• Title/Summary/Keyword: parent-implemented intervention

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Parent-Implemented Behavioral Interventions for Challenging Behavior of Young Children with Developmental Disabilities: A Review of Effective Approaches

  • Park, Ju Hee
    • International Journal of Human Ecology
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    • v.14 no.2
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    • pp.25-40
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    • 2013
  • Addressing challenging behavior in young children with special needs is an important issue. This study analyzed the results of literature on parent-implemented behavioral interventions designed to manage the challenging behavior of children with developmental disabilities under 8 years of age. Seventeen relevant studies published in peer-reviewed English journals during the last 15 years were selected for review. The literature review showed that adequately trained parents can serve as a competent intervention agent, thereby making significant contributions to mitigating children's behavior problems. The reviewed studies also demonstrated that parents could play a variety of important roles such as informants and trainers in behavioral interventions. However, the conclusions on parent-implemented behavioral intervention may be tentative rather than conclusive due to previous research limitations including the lack of treatment integrity and social validity data. In addition, this review discussed several implications for practitioners, indicated the limitations of the reviewed studies, and presented suggestions for future research.

Parent Education for Mothers of Toddlers : Trends in Need and Knowledge Level Related to Parenting Efficacy and Parenting Stress (걸음마기 자녀를 둔 어머니의 부모교육 요구도 및 지식정도 : 그 실태와 양육효능감 및 양육스트레스와의 관계)

  • Doh, Hyun-Sim;Rhee, Sun-Hee;Oh, You-Lee;Kim, Kyung-Mee;Choi, Kyu-Ree;Kang, Na-Hyun
    • Korean Journal of Child Studies
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    • v.30 no.3
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    • pp.127-143
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    • 2009
  • Participants in this study were 207 mothers of toddlers; they completed questionnaires on their need for and knowledge level of parent education, parenting efficacy, and parenting stress. Data were analyzed by descriptive statistics and Pearson's correlation coefficients. Mothers indicated high need for parent education; their knowledge level was moderate. Most mothers answered they'd like to participate in a parent education program; their preference was for small group programs implemented for 1-2 hours in the morning on weekdays for six sessions. Mothers with more knowledge of parenting information for toddlers showed higher parenting efficacy and experienced less parenting stress.

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Effects of an Intervention Program for Mother-Child Interaction Behaviors of Mothers with Developmentally Delayed Young Children (발달지체유아 어머니의 모-자 상호작용 행동 증진 프로그램의 효과 연구)

  • Chung, Kai Sook;Roh, Jin-Hyung
    • Korean Journal of Child Studies
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    • v.25 no.5
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    • pp.73-94
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    • 2004
  • The study examined the effects of an intervention program for improving mother-child interaction behaviors of mothers with developmentally delayed young children. The program consisted of three main activities, lectures for good parenting, video-feedback of mother-child interactions, and consultation for problem behaviors of children. The subjects were 4 mothers of 5-6 years old children with developmental delays who were referred to a social competence program of a child counseling center. The mothers were identified to have problematic mother-child interaction behaviors through clinical interviews. The program ran for 16 sessions, one parent group leader implemented each session for 90-120 minutes once a week. The videotaped data of mother-child interactions for 10 minutes every 4 sessions were estimated by Maternal Behavior Rating Scale(MBRS) and qualitatively analyzed by transcription of communications between mothers and their children. It concluded that the intervention program enhanced mother-child interaction behaviors.

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Improving the Social/Communicative Skills for Mentally Challenged Children with Peer Relationship Difficulties (또래관계 형성이 어려운 아동의 기초 사회/의사소통 기술 향상 연구 : 사회적 유능성 증진 프로그램을 통하여)

  • Chung, Kai Sook;Park, Myung Hwa;Kim, Jeong-Hye
    • Korean Journal of Child Studies
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    • v.24 no.4
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    • pp.123-142
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    • 2003
  • This study examined the effectiveness of a social competence program for mentally challenged(IQ 58-74) and/or somewhat autistic 6- and 7-year old children with peer relationship difficulties. The Hierarchical Model of Social Competence by Guralnick(1992) provided the framework of the experimental program. The intervention consisted of 16 sessions: 2 intervention teachers implemented each session for 90 minutes once a week. Target behaviors were to initiate interactions with others, to respond to behaviors of teachers and peers, to participate in group activities, and to express their needs to others with speech. Data on the frequencies of target behaviors, the behavior episodes and parent reports were analyzed. Most of children became to be more sociable, although there were individual differences in the changes in target behaviors.

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Literature Review Nursing Intervention for Developmental Support on Preterm Infants (미숙아의 발달지지를 위한 간호중재에 관한 문헌연구)

  • Kim, Tae-Im;Sim, Mi-Kyung
    • Korean Parent-Child Health Journal
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    • v.4 no.1
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    • pp.35-55
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    • 2001
  • Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

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Construction of a Structural Model about Male and Female Adolescents' Alienation, Depression, and Suicidal Thoughts (남.여 청소년의 소외감, 우울과 자살생각에 관한 예측모형)

  • Lee, Eun-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.4
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    • pp.576-585
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    • 2007
  • Purpose: This study was designed to construct a structural model explaining alienation, depression, and suicidal thoughts in male and female adolescents. Method: Data was collected by questionnairs from 204 male and 208 female students selected randomly in high schools in K city Results: This study found that depression was significantly affected by alienation, and was indirectly affected through alienation by school attachment, peer relationships, and academic performance. Suicidal thoughts were greatly affected by depression, and were directly and indirectly influenced by alienation. It was confirmed that alienation turned out to be a important mediating variable, while it had a effect significant on depression and suicidal thoughts. Also there were significant differences in affecting factors among male and female students. Conclusion: Intervention strategies for preventing alienation, depression and suicidal thoughts should be different according to gender in addition, specific nursing intervention plans, including parent education and role training programs, fostering of humanistic and achievement-focused educational environment, peer support programs, and individual counselling, need to be developed and implemented to lessen a feeling of alienation from family and school.

Mother's Perception on the Effect of Using Smart Devices by Young Childen (스마트기기 이용이 유아에게 미치는 영향에 대한 어머니의 인식)

  • Minhee, Kim
    • Journal of Digital Contents Society
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    • v.18 no.3
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    • pp.517-524
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    • 2017
  • The aim of this study was to provide basic contents which are based on the appropriate understanding, use, and information of smart devices for young children. The researcher surveyed mothers regarding the effects of their children's development as a result of using smart devices. A survey of 134 mothers with three to five-year-old children currently attending daycare centers or kindergartens was carried out. By using SPSS 18.0, the collected data of survey results was implemented via t-test and F verification. Study findings are as follows: First, the result of the survey analysis indicated that most mothers perceived that using smart devices did not heavily influence their child's development. Second, the mothers' perception was varied depending on whether it was their child's the first time using smart devices, the mother's education level, and on the mother's employment situation. However, there was no difference of perception in regards to gender. The results of this study suggest the necessity of parental intervention and prevention of side effect of children 's smart device use and parent education program.

Mediating Effect of Self-Efficacy in the Relationship between Parenting Attitude and Rational Career Decision-Making Type of Middle School Students (부모의 양육태도와 중학생 자녀의 합리적 진로의사결정 유형 관계에서 자기효능감의 매개효과)

  • Park, Young-Saing;Byun, Sang-Hae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.317-331
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    • 2016
  • This study was carried out as a preliminary study to analyze the effect of parenting attitudes on the career decision-making types of middle school students. We analyzed the mediating effect of self-efficacy to develop a program that can be implemented jointly at home and at school to help middle school students who are facing the Free Semester System in 2016 to form an ideal career decision-making type. To that end, a survey was conducted with 345 students attending a middle school located in Northern Seoul, and the 335 valid questionnaires were analyzed using SPSS v22. In the sociodemographic analysis, there was no difference in parenting attitudes between groups in terms of religion and family income. The democratic attitude of parents had the greatest impact on the rational career decision-making type, while the permissive attitude had a partial effect. The authoritarian attitude had no effect. Self-efficacy had a mediating effect in only the relationship between democratic parenting attitude and the rational career decision-making type. These findings imply that to help middle school students form a rational career decision-making type, intervention in variables other than self-efficacy is necessary in addition to parent education.

Relationship between depression and resilience in adolescents with congenital heart disease (선천성심질환 청소년의 우울과 극복력의 관계분석)

  • Moon, Ju Ryoung;Jung, Yoen Yi;Huh, June;Kang, I-Seok;Park, Seung Woo;Yang, Ji-Hyuk;Jun, Tae-Gook;Kim, Myung Ja;Lee, Heung Jae
    • Clinical and Experimental Pediatrics
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    • v.49 no.5
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    • pp.523-528
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    • 2006
  • Purpose : The purpose of this study was to investigate the relationship between depression and resilience in adolescents with congenital heart disease(CHD) and to identify the variables associated with depression. Methods : The Resilience Scale(cronbach's ${\alpha}=0.92$), Children's Depression Inventory(cronbach's ${\alpha}=0.72$) and Maternal Behavior Research Instrument(cronbach's ${\alpha}=0.88$) were applied and analyzed to assess depression and resilience among 231 adolescents after surgery for CHD from three major cardiac centers in Korea. This group consist of 114 males and 117 females. The mean age was 15.8 years(range : 13-18 years). The clinical severity of illness was rated by CHD functional index and NYHA functional class. Results : The mean score for depression and resilience was 16.74(range : 0-49) and 115.84(range : 70-132) respectively. Depression was significantly related to age(r=0.25, P<0.001) and NYHA functional class(r=0.35, P<0.001), as well as being negatively correlated with oxygen saturation(r=-0.39, P<0.001), academic achievement(r=-0.41, P<0.001), parental attitude(r=-0.49, P<0.001) and resilience (r=-0.59, P<0.001). The results of multiple regression analysis showed that parental attitude(${\beta}=-0.48$, P<0.01) and resilience(${\beta}=-0.62$, P<0.01) were related to depression. Conclusion : This study demonstrated that adolescents with CHD had a higher resilience and were less depressed with an affectionate parent. With respect to medical and nursing intervention programs, it is essential to identify strengths of adolescents with CHD in order to increase their resilience. Additionally, it is also important that parenting and counseling programs be implemented for the parents of adolescents with CHD.