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Supporting caregivers of children with developmental disabilities: Findings from a brief caregiver well-being programme in South Africa / Nola CHAMBERS ; David ROSENSTEIN ; Petro ERASMUS ; Petrus J. DE VRIES in Autism, 28-1 (January 2024)
[article]
Titre : Supporting caregivers of children with developmental disabilities: Findings from a brief caregiver well-being programme in South Africa Type de document : Texte imprimé et/ou numérique Auteurs : Nola CHAMBERS, Auteur ; David ROSENSTEIN, Auteur ; Petro ERASMUS, Auteur ; Petrus J. DE VRIES, Auteur Article en page(s) : p.199?214 Mots-clés : acceptance and commitment therapy Africa caregiver mental health caregiver well-being dissemination and implementation research global mental health low- and middle-income countries Well-Beans for Caregivers World Health Organization Caregiver Skills Tr Index. décimale : PER Périodiques Résumé : Caring for children with developmental delays or disabilities places significant stress on caregivers, which is often exacerbated in low-resource settings. The World Health Organization developed a caregiver skills training for families of children with developmental delays or disabilities, which includes a three-session caregiver well-being module based on Acceptance and Commitment Therapy, that aims to help caregivers build psychological flexibility (i.e. the ability to focus on the present moment, make space for difficult thoughts and emotions and commit to value-driven actions that enrich their lives). We investigated whether this brief caregiver well-being programme was feasible, acceptable and contributed to positive outcomes for caregivers in a rural South African town. We adapted the intervention to the local context using a participatory approach. The ?Well-Beans for Caregivers? adaptation of the World Health Organization Caregiver Skills Training Caregiver Wellbeing module was then delivered by trained facilitators to a group of 10 caregivers in three weekly, 2-h sessions. Most caregivers were single and unemployed. Feedback from the facilitators, caregivers and trainee observers was obtained before, during and after the programme. Results suggested that this brief programme shows promise as a feasible and acceptable intervention, which may lead to improved caregiver well-being and mental health in communities in South Africa. Lay abstract Young children with developmental disabilities and delays who live in low- and middle-income countries are at significant risk of not reaching their full potential. We know that daily interactions with their caregivers (parents or other people taking care of them) play an important role in promoting their development. However, having a child with developmental disabilities can have a negative impact on carers? mental health and well-being, which in turn can influence their capacity to care for their children. To date, very little attention has been given to the caregivers? capacity to care. The World Health Organization developed a Caregiver Skills Training programme which includes a brief, three-session module that focuses on improving caregivers? well-being and mental health. This well-being programme is based on acceptance and commitment therapy. Acceptance and commitment therapy shows increasing evidence of helping people respond to their stressors, thoughts, feelings and experiences a little differently and commit to small changes that are in line with their personal values. Acceptance and commitment therapy has shown promise in improving feelings of well-being in caregivers of children with developmental disabilities. We adapted the World Health Organization Caregiver Skills Training Caregiver well-being module to suit the South African context. The resultant ?Well Beans for Caregivers? was then delivered to caregivers from a rural, low-resource setting in South Africa. We found the intervention easy to implement, highly acceptable to caregivers and showed promising impacts on caregivers? well-being and mental health. This intervention has the potential to be implemented widely and sustainably to build caregivers? capacity to care for their children. En ligne : https://dx.doi.org/10.1177/13623613221133182 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519
in Autism > 28-1 (January 2024) . - p.199?214[article] Supporting caregivers of children with developmental disabilities: Findings from a brief caregiver well-being programme in South Africa [Texte imprimé et/ou numérique] / Nola CHAMBERS, Auteur ; David ROSENSTEIN, Auteur ; Petro ERASMUS, Auteur ; Petrus J. DE VRIES, Auteur . - p.199?214.
in Autism > 28-1 (January 2024) . - p.199?214
Mots-clés : acceptance and commitment therapy Africa caregiver mental health caregiver well-being dissemination and implementation research global mental health low- and middle-income countries Well-Beans for Caregivers World Health Organization Caregiver Skills Tr Index. décimale : PER Périodiques Résumé : Caring for children with developmental delays or disabilities places significant stress on caregivers, which is often exacerbated in low-resource settings. The World Health Organization developed a caregiver skills training for families of children with developmental delays or disabilities, which includes a three-session caregiver well-being module based on Acceptance and Commitment Therapy, that aims to help caregivers build psychological flexibility (i.e. the ability to focus on the present moment, make space for difficult thoughts and emotions and commit to value-driven actions that enrich their lives). We investigated whether this brief caregiver well-being programme was feasible, acceptable and contributed to positive outcomes for caregivers in a rural South African town. We adapted the intervention to the local context using a participatory approach. The ?Well-Beans for Caregivers? adaptation of the World Health Organization Caregiver Skills Training Caregiver Wellbeing module was then delivered by trained facilitators to a group of 10 caregivers in three weekly, 2-h sessions. Most caregivers were single and unemployed. Feedback from the facilitators, caregivers and trainee observers was obtained before, during and after the programme. Results suggested that this brief programme shows promise as a feasible and acceptable intervention, which may lead to improved caregiver well-being and mental health in communities in South Africa. Lay abstract Young children with developmental disabilities and delays who live in low- and middle-income countries are at significant risk of not reaching their full potential. We know that daily interactions with their caregivers (parents or other people taking care of them) play an important role in promoting their development. However, having a child with developmental disabilities can have a negative impact on carers? mental health and well-being, which in turn can influence their capacity to care for their children. To date, very little attention has been given to the caregivers? capacity to care. The World Health Organization developed a Caregiver Skills Training programme which includes a brief, three-session module that focuses on improving caregivers? well-being and mental health. This well-being programme is based on acceptance and commitment therapy. Acceptance and commitment therapy shows increasing evidence of helping people respond to their stressors, thoughts, feelings and experiences a little differently and commit to small changes that are in line with their personal values. Acceptance and commitment therapy has shown promise in improving feelings of well-being in caregivers of children with developmental disabilities. We adapted the World Health Organization Caregiver Skills Training Caregiver well-being module to suit the South African context. The resultant ?Well Beans for Caregivers? was then delivered to caregivers from a rural, low-resource setting in South Africa. We found the intervention easy to implement, highly acceptable to caregivers and showed promising impacts on caregivers? well-being and mental health. This intervention has the potential to be implemented widely and sustainably to build caregivers? capacity to care for their children. En ligne : https://dx.doi.org/10.1177/13623613221133182 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519 Associations of conflict and migration on childhood cognitive development in Ethiopia: Evidence from a longitudinal study / Lina Y. DEMIS in Journal of Child Psychology and Psychiatry, 63-11 (November 2022)
[article]
Titre : Associations of conflict and migration on childhood cognitive development in Ethiopia: Evidence from a longitudinal study Type de document : Texte imprimé et/ou numérique Auteurs : Lina Y. DEMIS, Auteur ; Jeremy C. KANE, Auteur ; Martha Claire GREENE, Auteur Article en page(s) : p.1279-1287 Langues : Anglais (eng) Mots-clés : Child Child, Preschool Humans Infant Longitudinal Studies Ethiopia/epidemiology Child Development Cognition Educational Status Cognitive development caregiver mental health conflict migration Index. décimale : PER Périodiques Résumé : BACKGROUND: Migration has substantial consequences on the wellness of affected households, thereby exposing children to circumstances that are detrimental for healthy cognitive development. This study evaluates the relationship between conflict and migration during conception or early childhood and childhood cognitive development outcomes among families in Ethiopia. We hypothesized that migration is associated with worse cognitive development outcomes among children and that this association is mediated by educational disparities and caregiver psychological distress. METHODS: The study used longitudinal data of children enrolled in the Young Lives Study (YLS) conducted in Ethiopia during 2002 (age 1), 2006-2007 (age 5), and 2009-2010 (age 8). We used multivariate linear and logistic regression to analyze the association between migration on cognitive development during middle childhood. Household migration and caregiver psychological distress were measured during round 1, type of education was measured at round 2, and cognitive development was measured at round 3. RESULTS: Results of the multivariate regression analysis showed that migrant children achieved lower scores on a test of verbal intelligence after controlling for sex, ethnicity, religion, and caregiver distress (Î2: -8.09; 95% CI: -15.33, -0.85). Results of the mediation analysis show that the type of schooling that children attended, but not caregiver psychological distress, mediated the association between migration and cognitive development. Migrant children were more likely to attend private schools, which buffered the association between migration and lower cognitive development. CONCLUSIONS: This study suggests that migration is a key determinant of childhood cognitive development among migrated populations. More research is needed to build the evidence base to support interventions for this growing, underserved population. En ligne : http://dx.doi.org/10.1111/jcpp.13571 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490
in Journal of Child Psychology and Psychiatry > 63-11 (November 2022) . - p.1279-1287[article] Associations of conflict and migration on childhood cognitive development in Ethiopia: Evidence from a longitudinal study [Texte imprimé et/ou numérique] / Lina Y. DEMIS, Auteur ; Jeremy C. KANE, Auteur ; Martha Claire GREENE, Auteur . - p.1279-1287.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 63-11 (November 2022) . - p.1279-1287
Mots-clés : Child Child, Preschool Humans Infant Longitudinal Studies Ethiopia/epidemiology Child Development Cognition Educational Status Cognitive development caregiver mental health conflict migration Index. décimale : PER Périodiques Résumé : BACKGROUND: Migration has substantial consequences on the wellness of affected households, thereby exposing children to circumstances that are detrimental for healthy cognitive development. This study evaluates the relationship between conflict and migration during conception or early childhood and childhood cognitive development outcomes among families in Ethiopia. We hypothesized that migration is associated with worse cognitive development outcomes among children and that this association is mediated by educational disparities and caregiver psychological distress. METHODS: The study used longitudinal data of children enrolled in the Young Lives Study (YLS) conducted in Ethiopia during 2002 (age 1), 2006-2007 (age 5), and 2009-2010 (age 8). We used multivariate linear and logistic regression to analyze the association between migration on cognitive development during middle childhood. Household migration and caregiver psychological distress were measured during round 1, type of education was measured at round 2, and cognitive development was measured at round 3. RESULTS: Results of the multivariate regression analysis showed that migrant children achieved lower scores on a test of verbal intelligence after controlling for sex, ethnicity, religion, and caregiver distress (Î2: -8.09; 95% CI: -15.33, -0.85). Results of the mediation analysis show that the type of schooling that children attended, but not caregiver psychological distress, mediated the association between migration and cognitive development. Migrant children were more likely to attend private schools, which buffered the association between migration and lower cognitive development. CONCLUSIONS: This study suggests that migration is a key determinant of childhood cognitive development among migrated populations. More research is needed to build the evidence base to support interventions for this growing, underserved population. En ligne : http://dx.doi.org/10.1111/jcpp.13571 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490