A Feasibility RCT Evaluating a Play-Informed, Caregiver-Implemented, Home-Based Intervention to Improve the Play of Children Who Are HIV Positive
المؤلفون المشاركون
Cordier, Reinie
Ramugondo, Elelwani
Ferreira, Anande
Chung, Donna
المصدر
Occupational Therapy International
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-15، 15ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-12-19
دولة النشر
مصر
عدد الصفحات
15
التخصصات الرئيسية
الملخص EN
Background/aim.
In South Africa, contextual factors have been identified as barriers to outdoor, unstructured play.
The human immunodeficiency virus (HIV) and resulting progressive HIV encephalopathy (PHE) is a pandemic in this area, associated with development delays that are not addressed by highly active antiretroviral treatment (HAART).
This study aimed to describe the playfulness in children with HIV and PHE on HAART living in challenging socioeconomic areas in South Africa aged 6 months to 8 years and to evaluate the feasibility and preliminary effectiveness of a play-informed, caregiver-implemented, home-based intervention (PICIHBI) for improving play.
Methods.
A feasibility randomized control trial allowed for comparison of PICIHBI and conventional one-on-one occupational therapy interventions.
Children were filmed playing pre-, mid-, and postintervention, using the Test of Playfulness (ToP) to assess playfulness.
The PICIHBI comprised of 10 monthly sessions facilitated by an occupational therapist, involving group discussions with caregivers and periods of experiential play.
Results.
Twenty-four children with HIV and/or PHE were randomized into one of the two intervention groups.
Overall, the group (n=24) had a median score of 0 (lowest item score) on nine of 24 ToP items and only had a median score of 3 (highest score) on two items.
Pre- to postintervention overall ToP scores improved marginally for the PICIHBI group (n=12) and the conventional group (n=12).
Between-group differences were not significant.
The PICIHBI group demonstrated a significant increase in one ToP item score at midassessment.
No significant ToP item changes were found in the conventional group.
Conclusion.
Children with HIV were found to have the most difficulty on ToP items relating to the play elements of internal control and freedom from constraints of reality.
The PICIHBI did not significantly improve children’s play and was not more effective than the conventional intervention.
Considerations for feasibility and effectiveness, including barriers to attendance, are discussed.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ramugondo, Elelwani& Ferreira, Anande& Chung, Donna& Cordier, Reinie. 2018. A Feasibility RCT Evaluating a Play-Informed, Caregiver-Implemented, Home-Based Intervention to Improve the Play of Children Who Are HIV Positive. Occupational Therapy International،Vol. 2018, no. 2018, pp.1-15.
https://search.emarefa.net/detail/BIM-1212421
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ramugondo, Elelwani…[et al.]. A Feasibility RCT Evaluating a Play-Informed, Caregiver-Implemented, Home-Based Intervention to Improve the Play of Children Who Are HIV Positive. Occupational Therapy International No. 2018 (2018), pp.1-15.
https://search.emarefa.net/detail/BIM-1212421
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ramugondo, Elelwani& Ferreira, Anande& Chung, Donna& Cordier, Reinie. A Feasibility RCT Evaluating a Play-Informed, Caregiver-Implemented, Home-Based Intervention to Improve the Play of Children Who Are HIV Positive. Occupational Therapy International. 2018. Vol. 2018, no. 2018, pp.1-15.
https://search.emarefa.net/detail/BIM-1212421
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1212421
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر