Thesis (Ph.D.)--Portland State University, 2004. / Adviser: Margaret B. Neal. Includes bibliographical references.

Thesis (Ph. D.)--University of Texas at Austin, 2000. / Vita. Includes bibliographical references (leaves 413-430). Available also in a digital version from Dissertation Abstracts.

Thesis (M.A.B.C.)--Master's College, Santa Clarita, Calif., 2002. / Includes bibliographical references (leaves 119-122).

Thesis (M.A.B.C.)--Master's College, Santa Clarita, Calif., 2002. / Includes bibliographical references (leaves 119-122).

Thesis (M.A.B.C.)--Master's College, Santa Clarita, Calif., 2002. / Includes bibliographical references (leaves 119-122).

Early identification of hearing loss followed by a timely and effective intervention programme for children with hearing loss is necessary to minimise the negative effects of hearing loss on the development of cognition, psychosocial and verbal communication skills. Such early intervention programmes need to be multidisciplinary, technologically sound and most important, it should take cognisance of the specific context (community, country) in which the child and family function. The main aim of this study is to obtain accurate and reliable baseline information regarding current status of the early intervention process for children with hearing loss in Johannesburg, a Metropolitan City in a developing country. Self-administered questionnaires were handed out to obtain information from 19 hearing impaired childrens’ parents regarding the ages of suspicion of hearing loss, diagnosis and commencement of aural habilitation. The nature of diagnosis and the management of these children are also described. The findings indicate that children in the study were diagnosed and began habilitation late (mean age 24 months and 36months respectively) and that the management process is fragmented. The strengths in the current identification and follow-up process namely, parental involvement and established early intervention service structure are highlighted. Parents’ perceptions of the success and failures of the early intervention services were resolved. Key words: childhood hearing loss, parents/caregivers views, age of diagnosis, age of intervention, developing country

The availability of online support communities creates new opportunities for caregivers of children affected by health conditions to manage their illness-related uncertainty. This dissertation includes two studies that examined the presence of uncertainty management behaviors in online interactions among parents (caregivers) of children with clubfeet, and empirically tested the applicability of the uncertainty management theory to online behaviors. The Uncertainty Management Theory provided the theoretical foundation for both studies. For the first study, a content analysis of messages exchanged in an online support community dedicated to parents of children with clubfeet was conducted. Most messages were authored by women. The majority of the emotions expressed in the messages were positive. The most frequent information-seeking behaviors were direct questioning and self-disclosure. Information exchanges as a strategy to manage uncertainty included names of health care professionals and medical information. Five major types of social support (informational, tangible, network, esteem, and emotional) were identified. Informational support was the most frequent type of support provided, followed by emotional and esteem support. A third of the messages included combinations of two or more types of social support. For the second study an online survey was distributed using a snow-balling technique. Based on the survey data structural equation modeling was used to empirically test the uncertainty management framework. Positive relationships were identified between knowledge and information seeking, information seeking and social support, social support and sense of virtual community, uncertainty and stress. The results suggested that the uncertainty management theory may need to be adapted for use in online contexts. Uncertainty seems to be an important part of the experience of parents caring for children with clubfoot. Online communities dedicated to these parents represent a promising setting for studying illness-related uncertainty and its potential causes. Such studies can be a critical source of information to inform priorities for research and practice. This dissertation is the first step in better understanding the audience and provides an initial exploration of uncertainty management and communication processes present in an online support community. As we learn more about the parent audience, the importance of communicating with them becomes increasingly clear.

<p>The number of children with disabilities under the age of 18 years around the world varies from 120 to 150 million. In many countries, throughout the world, the majority of children with disabilities either do not receive any form of education or, if they receive any, it is often inappropriate. UNESCO estimates that more than 90% of children with disabilities in developing countries do not attend schools. Rwanda has recently started inclusive education in a number of schools around the country for ensuring that children with disabilities have access to education. Despite this, in Rwanda, many children with disabilities do not attend school and this number is not known. This study aimed to identify the barriers to school attendance by children with disabilities in Rwanda.</p>

<p>The number of children with disabilities under the age of 18 years around the world varies from 120 to 150 million. In many countries, throughout the world, the majority of children with disabilities either do not receive any form of education or, if they receive any, it is often inappropriate. UNESCO estimates that more than 90% of children with disabilities in developing countries do not attend schools. Rwanda has recently started inclusive education in a number of schools around the country for ensuring that children with disabilities have access to education. Despite this, in Rwanda, many children with disabilities do not attend school and this number is not known. This study aimed to identify the barriers to school attendance by children with disabilities in Rwanda.</p>

Early childhood development has a lifelong impact on the future of each human being. However, all South Africans do not have equal access to the same quality ECD opportunities and services. As a means to advance knowledge in this regard, this study explores parents' perceptions regarding early childhood development (ECD) and their involvement therein, particularly within the Langkloof farming communities. Furthermore, the objective is to formulate guidelines, which can be applied to promote parents‘ involvement in ECD at home and at the ECD partial care facility the children are enrolled at. For this reason an interpretive, descriptive research design was utilised as methodology, which enables the determination of practical applicability. The data for this study was gathered by means of five focus groups, consisting of not more than eight participants per group. Participants were sampled though a purposeful sampling strategy to ensure that the most informative participants were selected for the study. Gathered data were transcribed and analysed on the basis of the basic qualitative analysis process, incorporating the thematic analysis strategy. The findings of this study indicate that parents have a pertinent understanding of ECD and parental involvement in relation to existing literature on ECD. Participants‘ perceptions complement existing ECD-related literature, indicating that parental involvement in ECD includes a home-centred as well as a facility-centred approach. Participants made reference to their concerns and satisfactions with the ECD services that they are currently receiving. They furthermore made reference to the challenges that prohibit them from optimal parental involvement in the ECD of their children, both at home, as well as at the ECD partial care facilities their children are enrolled at. Participants made suggestions on how they could be supported to address their concerns and challenges in both home-centred and facility-centred approaches in order to enhance parental involvement in their community. In general findings suggest that parents have the skills and are aware of their rights and responsibilities with regard to ECD parental involvement. However, if their insights were to be additionally buttressed in particular ways, their children‘s development in the early years could be enhanced. Based on the findings therefore, this study recommends that governmental departments focus on determining the actual requirements of parents, based on their unique understanding of their circumstances and beliefs by means of practice-based research in less fortunate communities. Furthermore it is recommended that government departments, other role players involved in community-based ECD service delivery and farm owners should play a developmental, empowering and supportive role to assist parents to improve in respect of home-centred, as well as facility-centred parental involvement in ECD. In general the findings of this study therefore suggest that support services to parental involvement in ECD must be individualised based on research and theory and the requirements of parents and children in a specific context. / Thesis (MSW)--North-West University, Potchefstroom Campus, 2013.