Musculoskeletal disorders in caregivers of children with cerebral palsy following a multilevel surgery

The patients of cerebral palsy need assistance for their self activities which expose the caregivers to different risk factors of musculoskeletal disorders. But there is a scarcity of studies revealing the prevalence and the risk factors present among the caregivers of the cerebral palsy children. This lead to formulate a study to identify prevalence and risk factors among the caregivers of cerebral palsy children. Result revealed that most of the caregivers among both the groups were female (63.4% and 69.3%). The common age group of the children who underwent multilevel surgery was at the age group of 6 - 10 years. It has been observed that among the study group 56.5% were totally cooperative children. The Caregiver Strain Index value showed there is no significant difference among both the groups. Regional body pain of shoulder, elbow, upper back, lower back and ankle revealed a higher prevalence among the study group. Clinical diagnosis revealed prevalence of MPS, FMS and TOS among the study group were 27.6%, 24.5% and 23.0% respectively. Study further revealed that cooperativeness of the child was significantly associated with lower back pain, MPS, FMS and TOS among the study group.     

Women who sacrifice themselves for everybody: qualitative research with mothers of disabled children

This study, from a feminist perspective, aimed at examining the experiences of women whose children with cerebral palsy received a treatment at a physiotherapy and rehabilitation center located in Ankara, Turkey. The study intended to reveal the perceptions of in-family roles of women with disabled children, their participation in public life, and their self-concept within the scope of feminist social work. Thus, the objective of the present study was to contribute to the understanding of the fact that non gender-blind services should be developed in this field on the basis of social justice and human rights, which constitutes the fundamental philosophy of social work. Qualitative research method was employed in the study where data were analyzed through content analysis. The findings of the study were interpreted under four main themes: the lives of the women with disabled children after their disabled children were born; being a woman within the scope of family life, participation in decision-making processes, and domestic division of labor; participation in public life and relations with women's associations; the self-sacrifice; and the suggestions of women concerning self-realization within the scope of self-concept.     

Multiplexity,generalized exchange and cooperation in organizations: a case study

Cooperation in an organization can be studied empirically by examining the routine transfers or exchanges among members of various kinds of resources. We argue that local regularities in the form of these transfers and exchanges shape the structure of cooperation. Using a case study of resource networks in a corporate law firm, we model the structure of cooperation in a specific work environment, one that is characterized by multifunctional and sometimes multidisciplinary work groups in which `status competition' is argued to be a particularly strong motivation driving participation. Specific statistical tools, p* models, are used to identify local regularities in the interplay between exchanges and transfers of three types of social resource (coworkers' goodwill, advice and friendship). We propose that these regularities help to provide structural solutions for the problems of collective participation and status competition in such organizations.     

Exploring trends: tracking evaluations data over several months by therapists and parents of children with cerebral palsy

A pilot study was conducted at the outpatient rehabilitation unit of a children's hospital to explore the overall performance trends of children in daily life as perceived by their parents, compared to the evaluations of therapists. A performance goal was set for each child by his/her therapist and parent at an initial consultation. Over a six-month period, data were collected from the parents of children with cerebral palsy (N = 53), and therapists assessed children at each therapy session as well. The evaluations of both parents and therapists showed statistically significant upward trends in performance over several months.     

How can cooperation between rehabilitation professionals in rehabilitation planning be improved? A qualitative study from the employer's perspective

Research shows that there are often problems with cooperation between rehabilitation professionals within vocational rehabilitation. The aim of this study was to describe employers' experiences of how cooperation between different rehabilitation professionals can be improved in a vocational rehabilitation planning process. Ten employers who had sent their employees to vocational rehabilitation at a rehabilitation centre in the north of Sweden during 2000 and 2001 participated in the study. Qualitative interviews were performed and analysed by thematic content analysis. The employers' cooperation with clients could be improved by a focus on clients' needs and participation in the rehabilitation process. The employers cooperation with Social Insurance companies could be improved by, 1) early prevention and intervention, 2) knowledge of each other's roles, responsibilities and opportunities and 3) priority making. The employers' cooperation with rehabilitation professionals could be improved by, 1) early identification of rehabilitation needs and goals and early rehabilitation and, 2) increased focus on own responsibilities from each part in the process.     

Work‐to‐Society Spillover?

Nonprofit employees can make ideal volunteers for other organizations in the sector, and understanding their participation in volunteering is a timely task. Based on “spillover theory,” this study tests how nonprofit employees’ experience on the job may carry over into the nonwork arena. The study focuses on how nonprofit employees’ satisfaction with the job and perception of the organization's mission achievement relate to their volunteering, controlling for the generally higher levels of prosocial motivation found in the sector. The findings suggest that the consequences of job satisfaction for this group extend beyond the workplace, contributing to societal benefits.     

The major tasks of adolescence: Implications for transition planning with youths with cerebral palsy

Adolescents with cerebral palsy are presented with unique challenges as they make the transition to adulthood. There are a number of considerations that need to be addressed in a collaborative manner by rehabilitation professionals, educators, parents, and adolescents to facilitate the transition process. This article (a) explores the challenges that youths with cerebral palsy encounter as they attempt to accomplish the developmental tasks of adolescence and (b) discusses how those tasks can be integrated into transition planning. An overview of the medical aspects of cerebral palsy is also provided.     

Child abuse: differential diagnosis, differential treatment

This study assessed the relationship between treatment intensity and rehabilitation at discharge of child abusers whose MMPI profiles revealed high levels of psychological distress. It should be noted that this sample does not represent the child abuser who requires only a support group or outpatient counseling. Because of repeated failures at other social service agencies coupled with the court selection process, this sample may be described as having been screened for intransigence, severity of symptomatology, and resistance to previous attempts at treatment. It is noteworthy that participation in treatment was court-ordered, thereby diminishing the possibility of improvement because of subject characteristics, emotional availability or stamina in the treatment process. In this exploratory study, the association between treatment intensity and assessed rehabilitation yielded a positive and statistically significant relationship. The client who received intense weekly treatment for longer durations was assessed as having a higher degree of rehabilitation. This finding is important particularly for a population that exhibited an abnormally high degree of psychological distress. As an initial investigation, results support the need for differential diagnosis and subsequent differential treatment of child abusers. Without differential diagnosis, treatment needs may go unrecognized; without intense and sustained treatment, the needs of the highly distressed child abuser may go unmet.     

Getting with the (evidence-based) program: An evaluation of the Incredible Years Parenting Training Program in child welfare

This study evaluates four group sessions of the Incredible Years (IY) Parenting Training Program used for the first-time in two child welfare agencies in New York State. Few studies have examined process and evaluation outcomes of evidence-based parenting programs in child welfare. Qualitative staff interviews and surveys on parenting behaviors were used to examine program processes, improvements in parenting behaviors, and participant satisfaction. Program participation was associated with less parental distress, defensive responding, dysfunctional parent-child interactions, child difficulty, total stress, and greater empathy and social support. The effectiveness of this evidence-based, parent education program in the context of a child welfare population, as well as implementation challenges and recommendations, are discussed.     

Needs-led child and youth care: Main characteristics and evidence on outcomes

Needs-led child and youth care has three main characteristics: a continuous focus on clients' needs, client participation in the care process (including decision making), and practitioners' displays of needs-led attitudes and skills. The primary aim of this review was to establish whether there is evidence for using a needs-led approach when working with children and families in need. We performed a literature search to find reviews and outcome studies of child and youth care for school-aged children and their families which included the core characteristics of needs-led care, and related them to outcome measures. Only a few studies attributed positive outcomes of care to the attention given to clients' needs and goals. Most studies referred to participation in terms of clients' involvement or engagement. Higher levels of participation were associated with positive changes in child behaviors and parenting stress, client satisfaction, higher completion rates, safety for children, feelings of well-being and empowerment, and better service coordination. Significant professional attitudes and skills included listening to clients and working in active partnership with them. There is some proof for the relevance of core characteristics of needs-led child and youth care, although that evidence is limited by the lack of rigorous studies. This study indicates that needs-led child and youth care can make a difference. Future research should pay attention to the intertwinement of the characteristics of the needs-led approach in care.     

Effects of at-work exercises on computer operators

At-work exercises are commonly recommended for computer operators. This randomized control trial assessed adherence, pain and satisfaction after 4 weeks of at-work exercise. Subjects (n=72) were randomized into 3 groups: resistance exercise, stretching, and control. Outcomes included a satisfaction survey, a visual analogue pain scale (VAS), a pain drawing, and the Neck Disability Index (NDI). The VAS, the drawing, and NDI were analyzed together as a composite variate referred to as Pain Impact. Exercise frequency was similar across the 3 groups (median=1.5 times per day). No differences were found between groups on Pain Impact p=0.714) or individual pain variables. Most satisfaction survey item scores did not differ between groups. However, a significant difference between groups on the survey item related to discomfort. The resistance and stretching group differed from the control group with regard to their perception that the exercises were helpful in reducing discomfort in the back and neck (p<0.001). We conclude that most subjects found the resistance and the stretching exercises easy to do, performed them 1 to 2 times daily, and said they reduced discomfort. To determine optimal type and frequency of at-work exercises, further study is needed.     

Motivating child welfare case managers: An application and extension of feedback information theory

No empirical studies in the child welfare literature have examined how job characteristics impact work motivation. The present study addresses this conspicuous research gap by surveying 419 county-based child welfare case managers across the state of New York. As predicted by feedback information theory, work motivation was enhanced by instrumental feedback and reduced when job complexity was introduced as a moderator. Consistent with the challenge–hindrance stress model, job control positively influenced job complexity's affects on the instrumental feedback–work motivation relationship. Findings advance the child welfare literature by demonstrating that the motivational effects of instrumental feedback are both conditional and dynamic.     

Life satisfaction in subjects with chronic obstructive pulmonary disease

OBJECTIVES: To examine the levels of life satisfaction for patients with chronic obstructive disease (COPD) and to explore the relationships between life satisfaction, lung function, walking distance test/exercise capacity and quality of life. STUDY DESIGN: The population comprised 91 patients with COPD, 28 patients with COPD using long term oxygen therapy (LTOT) and a reference group (R) of 150 healthy individuals. Before the study, a number of the COPD patients had been tested with regard to spirometry, walking distance and quality of life using the Chronic Respiratory Disease Questionnaire (CRQ). All subjects filled in an eight-item checklist on levels of life satisfaction. RESULTS: Significantly lower levels of satisfaction were reported by both patient groups than the R group for satisfaction with life as a whole and satisfaction derived from vocational/occupational situation, sexual life and ADL, and by the LTOT group, furthermore, also with family life. Only 10% of the patients were satisfied with their health. The LTOT group reported significantly lower levels of satisfaction than the COPD group for life as a whole, satisfaction with their vocational/occupational situation, leisure, ADL situation and their satisfaction with family life and partnership relation. Factor analyses demonstrated different patterns between the R group and the patient group. No correlation was found between satisfaction with life as a whole and lung function parameters whereas three of the CRQ dimensions; emotional function, fatigue and mastery correlateded significicantly with satisfaction with life as a whole and several of the domains. No relationships was found between satisfaction with life as a whole or any of the domains and the CRQ dimension dyspnea. CONCLUSIONS: The low levels of satisfaction with life as a whole, in addition to low levels of satisfaction with several domains, indicate that the majority of the patients had not managed to cope successfully with the consequences of their impairment. More attention must, thus, be given to these patients in the rehabilitation work.     

Assessment of Teen Pregnancy Prevention Interventions Among Middle School Youth

The purpose of this study was to examine outcomes for students enrolled in two teen pregnancy prevention programs: the Youth Asset Development Program (YADP); and the Postponing Sexual Involvement Program (PSIP) and identify possible areas for program refinement. The study design consisted of two sets of comparisons: (a) sixth-grade students who completed the PSIP versus the control school; and (b) the YMCA Success Centers where the YADP was introduced versus the control school. Two hundred thirty-seven students were selected to participate in the study. Students who participated in the prevention programs had significantly (p < .05) higher academic achievement, participation in school related activities, and enjoyed school much more than students from the control school. However, no statistically significant differences were found between program participants and the control group when they were compared on personal orientation and judgments about teenage parenthood. Implications for program modification and program effectiveness are discussed.     

The Efficacy of a Modified Theory of Reasoned Action to Explain Gambling Behavior in College Students

Recently, Thrasher et al. (College Student Affairs Journal 27(1): 57–75, 2007) explored the efficacy of the Theory of Reasoned Action (TRA; Ajzen and Fishbein, Attitudes, personality, and behavior, 1980) in explaining gambling behavior of college students. However, their study found the TRA only predicted small amounts of variance in gambling intentions. Heeding their call to enhance the efficacy of the TRA through the addition of explanatory variables to the model, the present study incorporated gambling motivations and locus of control as moderating variables within the TRA to test the potential of a modified TRA in explaining gambling behavior of college students. A total of 345 students at a major metropolitan research university in the Midwest volunteered to participate in the study. A series of hierarchical linear regressions indicated intrinsic motivation to accomplish (p = .002) significantly moderated the relationship between gambling attitudes and gambling intentions. Further, internal locus of control (p < .001), chance locus of control (p < .001), and powerful others locus of control (p < .001) also significantly moderated the relationship between gambling attitudes and gambling intentions. The significant impact of the moderating variables on the relationship between gambling attitudes and intentions suggests intrinsic motivation and locus of control can alter the impact of the relationship between gambling attitudes and gambling intentions.     

The impacts of accessible child protection services on services, jobs, and families

This multi-faceted study assessed the differences between accessible and central child protection service delivery sites in Ontario on: (1) family functioning; (2) front-line child protection service providers' satisfaction with services; (3) parents' satisfaction with services; (4) the services and supports available to families; (5) front-line service job satisfaction; and (6) front-line helping relationships in child welfare. A quasi-experimental outcome design gathered data from parents at case-opening and approximately 10 months later. Semi-structured individual or group qualitative interviews were conducted with parents, front-line service providers, and supervisors/managers. Information also was gathered from agency files. Front-line service providers completed an employment questionnaire. Findings indicated that the accessible sites were able to foster a greater proportion of cooperative helping relationships with families and to create more service partnerships. Parents at the accessible sites were more positive about their service involvements and more willing to ask for help again in the future. Front-line child protection service providers at both service delivery models described positive aspects of their jobs as well as frustrations with the expectations of the formal child protection system.     

Effects of physical,virtual reality-based,and brain exercise on physical,cognition, and preference in older persons: a randomized controlled trial

Background

Physical exercise (PE), virtual reality-based exercise (VRE), and brain exercise (BE) can influence physical and cognitive conditions in older persons. However, it is not known which of the three types of exercises provide the best effects on physical and cognitive status, and which exercise is preferred by older persons. This study compared the effects of PE, VRE, and BE on balance, muscle strength, cognition, and fall concern. In addition, exercise effort perception and contentment in older persons was evaluated.

Methods

Eighty-four older persons (n?=?84) were randomly selected for PE, VRE, BE, and control groups. The exercise groups received 8-week training, whereas the control group did not. Balance was assessed by Berg Balance Scale (BBS) and Timed Up and Go test (TUG), muscle strength by 5 Times Sit to Stand (5TSTS) and left and right hand grip strength (HGS), cognition by Montreal Cognitive Assessment (MoCA) and Timed Up and Go test Cognition (TUG-cog), fall concern by Fall Efficacy Scale International (FES-I), exercise effort perception by Borg category ratio scale (Borg CR-10), and exercise contentment by a questionnaire.

Results

After exercise, PE significantly enhanced TUG and 5TSTS to a greater extent than VRE (TUG; p?=?0.004, 5TSTS; p?=?0.027) and BE (TUG; p?=?0,012, 5TSTS; p?<?0.001). VRE significantly improved MoCA (p?<?0.001) and FES-I (p?=?0.036) compared to PE, and 5TSTS (p?<?0.001) and FES-I (p?=?0.011) were improved relative to BE. MoCA was significantly enhanced by BE compared to PE (p?<?0.001) and both MoCA and TUG-cog were improved compared to VRE (p?=?0.04). PE and VRE significantly (p < 0.001) increased Borg CR-10 in all exercise sessions, whereas BE showed a significant improvement (p?< 0.001) in the first 4 sessions. Participants had a significantly greater satisfaction with BE than controls (p?=?0.006), and enjoyed VRE and BE more than PE (p?< 0.001). Subjects in all exercise groups exhibited benefits compared to the control group (p?< 0.001).

Conclusions

PE provided the best results in physical tests, VRE produced measurable improvements in physical and cognition scores, while BE enhanced cognition ability in older persons. Older persons preferred VRE and BE compared to PE. Both exercises are suggested to older persons to improve physical and cognitive conditions.

     

Important Risk Factors in Home-Removal Decisions: Social Caseworker Perceptions

The current study identified factors that played a significant role in decisions to separate a child from his/her primary caretakers for 51 social service caseworkers. Participants rated and ranked the importance of 35 child risk/well-being factors used in recent child separation dispositions. Results indicated that boundary setting with a perpetrator of abuse and parental motivation played a significant role in decision-making. These preliminary findings suggest the need to prioritize services aimed at the promotion of the non-maltreating parent’s limit setting with the perpetrator of abuse, as well as caretaker motivation/cooperation.Virginia M. DeRoma is affiliated with The Citadel, Psychology Department, Capers Hall, 171 Moultrie, 29409, Charleston, SC, USA. Maria Lynn Kessler is affiliated with Oregon Institute of Technology, Klamath Falls, OR, USA. Ryan McDaniel is affiliated with New Hope for Children, Charleston, SC, USA. Cesar M. Soto is affiliated with Municipal Defense of Children and Adolescents, Chorrillos, Peru.Address correspondence to Virginia M. DeRoma, The Citadel, Psychology Department, Capers Hall, 171 Moultrie, Charleston, SC, 29409.     

A profile of childminding: implications for planning

After friends and relatives, childminders are the most common form of child care. This paper reports the results from a postal survey of a nationally representative sample of over 1,000 childminders. Results are reported concerning childminders' training and employment histories, working conditions, motivation, commitment and satisfaction with their work. Two groups of childminders emerge; a group where childminding may be a passing phase in their employment career and a group who consider it as a long‐term career. The findings are discussed with reference to the aims of the National Childcare Strategy and the role of Early Years Development and Childcare Partnerships. Copyright © 2001 John Wiley & Sons, Ltd.     

Frequency of Group Sex Participation and Risk for HIV/STI Among Young Adult Nightclub Scene Participants

Objectives: This study examines frequency of group sex participation and associated characteristics and behaviors among a sample of heterosexual young adult participants in Miami's nightclub scene (n = 498). Methods: Baseline survey assessments were analyzed using zero-inflated binomial regression. Results: Forty-one percent of the sample reported group sex participation history. Greater frequency of group sex is associated with buying sex, sex with an injection drug user, being high during sex, condomless vaginal sex, victimization history, and sexually transmitted infection incidence (p < .02). Conclusions: Sexually transmitted infection prevention and intervention efforts should address risks associated with group sex participation.