Development of children at risk for adverse outcomes participating in early intervention in developing countries: a randomized controlled trial / Jan L. WALLANDER in Journal of Child Psychology and Psychiatry, 55-11 (November 2014)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 55-11 (November 2014) . - p.1251-1259 Titre : Development of children at risk for adverse outcomes participating in early intervention in developing countries: a randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Jan L. WALLANDER, Auteur ; Carla M. BANN, Auteur ; Fred J. BIASINI, Auteur ; Shivaprasad S. GOUDAR, Auteur ; Omrana PASHA, Auteur ; Elwyn CHOMBA, Auteur ; Elizabeth MCCLURE, Auteur ; Waldemar A. CARLO, Auteur Article en page(s) : p.1251-1259 Langues : Anglais (eng) Mots-clés : Early developmental intervention  low resource countries  birth trauma  at risk Index. décimale : PER Périodiques Résumé : Background Previous research has indicated positive effects of early developmental intervention (EDI) on the development of children in developing countries. Few studies, however, have examined longitudinally when differential treatment effects may be observed and whether differential outcomes are associated with exposure to different risk factors and country of implementation. Also, birth asphyxia as a risk condition has not been well studied. To address these limitations, we conducted a randomized controlled trial to test the hypothesis that there will be differential developmental trajectories favoring those who receive EDI versus a health education intervention in children in rural areas of India, Pakistan, and Zambia. Methods Children with and without birth asphyxia were randomized to EDI or control intervention, which was implemented by parents who received training in biweekly home visits initiated before child age 1 month and continuing until 36 months. Development was assessed in 376 children at ages 12, 24, and 36 months using the Bayley Scales of Infant Development and Ages Stages Questionnaire administered by evaluators blind to intervention assignment and risk condition. Results Longitudinal mixed model analysis indicated that EDI resulted in better development over 36 months in cognitive abilities, regardless of risk condition, maternal resources, child gender, or country. Psychomotor development and parent-reported general development showed similar trends as for cognitive abilities, but were not statistically different between intervention conditions. Developmental differences were observed first at 36 months of age. Conclusion Early developmental intervention has promise for improving development in children across developing countries when exposed to various risk conditions. EDI should be one prominent approach used to begin to address long-term outcomes and intergenerational transmission of poverty. En ligne : http://dx.doi.org/10.1111/jcpp.12247 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=241 [article] Development of children at risk for adverse outcomes participating in early intervention in developing countries: a randomized controlled trial [Texte imprimé et/ou numérique] / Jan L. WALLANDER, Auteur ; Carla M. BANN, Auteur ; Fred J. BIASINI, Auteur ; Shivaprasad S. GOUDAR, Auteur ; Omrana PASHA, Auteur ; Elwyn CHOMBA, Auteur ; Elizabeth MCCLURE, Auteur ; Waldemar A. CARLO, Auteur . - p.1251-1259. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 55-11 (November 2014) . - p.1251-1259 Mots-clés : Early developmental intervention  low resource countries  birth trauma  at risk Index. décimale : PER Périodiques Résumé : Background Previous research has indicated positive effects of early developmental intervention (EDI) on the development of children in developing countries. Few studies, however, have examined longitudinally when differential treatment effects may be observed and whether differential outcomes are associated with exposure to different risk factors and country of implementation. Also, birth asphyxia as a risk condition has not been well studied. To address these limitations, we conducted a randomized controlled trial to test the hypothesis that there will be differential developmental trajectories favoring those who receive EDI versus a health education intervention in children in rural areas of India, Pakistan, and Zambia. Methods Children with and without birth asphyxia were randomized to EDI or control intervention, which was implemented by parents who received training in biweekly home visits initiated before child age 1 month and continuing until 36 months. Development was assessed in 376 children at ages 12, 24, and 36 months using the Bayley Scales of Infant Development and Ages Stages Questionnaire administered by evaluators blind to intervention assignment and risk condition. Results Longitudinal mixed model analysis indicated that EDI resulted in better development over 36 months in cognitive abilities, regardless of risk condition, maternal resources, child gender, or country. Psychomotor development and parent-reported general development showed similar trends as for cognitive abilities, but were not statistically different between intervention conditions. Developmental differences were observed first at 36 months of age. Conclusion Early developmental intervention has promise for improving development in children across developing countries when exposed to various risk conditions. EDI should be one prominent approach used to begin to address long-term outcomes and intergenerational transmission of poverty. En ligne : http://dx.doi.org/10.1111/jcpp.12247 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=241

Effects of written disclosure on psychophysiological stress among parents of children with autism: A randomized controlled pilot study / Nikko S. DA PAZ in Research in Autism Spectrum Disorders, 53 (September 2018)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 53 (September 2018) . - p.7-17 Titre : Effects of written disclosure on psychophysiological stress among parents of children with autism: A randomized controlled pilot study Type de document : Texte imprimé et/ou numérique Auteurs : Nikko S. DA PAZ, Auteur ; Jan L. WALLANDER, Auteur ; Jitske TIEMENSMA, Auteur Article en page(s) : p.7-17 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Parent intervention  Caregiver stress  Written disclosure Index. décimale : PER Périodiques Résumé : Background In comparison to parents of typically functioning children or parents of children with other developmental disabilities (i.e. Down’s syndrome or cerebral palsy), parents or caregivers of children with an autism spectrum disorder (ASD) sustain a greater incidence of depression, anxiety, and emotional distress. It is imperative to identify effective methods that target improvement to caregiver mental health. Method A randomized controlled pilot study was conducted to investigate the effect of a written disclosure intervention (expressive writing about traumatic events versus neutral events) on the psychophysiological stress of 71 parents (age 23–62) caring for a child with ASD. Self-reported measures of stress (parenting stress, caregiver burden, and global stress) and a stress biomarker (cortisol awakening response) were evaluated at baseline and 6-month follow-up. Adjusting for baseline values, we performed a univariate analysis of covariance to test directional hypotheses that parents in the treatment group would show a reduction in subjective stress and improvement in physiological stress over time. Results As expected, treatment group parents displayed healthier cortisol activity and reported less global stress compared to controls. Whereas within group analyses indicated all parents experienced improvement in parenting stress and caregiver burden over time, there was no significant treatment effect for these caregiving-specific stress measures. Conclusions Within this pilot study, written disclosure appeared beneficial to caregiver psychophysiological stress. However, due to the provision of substantial participant adherence support, we refrain from suggesting feasibility. Nonetheless, improvement of mental health pathology in parents of children with ASD is both significant and timely. En ligne : https://doi.org/10.1016/j.rasd.2018.05.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 [article] Effects of written disclosure on psychophysiological stress among parents of children with autism: A randomized controlled pilot study [Texte imprimé et/ou numérique] / Nikko S. DA PAZ, Auteur ; Jan L. WALLANDER, Auteur ; Jitske TIEMENSMA, Auteur . - p.7-17. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 53 (September 2018) . - p.7-17 Mots-clés : Autism spectrum disorders  Parent intervention  Caregiver stress  Written disclosure Index. décimale : PER Périodiques Résumé : Background In comparison to parents of typically functioning children or parents of children with other developmental disabilities (i.e. Down’s syndrome or cerebral palsy), parents or caregivers of children with an autism spectrum disorder (ASD) sustain a greater incidence of depression, anxiety, and emotional distress. It is imperative to identify effective methods that target improvement to caregiver mental health. Method A randomized controlled pilot study was conducted to investigate the effect of a written disclosure intervention (expressive writing about traumatic events versus neutral events) on the psychophysiological stress of 71 parents (age 23–62) caring for a child with ASD. Self-reported measures of stress (parenting stress, caregiver burden, and global stress) and a stress biomarker (cortisol awakening response) were evaluated at baseline and 6-month follow-up. Adjusting for baseline values, we performed a univariate analysis of covariance to test directional hypotheses that parents in the treatment group would show a reduction in subjective stress and improvement in physiological stress over time. Results As expected, treatment group parents displayed healthier cortisol activity and reported less global stress compared to controls. Whereas within group analyses indicated all parents experienced improvement in parenting stress and caregiver burden over time, there was no significant treatment effect for these caregiving-specific stress measures. Conclusions Within this pilot study, written disclosure appeared beneficial to caregiver psychophysiological stress. However, due to the provision of substantial participant adherence support, we refrain from suggesting feasibility. Nonetheless, improvement of mental health pathology in parents of children with ASD is both significant and timely. En ligne : https://doi.org/10.1016/j.rasd.2018.05.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368

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