil pasca pemberian intervensi hingga follow up. Hasil yang signifikan ditemukan pada pemberian program parenting melalui media konseling peneliti di dampingi oleh terapis yang bersertifikat.Kesimpulan: Parenting memiliki pengaruh yang signifikan dalam menurunkan stres pada orang tua yang memiliki anak autis. ABSTRACTIntroduction: Parenting is very influential in the growth and development of children, especially if the child has autism. Generally, parents who have autistic children experience stress, therefore how the parenting program is very important to be studied so that parents can treat autistic children in achieving optimal development. This Systematic review aims to explain the effect of parenting programs in reducing the stress of parents with autistic children.Method: The journal search was conducted on the Scopus and Science Direct databases, journal restrictions in the last ten years starting 2008-2017, the journal areas of Nursing, Psychology, Disability, Child, and Psychiatry with the keywords Parenting, Parent Stress and Autism. Data selection and extraction procedures use the PICOT approach.Results: The total number of participants from all studies reviewed was 2107, with parents experiencing anxiety or stress due to having an autistic child. The interventions used in all research were parenting program interventions and parenting support. The average duration of intervention was three weeks with a mean follow-up of 12 months. Significant effects were found statistically from parenting programs or parenting support for outcomes post-intervention until follow-up. Significant results were found in parenting programs through researchers' counseling media accompanied by certified therapists.Conclusion: Parenting has a significant effect on reducing stress in parents who have autistic children.

“Outcome evaluation of fruit and vegetables distribution interventions in schools: A systematic review and meta-analysis”

2021 ◽  
pp. 1-34
Author(s):  
M. R. Ismail ◽  
J. A. Seabrook ◽  
J. A. Gilliland
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Population Based ◽  
Outcome Evaluation ◽  
Fruit And Vegetables ◽  
Post Intervention ◽  
Health Strategy ◽  
Rigorous Study ◽  
Mean Differences

Abstract Objective: Fruit and vegetables (FVs) distribution interventions have been implemented as a public health strategy to increase children’s intake of FVs at school settings. The purpose of this review was to examine whether snack-based FVs distribution interventions can improve school-aged children’s consumption of FVs. Design: Systematic Review and meta-analysis of articles published in English, in a peer-review journals were identified by searching six databases up to August 2020. Standardized Mean Differences (SMDs) and 95% Confidence Interval (CI) were calculated using a random effects model. Heterogeneity was quantified using I2 statistics. Setting: Population-based studies of interventions where the main focus was the effectiveness of distributed FVs as snacks to schoolchildren in North America, Europe and Pacific were included. Results: Forty-seven studies, reporting on 15 different interventions, were identified; 10 studies were included in the meta-analysis. All interventions were effective in increasing children’s consumption of FVs, with only one intervention demonstrating a null effect. Pooled results under all classifications showed effectiveness in improving children’s consumption of FVs, particularly for multi-component interventions at post-intervention (SMD 0.20, CI 0.13, 0.27) and free distribution interventions at follow-up (SMD 0.19, CI 0.12, 0.27). Conclusions: Findings suggest that utilizing FV distribution interventions provide a promising avenue by which children’s consumption can be improved. Nonetheless, our results are based on a limited number of studies, and further studies should be performed to confirm these results. More consistent measurement protocols in terms of rigorous study methodologies, intervention duration, and follow-up evaluation are needed to improve comparability across studies.

Evaluating the role of engagement in a web-based intervention to improve parenting risk and protective factors for adolescent depression and anxiety disorders (Preprint)

2020 ◽  
Author(s):  
Claire C Nicolas ◽  
Anthony F Jorm ◽  
Katherine A Lawrence ◽  
Marie BH Yap
Keyword(s):  
Protective Factors ◽  
Adolescent Depression ◽  
Large Body ◽  
Parenting Programs ◽  
Depression And Anxiety ◽  
Post Intervention ◽  
Web Based ◽  
Multiple Measures

BACKGROUND A large body of evidence highlights the important role of parental behavior in reducing the risk of, and increasing the protective factors for, adolescent internalizing disorders. The possible benefits offered by preventive parenting programs may be undermined by low rates of engagement by parents. Online interventions have the potential to mitigate the common barriers to participation and engagement in face-to-face preventive parenting programs. However, there is a surprising lack of studies that report on the relationship between intervention engagement and improvement in target outcomes. OBJECTIVE This study evaluated the predictive power of several measures of engagement in a Web-based intervention aimed at increasing parental protective factors and reducing risk factors for adolescent depression and anxiety. We aimed to ascertain which measures of program engagement best predict 3-month post-intervention and 12-month follow-up scores on preventive parenting, parental self-efficacy (PSE), and adolescent depressive and anxiety symptoms. METHODS Our sample comprised 176 parents who received the Partners in Parenting (‘PiP’) intervention and their adolescents. Engagement was measured through multiple measures derived from server logs on a web database. Potential predictors included total modules completed, percentage of intended modules completed, percentage of quiz questions answered correctly, and percentage of goals completed. RESULTS Hierarchical multiple regressions indicated that the total modules completed predicted parent rated preventive parenting at post-intervention, and a combination of the total modules completed, percentage of intended modules completed, and percentage of quiz questions answered predicted PSE scores at post-intervention. At 12-month follow up, a combination of engagement measures predicted preventive parenting scores, and the percentage of intended modules completed predicted PSE scores. The percentage of intended modules completed predicted parent report of adolescent depressive symptoms at 12-month follow-up. None of the engagement measures predicted adolescent report of preventive parenting or their own symptoms. CONCLUSIONS Our findings suggest that future programs will benefit from including multiple measures of engagement and reinforce the importance of examining the longer-term effects of engagement. Our study provides evidence for the benefits of including goal-setting exercises as a persuasive feature and ensuring quiz questions are challenging. The implications of these findings for future program development, as well as our understanding of improvement in behavior and symptoms through intervention, are discussed.

Early Intervention with Autistic Children: A Case Presentation with Pre-Program, Program and Follow-up Data

1983 ◽  
Vol 53 (3) ◽  
pp. 715-722E ◽  
Author(s):  
Gerald Groden ◽  
Dale Dominque ◽  
Marie Chesnick ◽  
June Groden ◽  
Grace Baron
Keyword(s):  
Early Intervention ◽  
Intervention Program ◽  
Children With Autism ◽  
Social Changes ◽  
Autistic Children ◽  
Post Intervention ◽  
Early Intervention Program ◽  
Case Presentation ◽  
Poor Outcome

Follow-up reports of children with autism have generally showed poor outcome. Much of the data used in these reports was derived from studies in which the children were treated at some point beyond infancy or in which the treatment was not behavioral. This article, which presents a case and describes a program, documents through pre- and post-intervention, as well as follow-up data, dramatic intellectual and behavioral/social changes in a child who, at age 2 yr., entered an early intervention program for autistic infants. The article is of significance in that it shows what might be accomplished with a child with these difficulties through early intervention.

scholarly journals Compensatory Interventions for Cognitive Impairments in Psychosis: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 46 (4) ◽  
pp. 869-883 ◽  
Author(s):  
Kelly Allott ◽  
Kristi van-der-EL ◽  
Shayden Bryce ◽  
Emma M Parrish ◽  
Susan R McGurk ◽  
...  
Keyword(s):  
Systematic Review ◽  
Psychiatric Symptoms ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Effect Sizes ◽  
Medium Effect ◽  
Post Intervention ◽  
Psychosocial Disability ◽  
The Impact

Abstract Objective Cognitive compensatory interventions aim to alleviate psychosocial disability by targeting functioning directly using aids and strategies, thereby minimizing the impact of cognitive impairment. The aim was to conduct a systematic review and meta-analysis of cognitive compensatory interventions for psychosis by examining the effects on functioning and symptoms, and exploring whether intervention factors, study design, and age influenced effect sizes. Methods Electronic databases (Ovid Medline, PsychINFO) were searched up to October 2018. Records obtained through electronic and manual searches were screened independently by two reviewers according to selection criteria. Data were extracted to calculate estimated effects (Hedge’s g) of treatment on functioning and symptoms at post-intervention and follow-up. Study quality was assessed using Cochrane Collaboration’s risk of bias tool. Results Twenty-six studies, from 25 independent randomized controlled trials (RCTs) were included in the meta-analysis (1654 participants, mean age = 38.9 years, 64% male). Meta-analysis revealed a medium effect of compensatory interventions on functioning compared to control conditions (Hedge’s g = 0.46, 95% CI = 0.33, 0.60, P < .001), with evidence of relative durability at follow-up (Hedge’s g = 0.36, 95% CI = 0.19, 0.54, P < .001). Analysis also revealed small significant effects of cognitive compensatory treatment on negative, positive, and general psychiatric symptoms, but not depressive symptoms. Estimated effects did not significantly vary according to treatment factors (ie, compensatory approach, dosage), delivery method (ie, individual/group), age, or risk of bias. Longer treatment length was associated with larger effect sizes for functioning outcomes. No evidence of publication bias was identified. Conclusion Cognitive compensatory interventions are associated with robust, durable improvements in functioning in people with psychotic illnesses.

scholarly journals Antegrade or Retrograde Approach for the Management of Tandem Occlusions in Acute Ischemic Stroke: Protocol for a Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Xiao Zhang ◽  
Xuesong Bai ◽  
Xue Wang ◽  
Wuyang Yang ◽  
Jie Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ischemic Stroke ◽  
Meta Analysis ◽  
Cochrane Collaboration ◽  
Sensitivity Analyses ◽  
Cochrane Library ◽  
Retrograde Approach ◽  
Post Intervention ◽  
Tandem Lesions

Abstract BackgroundAcute ischemic stroke (AIS) is a major contributor to global morbidity and mortality, and mechanical thrombectomy (MT) is an effective treatment for AIS. AIS caused by tandem intracranial and extracranial occlusions are not rare. Evidence for optimal MT strategy regarding order of treatment, including antegrade (extracranial first) or retrograde (intracranial first) approach is lacking. Therefore, a systematic review and meta-analysis is necessary to compare the two approaches for optimal management of tandem lesions in AIS.MethodsThis study will be performed with accordance to the PRISMA statement. Major databases including PubMed, Web of Science, Embase, and the Cochrane Library will be used for literature search. Randomized controlled trials and high-quality observational studies will be included. Risk of bias will be assessed using the Cochrane Collaboration criteria or Newcastle–Ottawa Scale according to type of study. Two reviewers will independently screen for eligible studies and perform data extraction. The primary outcomes are successful recanalization at post-intervention, and favorable outcome at 3-month follow-up. Secondary outcomes include duration of onset to arrival, onset to puncture, onset to recanalization, intracerebral hemorrhage, procedure and device related complications and mortality at 3-month follow-up. We will assess heterogeneity using the I2 statistic. Subgroup and sensitivity analyses will be performed to explore the sources of heterogeneity. Specific results will be described in narrative form when insufficient suitable studies are available for meta-analysis.DiscussionThis study will provide a reliable evidence base for antegrade or retrograde approach for the management of tandem lesions in AIS by synthesizing evidence from current pieces of literature comparing the two approaches, and also will provide updated clinical evidence of strategy selection and decision-making for this special group of patients. PROSPERO registration numberCRD42020199093

scholarly journals Parent- and teacher-reported long-term effects of parent training on child conduct problems in families with child protection and other support services: a randomized controlled trial

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Piia Karjalainen ◽  
Päivi Santalahti ◽  
Eeva T. Aronen ◽  
Olli Kiviruusu
Keyword(s):  
Conduct Problems ◽  
Child Protection ◽  
Controlled Trial ◽  
Parenting Program ◽  
Post Intervention ◽  
Child Conduct Problems ◽  
Child Conduct ◽  
One Year ◽  
The One

Abstract Background This randomized controlled trial (RCT) evaluated the long-term effectiveness of the Incredible Years® (IY) Parenting Program in modifying children’s externalizing problems among families in Child Protection Services (CPS) and using other special support services. We also examined whether parent-reported effects of the IY® generalize to the daycare/school setting as reported by teachers. Methods Participants in the study were 3–7-year-old children with behavioural problems (N = 102 at baseline, N = 89 at one-year follow-up). Participants were randomized to intervention (N = 50) and control groups (N = 52) after the baseline assessment. The intervention group received 19-week IY® Parenting Program. The effectiveness of the intervention was analyzed using linear mixed model. Results Our previously reported pre-post intervention effects on CBCL (Child Behavior Checklist) and ECBI (Eyberg Child Behavior Inventory) were not sustained to the one-year follow-up. Child conduct problems decreased from baseline to follow-up in both intervention and control groups. The positive changes were not observed at daycare/school from baseline to post-intervention or to the one-year follow-up, and there were no significant differences in changes between the groups. Conclusions Evidence-based parenting program IY® seems to be an effective intervention for child conduct problems in the short term in families in the CPS context, but sustaining the positive effects and generalizing them to the daycare/school context are challenging. Trial registration: The trial is registered in the ClinicalTrials.gov registry (NCT03239990), Registered August 4th, 2017; https://clinicaltrials.gov/ct2/results?cond=&term=NCT03239990&cntry=&state=&city=&dist=

scholarly journals The Effectiveness of Emotion Coaching Parenting Program in Iranian Preschool Children With Internalizing Disorders

2020 ◽  
Vol 8 (3) ◽  
pp. 203-216
Author(s):  
Pegah Pezeshki ◽  
◽  
Hoda Doos Ali Vand ◽  
Maryam Aslzaker ◽  
Mehdi Jafari ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Child Behavior Checklist ◽  
Intervention Group ◽  
Internalizing Disorders ◽  
Parenting Program ◽  
Control Group ◽  
Emotion Coaching ◽  
Post Intervention ◽  
And Control

Objective: Emotion Coaching Parenting Program (ECPP) is one of the treatment programs focused on emotions and targets the way parents and children interact emotionally. Although the effectiveness of ECPP on children with internalizing disorders has been proved previously, the effects of this program have not been investigated in Iranian preschoolers with a range of internalizing disorders. Therefore, the aim of the current study was to examine the effects of ECPP when used by mothers of preschoolers with internalizing disorders. Methods: The current randomized controlled trial was done on 31 participants who were randomly assigned to the ECPP (n=15) and control (n=16) groups that completed all treatment sessions. Data were collected at three stages of pre-intervention, post-intervention, and 3-months follow-up, using Difficulties in Emotion Regulation Scale, Emotion Regulation Checklist, Achenbach’s Child Behavior Checklist, and Maternal Emotional Styles Questionnaire. Results: Repeated measures ANOVA tests were conducted to test differences between the intervention and control groups for maternal emotion regulation and maternal emotion coaching. The results indicated significant improvements in emotional awareness and emotion regulation of mothers in the intervention group at post-intervention and follow-up compared with the pre-intervention, while no significant improvements were found in the control group. Children in both groups showed improvements in emotional lability/negativity at post-intervention, but the improvements were significantly higher in the intervention group. Children of the intervention group also showed higher improvements in emotion regulation compared with the control group. Additionally, significant reductions in the symptoms of children’s internalizing disorders at post-intervention and follow-up were observed in the intervention group compared with the control group. Conclusion: ECPP can be one of the effective treatments for reducing the symptoms of children’s internalizing disorders and improving the emotion regulation of parent and child.

Evaluating the effectiveness of Home-Start support in Dutch families

2018 ◽  
Vol 19 (3) ◽  
pp. 327-350 ◽  
Author(s):  
ES Smallegange ◽  
JMA Hermanns ◽  
FJ Oort
Keyword(s):  
Outcome Measures ◽  
Home Visiting ◽  
Mixed Model ◽  
Comparison Group ◽  
Intervention Group ◽  
Study Groups ◽  
Secondary Outcome ◽  
Post Intervention ◽  
Parenting Support

Summary Home visiting is a widely used form of parenting support. The current study focused on the effectiveness of the home visiting volunteer parenting support programme Home-Start in the Netherlands. The Home-Start programme (intervention group) was compared to professional care as usual support (comparison group). The study focused on post-intervention changes of parental wellbeing, parenting behaviour and child problem behaviour within families with children in the age range of 1.5–3.5 years. Data were collected at the start of the interventions, at moment of support termination and at a six-month follow-up. Findings Eighty-six mothers from 24 Home-Start schemes were included in the intervention group (43 available at six-month follow-up) and 103 mothers from 18 care as usual sites in the comparison group (71 available at six-month follow-up). Mixed model analyses showed no or minor changes on the majority of selected outcome measures in both study groups. Significant improvements were only found for a few primary and secondary outcome measures. Additionally, there were indications of an increase in mother-reported behavioural difficulties of the children at post-test measurements, disappearing however at the six-month follow-up. Applications The current study showed that the volunteer programme Home-Start is an appealing intervention to families that appear to have higher needs. The study generated evidence that the results of the two types of evaluated interventions are comparable with little evidence of lasting changes.

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