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Applying Theory-Driven Approaches To Predicting Pediatric Mental Health Clinician Behavior In The Utilization Of Evidence-Based PracticeJohnson Emberly, Deborah 17 August 2010 (has links)
Within pediatric mental health, of the only 25% of children with emotional and behavioral disorders that receive mental health services many receive treatments and interventions that are not based upon evidence. The question remains how to support mental health clinicians to utilize the evidence we have regarding the treatment of pediatric mental health disorders. Research findings consistently demonstrate that there are a variety of successful interventions which can be effective in changing clinical behaviors. However, further research is required to develop and validate a coherent theoretical framework of health professional behavioral change to better inform the choice of interventions. This study applied theory-driven approaches to predict pediatric mental health clinician behavior in the utilization of evidence-based practice. A national web based survey of pediatric outpatient mental health clinicians (N=154) applying the Theory of Planned Behavior and Operant Learning Theory (Habit and Reinforcement) was conducted. The clinical behaviors of interest were: 1) Recommendation of medication consultation/prescription for the treatment of ADHD; 2) Recommendation of parent training regarding child behavior management; and 3) Utilization of evidence-based group therapy with the specific objective of reducing wait lists. Behavioral intention, a theoretically derived measure, was the main outcome measure. Habit uniquely accounted for 61%, 20% and 25% of the variance, respectively in the three behaviors of interest (parent management, medication, and group treatment for waitlist management). Attitude uniquely contributed a further 5% of the variance in intention in medication consultation/prescription while Reinforcement uniquely explained an additional 10% of the intention to use group treatment. Habit is the single greatest predictor of pediatric mental health clinician behavioral intention in the utilization of evidence-based practice. Habit describes why clinicians are engaging in a behavior (it is what they’ve always done), but the other theoretical predictors tell us something about how to change this habit.
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Aktyvumo ir dėmesio sutrikimą turinčių mokinių mokykloje patiriamos bendravimo problemos / Pupil with attention deficit hyperactivity disorder communication problems arising at schoolBaldauskienė, Emilija 03 July 2012 (has links)
Bakalauro darbe nagrinėjamos aktyvumo ir dėmesio sutrikimą turinčių mokinių bendravimo problemos. Bakalauro darbo tikslas - išnagrinėti aktyvumo ir dėmesio sutrikimą turinčių mokinių bendravimo problemas patiriamas mokykloje. Anketinės apklausos metodu tirta mokinių nuomonė apie mokyklą ir savijautą joje, buvo siekiama išanalizuoti mokinių bendravimo problemas. Apklausiant pedagogus, siekta nustatyti pedagogų reakcijas į nepageidaujamą mokinių elgesį, jų tarpusavio bendravimo su aktyvumo ir dėmesio sutrikimų turinčių vaikų ypatumus, efektyviausias nepageidaujamo elgesio valdymo priemones.Tyrimo metu nustatyta, jog aktyvumo ir dėmesio sutrikimų turintys mokiniai nesijaučia turintys didelių bendravimo problemų. Bendravimą su mokytojais jie vertina teigiamai, labiausiai jie nerimauja, kai reikia pradėti pokalbį ar išsakyti savo nuomonę, nes mano, kad jų niekas nesupranta. Bendraudami su bendraklasiais, jie jaučia kitų mokinių nenorą bendrauti ir mano, jog su jais sutaria tik kai aktyvumo ir dėmesio sutrikimą turinčių mokinių elgesys būna geras. Daţniausia mokinių nesutarimų su bendraamţiais prieţastis yra patyčios. Dauguma mokytojų neturi neigiamo poţiūrio į aktyvumo ir dėmesio sutrikimų turinčius mokinius. Bendravimo su mokiniais, turinčiais aktyvumo ir dėmesio sutrikimą, nesklandumus mokytojai sprendţia pozityviomis priemonėmis, o efektyviausios, mokytojų teigimu, elgesio valdymo priemonės – pokalbiai su tokiais mokiniais ir nuolatinis mokinių uţimtumas. / In the bachelor work were analysed pupil with attention deficit hyperactivity disorder communication problems having at school. Work purpose – to find out pupils with attention deficit hyperactivity disorder communication problems at school. The biggest part of schoolteachers do not have negative view to pupils with attention deficit hyperactivity disorder. Because of pupils negative behaviour, shoolteachers solve communication problems by positive methods. Most effective methods of behaviour control – conversations and full employment.
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Sensory processing and attention deficit hyperactivity disorder in children with fetal alcohol spectrum disorderAbele-Webster, Lynne Unknown Date
No description available.
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Attention deficit hyperactivity disorder and the frontal lobe syndromeShue, Karen L. January 1989 (has links)
The usefulness of frontal lobe (FL) dysfunction as a conceptual model for Attention Deficit Hyperactivity Disorder (ADHD) was investigated. Twenty-four ADHD and 24 normal control (NC) children were tested using tasks sensitive to FL deficits in motor control and problem solving skills and memory tasks sensitive to temporal lobe (TL) dysfunction. ADHD children differed significantly from NCs on measures of FL function, but not on tests of TL functions. Wherever norms were available for normal children on the same FL tests, ADHD subjects performed like 6 to 7 year olds, in spite of their mean age of 10 years and minimum age of 8 years. The differential performance of ADHD children on tasks sensitive to FL and TL damage supports the conceptualization of ADHD deficits as analogous to FL dysfunction and implies that deficits are not explained by reference to generalized impairment.
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Separate integral responding in children demonstrating attention deficit disorderAmin, Kiran January 1987 (has links)
Integral (holistic) and separable (analytic) processing were studied in ADD-H and normal children using restricted classification tasks composed of separable dimensions and triad/tetrad combinations. In Studies One and Three classifications of ADD-H children and controls were compared on size/brightness and length/density combinations. In Study Two classifications of four age groups of normal subjects (mean ages 5-3, 7-9, 11-1 years and adults) were compared on size-brightness combinations. ADD-H children demonstrated significantly fewer separable responses than normal controls only on the tetrads. Normal subjects showed a developmental trend towards differential separable responding to size as compared to brightness. ADD-H children appear to show a lag of about two years on this developmental trend. Results suggest that ADD-H children resort more readily than normals to integral responding under increased processing load. Results are discussed in terms of the cognitive deficits of ADD-H children and current theories of perceptual differentiation.
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Motor performance and fitness of children with an attention-deficit hyperactivity disorderHarvey, William, 1578-1657. January 1995 (has links)
The purpose of this study was to describe the gross motor and fitness characteristics of children with an attention-deficit hyperactivity disorder (ADHD). Nineteen children with an ADHD, between the ages of 7 years, 0 months and 12 years, 11 months (M = 9 years, 4 months) participated in this study. The 17 boys and 2 girls had IQs between 80 to 100, were not affected by specific learning disabilities, and behavioral problems were the primary reason for acceptance into their clinical center. Children with additional psychiatric diagnoses were excluded. All children were tested individually. Gross motor performance was measured by the Test of Gross Motor Development (Ulrich, 1985). Fitness variables were measured by selected items from the Canadian Standardized Test of Fitness (1986), the Canada Fitness Survey (1985), the CAHPER Fitness-Performance II Test (1980), and The Twenty Meter Shuttle Run Test (Leger et al., 1984). A counterbalanced Latin-Square testing order was used to avoid practice effects. Statistical analysis involved converting raw scores to percentile scores which were graphed to provide individual and group profiles of performance. The present study identified the physical fitness and gross motor performance of these children as below average. / Programming implications and recommendations for future study are provided.
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Learning experiences of children presenting with Attention deficit and hyperactivity disorders in primary schools / Tebogo Onicca SepengSepeng, Tebogo Onicca January 2006 (has links)
A quantitave study was done on children who were diagnosed with Attention
Deficit and Hyperactivity Disorders in primary schools. The main aim was
to measure IQ and to find out if there are indicators of organicity. The
hypotheses of the study were as follows: (i) Children diagnosed with ADHD
will obtain lower scores on IQ tests than children not diagnosed with
ADHD; (ii) Children diagnosed with ADHD have some form of
neurological deficit or organicity The study consisted of a sample 25
children who were diagnosed with Attention Deficit and Hyperactivity
Disorders and the children who were never diagnosed with the disorder. The
sample and the control group range from the age of six (6) to 13 years. Data
was collected using Bendor Visual Motor Gestalt Test and Senior South
African Individual Scale Revised. Descriptive Statistics. Chi-square Test and
Mann-Whitney Test were used to determine the difference between the
sample and the control group.
The results indicated that there is significant difference between children
with ADHD and the control group on both verbal and non-verbal IQ tests.
This means that children who were diagnosed with ADHD scored lower on
measures •of IQ. The differences may have been due to IQ. or the ADHD
group was distracted enough to perform significantly worse on reading.
spelling, mathematics, comprehension and written tasks. The results on the
Chi-square indicated that there is a relationship between the presence and
ADHD and organicity. The findings in this study will aid teachers and
parents (especially in African communities), to find out more about the
children who they think are just problematic children.
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EFFECTS OF COACHING IN THE DETECTION OF MALINGERED ATTENTION DEFICIT/HYPERACTIVITY DISORDER IN A COLLEGE SAMPLEEdmundson, Maryanne 01 January 2014 (has links)
College students may feign symptoms of ADHD to gain access to stimulant medications and academic accommodations. Research has shown that it can be difficult to discriminate malingered from genuine symptomatology, especially when evaluations are based only on self-report. The present study investigated whether the average student given no additional information could feign ADHD as successfully as those who were coached on symptoms. Similar to Jasinski, Harp, Berry, Shandera-Ochsner, Mason, & Ranseen (2011) and other research on feigned ADHD, an extensive battery of neuropsychological, symptom validity, and self-report tests was administered. Undergraduates with no history of ADHD or other psychiatric disorders were randomly assigned to one of two simulator groups: a coached group which was given information about ADHD symptoms or a non-coached group which was given no such information. Both simulator groups were asked to feign ADHD. Their performance was compared to a genuine ADHD group and a nonclinical group asked to respond honestly. Self-report, neuropsychological, and effort test performance is discussed in the context of the effect of coaching and regarding its implications for ADHD evaluations.
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THE EFFECTS OF THEMATIC IMPORTANCE ON RECALL OF CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER AND COMPARISON CHILDRENFlake, Rebecca Alycson 01 January 2006 (has links)
This study examined the recall of televised stories for younger (4-6 years) and older (7-9 years) children with and without ADHD under two different viewing conditions (toys present/toys absent). Each child watched two Rugrats television programs, once with toys present and once with toys absent. Immediately after viewing a program, the child completed a free recall of the observed story. Nonreferred childrens recall increased more than ADHD childrens as importance level increased, and older nonreferred children recalled more information overall than older children with ADHD. For the toys condition, children with ADHD had smaller correlations between the story units recalled and the order of these units in the story than did nonreferred children. Children with ADHD demonstrated multiple difficulties in story comprehension. They were less sensitive to thematic importance and they produced less coherent recalls than their nonreferred peers.
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PARENT-CHILD STORYTELLING DURING JOINT PICTURE-BOOK READING AND RELATION TO LANGUAGE SCORES OF CHILDREN WITH ADHDLeonard, Melinda A. 01 January 2005 (has links)
Three questions were investigated in the current study. First, do children with ADHD have language deficiencies in comparison to non-referred peers? Second, are there diagnostic group differences in parent and child storytelling when interacting in a joint picture-book setting or in parent reported home literacy habits? Third, are these differences related to child language scores? Parents of 25 children with ADHD and 39 comparison children, average age 7 years 6 months, told their children a story based on a wordless picture-book, and children then retold the story to an examiner without using the book. In addition, children made up two of their own stories and completed a standardized test of receptive and expressive language abilities. Children with ADHD demonstrated an expressive language deficiency compared to the non-referred children, but there was no group difference in receptive language scores. Parents of children in both groups told stories of similar length and complexity, as well as affective and responsive quality. However, for the ADHD group but not the comparison group, more positive and responsive parents told stories on a lower grade level. The length of the childs retell of the parents story did not differ across groups but children with ADHD told shorter stories when asked to make up their own stories without the external structure or salience of visual cues. Further, there were no significant group differences in the relations between parent storytelling and child language scores. The implications of these findings for understanding parent and child storytelling and language abilities of children with ADHD are discussed.
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