scholarly journals CORRELATION BETWEEN FAMILY CENTERED APPROACH AND MENTAL HEALTH OF PARENTS IN DOMICILIARY THERAPY

2021 ◽  
Vol 10 (1) ◽  
pp. 59-64
Author(s):  
Saima Asghar Ali

BACKGROUND AND AIMS Parents of children with developmental disabilities were at risk of poor mental health subsequently leads to unfavorable outcome in their children rehabilitation. Therefore, this study aims to rule out the association between family centered approach in domiciliary therapies and mental health in parents of children with developmental disabilities. METHODOLOGY A comparative analysis was conducted to determine the relation between family centered approach in domiciliary therapy sessions and parental stress. The data was collected through self-administered questionnaire, shared during the home visit to participants and mother. RESULTS A total number of 100 home-based therapists included in the study consisted of 79 females (78.8%) and 21 males (21.3%). Out of which only 48% of therapist were using family centered approach where the stress level among parents was low where as 52% were not inculcating family centered approach due to some constraints and had high level of stress and anxiety among the parents. Moreover, correlation among family centered approach in domiciliary therapy sessions and parental stress is found negatively correlated (i.e. -0.54). CONCLUSION It was concluded that home-based therapists perceived that parents of children with special needs has affected mental health however therapists strive to overcome these challenges by working on family-focused approaches, provide information and do regular meetings to help parents understand their child and found coping mechanisms to adjust with the disability. KEYWORDS Developmental Disability, Mental Health, Child, Parent, Stress, Coping.

2017 ◽  
Vol 41 (S1) ◽  
pp. S215-S215
Author(s):  
J. Kostić ◽  
L. Milosavljević ◽  
M. Stanković

IntroductionStress is an integral part of parenting. The stress of parenting is especially increased at parents of children with developmental disabilities, which can have negative effects on the health of the parents, the relationship with the child and total parental behavior. The objective of this work is to assess the level of stress of parenting among parents of children with developmental disabilities. Parents were involved in workshops support within a regional project. The workshops were conducted twice a month, in the duration of two hours, during the one-year period. The workshops were led by experts in various fields, and work with parents was psycho-educational and supportive. The assessment was made using the questionnaire Parenting Stress Index-Short Form, within the two time frames, at the beginning of the project and after 12 months. The results showed that nearly two-thirds of parents of children with disabilities were under clinically significant stress at the beginning of the service. By retesting after twelve months, it was found that parental stress decreased, and the decrease is particularly evident in the parental competence experience. Although stress is reduced to some extent by the way the parent is experiencing emotional exchange with the child, its level still remains high.ConclusionOur experience shows that supportive workshops, which we participated in significantly, but insufficiently contributed to the stress reduction among parents. This paper discusses other possible interventions, which would specifically be aimed at developing strategies for reductions of clinically high level of parental stress.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2018 ◽  
Vol 6 (8) ◽  
pp. 1503-1511
Author(s):  
Azza Abdalla Ghoneim

AIM: The study aimed to determine the effects of the health promotion toolkit on empowering families caring for children with developmental disability. It hypothesised that health promotion toolkit would effectively improve families' empowerment and alleviate parental stress.METHODOLOGY: The research design was quasi-experimental. A convenience sample of 30 children with DD and their families enrolled at Shoaa ElAmal Center in Umluj participated. Tools were Health Promotion Assessment Sheet, Family Empowerment Scale, and the Parent Stress Index.RESULTS: The results documented significant lower levels of parental stress and higher levels of family empowerment among mothers at posttest than pretest. A significant negative correlation between family empowerment and parental stress was reported.CONCLUSION: Health promotion toolkit had a positive effect on empowering families as well as lowering parental stress. Recommendation Health promotion toolkit should be integrated as a monitoring method of health care needs of health promotional activities for children with developmental disabilities.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Veronika Pinker ◽  
Susanne Brandstetter ◽  
Christina Tischer ◽  
Birgit Seelbach-Göbel ◽  
Michael Melter ◽  
...  

Abstract Background The aim of this study was to examine the interaction of a multitude of socio-economic, lifestyle, environmental, psychosocial and birth related determinants and their effect on maternal health four weeks after delivery. Methods We used data from a German birth cohort study, the KUNO-Kids health study. Social determinants, as well as the self-rated maternal health and the physical and mental health status of mothers (indicated by means of the SF-12-questionnaire) were assessed through standardized questionnaires and personal interviews right after delivery and four weeks later. Linear regression models were calculated to determine the relationship between influencing factors and health outcomes. Results 1428 women were included in the analysis. Maternal self-rated health showed significant positive associations with breastfeeding (B (regression coefficient) 2.67; 0.86–4.48 (95% Confidence interval)) and estimating one’s child as rather healthy (B 0.27; 0.19–0.34) and negative associations with social and emotional strains (B -3.50; -5.11- -1.88), obesity (B -2.56; -4.69- -0.42), having experienced a C-section (B -1.73; -3.23- -0.23), a positive history of somatic diseases (B -2.14; -3.53- -0.74), parental stress (B -0.39; -0.66- -0.11) and education of more than ten years (B -2.42; -3.95- -0.90). Maternal physical health status showed significant negative associations with age (B -0.13; -0.25- -0.01), employment before maternity leave (B -1.90; -3.59- -0.21), social and emotional strains (B -1.50; -2.67- -0.34), parental stress (B -0.28; -0.45- -0.12), C-section (B -4.06; -5.12- -2.99), having the first child (B -2.03; -3.09- -0.97) and a history of somatic diseases (B -2.00; -2.99- -1.01). Maternal mental health status showed significant positive associations with education of more than 10 years (B 2.27; 0.98–3.56) and a high level of social support (B 1.20; 0.06–2.34), while social and emotional strains (B -4.16; -5.48- -2.84) and parental stress (B -0.70; -0.92- -0.47) were negatively associated. Conclusions We identified important protective factors for maternal health four weeks after delivery, such as a high level of social support. However, parental stress and social and emotional strains in particular seem to have a negative influence on maternal health. These findings have public health relevance.


2021 ◽  
Vol 26 (Supplement_1) ◽  
pp. e7-e8
Author(s):  
Tali Filler ◽  
Pardeep Kaur ◽  
Usamah Mohamed ◽  
Ripudaman Minhas ◽  
Shazeen Suleman

Abstract Primary Subject area Developmental Paediatrics Background The COVID-19 pandemic has impacted every facet of society but has been particularly disastrous for families of children with developmental disabilities (DD) living on the margins. The unprecedented repercussions of COVID-19, including quarantine, social distancing, and service restrictions, continue to disproportionately impact these families. This is a pattern observed in previous humanitarian crises, where there has been a lack of response for children with DD. There is an urgent need to understand the experiences of families of children with DD in order to develop a community-driven model of service provision. Objectives This study aims to identify the experienced impact of COVID-19 on families of children with DD who have significant needs and social barriers. Design/Methods This was a community-based participatory study using a formative research framework in accordance with COREQ guidelines. In-depth interviews (IDIs) were conducted with caregivers and care providers of children with DD. Data were recorded, transcribed, and coded using deductive and inductive coding methods by three independent coders. A peer debriefing strategy was used to verify the coding approach and interpretation of findings in accordance with the RATS (relevancy, appropriateness, transparency, and soundness) guidelines for qualitative research. Perceived parental stress and social support were explored using the Perceived Stress Scale (PSS-10) and Multidimensional Scale of Perceived Social Support (MSPSS). Results A total of 25 IDIs were conducted. Of the 15 caregivers interviewed, five were new to Canada. Results suggested both newcomer and non-newcomer families of children with DD are in crisis, reporting high stress and low social support, with increased difficulties navigating and accessing therapies and programs, including those offered virtually. Participants reported behavioural regressions and increased anxiety among their children with DD, as well as caregiver mental health challenges. Providers reported having to change their service delivery model in accordance with public health recommendations, but caregivers said that they were not included in these decisions. Conclusion Families of children with DD face extraordinary barriers to care, which may be further compounded by the COVID-19 pandemic. Our study demonstrates the value of community-informed design, particularly in the setting of the COVID-19 pandemic. To deliver truly patient-centred services during the pandemic, there is an urgent need for responsive programming that is built with patients, for patients.


Author(s):  
Godwin Michael Ubi ◽  
Bassey Ekeng Effiom ◽  
Stella Esuabana

In late December, 2019, patients diagnosed with viral pneumonia due to an unidentified microbial agent were reported in Wuhan, China. A novel coronavirus was subsequently identified as the causative pathogen, provisionally named 2019 novel coronavirus (2019-nCoV). As at November 10, 2020, confirmed cases had reached an alarming 50,994,215 with a global death toll of 1,264,077    from 2019-nCoV infections, most of which involved people living in or visiting countries with high rate of prevalence and thus increasing the human-to-human transmission. A random sampling of 150 inmates in a Psychiatric clinic revealed that the advent of the COVID 19 pandemic in Nigeria left many youths stressed up, depressed, traumatized with excited state of anxiety leading to mental health challenges and some of which  resort to committing suicide.The post COVID 19 era plunged many youths into joblessness. Many youths who were into artisans and gainfully employed with private outfits and organizations such as private schools lost their jobs (20.67%) due to the COVID 19 disease outbreak which shut down schools, businesses and government. The state of joblessness of the youths in the current post COVID 19 era has further affected the mental health of some of the youths in Nigeria. Absence of government palliatives (4.00%), ASUU Strike (3.33%), High level of poverty, isolation, Sicknesses (13.33%), High level of Despondency, Loss of accommodation (16.67%), Inflation (increased prices of food and other items), Increased transportation cost, Persistent lockdown, Social unrest, High level of insecurity (17.33%), Security personnel brutality and Increase crime rates. The counselor’s intervention strategy should focus on helping the youths with poor mental health due to COVID 19 to regain self- confidence, regain self –esteem, seek medical attention for them, canvass for free medication for affected ones, create awareness on job opportunity for them, engage governments on behalf of the youths for employment opportunities as well as giving them palliatives, reopening of schools/universities and linking them to credit facilities, social safety nets and other available opportunities.


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