A Feasibility RCT Evaluating a Play-Informed, Caregiver-Implemented, Home-Based Intervention to Improve the Play of Children Who Are HIV Positive
Joint Authors
Cordier, Reinie
Ramugondo, Elelwani
Ferreira, Anande
Chung, Donna
Source
Occupational Therapy International
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-15, 15 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-19
Country of Publication
Egypt
No. of Pages
15
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1212421