Thesis (MCur)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Research indicates that human touch plays an integral role in an infant’s ability to thrive and grow, with a correlation existing between tactile stimulation and optimal physical, emotional, cognitive, and social development. The aim of this study was to explore the level of knowledge of first time mothers attending Mowbray Maternity Hospital (MMH) regarding the importance of tactile stimulation during infancy and early childhood. A descriptive, non-experimental, research design was employed, using a pilot tested structured questionnaire for data collection during face-to-face interviews conducted by the Principal Investigator. Questions were divided into four domains: knowledge about the impact of tactile stimulation on the bonding domain, the emotional domain, physical domain and the social domain of infants and children. The inclusion of one open-ended question allowed participants to suggest recommendations for improved knowledge and care. A sample of 41 participants, constituting 40% of the study population (N=101) was randomly selected from MMH. Prior ethical approval was obtained from the Human Research Ethics Committee of Stellenbosch University, and operational approval from the Western Cape Department of Health, and the Research Committee and Senior Management of MMH. Written informed consent was obtained from the study participants. The quantitative data was analysed using Statistica (Version 10) with the assistance of a statistician. The qualitative data yielded from the one open-ended question was analysed thematically and then quantified. The findings show that 90% (n=37) of the participants were knowledgeable about tactile stimulation strategies, 81% (n=33) knew about the impact of tactile stimulation on the bonding domain, 75% (n=31) on the emotional domain, 52% (n=21) on the physical domain and 43% (n=18) on the social domain. Although all participants had reported for out-patient antenatal care on four and more occasions, 73% (n=30) indicated that they had improved their knowledge regarding pregnancy, labour, birth, and parenting by reading magazines, 20% (n=8) reported that a health care worker had spoken to them about the benefits of tactile stimulation, and 15% (n=6) had received literature on the benefits of tactile stimulation. The open-ended question generated several findings which included suggestions to enhance healthcare by providing information and training about tactile stimulation and perinatal matters when attending antenatal clinic; by offering assistance with infant feeding during the postnatal period; and by improving the attitude and professional stance of health care workers. The study findings suggest that first time mothers at MMH are not adequately knowledgeable about the importance of tactile stimulation during infancy and early childhood. Grounded in the empirical findings and based on the suggestions offered by the participants, several recommendations, including improved information and training, were identified toward strengthening tactile stimulation knowledge and practice at both the parental and health care provider levels. / AFRIKAANSE OPSOMMING: Studies toon dat menslike aanraking ‘n belangrike rol in ‘n baba se algemene vermoëns om te groei speel, terwyl ‘n positiewe korrelasie tussen koestering en optimale fisiese, emosionele, kognitiewe en sosiale ontwikkeling bestaan. Die doel van hierdie studie was om vas te stel of moeders, wat vir die eerste keer geboorte geskenk het, en geskeduleer was om by Mowbray Kraamhospitaal geboorte te skenk, ingelig was aangaande die belangrikheid van streling tydens babaskap en die vroeë kinderjare. ‘n Beskrywende, nie-eksperimentele navorsingstudie is uitgevoer, deur van ‘n gestruktureerde, onderhoudsvraelys vir die insameling van data gebruik te maak. Vrae was opverdeeld in die volgende seksies: kennis rakende die impak van babastreling op die band tussen moeder en baba, kennis rakende die impak op die emosienele dimensie, en kennis rakende die impak van babastreling op die fisiese en sosiale dimensies van babas en kinders. Die ewekansige gekose studie-groep van een-enveertig deelneemers het 40% van die studie-populasie uitgemaak. Voorafgaande etiese en operationele toestemming is vanaf die Menslike Etiese Kommittee van die Universiteit van Stellenbosch, die Wes-Kaapse Departement van Gesondheid en vanaf die Navorsings kommittee en Bestuur van Mowbray Kraamhospitaal verkry. Geskrewe toestemming is voor aanvang van die een-tot-een onderhoude vanaf die deelneners verkry. Die kwantitiewe data is met die hulp van ‘n statistikus deur die gebruik van die sagteware, Statistica (Weergawe10) geanaliseer. Die kwalitiewe data wat na aanleiding van die oop-eindigende vraag verkry is, is tematies geanaliseer en gekwantifiseer. Die resultate het getoon dat meeste 90% (n=37) van die deelnemers met die algemene praktyke van babastrelingstrategië gedurende babaskap bekend was. Die persentasie vir deelnemers se kennis rakende die impak van babastreling op die band tussen moeder en baba was 81% (n=33), en vir kennis omtrent die emosienele dimensie 75% (n=31), die impak van babastreling op die fisiese 52% (n=21) en die sosiale 43% (n=18) dimensies van babas en kinders. Alhoewel alle deelneemers vir voorgeboorte kliniek gerapporteer het, het 73% (n=30), terugvoer dat hulle hulle kennis omtrent swangerskap, geboorte en ouerskap verbreed het deur tydskrifte te lees, 20% (n=8) van die deelnemers gerapporteer het dat ‘n gesondheidswerker met hulle omtrent die voordele van babastreling gepraat het, terwyl 15% (n=6) leesmaterial rakende die voordele van babstreling ontvang het. Die oop-eindigende vraag het verskeie bevindings opgelewer met voorstelle met betrekking tot die verbetering van gesondheidsorg en opleiding, opleiding aangaande die voorgeboortelike sorg wat hulle ontvang het en aangaande perinatale aangeleenthede en stimulasie van babas deur streling. Deelneemers het ook voorgestel dat verpleegsters hulp aan moeders behoort te verleen met die voeding van hul babas in die periode na geboorte en dat gesondheidsorgwerkers hulle professionaliteit en gesindhede jeens pasiënte behoort te verbeter. Ten slotte het die uitkomste van hierdie studie aangedui dat, moeders wat vir die eerste keer geboorte geskenk het by Mowbray Kraamhospitaal, onvoldoende kennis dra oor die belangrikheid van stimulasie van hulle babas en jong kinders deur streling. Gegrond in die empiriese bevindings en gebaseer op die voorstelle van deelnemers, is verskeie aanbevelings geïdentifiseer vir die moontlike verbetering van kennis rakende streling op die ouer- en gesondheidswerkervlakke.

The purpose of this study was to determine the degree to which the experience of incest contributed to women's' evaluations of counselors' trustworthiness and attractiveness based on the counselors' use of touch. Counseling facilities, educational centers, and individual therapists who led groups for female adult survivors of incest and non-victimized women, were contacted and asked to participate in a study designed to evaluate counseling techniques for women in counseling. The sample consisted of 130 volunteers over the age of 18 and currently in counseling. Groups of participants evaluated two 4 1/2 minute Simulated counseling sessions on video tapes. Nearly half of the sample viewed the tapes with a male counselor and a female client, and the others viewed tapes with a female counselor and a female client. On one of each set of counseling vignettes, the counselor supportively touched the client four times. All other variables were held constant. Participants evaluated the counselors on attributes of attractiveness and trustworthiness associated with the use of counselor touch. The results of the multiple regression analysis indicated that two variables significantly influenced how participants evaluated counselor attributes associated with the use of counselor touch, namely counselor attributes when the counselor did not use touch and counselor's gender. Results of independent t-tests indicated that female counselors were rated significantly higher on both counselor attributes in both counseling vignettes. Paired t-tests indicated that female counselors were rated significantly higher on counseling attributes when they used touch versus when they did not use touch. Male counselors were rated significantly higher on the counselor attribute of attractiveness when they used touch versus when they did not use touch. A significant interaction was found between the participant's incest experience and ratings of counselors' attributes when the counselor did not use touch. That is, participant's ratings of counselors' attributes when the counselor used touch and participant's incest experience were combined, they made a Significant contribution to how participants rated counselors on counseling attributes when the counselor used touch. The findings of this study suggest that whether women experience incest or not does not effect their perceptions of counselors who use touch. Furthermore, women preferred counselors who used touch versus those that did not. Implications for further training suggest that counselors be taught appropriate touch techniques to use in counseling with both adult survivors of incest and non-victimized women. / Ed. D.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-09-19T10:17:53Z No. of bitstreams: 1 André Leonardo da Silva Nessi.pdf: 1320246 bytes, checksum: c210dee52ebea92eedf2923196d0ec38 (MD5) / Made available in DSpace on 2018-09-19T10:17:53Z (GMT). No. of bitstreams: 1 André Leonardo da Silva Nessi.pdf: 1320246 bytes, checksum: c210dee52ebea92eedf2923196d0ec38 (MD5) Previous issue date: 2018-04-18 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The dissertation has no abstract / A população mundial nos últimos 50 anos, teve um aumento em números redondos de 2 para 7 bilhões. O Brasil, dos 90 para os 210 milhões; consequentemente o número de idosos avançou, os cuidados melhoraram, as questões sociais, especialmente as gerontológicas, tornaram-se mais presentes. Esta pesquisa constitui um estudo descritivo-exploratório, com coleta e análise dos dados, qualitativa e quantitativa. Diante do tema proposto, questões surgiram que se subsumiram nesta: - A massagem pode trazer reais benefícios aos idosos? Objetivou-se: (i) Verificar a importância do “toque” na vida do idoso; (ii) Analisar e discutir os efeitos proporcionados pela técnica de Massagem Gerontológica Epicrânia (na cabeça) e Dorsal (nas costas), quanto ao bem-estar à pessoa idosa, independentemente de sexo, mas com autonomia de movimentos. A aplicação foi feita em sessão única, em duas partes, uma com 30 minutos de cada massagem, em um total de 5 sessões. Levadas em consideração: a pressão do “toque”, a área a ser aplicada e as posições da pessoa idosa. Os idosos entrevistados responderam a questionários (Ficha de Anamnese, Stress, Satisfação, Dor) antes e após a realização dos procedimentos, a fim de atestar os resultados da massagem. A pesquisa foi realizada com 10 idosos voluntários, de ambos os sexos, com idades entre 60 e 74 anos, convidados para os Programas de Massagens da Universidade Anhembi Morumbi-SP. Coleta de dados realizada por meio da aplicação de ficha de Anamnese com informações gerais sobre:- o estado de saúde física e informações sociais, - a importância da massagem na vida destes idosos e – de como se sentiram antes e depois da prática; - suas prioridades na busca desta atividade; - aferições dos sinais vitais antes e após a massagem. Aplicado o questionário de Escala Visual Analógica de Dor (EVA) que registra a intensidade da dor, onde 10 é o máximo e 0 o mínimo, adaptado para buscar informações sobre as principais alterações ocorridas no comportamento desses idosos, após iniciarem esta atividade com massagem, relacionadas a sentimentos, emoções e relacionamentos interpessoais, levantando-se o impacto sobre auto-estima e bem-estar. Em relação ao teste de Perfil de Estado de Humor (POMS), para avaliar estados emocionais e de humor cujos adjetivos da tabela referem-se à tensão, depressão, vigor, hostilidade, fadiga e confusão, com graduação em 5 pontos, sendo: 0=nunca,1= pouco, 2= moderado,3=bastante,4=muitíssimo. Os resultados foram relevantes nesses indivíduos, em que foi possível perceber a diminuição da pressão arterial; após a massagem: 90% confirmaram se sentir bem, mais motivados, mais dispostos; enfim, houve significante resultado positivo nos idosos em relação à queda gradual no nível de stress fisiológico e psicológico pós-massagem gerontológica Epicrânia e Dorsal, podendo ser este um dos melhores tratamentos na redução dos níveis de estresse nos idosos, contribuindo, assim, a uma saúde de qualidade

Indiana University-Purdue University Indianapolis (IUPUI) / Stroke is the main cause of disability in the United States. Individuals with stroke commonly report sensory impairment affects their recovery. Motor recovery and sensory impairment are related and impact individuals’ ability to perform valued occupations. Despite the prevalence of sensation impairment after stroke, many occupational therapists fail to include sensation assessment and intervention in treatment planning. The exclusion of sensation in occupational therapy interventions during stroke rehabilitation may be due to the lack of literature supporting the association between sensation and occupational performance. The current study aimed to determine the relationship between touch sensation of the affected hand and occupational performance and satisfaction in individuals with chronic stroke. Using a cross-sectional study design, this study associated factors related to hand sensation and function in individuals with chronic stroke. Fifty individuals with chronic stroke participated in a one-time testing session in which assessments related to sensation, movement of the hand and engagement in daily activities were administered. Correlation analyses were utilized to determine relationships between touch sensation of the affected hand with individuals’ abilities to engage in valued daily activities, arm and hand disability, and manual abilities. The main finding of the study was that individuals with intact sensation reported greater ability to perform valued occupations and satisfaction with their performance, as compared with individuals with touch sensation impairment. For individuals with impaired touch sensation of the affected hand, impairment of touch sensation of the hand did not correlate with individuals’ performance or satisfaction with valued occupations, arm or hand movement, or manual abilities. Collectively, the results of this study reflect the complex interaction between touch sensation, occupational performance, motor functioning, and manual abilities of the affected hand for individuals’ who have experienced a stroke. This study informs therapists, rehabilitation scientists, and other healthcare professionals that client-centered, individualized approaches, including a wide array of clinical assessments and intervention, including assessment of occupational performance and sensation, remain important components in stroke rehabilitation.