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Cognitive behaviour therapy-based early intervention and prevention programme for anxiety in South African children with visual impairments

VISAGIE, Lisa
LOXTON, Helene
SWARTZ, Leslie
STALLARD, Paul
2021

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Background: Anxiety is the most common psychological difficulty reported by youth worldwide and may also be a significant problem for children with visual impairments. Cognitive behaviour therapy (CBT) interventions have proven to be successful in treating childhood anxiety; however, mostly these are not suitable for children with visual impairments, as the materials used are not sufficiently accessible to this population.

 

Objectives: The present study was motivated by the dearth of research on this topic and aimed to examine the effects of a specifically tailored, group-based, universally delivered, CBT intervention for anxiety in children with visual impairments and to examine the influence of three predictor variables (i.e. age, gender and level of visual impairment) on prevention effects.

 

Method: A randomised wait-list control group design with pre-, post- and follow-up intervention measures was employed. The final sample of 52 children (aged 9–14) with varying degrees of visual impairment received the anxiety intervention. Participants were followed over a course of 10 months during which their anxiety symptoms were assessed quantitatively at four time points (T1–T4).

 

Results: The results indicated that the anxiety intervention did not significantly decrease symptoms of anxiety within the intervention groups. However, the intervention appeared beneficial for girls, younger children and legally blind participants.

 

Conclusion: This study demonstrated how CBT interventions can be adapted for use in children with visual impairments. Results obtained provide a foundation upon which future updated anxiety intervention programmes can be built, meeting the need for further research in this area.

“With CO-OP I’m the boss” – experiences of the cognitive orientation to daily occupational performance approach as reported by young adults with cerebral palsy or spina bifida

OHRVALL, Ann-Marie
BERGQVIST, Lena
HOFGREN, Caisa
PENY-DAHLSTRAND, Marie
May 2019

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Purpose: Restrictions to activity and participation in persons with cerebral palsy or spina bifida are often due to both motor and executive dysfunction. Hence methods focusing solely on motor issues are not enough to enhance participation. The Cognitive Orientation to daily Occupational Performance ApproachTM is a performance-based approach offering clients opportunities to create their own strategies to learn skills. The aim of the present study was to explore and describe experiences of the Cognitive Orientation to daily Occupational Performance Approach as reported by young adults with cerebral palsy or spina bifida.

 

Methods: Qualitative content analysis was used. Semi-structured individual interviews were conducted with the 10 participants aged 16–28, post-intervention and at 6-months follow-up.

 

Results: The participants described how the Cognitive Orientation to daily Occupational Performance Approach enhanced their self-efficacy. Four categories describing the participants’ experiences emerged: “CO-OP is a different way of learning”, “CO-OP sometimes puts a strain on me”, “CO-OP supports my way of thinking and doing” and “CO-OP boosts me”.

 

Conclusion: The young adults expressed that the Cognitive Orientation to daily Occupational Performance intervention, although sometimes challenging, was worth the effort because it provided them with an opportunity to master everyday-life problems by using meta-cognitive thinking, which enhanced their self-efficacy.

The efficacy of community based rehabilitation for children with or at significant risk of intellectual disabilities in low and middle income countries : a review

ROBERTSON, Janet
EMERSON, Eric
HATTON, Chris
August 2009

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"The aim of the present review is to summarise evidence regarding the efficacy of CBR in relation to one particular ‘high risk’ group of disabled children; children with intellectual disabilities (ID)...Only 10 studies were identified for inclusion in the review of research on the effectiveness of CBR for children and adolescents with ID and these are summarised in Appendix Two. An examination of reviews on the effectiveness of CBR for all people with disabilities points to two main reasons for this low level of evidence. Firstly, CBR has not been the subject of a significant amount of rigorous evaluation. Secondly, children and adolescents with ID have not been the recipients of significant amounts of CBR. We will discuss the reviews on the effectiveness of CBR generally and indicate what they say about ID before outlining the extremely small amount of information available on the effectiveness of CBR for children and adolescents with ID"
CeDR Research Report 2009:4

Disability, inclusion and development : key information resources

SOURCE INTERNATIONAL INFORMATION SUPPORT CENTRE
December 2005

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This directory of information resources pulls together over 300 of the most practical and useful books, reports, videos, CD-ROMs and websites on disability. It is aimed at organisations working with disabled people in developing countries. Organised thematically, It covers a wide range of issues including human rights, gender, poverty and mainstreaming, as well as planning and management of disability programmes and service delivery relating to children, community-based rehabilitation, mental health and HIV and AIDS. The directory provides a quick reference listing of information resources with clear abstracts and details of distributors and websites, while the CD-ROM contains many published and un-published full-text documents, as well as links to websites for those who can access the Internet. The index of publishers and distributors will be especially useful to resource centres and information services which collect and manage information on disability and development

Participatory evaluation with young people

CHECKOWAY, Barry
RICHARDS-SCHUSTER, Katie
2005

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This workbook contains practical tools and learning activities to help young people 'learn for change' through good participatory evaluation practices. It is based on the premise that evaluation is an everyday experience for most young people and that it is crucial that they participate in the decisions that affect their lives. The suggested evaluation questions, methods of gathering information, exercises and other hands-on problem-solving tools are designed for small groups and training workshops. Although based on community development experience in the United States, these methods are easily adaptable to development work in the South

Facilitator's guide for participatory evaluation with young people

CHECKOWAY, Barry
RICHARDS-SCHUSTER, Katie
2005

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This guide is intended for use in conjunction with the workbook 'Participatory evaluation with young people', and provides additional information for trainers and facilitators. Although evaluation is an every-day experience for most young people, they are often unaware of it as evaluation, lack adequate experience or perceive it as a negative process defined and controlled by adults. Through an interactive and participatory approach this document aims to help young people to be active participants in their own learning. Although based on community development experience in the United States, these methods are easily adaptable to development work in the South

Impact of sex and HIV education programs on sexual behaviors of youth in developing and developed countries

KIRBY, Douglas
LARIS, B A
ROLLERI, Lori
2005

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This paper discusses findings from a review of 83 evaluations of sex and HIV education programmes. The analysis found substantial positive impact on sexual behaviours in more than two-thirds of the evaluations and identified 17 characteristics of the most effective curricula used in the programmes evaluated. More information on this review is available, including links to data sheets on each of the 83 evaluations. [Publisher's abstract, amended]

Formative research on youth peer education program productivity and sustainability

SVENSON, Gary
BURKE, Holly
2005

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This paper discusses the first phase of a two-part study, which identified core elements of programmes through an examination of programme dynamics, activities, costs, and outputs in two countries. Based on this data, the first phase developed frameworks and eight checklists to use in assessing youth peer education effectiveness and sustainability

Fun inclusive : sports and games as means of rehabilitation, interaction and integration for children and young people with disabilities

IKELBERG, Jenny
et al
2003

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This handbook looks at the activities used in the GTZ (German Agency for Technical Co-operation) pilot project called "Rehabilitation through sports activities for children and young people in war-affected countries". The project aimed to strengthen disabled children both physically and mentally by promoting their rehabilitation, social integration and capacity for self help. The handbook provides basic guidelines for the implementation of sports and games as a means of rehabilitation and integration, building on the experiences from workshops in Angola and Cambodia, which tested 12 games. It includes an evaluation sheet that can be adapted and used

Children and participation : research, monitoring and evaluation with children and young people

SAVE THE CHILDREN UK. Development Dialogue Team
2000

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This book is about participatory information gathering in the process of research, monitoring and evaluation with children and young people. It describes participatory methods of information gathering with children, including drawing, role play, photography and video-making. It also guides teachers, project planners and practitioners towards other sources of information

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