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Tesi sul tema "Clinic of the child"
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1
Hay, Andrea. "The Cape Town Child Guidance Clinic, 1935-1971 : an historical analysis". Master's thesis, University of Cape Town, 1990. http://hdl.handle.net/11427/17273.
Testo completoAbstract (sommario):
Bibliography: pages 47-49.The study traced certain themes in the history of the Child Guidance Clinic during the period 1935 to 1971, in order to support the following hypotheses: (1) The establishment and development of the Clinic corresponded to the rise and growth of clinical psychology in South Africa. (2). The development of clinical psychology in this country reflected international developments in the field. (3) The practice of psychology was initially ensconced in education. (4) The role of the psychologist expanded in conjunction with the expansion of the psychologists' knowledge base. (5) As a result of the growth in practical and applied psychology, the professionalization of psychology emerged. The study aligned itself generally with those historiographies that view the history of psychology from a contextual approach. The work of Rose (1985) and Van Hoorn (1983) in particular, broadly informed the way in which the study was approached. Archival data consisting of the Clinic's Annual Reports dating from 1935 to 1972 were used as primary sources. A semi-structured interview was conducted with the past director, Dr. Grover. The development of the Clinic was placed within the context of the Mental Hygiene Movement of the early 1900s. An analysis of the Clinic's work illustrated its close involvement in education, in the form of identifying "problem" children arising initially mainly from the school. The importance ascribed to intelligence testing was indicated. The subsequent growth of a base of psychological knowledge and an increased specialist psychological role was then explored in relation to the procedure followed at the Clinic. It was argued that psychologists occupied a dominant position within the Clinic's multi-disciplinary team, their knowledge base became more specialized over time, as shown from an analysis of the classificatory systems used, and that the Clinic succeeded in popularizing psychology to the general public. The development of the Clinic was then placed against the background of the issues of professionalization in South Africa. It was shown how, being situated between university, educational and clinical practice, the Clinic constituted an appropriate setting for the future training of clinical psychologists in South Africa. The developments in clinical psychology in this country were broadly compared to those within the international realm throughout the text.
2
Chikosi, Veronica. "Clinic-referred conduct problem children, a description of child and family characteristics". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/MQ33353.pdf.
Testo completo
3
Melvill, Ann. "The UCT Child Guidance Clinic : changing client profile and policies in the 1990s". Master's thesis, University of Cape Town, 2000. http://hdl.handle.net/11427/7861.
Testo completoAbstract (sommario):
Includes bibliographical references (leaves 143-158).As UCT Child Guidance Clinic (CGC) practice and policy shifted markedly in response to the political turmoil and parallel crisis in South African psychology during the 1980s, this study investigates the effects of the ""new"" South Africa on CGC practice and clientele during the 1990s.
4
M'soka, Namakau C. S. "Beliefs of women receiving maternal and child health services at Chawama Clinic in Lusaka, Zambia regarding pregnancy and child birth". Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/509.
Testo completoAbstract (sommario):
Thesis M. Med.(Family Medicine))University of Limpopo (Medunsa Campus), 2010.The experience of child birth occurs in all cultures and is important for the continuation of a community. Beliefs related to pregnancy and child birth though usually harmless may at times be detrimental to the health and well being of women that may practice them. The adherence to such beliefs depends on the socio cultural background of individuals and the importance they place on their cultural practices. Aim and objectives The study aimed to explore the health beliefs regarding pregnancy and childbirth of women attending the antenatal clinic at Chawama Health Center in Lusaka Zambia. The main study objectives were to determine the demographic characteristics of the women and ascertain their beliefs regarding diet, behaviour and belief in the use of herbs during pregnancy, delivery and the post natal period. Methods A descriptive, cross-sectional survey was conducted. A 32 item questionnaire was administered to 294 women over a four week period by two research assistants, after obtaining informed consent. Results Results indicate that traditional beliefs were wide spread among the participants though few significant associations were demonstrated. Dietary beliefs that what is eaten could ix affect the progress of labor or the unborn child’s appearance or behaviour were popular. Negative behaviour such as quarrelling or infidelity was believed could lead to difficult labour or adverse outcomes. Herbs were generally believed to be useful for certain indications such as to assist labour or for ‘cleansing’ after miscarriage. Conclusion Health beliefs regarding pregnancy and child birth are an integral part of the community and to be discussed in order to have some influence on them. Continued dialogue is recommended though current clinic health education sessions and qualitative studies to explore other beliefs and myths that are arising out of new health concerns such as HIV.
5
Richardson, Joseph, e Amanda Stoltz. "Improving Resident Physician Understanding of Requirements for Well Child Examinations in an East Tennessee Family Medicine Primary Care Clinic". Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/25.
Testo completoAbstract (sommario):
Well-Child Examinations are an integral part of monitoring growth and development for children. These visits allow for establishment of a therapeutic relationship between patient and caregiver, and provide opportunities to screen for underlying conditions while simultaneously following growth and development milestones. Well-child examinations provide opportunities for parents to voice concerns and help to identify those children at risk for delays or underlying medical conditions. When these conditions are identified early, they tend to have an improvement of outcomes. Since the core items to be included in wellness examinations vary by age, insurance provider, and risk factors, our aim is to measure and improve the knowledge and comprehension of examination components among a group of Family Medicine resident physicians that provide primary care to a pediatric population. Provider knowledge and understanding was measured by means of a set of multiple-choice questions prior to an educational session. A post-educational examination was then administered to assess recruitment and retention of information. There appeared to be an overall positive trend toward increased knowledge base following the education session, indicating and improvement of understanding and medical knowledge.
6
Daniels, Aneesa. "An evaluation of the Learning Support Group programme at the UCT Child Guidance Clinic". Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/10395.
Testo completoAbstract (sommario):
Includes abstract.Includes bibliographical references (leaves 95-107).
The objective of the Learning Support Group (LSO) programme at the UCT Child Guidance Clinic (COC) is to develop the academic and psychosocial functioning of children with learning difficulties. The programme operates on the rationale that remediation alone cannot address the multiple needs of the learning-disordered child, and that psychotherapeutic intervention for the child and for his or her parents may enhance the 'child's academic, emotional and behavioural functioning. This study evaluated the programme outcomes for the child participants (n=6), and for the participating parents (n=9), of the 2006 LSO programme. A single-group pre- and post-measures design was used. Data were triangulated from multiple sources including pre- and post-intervention semi-structured interviews with the children and with their parents, qualitative reports from the children's teachers, parents' and teachers' ratings of the children's cognitive and behaviour problems on the Conners' Rating Scales - Revised, the children's school reports, and scholastic tests conducted by the LSO remedial teacher. A combination of qualitative and quantitative analytic methods were employed. Findings from the evaluation indicated a statistically significant improvement in the children's academic functioning and in their problem behaviours, and qualitative reports of progress in their social relationships. The participating parents' reported that their knowledge and understanding of learning disorders had increased, alongside the acquisition of parenting and homework strategies. Parents also experienced positive shifts in their parenting style and in their relationship with their child. Given a number of methodological limitations, the extent to which the LSO intervention is responsible for these shifts cannot be conclusively established, however, the findings suggest considerable promise for its efficacy. Recommendations for the evaluation of similar programmes are offered, based on the lessons learned from the current study.
7
Lommerse, Kinke. "HIV testing rate and seroprevalence among people attending a mental health clinic in rural Malawi". Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11484.
Testo completoAbstract (sommario):
This study was undertaken to assess HIV-prevalence, uptake of HIV-care, general clinical characteristics and risk factors among a population visiting a mental health clinic in a rural Malawian district hospital.
8
Matthews, Catherine Henson. "The Influence of Self-Monitoring on Return Rate Following Intake at a Child Guidance Clinic". Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc330723/.
Testo completoAbstract (sommario):
Research has yet to identify any characteristics of clients, therapists, or treatment dyads which consistently identify those clients most likely to drop out of treatment. A frame of reference which may prove useful in identifying such clients is the social psychological construct of selfmonitoring. This theory proposes that individuals involved in any social encounter differ from each other in their approach to constructing a relevant self-presentation. High self-monitors emphasize matching their behavior to situational cues while low self-monitors match their behavior to perceived internal values and traits. The present study demonstrates the effects that selfmonitoring styles of therapists and clients have on the effectiveness of a therapeutic intake interview and the client's decision whether or not to return for treatment. Additionally examined are the effects of therapist selfmonitoring style on theoretical orientations toward psychotherapy. The hypothesis that pairings of high self-monitors would be most effective is tested by Chi-square and found to be nonsignificant. Using the Chi-square test, low self-monitoring therapists are found to endorse a single approach to therapy and to strongly endorse the psychoanalytical orientation. Low self-monitors are found to be eclectic in approach. Satisfaction with the interview is examined using ANOVA. Results are nonsignificant with the exception that low self-monitoring therapists are more satisfied with the intake interview than are high selfmonitoring therapists. Finally, within-cell Pearson correlations are examined to measure agreement about satisfaction between therapist and client. Pairs of high self-monitors show the highest rate of agreement. Implications for further research in this area are discussed.
9
Naicker, Allengary. "An exploratory study : the family's experience of the initial interview at the Child Guidance Clinic". Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/8040.
Testo completoAbstract (sommario):
This project was an evaluation of the initial interview as experienced by a sample of six families who utilised the services of the CGC in 2003. Families were given a semi-structured interview schedule which focussed on a number of common experiences of the assessment interview. A thematic analysis was employed to understand this qualitative enquiry into the family's perception of a service sometimes criticised as traditional, elitist and contradictory to the proposal that a broader, more community based intervention be proffered.
10
Johnson, Ameika Mae. "Parental emotion socialisation and child temperament: Associations with clinic-referred conduct problems in early childhood". Thesis, The University of Sydney, 2015. http://hdl.handle.net/2123/14291.
Testo completoAbstract (sommario):
There is increasing interest in the role of parental emotion socialisation behaviours (ESBs) in the prevention and treatment of early childhood conduct problems; however, the nature of the relation between specific ESBs and severity of conduct problems remains unclear, and research with clinical populations is limited. There is evidence that this relation may be moderated by child temperament, with research demonstrating stronger associations in children who are emotionally reactive. The research on callous-unemotional (CU) traits (e.g. lack of guilt and empathy) suggests that these temperament-related features may also moderate the relation between ESBs and conduct problem severity, and that CU traits may be directly associated with ESBs. The present study is the first to examine relations between these variables in a clinic-referred early-childhood sample. A sample of 87 clinic-referred toddlers aged 24 to 54 months was utilised. Primary caregivers completed measures of parental reactions to emotions, discipline practices, child temperament and conduct problems. Warmth and positive affect in the parent-child relationship (i.e. mutually responsive orientation; MRO) was coded from observed interactions in a subset of the sample (n = 55). Results revealed that punitive and minimising (‘unsupportive’) reactions to child emotion uniquely predicted conduct problem severity, independent of ineffective discipline, parental depression and the affective quality of the parent-child relationship. Emotional reactivity moderated the relation between unsupportive reactions and conduct problems, such that it was significant only for children high in emotional reactivity. CU traits were not associated with ESBs, and did not moderate the association between ESBs and conduct problem severity. Findings suggest that unsupportive reactions to emotions may be of specific importance in early childhood conduct problems, particularly for children with temperamental vulnerabilities.
11
Bodhani, Amit Ravindra. "Parenting, Home Environment, and Child Obesity: A Survey of Parents and Children Attending a Pediatric Clinic". Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etd/2162.
Testo completoAbstract (sommario):
Data were collected from 60 parents of children 5-11 years of age to describe the parental and family factors and explore the associations of these factors with children's Body Mass Index (BMI) percentiles. Mother's made up 81.7% of the sample. Whites/Caucasians comprised 88.3% of the sample. Males comprised 51.6% of the child participants while females comprised 48.3%. Among the child participants, 38.3% had BMI equal to or greater than the 95th percentile, and 6.7% had BMI 85th to less than 95th percentile. Concerns about child weight (rs = 0.582), pressure to eat (rs = -0.433), and monitoring (rs = 0.348) were found to be significantly associated with children's BMI percentile. There are variations in influence of parenting and home environments on children's eating and physical activity, and in the eating and physical activity habits amongst families. Consideration of parental and family factors is needed in developing child obesity prevention programs.
12
Mvo, Ntombizodumo. "A study of the relationship between maternal obesity and child under-nutrition in African women attending a child health clinic in Khayelitsha, Cape Town". Master's thesis, University of Cape Town, 1999. http://hdl.handle.net/11427/26599.
Testo completoAbstract (sommario):
Background: Malnutrition, manifesting as obesity in women and under-nutrition in children, is a major public health problem in South Africa. There is a multitude of epidemiological evidence reflecting the extent and health effects of these problems, specifically among the African communities. However, at a family level, there is a paucity of information regarding the relationship between obesity in mothers and under-nutrition in children. Studies set to explore this relationship and determinants of body size and nutrition from a cultural perspective are long overdue. Such studies would assist in identifying intervention strategies that are appropriate and effective for the population at risk. Objective: This study, therefore, investigated the relationship between the child's nutritional status and that of the mother in a peri-urban African community. It further explored knowledge, attitudes and perceptions of body size as possible determinants of obesity and under-nutrition. This will make information available for further screening and planning of culturally sensitive nutrition interventions for the population under study. Methods: The study was conducted in two phases. The first phase was an exploratory qualitative design used mainly to develop a questionnaire for the second phase. In-depth interviews were conducted with 10 obese African mothers, whose children were categorised on the 'Road-to-Health' card, as underweight. The interviews provided an understanding of the African women's' perceptions of their body sizes and nutrition regarding the child. The second phase utilised a cross-sectional analytic study design to investigate the relationship between the mother's weight and the child's weight. It further investigated the knowledge, attitudes and perceptions found in the first phase in a larger sample using appropriate statistical techniques. A systematic sample of 365 mother-child pairs attending a child health clinic over a two-month period, starting from August 1997, was selected. The sample included women between the ages of 16 and 49 years old and their children between the ages of 2 and 5 years old attending a child health clinic in Khayelitsha, a peri-urban area outside Cape Town. Anthropometric measurements of children and mothers were taken and a structured questionnaire was administered to the mothers. Findings: The qualitative study showed attitudes and perceptions of body size that were tolerant of a 'big' body image. There was a lack of knowledge regarding causes of obesity and effective ways of reducing weight, preventing chronic diseases of lifestyle and what constitutes 'good' nutrition for the child. All these findings were confirmed in the second phase of the study. The main study showed that less than half (42%) of the mothers were able to estimate their body weights. These mothers underestimated their weights, on average, by 5 kg (p=0.0001 CI: 3.5-6.8). In the total sample, 37.3% of the mothers were obese (BMI> 30kg/m2) and 33.4 % were overweight (25
13
Molina, Rivera Jorge, e Mandiola Patricio Cruz. "Centro Odontológico de Especialidades : Dental Clinic". Tesis, Universidad de Chile, 2018. http://repositorio.uchile.cl/handle/2250/167782.
Testo completoAbstract (sommario):
TESIS PARA OPTAR AL GRADO DE MAGISTER EN ADMINISTRACIONMolina Rivera, Jorge, [Parte I], Cruz Mandiola, Patricio, [Parte II]
Esta segunda parte nos presenta desde el plan de operaciones de DentalClinic hasta la oferta que se le realiza al inversionista, relevando la importancia del equipo gestor, el plan financiero y los riesgos críticos que pudiesen presentarse en el negocio. Como ya se vio en la primera parte la oportunidad del negocio está dada la falta de oferta de servicios integrales de atención odontológica de especialidades en una comuna creciente y de pujante economía derivada principalmente del sector minero, en donde la atención recae en cuatro principales prestadores que hacen diferenciación de su oferta de servicios al incluir especialidades que les permite concentrar una mayor cantidad de prestaciones y atención a los pacientes con patologías odontológicas. Es por este motivo ingresar a un mercado de capacidad instalada se hace atractivo en donde la propuesta de valor cobra gran relevancia la que a su vez debe ser sustentada en un potente plan de marketing que ayude a posicionar a DentalClinic como una real alternativa de servicios y atención integral, considerando una población objetivo de la ciudad de Antofagasta de 92.000 personas entre la estratificación ABC1 y C2, en donde el 35% de la población de la comuna tiene acceso a la salud privada y a algún tipo de seguro complementario de salud y el 12% de la población trabaja en las empresas de mayores ingresos por ventas registradas. Se considera un aumento de capital de 136 millones de pesos, de los cuales 70 millones corresponden al aporte de los inversionistas a cambio de un 49% de DentalClinic, esto considera el uso de fondos para nueve meses de implementación y 5 meses de breaken even el que incluye la inversión en Capex y Opex. Para los inversionistas se les ofrece una TIR del 19%, con un VAN de 21 millones de pesos, considerando una tasa de descuento del 12,7%. Estos valores hacen un negocio atractivo para los inversionistas de riesgo controlado por tratarse de una inversión en el sector salud cuyo valor de beta de 0,62. Todo lo anteriormente mencionado hace de DentalClinic un atractivo negocio, viable, rentable a cinco años, con una excelente valoración de salida sobre los 900 millones de pesos y con un margen neto sobre ventas al quinto año de un 20,5%.
14
Smith, Courtney, Karen E. Schetzina, David Wood e Jodi Polaha Jones. "The Family Check Up in a Pediatric Clinic: An Integrated Care Delivery Model to Improve Child Behaviors in the Home Environment". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/5008.
Testo completo
15
Shemanchuk, Carol. "Dimensions of quality in Well Child Clinic services, a comparison of community health nurses' and mothers' perceptions". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0010/MQ60175.pdf.
Testo completo
16
Plews, Caroline Margaret Coatsworth. "Clients' reports of the work of health visitors in the child health clinic and during home visits". Thesis, University of Hull, 2001. http://hydra.hull.ac.uk/resources/hull:4626.
Testo completoAbstract (sommario):
This study examines clients' reports of aspects of a single child health clinic visit and of a home visit by the health visitor. There are two foci of the thesis. First: recall; value and use of the advice/information selected by the client as the most important; second, an exploration of the meaning of support identified by some clients.Seven health visitors participated in the research, which incorporated two studies. In the first study, the researcher observed the content of discussions between 100 clients and the health visitor in child health clinics. These clients were then interviewed at home and asked questions about the advice/information received from the health visitor during theirprevious visit to the child health clinic.For the second study, information was recorded by the health visitor describing the content of 149 home visits. Clients were interviewed at home and asked similar questions regarding advice/information received from the health visitor. In addition, those clients who described receiving support were asked to describe the meaning to them of this aspectof the visit.Data analysis for both studies included descriptive and inferential statistics and content analysis.Findings from both studies indicate that recall of advice/information is related to the amount of advice/information given to the client. This may have implications for the amount of advice/information that health visitors are encouraged to provide.Advice/information received from the health visitor was generally valued and used by the mothers in both studies. Clients appeared most likely to be dissatisfied when topics had been raised which they had no interest in discussing. It is suggested that that there may be correspondence between some clients' descriptions of support, and taxonomies of social support found in social support literature. An exploration of health visiting work employing the concepts of social support is recommended.
17
Nicolaides, Catherine. "A Journey to healing : exploring clients’ experience of services in a clinic dealing with child sexual abuse". Diss., University of Pretoria, 2012. http://hdl.handle.net/2263/27564.
Testo completoAbstract (sommario):
This research served to explore the client’s experiences of services in a clinic dealing with child sexual abuse and related issues. Addressing the issue of therapeutic interventions in clinics dealing with sexual abuse victims and their caregivers – looking at how the clients experience these treatments and services and how they have made ‘meaning’ of these on their journey to healing, is something that needs to be explored in greater depth. The aim therefore of this research is to gain insight into understanding the clients’ experiences of the therapeutic services. This study will be of specific importance due to the fact that to date no literature has been identified particularly from a South African perspective on how clients make meaning of these therapeutic services at such an agency, making it difficult to compare the findings. Much of the research identified has focused on the interventions in cases of sexual abuse and have thus typically been one-sided in approach, subsequently ignoring the voices of the child victims of sexual abuse and the non-offending caregivers. The client’s experience of the therapeutic interventions will be reviewed within the context of the Teddy Bear Clinic. An interpretive phenomenological approach was used to focus on the understanding of the participant’s subjective experiences and meanings of the therapeutic interventions. The research utilised a qualitative framework which privileged first-person descriptions as the primary sources of subjective meaning. Two case studies in an organisation in Johannesburg were investigated. The case studies comprised the child victim of abuse and the non-offending care-givers that participated with the child in the therapeutic process. Therefore two children and two caregivers were included in each case study. The recruitment of participants was, to a large extent, dependent on the assistance offered by the counsellors at the Teddy Bear Clinic. Therapeutic counsellors at the Teddy Bear Clinic identified a list of clients that had just terminated or were exiting the therapeutic process and not in need of further interventions, and fit the criteria as stipulated by the researcher. Data was gathered through semi-structured interviews of each participant. The analysis was carried out using thematic analysis which revealed the meaning of their experiences. The following themes emerged through the analysis and were used to explore the client’s experience and assignment of meaning to the therapeutic services: (1) background influences. Various sub-themes emerged from this theme: (1a) shame, guilt and fear of punishment (1b) developmental stages, (1c) relationship with stepmother, (1d) legal issues, (1e) marital and parenting difficulties, (1f) outside support structures and (1g) previous relationship with counsellor. The second main theme included; (2) the voices of children and caregivers on the therapeutic experience. The various sub-themes that emerged from this were; (2a) the therapeutic relationship, (2b) the role of the therapist, (2c) being kept in the loop – feedback and introductions, (2d) clarification and support for the caregiver (2e) giving back – peer support groups, and (2f) teddy bears and the therapeutic process. Thus the main findings that emerged from this study involves ‘background influences’, that clients present to the medico-legal clinic for rape or sexual abuse. However, background influences have a profound effect on the therapeutic relationship and the experience of the clinic’s services, as seen in the interrelationships that are interwoven with the presenting problem. A second finding emerging from the voices of the children and caregivers foresee that services could be improved in the following ways. Providing feedback and clarification of the therapeutic process; receiving an introductory brochure which highlights what services the clinic provides and resources available to the clients. Caregiver and peer support groups was another very important element that the clients expressed as a necessary and vital part of the services and interventions that the clinic could offer the clients. Finally, a positive element to the therapeutic interventions which helped the children cope and eased the caregivers anxiety were found to be the handing out of teddy bears which is symbolic of the Teddy Bear Clinic and should continue to be a cornerstone of the therapeutic intervention and introduction to the clinic. The study, while achieving its goal of providing some understanding of how the clients experience these interventions at this medico-legal clinic, highlights the need for further exploration of how clients experience these services and interventions at other clinics dealing with sexual abuse, particularly from a South African perspective.Dissertation (MA)--University of Pretoria, 2012.
Psychology
unrestricted
18
Twiggs, Jennifer. "A time-limited group intervention to promote social competance in children referred to a child guidance clinic". Master's thesis, University of Cape Town, 1993. http://hdl.handle.net/11427/17409.
Testo completoAbstract (sommario):
Bibliography: pages 45-49.Poor peer relationships and low self-esteem are common attributes of children referred to a Child Guidance Clinic. Peer relationships and self-esteem exert a synergistic effect on one another, both acting as bidirectional sources of stress or support ('protective factors' or 'risk factors'). While positive peer relationships are important for healthy social, cognitive and psychological development, poor relationships in childhood predate adult adjustment problems. In particular, peer relationships and the social bonds that maintain self-esteem play a role in the development, symptomatology, course and outcome of childhood depression. Thus, intervening on the level of peer relationships and self-esteem may be an important aspect of a comprehensive treatment programme for children which considers the impact of the broader social environment on a child's psychological development. Literature suggests that cognitively-based 'social-skills training' or 'social-competence promotion' programmes can significantly improve sociometric status and self-esteem, and that groups are an appropriate modality for working with children. This study described and evaluated an 8 session group intervention which targeted interpersonal relationships through: (i) building self-esteem; (ii) teaching social skills; and (iii) developing interpersonal cognitive problem-solving skills. 2 girls and 5 boys aged 8-9 years with poor peer relationships participated in the intervention. Activities designed to teach circumscribed aspects of relevant social skills formed the basis of the programme, which was applied flexibly in order to meet the changing needs of the group. In order to evaluate outcome of the intervention, qualitative and quantitative data were collected from various sources and used to support clinical assessments. Individual benefits were assessed by evaluating the response of one child against the background of the group as a whole. The measures used to evaluate outcome were: (i) a 'Party List' - a sociometric technique for collecting data about friendship choices; (ii) the Piers-Harris Children's Self Concept Scale; (iii) standard semi-structured interviews with class teachers to obtain descriptions of social and academic adjustment and peer relationships; (iv) ratings of videotaped sequences of behaviour designed to assess changes in interactive behaviour; (v) a clinical assessment of group process (which provided a qualitative assessment of individual and group functioning, and an ongoing evaluation of group process). In general, statistical measures indicated mildly positive results of variable significance. Qualitative results suggested that the intervention effected variable improvements in self-concept and general adjustment of all the children, and improvement in the peer relationships of the target child. Teachers and parents expressed positive attitudes to the intervention, and clinically trained research assistants noted distinct positive changes in the behaviour of the target child. The accuracy and conclusiveness of these results was tempered by various problems which are discussed. It could not be concluded that changes noted were due to the intervention alone, or were more effective than any other intervention or than no intervention at all. Although results were modest, the improvements made by one child were judged to be clinically significant. This type of intervention offered some advantages in that it: (i) was relatively cost effective; (ii) lends itself to development for use in the community by non-psychologists; and (iii) minimizes some of the problems inherent in long-term individual therapy or pharmacotherapy with a child. It was proposed that this form of intervention might be particularly useful as part of multimodal intervention programme, and may have implications as a preventative intervention technique.
19
Prout, Kerry K. "An Investigation of Clinically Significant Change among Child and Adolescent Clients of a Graduate-Level Training Clinic". DigitalCommons@USU, 2016. https://digitalcommons.usu.edu/etd/4775.
Testo completoAbstract (sommario):
The study investigated client outcome data for child and adolescent clients seen for outpatient psychotherapy services by graduate-level student therapists in a psychology training clinic in order to better understand change trajectories occurring in such settings and to examine whether services being offered are meaningful for youth clients. One hundred sixty-nine clients seen by graduate-level therapists at a training clinic setting were evaluated at each session using the Youth-Outcome Questionnaire 2.01 in order to identify the percentage of clients who met criteria for clinically significant change, reliable improvement, no change, or deterioration in outcomes across the course of treatment. Approximately 24% of clients seen for treatment met criteria for clinically significant change at the termination of treatment and 34% reliably improved. Survival analyses indicated the median time required to attain clinically significant change was 18 sessions, with 10 sessions required for reliable improvement. Current findings are compared to earlier investigations in youth psychotherapy outcomes and training clinic outcomes. The implications of these findings for education and training, client care and clinical services, and policy are discussed.
20
Kobayashi, Juichi 1960. "Parental deviance, parent-child bonding, child abuse, and child sexual aggression". Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/278178.
Testo completoAbstract (sommario):
Structural equation modeling was used to test a theoretical model of the etiology of the deviant sexual aggression by adolescents. The subjects were 117 juvenile male sexual offenders who had been referred from either criminal justice or social service agencies to a clinic that treated offenders. The tested theoretical model included several family factors: parental deviance, child physical and sexual abuse history, and children's bonding to their parents. The model as a whole fitted the data very well. As for the specific hypotheses in the model, physical abuse by the father and sexual abuse by males were found to increase sexual aggression by adolescents. Also, children's bonding to their mother was found to decrease their sexual aggression. These results are explained from the social learning perspective and parent-child attachment or social control perspective. Further, the directions for the future research are suggested.
21
Smith, S. Courtney, Karen E. Schetzina, Jodi Polaha, Katie Baker e David L. Wood. "The Family Check-Up in a Pediatric Clinic: An Integrated Care Delivery Model to Improve Behaviors in the Home Environment". Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/5114.
Testo completoAbstract (sommario):
This study examines the feasibility of adapting the Family Check Up (FCU), an evidence-based program to identify and manage behavioral concerns in children ages 4 and 5 years, within a pediatric primary care clinic with an integrated mental health professional. Methods: Caregivers attending their child’s 4 and 5 year-old well child visit were asked to complete a screening tool (Pediatric Symptom Checklist-17; PSC-17) measuring behavioral concerns as part of routine care. Families who screened positively, were referred to the FCU and asked to participate in a study evaluating the intervention. The FCU is a 2-session intervention during which information on home environment and parenting style was collected through tailored questionnaires, videotaped interactions, and a clinical interview. Feasibility was examined using portions of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (REAIM) framework from the Dissemination and Implementation Science field. This study presents preliminary data on the domains of Reach and Adoption over the first 5 months of the FCU. Results: The number of families referred who attended at least one session (Reach) was 77.2%. Current data shows that use of the PSC-17 screening instrument (Adoption) is 91.4% for well child checks and 25% for acute visits. Adoption of those referred to the FCU is 84%, indicating most families screening positively for behavioral concerns were successfully referred to the FCU. Conclusion: Initial results suggest Reach and Adoption rates support the feasibility of adapting a behavioral intervention for delivery in the pediatric clinic. Notably, having an existing integrated care delivery model is a critical piece to this early success. Future directions will continue to explore feasibility of the remaining REAIM domains.
22
Tucker, Faye Bronwyn. "An assessment of the Isoniazid preventative therapy programme for children in a busy primary healthcare clinic in Nelson Mandela Bay, Eastern Cape Province". Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15737.
Testo completoAbstract (sommario):
Introduction: Tuberculosis is the second leading cause of death from an infectious cause worldwide having claimed approximately 1.5 million lives in 2013. Estimates suggest that children account for about six percent of the total number of TB cases globally, however in South Africa this figure is much higher (15%). Young children are at particularly high risk of mortality and significant morbidity from TB. Despite clear evidence that Isoniazid preventative therapy (IPT) can reduce the risk of progression from TB infection to disease, IPT has been a poorly implemented component of national TB control programmes, especially in high TB-burden areas, including South Africa. This study aims to determine current practices regarding the identification and management of child contacts < 5 years in an area with an extremely high TB incidence rate where little background data exists on the topic. It will also assess the operational aspects of the TB control programme relating to the spread of TB to children. Methodology: A cross-sectional descriptive study was conducted using a retrospective review of clinic records from infectious index patients aged ≥15 years at West End clinic in the Nelson Mandela Bay health district in the Eastern Cape Province. A sample size of 246 child contacts (<5 years) was required to obtain a 95% confidence index with a 5% precision. This is based on 20% of eligible child contacts < 5years receiving IPT, as described by van Wyk, et al. (2010). 491 Index patient records were assessed in order to identify 261 child contacts < 5 years of age. Results: Contacts were generally well recorded with only 12.5% of index patient folders having no contacts documented although only 0.53 child contacts <5years were identified per index patient. A total of 261 child contacts < 5 years were identified and of these 184 (70.5%) were screened for TB. Two contacts were started on TB treatment and 108/184 (58.7%) were initiated on TB prevention therapy. For the remaining 74 (40.2%) children who were screened there was no documentation of further management. Adherence to IPT was extremely poor with only 4 (3.7%) children who started TB prevention completing the 24 week course. Female index patients were more likely to have contacts documented and to bring their contacts for screening. Contacts of index 16 patients who had previous TB were less likely to be screened and initiated on TB prevention therapy. The results of the assessment of programmatic factors relating to childhood TB control showed that patients were diagnosed and were rapidly initiated on treatment (median time of 5 days from sputum collection to commencement of treatment). It took a median of 4 days for children to be screened once the index patient had started treatment and a further 2 days (median) for child contacts < 5 years to be initiated on preventative therapy. Conclusion and recommendations: The results of this study are in keeping with those obtained in other settings with a high burden of TB. Although the documentation of contacts in this setting was relatively good, child contacts < 5 years were poorly identified and the fall-out of children at each step from identification to preventative treatment completion was still unacceptably high. Contacts of men and retreatment index patients are at particularly high risk of poor management. Recommendations are made for interventions at national and local level to improve contact management and the documentation thereof.
23
Passang, Lhamo Sherpa Jintana Yhoung-Aree. "Determinants of breastfeeding practices among mothers attending mother and child health (MCH) clinic in JDWNR Hospital Thimphu, Bhutan /". Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd406/4838049.pdf.
Testo completo
24
Liddle, Melissa Rae. "Effectiveness of Adaptive Care Plans for Children with Developmental Disabilities During Outpatient Clinic Appointments". Xavier University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1564751331604259.
Testo completo
25
Shoemaker, Griffin, Gloria Kwak, Gayatri B. MD Jaishankar e Karen E. MD MPH Schetzina. "Prenatal Drug and Related Exposures in Infant Patients of a Northeast Tennessee Pediatric Primary Care Clinic". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/18.
Testo completoAbstract (sommario):
Introduction: The prevalence of opioid abuse has increased throughout Northeast Tennessee. Subsequently, more infants are born drug-exposed or with Neonatal Abstinence Syndrome (NAS). According to the Tennessee Department of Health, hospitalizations for deliveries with maternal substance abuse tripled in Tennessee between 1999 and 2011. During this period, the inpatient hospitalization rate for NAS increased 11-fold. In 2017, there were 163 NAS cases reported in Northeast Tennessee. Depending on intrauterine and environmental exposures, there may be differences in health, growth, behavior, and development in infants. Our goal was to assess and explore those differences to help update education and care recommendations for pediatric primary care clinics.
Methods: This cross-sectional study was set in a Northeast Tennessee pediatric clinic. 120 patients seen for a newborn visit between June 30, 2013 and July 1, 2014 were randomly selected. An additional sample of all infants with suspected drug exposure was identified for this period based on diagnosis codes. In total, 99 infants had no drug exposure and 62 were drug-exposed. An 83-item chart abstraction template was developed. Data was analyzed by SPSS. The chi-squared test and Mann-Whitney U test were used, with a critical value of p<0.05 to determine significance. The Bonferroni correction was applied to account for multiple comparisons. The research protocol was reviewed and approved by the Institutional Review Board of East Tennessee State University.
Results: Of the 120 charts initially selected, 3.33% of infants were exposed to buprenorphine, 1.67% to methadone, 0.83% to marijuana, 0.83% to cocaine, and 1.67% to tobacco, 8.33% to benzodiazepine, and 1.67% to barbiturates during gestation. In total, 18.33% of infants had any drug exposure, 10.00% to any opiate, and 3.33% had a documented diagnosis of NAS in their chart. Prenatal drug exposure was significantly associated with multiple demographic factors as well as pediatric respiratory, behavioral, gastrointestinal, infectious disease, and cardiac conditions.
Conclusions: Prenatal drug exposure was significantly associated with multiple pediatric complications. This illustrates the significance of addressing the increased incidence of prenatal drug exposure in Northeast Tennessee. Future multivariate analyses will attempt to control for potential confounders. This analysis is retrospective and exploratory, and any associations should be confirmed with a prospective study. A weakness of this study includes potential under-diagnosis of drug exposure and NAS due to lack of documentation in the EHR. Additional research will include further comparison of maternal and infant complications in drug-exposed and non-exposed infants. This will allow for a better understanding of the risks associated with maternal drug exposure. Findings from these research projects will be used to inform clinical initiatives for NAS in Northeast Tennessee.
26
Hirneth, Stephen John. "Juvenile Bipolar Disorder: Evaluation of Symptom Profiles, Treatment Outcomes, and Predictors of Treatment Effectiveness for Clients from a Community Mental Health Clinic". Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/17618.
Testo completoAbstract (sommario):
This thesis describes the phenomenology and prospective course of illness for an Australian sample of youth with bipolar disorder (BD), treated with a combination of pharmacotherapy and standardised psychological intervention within a community mental health clinic. Index episode demographic, clinical and structured diagnostic interview data were collected for 88 participants (63 female) aged 8–18 years (M = 14.8, SD = 2.5) meeting DSM-IV-TR criteria for BD-I (n = 24), BD-II (n = 13) or BD-NOS (n = 51). Assessments were re-administered for 51 participants, on average 26 months following initial assessment. There was strong evidence of ongoing symptomatology, distress and impairment, and progression from subsyndromal to syndromal disorder. BD-I in youth appears to be an ongoing syndromal illness likely to be continuous with BD in adulthood. BD-II in youth follows a more benign course. BD-NOS appears to be an evolving early prodromal phase of syndromal BD. Those with adolescent-onset BD appear to have an early-onset version of classical adult BD. In contrast, childhood-onset BD phenotypes characterised by subthreshold mood symptoms and externalising symptoms do not appear continuous with adult forms of the disorder. Our findings suggest psychological interventions may reduce psychosocial impairment and duration of hospitalisation. Psychiatric admission may reduce severe mood symptoms, but not functional impairment or clinical distress. Mood stabilisers may reduce functional impairment and likelihood of suicide attempts. Recommendations are provided regarding putative risk factors, phenotypic subsyndromal profiles and proximal prodromal symptoms that should be included for further study as potential clinical high-risk syndromes for BD in future indicated prevention and secondary prevention research.
27
Shoemaker, Griffin, Gloria Kwak, Gayatri Bala Jaishankar e Karen E. Schetzina. "Prenatal Drug and Related Exposures in Infant Patients at Northeast Tennessee Pediatric Primary Care Clinic". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5032.
Testo completo
28
Nah, Hyejin. "Lo Posmoderno en Chile: El caso de The Clinic". Tesis, Universidad de Chile, 2007. http://repositorio.uchile.cl/handle/2250/109002.
Testo completo
29
Phouvanh, Vonglokham Jintana Yhoung-Aree. "Determinants of breastfeeding practices among mothers attending the well baby clinic at the mother and child health hospital, Veintiane, Lao PDR /". Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd403/4838009.pdf.
Testo completo
30
Jaishankar, Gayatri Bala, Jodi Polaha Jones, Deborah Thibeault, Robert Matthew Tolliver, V. Morris, A. Johnson e Karen E. Schetzina. "A Team Care Screening Tool to Address Social Determinants of Health in a Pediatric Primary Care Clinic". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/5034.
Testo completo
31
Dawson, Gabriel M. "Relationship Between Factors Associated with Toxic Stress and Child Behavior in the Dental Office". The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469537364.
Testo completo
32
Ireson, Deborah. "Antenatal clinic: Using ethnographic methods to listen to the voices of pregnant adolescents". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1752.
Testo completoAbstract (sommario):
Aim: This research aims to explore the motivating reasons and external influences that affect pregnant adolescents’ reasons for attending an antenatal clinic. Background: Pregnancy during adolescence has been researched from perceived ‘poor’ decision making during pregnancy and postnatal perspectives involving high-risk outcomes for mother and baby. Antenatal clinic attendance by pregnant adolescents is often characterised by late and infrequent attendance, limiting midwifery contact with this inexperienced group. Gaps in the literature exist where the real-time voices of pregnant adolescents offer their current experiences of antenatal clinic as a relevant means to inform midwifery practice.
Research design: Using ethnographic methods, this research positioned a midwife to observe pregnant adolescents for a period of nine months while they attended a public antenatal clinic in Western Australia.
Data collection and analysis: Data from participant observation was supplemented by in-depth key informant interviews. Analysis of the data was concurrent with data collection and guided by Spradley’s Developmental Research Sequence (1980). Findings: Findings revealed four themes influencing attendance for antenatal care during pregnancy: a) connecting with midwives b) the importance of the maternal mother c) supportive relationships and d) engaging with pregnancy. Themes highlighted maternal mothers are pivotal to antenatal clinic attendance; they provide guidance and antenatal advice that pregnant adolescents accept in preference to that of midwives. Adolescents are influenced to attend antenatal clinic by different milestones than those represented in midwifery care; this may provide opportunity for midwives to align themselves alongside adolescents to provide pregnancy education at moments most relevant to them.
Conclusion: Information discovered will increase midwifery knowledge of what factors bring pregnant adolescents to antenatal clinic, aiding midwives to influence regular attendance in this group. To increase pregnant adolescents’ comfort and perceptions of value, midwives may need to reconsider the traditional environment of the antenatal clinic to make better use of waiting times and become more inclusive of adolescents’ supportive relationships. Embracing web-based technology is a pathway, which may effectively assist in the successful provision of antenatal education to this age group. Non-judgemental midwives offering a caring approach to antenatal care, verifying pregnant adolescents’ individual understanding, is identified as essential to engagement with this group.
33
Thompson, Margaret J. J. "The development of community service for young children in the New Forest : joint work by a child guidance clinic with health visitors". Thesis, University of Glasgow, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.394976.
Testo completo
34
Waumsley, Samuel. "Therapy at the UCT Child Guidance Clinic : an investigation into the practice, utility and applicability of individual psychotherapy in the local context". Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/14335.
Testo completoAbstract (sommario):
Includes bibliographical references (leaves 64-73).Individual psychotherapeutic interventions conducted at the UCT Child Guidance Clinic between 2000 and 2009 were investigated with a view to offering informed conclusions on the current nature of clinical practice at the Clinic. Assuming an ecodevelopmental perspective with regards to mental health that explicitly acknowledges the potential impact of social context on individuals' lives the present research's focus centres on the role of socio-economic class and sex differences specifically on work at the Clinic. The broader influence of shifting political, historical and pedagogical contexts on such work is also explored. The 156 individual case files that make up the sample were reviewed and a broad range of clinical information was collated including data on clients' demographics, their presenting difficulties, the case formulations and intervention strategies employed as well as on clients' apparent clinical outcomes. In line with the descriptive and exploratory nature of the research design statistical analysis began with broad pivot table analyses and was followed by more focused Chi-squared analyses with key variables. Results indicated that the Clinic has shifted to working predominantly with socio-economically poorer classes over the past decade and that clients' social class had little or more likely no effect on clinical outcomes. Indeed the majority of clients in the sample were accorded positive outcomes upon termination despite a significant proportion of female clients specifically reporting histories of childhood sexual abuse and other trauma. Trainee clinicians at the Clinic appear to manage well, achieving generally positive clinical results over relatively short time frames despite their clinical inexperience and clients' often severe presenting difficulties. This attests both to the quality of the work being done at the UCT Child Guidance Clinic as well as to the power of individual work more generally to unlock individual potential in the local context.
35
Campos, Renata Carvalho. "Sintoma e fantasia como fundamentos da clÃnica psicanalÃtica com crianÃas". Universidade Federal do CearÃ, 2015. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=15694.
Testo completoAbstract (sommario):
CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superiorà consensual entre os teÃricos, a proposiÃÃo de que a psicanÃlise à uma sÃ, nÃo havendo diferenÃas entre a anÃlise de adultos e de crianÃas. Esses autores consideram, no entanto, que existem especificidades no tocante à infÃncia, decorrentes do desenvolvimento e da linguagem, cujas repercussÃes comparecem na clÃnica. Tendo em vista essas divergÃncias, questiona-se sobre a existÃncia de particularidades na psicanÃlise com crianÃas e o que elas envolvem. Trata-se de uma mera questÃo de tÃcnica? O que està para alÃm da tÃcnica e que une sob o termo psicanÃlise o tratamento de adultos e crianÃas? O que à comum Ãs duas formas de psicanalisar? Em sÃntese, o que fundamenta a clÃnica psicanalÃtica? Fundamentar remete à articulaÃÃo da teoria a um campo de experiÃncia e à nesse contexto que se insere essa pesquisa, uma vez que, ela se origina nos impasses da clÃnica e retorna à teoria numa tentativa de aprofundar a compreensÃo do trabalho analÃtico com a crianÃa. Nesse sentido, objetiva-se situar as diferenÃas que envolvem a clÃnica com crianÃas dentro da teoria psicanalÃtica, segundo as contribuiÃÃes de Freud e Lacan. Ao investigar a clÃnica psicanalÃtica nos seus fundamentos, pretende-se estabelecer princÃpios para pensar a psicanÃlise com crianÃas, questionando o discurso em favor das especificidades. Sintoma e fantasia sÃo utilizados como parÃmetros por reunirem as condiÃÃes necessÃrias para a presente investigaÃÃo, a saber: correspondem à essÃncia do que à desenvolvido num processo de anÃlise e apresentam-se independente da idade do paciente. Dessa forma, como introduÃÃo à pesquisa, aborda-se a constituiÃÃo da clÃnica psicanalÃtica com crianÃas, indicando as principais controvÃrsias acerca dessa prÃtica. As contribuiÃÃes de Lacan sÃo contempladas numa discussÃo centrada na proposiÃÃo do sujeito como um conceito que vem dirimir uma perspectiva desenvolvimentista da psicanÃlise com crianÃas, tendo em vista que o estatuto do sujeito em Lacan à Ãtico e nÃo Ãntico, referindo-se ao inconsciente. Nos capÃtulos seguintes, sintoma e fantasia inauguram outro momento da pesquisa, ao mesmo tempo em que mantÃm o diÃlogo com o anterior. Isso porque, ao situar esses dois conceitos como parÃmetros de trabalho, pretende-se compreender se a anÃlise realizada com crianÃas se distancia da proposta originalmente pensada para adultos. Nesse cenÃrio, considera-se que a presente investigaÃÃo se insere no campo da psicanÃlise com crianÃas, sem, no entanto, se restringir a ele. Acredita-se que a relevÃncia da pesquisa consista, justamente, em discutir o singular que a clÃnica com crianÃas comporta, suscitando questionamentos importantes à teoria, para, concomitantemente, localizar essas diferenÃas no campo da psicanÃlise.
36
Elisens, Merrie M. "The Cognitive and Emotional Correlates of Neglect in School Age Children". Thesis, University of North Texas, 1997. https://digital.library.unt.edu/ark:/67531/metadc278331/.
Testo completoAbstract (sommario):
The purpose of this study was to examine the cognitive and emotional functioning of neglected, physically abused, and clinical control children between six and thirteen years of age who were referred for testing at the Dallas Child Guidance Clinic.
37
Schetzina, Karen E., e Kari Hancock. "A Descriptive Study of Breastfeeding Rates, Determinants, and Resources among Disadvantaged, Rural-Residing Patients Attending a Pediatric Residency-Based Primary Care Clinic". Digital Commons @ East Tennessee State University, 2004. https://dc.etsu.edu/etsu-works/5092.
Testo completo
38
Singh, Leticia. "An oral health-related quality of life assessment of cleft patients at the Wentworth Foundation Clinic (Kwazulu-Natal)". University of the Western Cape, 2020. http://hdl.handle.net/11394/8131.
Testo completoAbstract (sommario):
Magister Chirurgiae Dentium (MChD)An analysis of the oral health related quality of life (OHRQoL) of patients with orofacial clefts at the Wentworth Foundation in Durban, KZN is presented. Objectives: To assess whether the OHRQoL of orofacial cleft patients varies amongst different age groups, genders or cleft types as well as demographic factors. Method: 46 participants, aged 8- 18, completed a self-administered Child Oral Health Impact Profile (COHIP) questionnaire. Results: The most prevalent cleft type was the Unilateral Cleft Left, 45.7%. The COHIP mean score was 84.195 (SD 18.244) ranging from 35 to 110. The age related subscales which were statistically significant included Functional well-being (p value: 0.0456), School Environment (p value: 0.0145) and Treatment Expectancy. The subscale School Environment was statistically significant for: Transport (p value: 0.0267) and Place of accommodation (p value 0.028). The Oral Health subscale and the Educational level were statistically significant (p value 0.043). Conclusion: Statistically significant age-related differences and demographic factors were noted. The OHRQoL of cleft patients was low largely due to socioeconomic factors and difficulty accessing multidisciplinary care. Therefore, our findings highlight the importance of establishing a Cleft lip and palate multidisciplinary facility for these patients in the Wentworth foundation and subsidised transport to the Wentworth Foundation is recommended.
39
Blevins, Ashley, Kari Hancock e Karen E. Schetzina. "A Descriptive Study of Breastfeeding Rates, Determinants, and Resources among Disadvantaged, Rural-Residing Patients Attending a Pediatric Residency-Based Primary Care Clinic". Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/5060.
Testo completo
40
Scoville, Christine Beate. "Noun Clauses in Clinical Child Language Samples". BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3545.
Testo completoAbstract (sommario):
Noun clauses are grammatical constructions that are of relevance both to typical language development and impaired language development. These clauses have been part of published techniques for the clinical analysis of language samples, and computer software for the automated analysis of clinical language samples has attempted to identify noun clauses, with limited success. The present study examined the development and clinical use of noun clauses as well as the automated identification of these clauses. Two sets of language samples were examined. One set consisted of 10 children with specific language impairment (SLI) whose age ranged from 7;6 to 11;1 (years;months), 10 peers matched for language development equivalence, and 10 peers matched for chronological age. The second set of samples were from 30 children considered to be typically developing, who ranged in age from 2;6 to 7;11. Language sample utterances were manually coded for the presence of noun clauses (including wh- noun clauses, that- noun clauses, and gerunds.) Samples were then automatically tagged using software. Results were tabulated and compared for accuracy. ANCOVA revealed that differences in the frequencies of WH-infinitive noun clauses and gerunds were significant between the matched groups. "Zero that clauses" (that-noun clauses containing no subordinator that) and gerunds were significantly correlated with age. Kappa levels revealed that agreement between manual and automated coding was high on WH-infinitive clauses, gerunds, and finite wh-noun clauses.
41
Lowinger, Jodie. "Investigating Child, Parent and Family Characteristics as Predictors of Child Clinical Anxiety and Postoperative Pain". Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/11942.
Testo completoAbstract (sommario):
This study has three primary aims: to investigate whether child (clinical anxiety symptoms, behavioural inhibition), parent (conflict over parenting, overprotection and anxiety) and family (adaptability and cohesion) characteristics predict child clinical anxiety symptoms over time; to identify whether a stressful life experience (paediatric tonsillectomy) is associated with elevated anxiety over time; and to determine whether clinical anxiety symptoms predict postoperative pain in children. Participants were 100 children aged 1 to 10 years (M = 4 years 9 months; SD = 2 years 5 months) undergoing elective tonsillectomy. Baseline data were obtained prior to surgery and measures of pain, state anxiety and clinical anxiety were obtained one-day, two weeks and three months postoperative. Preoperative clinical anxiety symptoms were significantly associated with child behavioural inhibition, overprotective parenting and conflict over parenting, controlling for state anxiety. An increase in child clinical anxiety symptoms over three months was significantly predicted by child behavioural inhibition and conflict over parenting, controlling for preoperative state anxiety. Child behavioural inhibition, parental emotional difficulties, parental conflict and overprotection significantly differentiated between children high and low in preoperative clinical anxiety symptoms. There was no evidence for the influence of family adaptability or cohesion on anxiety. No significant change in postoperative clinical anxiety symptoms was obtained after three months for the total sample or children low in preoperative anxiety; however, children high in preoperative anxiety had significantly elevated clinical anxiety difficulties over time. Finally, child pain ratings were significantly higher and slower to decline over two weeks for children high in preoperative clinical anxiety symptoms compared with children low in preoperative clinical anxiety symptoms. These findings have implications for enhancing both child anxiety preventive programs and paediatric operative contexts. Future research is required to implement and examine such preventive programs in context.
42
Djerf, Kristina, e Hägg Helén Åslin. "Nyblivna föräldrars tankar kring föräldraledighet, amning, föräldrautbildning samt barn- och mödravården". Thesis, Uppsala University, Caring Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-104223.
Testo completoAbstract (sommario):
Syftet med denna studie var att ta reda på nyblivna föräldrars tankar kring främst föräldraledighet, amning, föräldrautbildning, barn- och mödravården, med tyngdpunkt på vårdens roll och pappans delaktighet. Intervjuer genomfördes med 11 föräldrar och svaren analyserades och kategoriserades i teman. Resultatet visade att de allra flesta var nöjda med vården de hade fått från både MVC och BVC, men enskilda föräldrar var missnöjda med enstaka sköterskor de träffat. Informanterna var också nöjda med bemötandet, då båda föräldrarna kände sig delaktiga i samtalet med barnmorskan. Alla föräldrar ville vara hemma med sitt barn under någon period, vilket berodde på personliga skäl och en vilja att vara med sitt barn. Hos hälften av paren tog mamman ut största delen av föräldraledigheten. Orsaken till detta var i huvudsak amningen, men även ekonomiska orsaker spelade in. Att amning är en stark aspekt för vem som är föräldraledig först gäller fortfarande, och informanterna upplevde att det var något som även vården förespråkade starkt. Angående föräldrautbildningen tyckte alla föräldraparen att studiebesöket på förlossningen var det som gav mest, samt att få träffa andra blivande föräldrar. En brist som nämndes var att informationen som gavs var sådant som de flesta redan kände till.
The aim of this study was to find out what new parents think about parental leave, parental education, the child welfare center and the prenatal clinic. The main focus was on what role the care system played and to what extent the father was involved. Eleven parents were interviewed and the findings were analysed and put into different themes. The result showed that most of the parents were satisfied with the care given at the child welfare center and the prenatal clinic. The participants also thought they were well treated by the nurses and midwives during the encounters. Both parents felt equaly involved while talking to the midwife. All of the parents wanted to have parental leave to some extent and the main reason was that they wanted to spend time with their child. In half of the cases mothers used the greater part of the parental leave. Both breast-feeding and economical aspects were mentioned to be reasons for this. The participants felt that the child welfare center and the prenatal clinic strongly recommended breast-feeding which contributes to the fact that breast-feeding still is a key aspect in the decision on which parent who is going to stay at home with the child during the fist period. All of the parents thought that the visit to the delivery department was the best part during the parental education, they also appreciated meeting other people in the same situation. The general information given during the regular meetings were things that many of the participants already knew and could for that reason have been more detailed.
43
Weiss, Tobias C. "The Association Between Child-Rearing Practices and Child Self-Concept and Depressive Symptoms Reproduced". Xavier University / OhioLINK, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1383573193.
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44
Beauregard, Christine. "Child-related disagreement, conflict resolution strategies and child adjustment among families with toddler and preschool-aged children". Thesis, University of Ottawa (Canada), 2003. http://hdl.handle.net/10393/28975.
Testo completoAbstract (sommario):
The present study was designed to examine relations among parent ratings of child-related disagreement frequency, parent ratings of verbal aggression and of positive problem-solving frequency and parent ratings of child adjustment. One hundred and twelve couples volunteered for the study in response to advertisements published in newspapers or in community organizations/agencies (e.g., daycare centres, community centres, pediatric offices, etc.). Mothers (n = 112) and fathers (n = 108) with an eldest child who was a toddler or preschool-aged child independently responded to questionnaires. Their ratings of child behaviour problems and their ratings of satisfaction with the couple relationship were similar to those found in previous research with community samples. Compared to published data, couples in the present study reported a lower frequency of child-related disagreement and of verbal aggression strategies, and a higher frequency of positive problem-solving. Overall, they were a well-functioning sample of families with children who were perceived by parents as well-adjusted.
Mothers reported more frequent use of verbal aggression strategies than did fathers. Mothers of boys reported more frequent child-related disagreement and more frequent use of verbal aggression than did mothers of girls. Fathers perceived more externalizing problems among boys than among girls. Parent ratings of child-related disagreement were related to their ratings of child adjustment. Although parent ratings of conflict resolution strategies were less consistently associated with child behaviour problems, when examined in interaction with parent ratings of child-related disagreement, verbal aggression strategies moderated the relation between child-related disagreement and child adjustment among fathers of boys. Parent ratings of conflict resolution strategies did not mediate the relation. The findings of the present study emphasize the importance of examining relations separately for boys and girls as well as for mothers and fathers and indicate that patterns of relations found among families characterized by high disagreement, high intensity conflict may not generalize to samples of well-functioning, low disagreement families.
45
Sterling, Carolyn Dawn. "Accounting for child sexual abuse : male discourses". Master's thesis, University of Cape Town, 1990. http://hdl.handle.net/11427/13546.
Testo completoAbstract (sommario):
Bibliography: leaves 48-51.This study explores discourses which relate to child sexual abuse and which seek to excuse or justify it. It is hypothesized that these discourses are wide-spread and are not held simply by a small minority of offenders. Similar discourses emerged in two very different groups of male subjects. The first comprised 45 male second year University of Cape Town students in the Department of Psychology in 1986, who enrolled for a gender socialization course credit option. The second consists of 26 alleged child sexual abusers admitted to Valkenberg Hospital for psychiatric observation in 1988/9. A discourse analysis methodology is used to analyse essays written by the students and transcripts of audiotaped groups in which they participated, as well as accounts of the alleged offence contained in the clinical records of the observation cases. Ten discoqrse1;i, relating to excuses or justifications for child sexual abuse, were identified by their repeated occurrence in the research material. Identified justifications of child sexual abuse are victim blaming, the belief that men are unable to control their sexual drive, the assertion of power, perceived rights over women, and doubting the evidence of girls and women. Illustrations of these discourses, which are present in both students' essays and groups, as well as in the alleged offenders' accounts, are discussed. These five discourses appear to be pervasive and may be indicative of generally held beliefs which relate to the different positions in which men and women are placed in society.
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Settipani, Cara Anne. "The Effect of Child Distress on Maternal Accommodation of Anxiety: Relations with Mother and Child Factors". Diss., Temple University Libraries, 2014. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/273913.
Testo completoAbstract (sommario):
PsychologyPh.D.
Research supports a relationship between parenting behaviors and anxiety in youth, yet few studies have examined parental accommodation in the context of youth with anxiety disorders other than obsessive-compulsive disorder. Furthermore, little is known about the influence of child behaviors on parental accommodation and how accommodation relates to other parent and child factors. The present study examined the effect of child distress on maternal accommodation and the relationship between maternal accommodation and other parent and child factors in a sample of youth with anxiety disorders aged 7-17 (N = 70, M = 11.66, 47.1% males). Maternal accommodation was measured by vignettes depicting youth exhibiting high or low levels of distress in anxiety-provoking situations that elicited social anxiety, generalized anxiety, or separation anxiety. Results indicated an effect of child distress on accommodation of youth anxiety, such that mothers indicated more accommodation under conditions of high child distress. Furthermore, a relationship was found between greater accommodation and mothers holding more negative beliefs about their child's experience of anxiety. Maternal empathy moderated the relationship between accommodation and child distress, suggesting that mothers high in empathy demonstrate a greater degree of adaptability in response to child behaviors. Maternal anxiety also influenced the relationship between accommodation and child distress, with results varying based on situation type and suggesting that maternal anxiety may be associated with less adaptive responses to child behaviors. Clinical implications for the treatment of anxious youth are discussed and suggestions for future research are offered.
Temple University--Theses
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Fernandes, Claudia Mascarenhas. "Psicanálise para aqueles que ainda não falam? A imagem e a letra na clínica com bebê". Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-20072010-153044/.
Testo completoAbstract (sommario):
A prática clínica com aqueles que não falam pode ser fundamentada no campo da psicanálise, ainda que com a criança, e mais especificamente com o bebê, ela tenha sido interrogada em seus fundamentos. A clínica com o bebê não somente pode ser lida pela psicanálise, como pode vir a ser sua forma mais radical de apresentação: a psicanálise como uma prática de discurso sem palavras. Para isso, contudo, é necessário que essa clínica possa ser pensada para além do espaço euclidiano, afastando-se da idéia biunívoca de um lado e outro lado entre personagens e passando para uma clínica que toma a transferência numa estrutura que inclui o analista. A imagem com apoio da letra são elementos da psicanálise imprescindíveis para a viabilidade das leituras dessa clínica. Algumas leituras como a tradução, a transcrição e a transliteração são efetivas em relação à imagem e à letra, e mais ainda: a transcrição transitiva é outra leitura que, do lado daquele que não fala, favorece o manejo clínico. Não se trata então de tomar o bebê como conseqüência das marcas de seus cuidadores, mas de verificar os efeitos de real que o bebê provoca em seus cuidadores que, tomados juntamente com o bebê em seu espaço também de não fala, marcam, de modo particular, o encontro do infans com a linguagemThe clinical practice with those who do not speak can be grounded in the field of psychoanalysis, even though it has been questioned in its fundamentals, when it refers to the child and more specifically, to the baby. Not only can the clinical practice with infants be read by the psychoanalysis, but it can also be presented in its most radical form: the psychoanalysis as a practice of discourse without words. However, for this to happen, it is necessary to conceive this practice beyond the Euclidean space, dismissing the biunivocal idea of one side and another side between people, and moving to a clinical practice that places the transference in a structure that includes the analyst. Imagery, with the support of the letter, is an indispensable element in psychoanalysis to make the readings in this clinical practice viable. Some readings such as translation, transcription and transliteration are effective in relation to the image and the letter, especially the transitive transcription, as another reading that, on the side of the one who does not speak, favors the clinical management. Its not the case of seeing the infant as a consequence of the marks caused by his or her caretakers. Rather, it should be considered what the infants effects of the real cause in his or her caretakers, who, taken together with the baby in his/her space of non-speech, indicate the encounter of the infans with the language in a particular way
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Garcia, Ester. "CHILD WELFARE: TRAUMA INFORMED PRACTICE AT TIME OF CHILD REMOVAL". CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/873.
Testo completoAbstract (sommario):
As of 2018, approximately 442,995 children are in the foster care system in the United States according to the federal statistics from the Children’s Bureau. Entry into the foster system involves the removal of children from their home, making it a traumatic experience. The purpose of this study was to examine social workers’ perceptions of what trauma informed practice means and what it looks like in child welfare removals. The study also clarifies what trauma informed practice (TIP) is and how it can be applied in child welfare’s organizational structure. This was a qualitative study in which child welfare social workers from southern California agencies were interviewed. Interviews with experienced child welfare workers revealed many themes including the complexities of workers’ experiences during removals, the impact of removals on workers, social workers’ perceptions on TIP and suggestions on how to make removals more trauma informed for children. The findings from this project identified ways trauma may be minimized during detainment procedures in child welfare. All participants voiced that they felt the trauma informed removal (TIR) PowerPoint guide was beneficial to their learning and practice and that a training with this guide would be ideal for their agencies. Additionally, the findings shed light on the need for future research on creating a more trauma informed child welfare system and the need for policy implementation and or change.
49
Craig, Heather N. "Child life specialists' perceptions of autism". Thesis, Mills College, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1538498.
Testo completoAbstract (sommario):
Children with autism are at an increased risk of experiencing coping challenges in healthcare environments. Since Child Life Specialists [CLSs] seek to maximize development and coping in hospitalized children, their understandings of autism are key to intervention. To better understand CLSs' perceptions of autism, this researcher surveyed 126 CLSs using a combined qualitative and quantitative questionnaire. CLSs were expected to express both strengths-based and deficit-based perceptions of autism, with more strengths-based perceptions from CLSs with education or training in disability or access to a special educator. Overall, participants expressed more strengths-based sentiments. No differences were found among CLSs based on education or access to a special educator. However, having a relative with autism was associated with more positive feelings about autism. Additionally, participants drew from child life theory; education, training, and experience; and their understandings of autism to inform their interventions with this population. This research adds to the current literature on perceptions of disability among healthcare professionals and opens the door for future research on how those perceptions are established.
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Holbrook, Hannah Mead. "Referral Patterns and Service Provision in Child Protective Services: Child, Caregiver, and Case Predictors". ScholarWorks @ UVM, 2019. https://scholarworks.uvm.edu/graddis/921.
Testo completoAbstract (sommario):
Child maltreatment, and recurrent maltreatment in particular, occurs at an alarmingly high rate. Frequency of reports to Child Protective Services (CPS) is associated with negative psychological outcomes, and children whose reports are unsubstantiated experience similar risk of behavioral, emotional, and substance use disorders as those whose reports are substantiated. Prior research has demonstrated that children with no CPS reports and children with one CPS report showed no significant differences in rates of maltreatment perpetration or substance use in adulthood, suggesting that prevention efforts after one report may have strong merit in reducing negative outcomes in adulthood. However, patterns and risk factors of unsubstantiated reports have been only minimally explored thus far, despite having been found to predict subsequent maltreatment. The current study extends upon previous research by (a) examining both substantiated and unsubstantiated reports to identify longitudinal patterns of timing and recurrence and (b) assessing the extent to which service provision mediates long-term recurrence after each type of report. Analyses were conducted using subsamples of a longitudinal national dataset from 2011-2015 containing data from CPS reports for 3,655,951 children. Measures included child, caregiver, and CPS case characteristics obtained at the time of first report in 2011. Latent class analysis of referral patterns indicated four classes of recurrence patterns: (1) 2011 unsubstantiation followed by moderate recurrence, (2) 2011 unsubstantiation followed by low recurrence, (3) 2011 substantiation followed by moderate recurrence, and (4) 2011 substantiation followed by low recurrence. Multinomial logistic regression with most likely class membership as the outcome variable indicated that domestic violence, caregiver substance abuse, and poverty were better predictors of initial substantiation status than of long-term recurrence. Prior victimization was predictive of initial substantiation status as well as long-term recurrence. Asian American race predicted low rates of recurrence. Latent class analysis of service provision revealed only two classes: a class of children who received services and a class of children who did not. Service provision partially mediated associations between initial substantiation status and five-year maltreatment recurrence, as measured by number of subsequent reports, number of subsequent substantiated reports, and number of subsequent years in foster care. Limitations are considered and implications of using predictive modeling to drive service prioritization are discussed.