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Auteur Karen BONUCK |
Documents disponibles écrits par cet auteur (2)
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Randomized control trial report on the effectiveness of Group Attachment-Based Intervention (GABI©): Improvements in the parent–child relationship not seen in the control group / Howard STEELE in Development and Psychopathology, 31-1 (February 2019)
[article]
Titre : Randomized control trial report on the effectiveness of Group Attachment-Based Intervention (GABI©): Improvements in the parent–child relationship not seen in the control group Type de document : Texte imprimé et/ou numérique Auteurs : Howard STEELE, Auteur ; Anne MURPHY, Auteur ; Karen BONUCK, Auteur ; Paul MEISSNER, Auteur ; Miriam STEELE, Auteur Article en page(s) : p.203-217 Langues : Anglais (eng) Mots-clés : adverse childhood experiences child maltreatment Coding Interactive Behavior Group Attachment-Based Intervention (GABI) randomized control trial Steps Toward Effective Parenting (STEP) Index. décimale : PER Périodiques Résumé : This paper reports on a randomized control trial involving children less than 3 years old and their mothers who were regarded at risk of maltreating their children by referral agencies. Mothers’ risk status derived from a heavy trauma burden (average exposure over the first 18 years of their lives to 10 possible adverse childhood experiences [ACEs] was >5), mental health challenges (15%–28% had experienced a prior psychiatric hospitalization), and prior removal of a child to foster care (20%). Mothers were randomly assigned to either a widely used parenting class known as Systematic Training for Effective Parenting (STEP) or the Group Attachment-Based Intervention (GABI), a multifamily 26-week treatment. The resulting mother–child pairs available for consideration in this baseline versus end-of-treatment report were 35 families in the STEP arm and 43 families in the GABI arm. The focus of this paper is the outcome measure of observed parent–child relationship assessed with the Coding of Interactive Behavior (Feldman, 1998) collected at baseline and end of treatment. In comparison to STEP, results indicated that GABI was linked to significant improvements in maternal supportive presence and dyadic reciprocity, and significant declines in maternal hostility and dyadic constriction (proxies for risk of child maltreatment). These medium-to large-sized effects remained significant even after controlling for mothers’ prior ACEs in analysis of covariance procedures. In addition, two small interaction effects of ACEs by treatment type were found, underlining the need for, and value of, treatments that are sensitive to parents’ traumatic histories. En ligne : http://dx.doi.org/10.1017/S0954579418001621 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=383
in Development and Psychopathology > 31-1 (February 2019) . - p.203-217[article] Randomized control trial report on the effectiveness of Group Attachment-Based Intervention (GABI©): Improvements in the parent–child relationship not seen in the control group [Texte imprimé et/ou numérique] / Howard STEELE, Auteur ; Anne MURPHY, Auteur ; Karen BONUCK, Auteur ; Paul MEISSNER, Auteur ; Miriam STEELE, Auteur . - p.203-217.
Langues : Anglais (eng)
in Development and Psychopathology > 31-1 (February 2019) . - p.203-217
Mots-clés : adverse childhood experiences child maltreatment Coding Interactive Behavior Group Attachment-Based Intervention (GABI) randomized control trial Steps Toward Effective Parenting (STEP) Index. décimale : PER Périodiques Résumé : This paper reports on a randomized control trial involving children less than 3 years old and their mothers who were regarded at risk of maltreating their children by referral agencies. Mothers’ risk status derived from a heavy trauma burden (average exposure over the first 18 years of their lives to 10 possible adverse childhood experiences [ACEs] was >5), mental health challenges (15%–28% had experienced a prior psychiatric hospitalization), and prior removal of a child to foster care (20%). Mothers were randomly assigned to either a widely used parenting class known as Systematic Training for Effective Parenting (STEP) or the Group Attachment-Based Intervention (GABI), a multifamily 26-week treatment. The resulting mother–child pairs available for consideration in this baseline versus end-of-treatment report were 35 families in the STEP arm and 43 families in the GABI arm. The focus of this paper is the outcome measure of observed parent–child relationship assessed with the Coding of Interactive Behavior (Feldman, 1998) collected at baseline and end of treatment. In comparison to STEP, results indicated that GABI was linked to significant improvements in maternal supportive presence and dyadic reciprocity, and significant declines in maternal hostility and dyadic constriction (proxies for risk of child maltreatment). These medium-to large-sized effects remained significant even after controlling for mothers’ prior ACEs in analysis of covariance procedures. In addition, two small interaction effects of ACEs by treatment type were found, underlining the need for, and value of, treatments that are sensitive to parents’ traumatic histories. En ligne : http://dx.doi.org/10.1017/S0954579418001621 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=383 Sleep problem screening of young children by speech-language pathologists: A mixed-methods feasibility study / Karen BONUCK in Autism & Developmental Language Impairments, 6 (January-December 2021)
[article]
Titre : Sleep problem screening of young children by speech-language pathologists: A mixed-methods feasibility study Type de document : Texte imprimé et/ou numérique Auteurs : Karen BONUCK, Auteur ; Risa BATTINO, Auteur ; Ida BARRESI, Auteur ; Kathleen MCGRATH, Auteur Article en page(s) : 23969415211035066 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder attention deficit hyperactivity disorder behavioral sleep problems children’s sleep habits questionnaire obstructive sleep apnea pediatric sleep questionnaire sleep-disordered breathing speech-language pathologist Index. décimale : PER Périodiques Résumé : Background & AimsPoor sleep in young children imperils language learning and use. Both sleep and language problems are prevalent in early childhood. Speech-language pathologists are in a unique position to expand surveillance of sleep problems, which in turn may contribute to communication difficulties. We conducted a feasibility study of speech-language pathologist screening for behavioral sleep problems and sleep-disordered breathing symptoms at a multidisciplinary evaluation and treatment center.MethodsSpeech-language pathologists administered screeners to parents of 2–6-year-olds: the Short Form-Children's Sleep Habits Questionnaire (for behavioral sleep problems) which includes an item asking if the child has a sleep problem (yes/no), and the pediatric sleep questionnaire (for sleep-disordered breathing). Speech-language pathologists participated in pre- and post-screening focus groups. Pre-screening topics included professional preparation and clinical experience regarding pediatric sleep issues. Post-screening, speech-language pathologists provided feedback about the screening experience and feasibility of incorporating such screening into practice.ResultsAmong 51 children, 31% (16/51) screened positive for sleep-disordered breathing, 78% for behavioral sleep problems (40/51), and 43% (12/28) per parent report. Parent-reported problems were associated with sleep-disordered breathing (p?=?0.00) but not behavioral sleep problems (p?=?0.24). During focus groups, speech-language pathologists reported no formal pediatric sleep training, high parent concern about sleep, and agreed that screening fit their professional mandate. Speech-language pathologists affirmed that the ?15 min screenings integrated seamlessly into practice but that additional training, particularly for sleep-disordered breathing, was needed.ConclusionsThe prevalence of sleep problems in 2–6-year-olds presenting to speech-language pathologists was higher than in community samples, but consistent with data from young children with developmental disabilities. Speech-language pathologists endorsed the utility and feasibility of sleep problem screening and education in their clinical practice.ImplicationsIntegrating sleep problem screening and education into speech-language pathologist practice is feasible and could widen surveillance of both sleep problems and risk factors for developmental language disorders. Further research should include larger samples and other settings, e.g. home or school. En ligne : http://dx.doi.org/10.1177/23969415211035066 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=459
in Autism & Developmental Language Impairments > 6 (January-December 2021) . - 23969415211035066[article] Sleep problem screening of young children by speech-language pathologists: A mixed-methods feasibility study [Texte imprimé et/ou numérique] / Karen BONUCK, Auteur ; Risa BATTINO, Auteur ; Ida BARRESI, Auteur ; Kathleen MCGRATH, Auteur . - 23969415211035066.
Langues : Anglais (eng)
in Autism & Developmental Language Impairments > 6 (January-December 2021) . - 23969415211035066
Mots-clés : Autism spectrum disorder attention deficit hyperactivity disorder behavioral sleep problems children’s sleep habits questionnaire obstructive sleep apnea pediatric sleep questionnaire sleep-disordered breathing speech-language pathologist Index. décimale : PER Périodiques Résumé : Background & AimsPoor sleep in young children imperils language learning and use. Both sleep and language problems are prevalent in early childhood. Speech-language pathologists are in a unique position to expand surveillance of sleep problems, which in turn may contribute to communication difficulties. We conducted a feasibility study of speech-language pathologist screening for behavioral sleep problems and sleep-disordered breathing symptoms at a multidisciplinary evaluation and treatment center.MethodsSpeech-language pathologists administered screeners to parents of 2–6-year-olds: the Short Form-Children's Sleep Habits Questionnaire (for behavioral sleep problems) which includes an item asking if the child has a sleep problem (yes/no), and the pediatric sleep questionnaire (for sleep-disordered breathing). Speech-language pathologists participated in pre- and post-screening focus groups. Pre-screening topics included professional preparation and clinical experience regarding pediatric sleep issues. Post-screening, speech-language pathologists provided feedback about the screening experience and feasibility of incorporating such screening into practice.ResultsAmong 51 children, 31% (16/51) screened positive for sleep-disordered breathing, 78% for behavioral sleep problems (40/51), and 43% (12/28) per parent report. Parent-reported problems were associated with sleep-disordered breathing (p?=?0.00) but not behavioral sleep problems (p?=?0.24). During focus groups, speech-language pathologists reported no formal pediatric sleep training, high parent concern about sleep, and agreed that screening fit their professional mandate. Speech-language pathologists affirmed that the ?15 min screenings integrated seamlessly into practice but that additional training, particularly for sleep-disordered breathing, was needed.ConclusionsThe prevalence of sleep problems in 2–6-year-olds presenting to speech-language pathologists was higher than in community samples, but consistent with data from young children with developmental disabilities. Speech-language pathologists endorsed the utility and feasibility of sleep problem screening and education in their clinical practice.ImplicationsIntegrating sleep problem screening and education into speech-language pathologist practice is feasible and could widen surveillance of both sleep problems and risk factors for developmental language disorders. Further research should include larger samples and other settings, e.g. home or school. En ligne : http://dx.doi.org/10.1177/23969415211035066 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=459