Darbe atlikta teorinė ankstyvosios intervencijos sampratos, raidos, probleminių klausimų analizė Lietuvoje bei lyginimas su kitomis Europos šalimis. Iškelta hipotezė, kad ankstyvosios pagalbos prieinamumas miesto ir kaimo vaikams bei jų šeimoms yra nevienodas. Rajonuose, kur nėra ankstyvosios pagalbos tarnybų, ankstyvojo amžiaus vaikų ir jų šeimų specialieji poreikiai yra tenkinami tik iš dalies arba visai netenkinami. Tyrimo tikslas – įvertinti ankstyvojo amžiaus vaikų specialiųjų poreikių tenkinimą pagalbos prieinamumo aspektu miesto ir kaimo vietovėse. Empirinėje dalyje taikyti šie metodai: dokumentų, antrinių duomenų (Europos Specialiojo ugdymo plėtros agentūros ataskaita) bei kitų šaltinių turinio analizė, anketinė apklausa, specialistų anketinės apklausos analizė, interviu, deskriptyvinė pusiau standartizuotu bei standartizuotu klausimynu gautų duomenų analizė. Duomenys apdoroti MS Office Excel 2007, SPSS (Statistical Package for the Social Sciences 11.0) programine įranga. Statistinėms tendencijoms ir ryšiams nustatyti taikyti deskriptyvinės analizės metodai (dažniai, vidurkiai, procentai). Anketinės apklausos metu dalyvavo 100 Lietuvos specialistų, teikiančių ankstyvąją pagalbą specialiųjų poreikių turintiems vaikams ir jų šeimoms. Interviu žodžiu bei raštu dalyvavo 12 respondentų (N=6 iš Lietuvos, N=4 iš Airijos, N=2 iš Anglijos). Svarbiausios empirinio tyrimo išvados: 1. Lietuvoje ankstyvosios pagalbos sistema vaikui ir šeimai sparčiai tobulėja, tačiau dar yra... [toliau žr. visą tekstą] / There has been performed in this work the theoretical analysis of the conception, development and the problematical questions of the early intervention in Lithuania as well as the comparison with other European countries. A hypothesis is raised, stating that the accessibility of early support for children and their families in towns and villages is unequal. The special needs of the early age children and their families in the regions, where there are no Early intervention services, are being met only partly or not at all. The aim of the research is to estimate from the aspect of support accessibility, how the special needs of the early age children in towns and villages are being met. There have been used in the empirical part the following methods: the analysis of the documents, secondary material (the report of the European Agency for Development in Special Needs Education) and other sources, questionnaire survey, the analysis of the survey of specialists, interview, descriptive analysis of the material acquired using semi-standardized and standardized questionnaire. The statistical data has been analysed using MS Office Excel 2007 and SPSS software. In order to estimate the statistical tendencies and connections there have been used the methods of descriptive analysis (rates, averages, percents). One hundred specialists, providing early support for the children with special needs and for their families, participated in the questionnaire survey. 12 respondents (6 from... [to full text]

Current legislation and recommended practice have a primary focus on Early Intervention that meets the priorities set forth by families with children who have disabilities. Many theories and current research emphasize the importance of delivering services in a way that supports families to enhance the development of their children through models that reflect the recommendations. Although there are multiple contributions to what is recommended for family-centered philosophy and practice, one single document, the IFSP, guides the delivery of services.Using the content of 91 IFSPs from the state of Kentucky, 8 indicators were analyzed along with service coordinator demographics. This tool was used to determine the frequency of identified unsatisfactory routines that were used as the foundation for outcome development, if service coordinator demographics impacted this process and if certain domains lent more opportunity for inclusion in outcomes. In addition, frequency of sibling inclusion in priorities, concerns, outcomes and strategies were analyzed.Findings indicate that approximately 50% of the routines identified as unsatisfactory were used in outcome development. Significant interactions between service coordinator demographics were discovered as well as a strong correlation between routines and domain. Sibling interaction is discussed as well as limitations and future research.

Thesis (M.S.P.H.)--University of South Florida, 2008. / Title from PDF of title page. Document formatted into pages; contains 71 pages. Includes bibliographical references.

Thesis (Ph. D.) -- University of Tennessee, Knoxville, 2005. / Title from title page screen (viewed on Feb. 8, 2006). Thesis advisor: Vey M. Nordquist. Vita. Includes bibliographical references.

Thesis (M.S.)--University of Florida, 2004. / Typescript. Title from title page of source document. Document formatted into pages; contains 36 pages. Includes Vita. Includes bibliographical references.

Thesis (Ph. D.) -- University of Tennessee, Knoxville, 2006. / Title from title page screen (viewed on September 19, 2006). Thesis advisor: Vey M. Nordquist. Vita. Includes bibliographical references.

Introdução: no contexto da hospitalização infantil, grande atenção é dada à UTI neonatal, porém observa-se a carência de pesquisas de caráter interventivo com o fim de investigar a necessidade e os benefícios de programas de intervenção que possam diminuir componentes ambientais e estressores, e promover a continuidade do desenvolvimento do bebê durante a hospitalização em unidades pediátricas. Objetivos: (1) descrever o desenvolvimento motor e cognitivo dos bebês de 0 a 18 meses internados por doenças respiratórias; (2) comparar o desenvolvimento de bebês internados por doenças respiratórias participantes e não participantes de um programa hospitalar de intervenção motora; (3) analisar as associações entre o desenvolvimento motor dos bebês hospitalizados e a cognição, bem como, fatores biológicos, ambientais e hospitalizações recorrentes; (4) analisar as associações entre o número de hospitalizações e fatores biológicos, socioeconômicos e do ambiente familiar. Métodos: estudo descritivo, transversal e prospectivo realizado na unidade de internação pediátrica de um hospital público do sul do Brasil. Participaram 39 bebês, com idade variando de 1 a 16 meses. Para avaliação do desenvolvimento dos bebês foram utilizados a Alberta Infant Motor Scale (AIMS) e as escalas cognitiva e motora da Bayley Scale of Infant Development (Bayley III). Também foram utilizados questionários com os responsáveis para caracterização da amostra, do ambiente familiar (Affordances in the Home Environment for Motor Development – Infant Scale - AHEMD) e do nível socioeconômico (Critério de Classificação Econômica Brasil). Resultados: (1) a prevalência de bebês com desenvolvimento abaixo do esperado para a cognição foi de 46% e para motricidade de 59% (Bayley) e 74,4% (AIMS); (2) houve interação significativa entre grupo x tempo nos escores cognitivo e escores motores da AIMS; (3) grupo que recebeu intervenção teve mudanças positivas e significativas entre as duas avaliações; (4) observou-se associação significativa entre o desenvolvimento motor e a idade da criança, tipo de residência, escolaridade da mãe e desenvolvimento cognitivo; (5) observou-se associação significativa entre o número de hospitalizações e a idade da criança, idade e escolaridade da mãe, tipo de residência, práticas AHEMD e espaço interno da residência. Conclusão: a intervenção motora no ambiente hospitalar, durante o tempo de internação de bebês com doenças respiratórias, contribui de forma positiva para o desenvolvimento motor e cognitivo. Os fatores ambientais estiveram mais associados do que os fatores biológicos tanto ao número de internações por doenças respiratórias, quanto ao desenvolvimento motor de bebês de 1 a 16 meses. Esses resultados reforçam a importância do ambiente e das especificidades da tarefa no desenvolvimento infantil, sendo estes capazes de reduzir efeitos da vulnerabilidade biológica. / Introduction: great attention is given to the NICU in the context of infant hospitalization, however there is a lack of research in order to investigate the need and benefits of intervention programs that can reduce environmental components, and promote the continued development of the baby during hospitalization in pediatric units. Objectives: (1) describe the motor and cognitive development of infants aging from 0 to 18 months hospitalized for respiratory diseases; (2) compare the development of infants hospitalized participants and non-participants of a motor intervention program; (3) analyze the associations between motor development of infants hospitalized and cognition, as well as biological and environmental factors and recurrent hospitalizations; (4) analyze the associations between the number of hospitalizations and biological and socioeconomic factors and family environment. Methods: descriptive, cross-sectional prospective study conducted in the pediatric unit of a public hospital. Participated 39 infants, aged 1-16 months. Alberta Infant Motor Scale (AIMS) and Bayley Scale of Infant Development (Bayley III) was used to evaluate the development of infants. Questionnaires was also conducted with the infant’s responsible for sample characterization, family environment (Affordances in the Home Environment for Motor Development – Infant Scale - AHEMD) and socioeconomic level (Critério de Classificação Econômica Brasil). Results: (1) the prevalence of babies with lower development than expected for cognition was 46% and for motor skills 59% (Bayley) and 74.4% (AIMS); (2) there was a significant group x time interaction between the cognitive scores and motor scores of AIMS; (3) the group that received intervention had positive and significant changes between the two assessments; (4) it was observed a significant association between motor development and the child's age, type of residence, mother's education and cognitive development; (5) it was observed a significant association between the number of hospitalizations and the child's age, mother's age, mother’s education, type of residence, AHEMD practices and internal space of the house. Conclusion: The motor intervention in the hospital during the period of infant’s hospitalization with respiratory diseases contributes positively to the motor and cognitive development. Environmental factors were more associated than biological factors for the number of admissions for respiratory disease as motor development of infants aging 1-16 months. These results reinforce the importance of the environment and the specifics of the task in child development, being able to reduce these effects of biological vulnerability.

Research has shown that many of the disciplines typically included on early intervention/early childhood special education (EI/ECSE) teams receive minimal to no specialized training or coursework in EI/ECSE, and/or little emphasis or opportunity for interdisciplinary collaboration and instruction (Campbell, Chiarello, Wilcox, & Milbourne, 2009; Bruder & Dunst, 2005). As such, graduate students across IDEA related disciplines need more specific instruction and supervised experiences in collaborative service delivery, and evidenced-based social- communication interventions. The primary objective of this study was to examine the effectiveness of the Language and Play Everyday (LAPE) program as a model of cross-disciplinary training for graduate students in the Communication Disorders and Sciences (CDS) and Early Intervention/ Early Childhood Special Education (EIP) programs at the University of Oregon. Participants included four first-term graduate students (i.e., two from CDS; two from EIP) enrolled in the LAPE practicum during Fall 2016. Multiple outcome measures, including a pre-post competency/self-efficacy questionnaire as well as analysis of student-child interaction videos, were used to evaluate the degree to which students’ knowledge and use of child language development principles, language-enhancing strategies, and overall confidence changed throughout the 11-week practicum experience. Analysis of student-child interaction samples revealed that all students increased their use of language-enhancing strategies in group and/or individual play contexts directly following an initial LAPE training workshop, and again after an individualized coaching session. Pre-post competency and self-efficacy questionnaires indicated students made growth in both their overall confidence and knowledge of child language development and language-enhancing strategies across the 11-week practicum placement. Future recommendations include increasing opportunities for collaboration and sharing of discipline-related knowledge during training activities as well as providing continued opportunities for individualized coaching.

The current study used a quasi-experimental comparison group pre/post-test design to examine the effectiveness of the Language and Play Everyday (LAPE) program for improving EI/ECSE practitioners’ knowledge, use of, and confidence in using Caregiver Implemented-Naturalistic Communication Interventions (CI-NCIs). Participants included 20 EI/ECSE practitioners across IDEA-related disciplines, eight with prior LAPE experience. 10 practitioners took part in a new, more intensive LAPE program, and 10 did not. Analysis of pre/post-questionnaires revealed that practitioners with prior LAPE experience reported significantly higher use of CI-NCI skills and mean self-efficacy ratings than those without LAPE experience. Practitioners who participated in the new, more intensive program used significantly more skills and scored significantly better on a knowledge test than those who did not participate, even when controlling for prior LAPE experience. These findings indicate that the LAPE program is a promising model to train EI/ECSE practitioners across disciplines in CI-NCIs.

Introdução: no contexto da hospitalização infantil, grande atenção é dada à UTI neonatal, porém observa-se a carência de pesquisas de caráter interventivo com o fim de investigar a necessidade e os benefícios de programas de intervenção que possam diminuir componentes ambientais e estressores, e promover a continuidade do desenvolvimento do bebê durante a hospitalização em unidades pediátricas. Objetivos: (1) descrever o desenvolvimento motor e cognitivo dos bebês de 0 a 18 meses internados por doenças respiratórias; (2) comparar o desenvolvimento de bebês internados por doenças respiratórias participantes e não participantes de um programa hospitalar de intervenção motora; (3) analisar as associações entre o desenvolvimento motor dos bebês hospitalizados e a cognição, bem como, fatores biológicos, ambientais e hospitalizações recorrentes; (4) analisar as associações entre o número de hospitalizações e fatores biológicos, socioeconômicos e do ambiente familiar. Métodos: estudo descritivo, transversal e prospectivo realizado na unidade de internação pediátrica de um hospital público do sul do Brasil. Participaram 39 bebês, com idade variando de 1 a 16 meses. Para avaliação do desenvolvimento dos bebês foram utilizados a Alberta Infant Motor Scale (AIMS) e as escalas cognitiva e motora da Bayley Scale of Infant Development (Bayley III). Também foram utilizados questionários com os responsáveis para caracterização da amostra, do ambiente familiar (Affordances in the Home Environment for Motor Development – Infant Scale - AHEMD) e do nível socioeconômico (Critério de Classificação Econômica Brasil). Resultados: (1) a prevalência de bebês com desenvolvimento abaixo do esperado para a cognição foi de 46% e para motricidade de 59% (Bayley) e 74,4% (AIMS); (2) houve interação significativa entre grupo x tempo nos escores cognitivo e escores motores da AIMS; (3) grupo que recebeu intervenção teve mudanças positivas e significativas entre as duas avaliações; (4) observou-se associação significativa entre o desenvolvimento motor e a idade da criança, tipo de residência, escolaridade da mãe e desenvolvimento cognitivo; (5) observou-se associação significativa entre o número de hospitalizações e a idade da criança, idade e escolaridade da mãe, tipo de residência, práticas AHEMD e espaço interno da residência. Conclusão: a intervenção motora no ambiente hospitalar, durante o tempo de internação de bebês com doenças respiratórias, contribui de forma positiva para o desenvolvimento motor e cognitivo. Os fatores ambientais estiveram mais associados do que os fatores biológicos tanto ao número de internações por doenças respiratórias, quanto ao desenvolvimento motor de bebês de 1 a 16 meses. Esses resultados reforçam a importância do ambiente e das especificidades da tarefa no desenvolvimento infantil, sendo estes capazes de reduzir efeitos da vulnerabilidade biológica. / Introduction: great attention is given to the NICU in the context of infant hospitalization, however there is a lack of research in order to investigate the need and benefits of intervention programs that can reduce environmental components, and promote the continued development of the baby during hospitalization in pediatric units. Objectives: (1) describe the motor and cognitive development of infants aging from 0 to 18 months hospitalized for respiratory diseases; (2) compare the development of infants hospitalized participants and non-participants of a motor intervention program; (3) analyze the associations between motor development of infants hospitalized and cognition, as well as biological and environmental factors and recurrent hospitalizations; (4) analyze the associations between the number of hospitalizations and biological and socioeconomic factors and family environment. Methods: descriptive, cross-sectional prospective study conducted in the pediatric unit of a public hospital. Participated 39 infants, aged 1-16 months. Alberta Infant Motor Scale (AIMS) and Bayley Scale of Infant Development (Bayley III) was used to evaluate the development of infants. Questionnaires was also conducted with the infant’s responsible for sample characterization, family environment (Affordances in the Home Environment for Motor Development – Infant Scale - AHEMD) and socioeconomic level (Critério de Classificação Econômica Brasil). Results: (1) the prevalence of babies with lower development than expected for cognition was 46% and for motor skills 59% (Bayley) and 74.4% (AIMS); (2) there was a significant group x time interaction between the cognitive scores and motor scores of AIMS; (3) the group that received intervention had positive and significant changes between the two assessments; (4) it was observed a significant association between motor development and the child's age, type of residence, mother's education and cognitive development; (5) it was observed a significant association between the number of hospitalizations and the child's age, mother's age, mother’s education, type of residence, AHEMD practices and internal space of the house. Conclusion: The motor intervention in the hospital during the period of infant’s hospitalization with respiratory diseases contributes positively to the motor and cognitive development. Environmental factors were more associated than biological factors for the number of admissions for respiratory disease as motor development of infants aging 1-16 months. These results reinforce the importance of the environment and the specifics of the task in child development, being able to reduce these effects of biological vulnerability.