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Increasing fruit and vegetable intake is important to obesity prevention but children’s vegetable intake remains low. This study aimed to enhance parent vegetable serving behaviour and child vegetable intake through an 8-week theory-based family cooking program. Sixty-five families with children aged 9-13 (11.1 ±1.4) were randomized into a home activity program or home activity plus cooking workshop program. There was no significant increase in parent vegetable serving habits or children’s intake. Both interventions enhanced feeding practices (F (1, 63) = 42.09, p=.000, ɳ2=0.40) and reduced perceived barriers (F (1, 63) = 13.01, p=.001, ɳ2=.017). Children in the cooking workshop condition liked vegetables more (F (1, 63) = 3.87, p=.050, ɳ2=0.06) and had greater diet-disease awareness (F (1, 63) = 3.97, p=.050, ɳ2=0.06) at follow-up (statistic). Family engagement in cooking was successful in enhancing some psychosocial measures for both children and parents, particularly for those receiving cooking workshops. A low sample size and sampling bias may have masked other findings. / Graduate / 0570 / 0573 / dtrill@uvic.ca

Increasing fruit and vegetable intake is important to obesity prevention but children’s vegetable intake remains low. This study aimed to enhance parent vegetable serving behaviour and child vegetable intake through an 8-week theory-based family cooking program. Sixty-five families with children aged 9-13 (11.1 ±1.4) were randomized into a home activity program or home activity plus cooking workshop program. There was no significant increase in parent vegetable serving habits or children’s intake. Both interventions enhanced feeding practices (F (1, 63) = 42.09, p=.000, ɳ2=0.40) and reduced perceived barriers (F (1, 63) = 13.01, p=.001, ɳ2=.017). Children in the cooking workshop condition liked vegetables more (F (1, 63) = 3.87, p=.050, ɳ2=0.06) and had greater diet-disease awareness (F (1, 63) = 3.97, p=.050, ɳ2=0.06) at follow-up (statistic). Family engagement in cooking was successful in enhancing some psychosocial measures for both children and parents, particularly for those receiving cooking workshops. A low sample size and sampling bias may have masked other findings. / Graduate / 0570 / 0573 / dtrill@uvic.ca

ABSTRACT: THE EFFECT OF A COMPREHENSIVE OCCUPATIONAL THERAPY INTERVENTION PROGRAMME ON THE OCCUPATIONAL PERFORMANCE OF PEOPLE WITH RHEUMATOID ARTHRITIS, LIVING IN SOWETO. C Dreijer du Plessis Post-graduate student, University of the Witwatersrand, Johannesburg, South Africa Introduction: Rheumatoid Arthritis (RA) is a chronic disabling joint disease. Empowering patients with RA to self manage the disease can lead to changes in behaviour, pain or physical health and psychosocial health status. Limited evidence exists for the efficacy of comprehensive Occupational Therapy (OT) intervention for patients with RA in improving functional ability. Objective: The primary objective of the study was to evaluate the impact of comprehensive OT intervention on patients with RA in producing a sustained improvement in patients' functional ability. Methods: A prospective randomized control study over 4 months in which patients with moderately disabling RA, following a week of in-patient rehabilitation care, received either home visits and focus group care (group 1) or standard care (group 2). Primary outcome measures included the modified Health Assessment Questionnaire Disability Index (HAQ-DI), Disease activity score (DAS28) and SF- 36 scores. Results: There were 29 and 22 patients in each group, respectively. The HAQ-DI improved significantly in both groups following the 1 week in-patient care (p<0.05) and there was a clinically significant difference between the groups at the 4 months follow-up visit. The SF-36 scores did not change significantly for group 1 while group 2 showed significant improvements in 5 of the 8 domains at four months. However, group 2, had significantly worse SF-36 scores at baseline compared to group 1. There was a significant improvement in disease activity with the experimental group having 25% fewer tender joints. During the focus groups,the two main themes of "behavior and self management" and "problems that interfere with occupational performance" emerged. Conclusion: A comprehensive in-patient occupational therapy programme does lead to sustained significant improvement in functional ability and Health related quality of life (HR-QOL). Focus groups and home based intervention appears to have a clinically significant impact on disease activity. Key words: Rheumatoid Arthritis, Comprehensive Occupational Therapy intervention, Home based intervention, Occupational Performance.

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Daily routines in the home are typically the most common interactions for children with their siblings and parents. When a child exhibits challenging behavior in these routines, it can cause a strain on the family as well as the child's ability to learn a more appropriate behavior. This study examined the feasibility and potential efficacy of an adapted version of the Prevent-Teach- Reinforce (PTR) intervention with three families of young children with developmental disabilities. The school-based PTR manual was adapted for treatment use in a family context. The study assessed the family adherence to the collaboratively developed PTR intervention, family use of the behavior rating scale, social validity, procedural integrity, and child behavior behaviors during the routines. A multiple-baseline design across children was used to examine the impact of the PTR intervention on child behavior within the routine. Results indicated that the PTR interventions were successful in demonstrating an increase in appropriate behaviors and a decrease in challenging behaviors across children. The results also indicated that parents were able to successfully use the behavior rating scale to measure each child's behavior.

Made available in DSpace on 2016-06-02T19:44:11Z (GMT). No. of bitstreams: 1 4459.pdf: 6181899 bytes, checksum: 9e1db597a6ecb8a8e0694c39910b8026 (MD5) Previous issue date: 2011-02-21 / Financiadora de Estudos e Projetos / The family is of fundamental importance in child development. Although neglected in many studies, the father is a unique contributor to his child s development, but remains absent from early intervention programs. This study aimed to determine the effect of a home-based intervention for fathers on their child s development, the interaction of both parents with their child, and the effects on home envorinment and on stress, depression, level of coping, parental and marital satisfaction, perceptions of family functioning and social support and empowerment of both parents. Six families of children with Down s syndrome, between 1 and 2 years of age had their children s development evaluated using the Operationalized Portage Inventory, in two São Paulo in country cities. The Questionnaire for the Characterization of the Family System was used to capture demographic information about the families; parts C and D of the General Guide of Transcription of Interview Data to evaluate the participation of fathers and grandparents; the Interview for the Characterization of Brazilian Fathers Role in the Education of a Child with an Intellectual Disability to evaluate fathers involvement; HOME Inventory to assess stimulation ofered to the child in the home environment; QRS-F and Lipp s Inventory of Stress Symptoms to measure parents stress; Beck s Depression Inventory to assess the existence and the level of depression; FACES III to evaluate the perception of family functioning; Coping Strategies Inventory to assess the level of coping; Social Suport Questionnaire to evaluate the perception of social suport; PSOC to assess parental satisfaction; Scale of Marital Satisfaction to assess marital satisfaction and FES to evaluate parents empowerment. In order to observe fatherchild, mother-child and father-mother-child interactions, it was used the Protocol for Categorizing the Analysis of Filmed Interactions, the Definitive System of Observational Categories and a Protocol for the Evaluation of Dyadic/Triadic Interaction. It was observed that all children had developmental delays. Parents asessment indicated: low levels of stress related to the child s presence, absence of stress among fathers, stress among all the mothers, high levels of self-esteem and empowerment, one father with depression, high levels of cohesion and adaptability, the use of various coping strategies, wide social networks and satisfaction with social support and good marital satisfaction among couples. In addition, all offered home environments that stimulated and supported their children, and family interactions were satisfatory, although they differed in some respects between fathers and mothers and in dyads and triads. The training activities conducted by the fathers, based on the Portage Inventory contributed to the development of new repertories in their children, positive behaviour in interactions were more frequent over time and a decrease in indices of stress among the mothers. The other parents charateristics assessed didn t alter generally during the families participation in the study. The stimulation and support in the home environment became better or worse depending on the family. The relation between some results and research in this field is discussed. It was concluded that early intervention programs should abandon the child-centered model to adopt a familycentered model, in which fathers are an important parent for family functioning and for child development. / A família tem importância fundamental no desenvolvimento infantil. Negligenciado em muitos estudos, o pai constitui contribuinte singular no desenvolvimento de seu filho, mas continua ausente nos programas de intervenção precoce. Este estudo teve o objetivo de conhecer o efeito de uma intervenção domiciliar com este genitor como treinador no desenvolvimento da criança e na interação de ambos os genitores com a criança, além dos efeitos no ambiente domiciliar e no estresse, depressão, no nível de enfrentamento, na satisfação parental e marital, na percepção do funcionamento familiar e do suporte social e no empoderamento de ambos os genitores. Seis famílias de crianças com Síndrome de Down com idade entre 1 e 2 anos tiveram o desenvolvimento de suas crianças avaliado por meio do Inventário Portage Operacionalizado, em duas cidades do interior paulista. Foram utilizados o Questionário de Caracterização do Sistema Familiar para caracterizar demograficamente as famílias; as partes C e D do Guia Geral de Transcrição dos Dados de Entrevista para avaliar a participação do pai e dos avós; o roteiro de Entrevista de Caracterização do Papel do Pai Brasileiro na Educação da Criança com Deficiência Mental para avaliar o envolvimento paterno; o Inventário HOME para avaliar a estimulação oferecida à criança no ambiente domiciliar; o QRS-F e o ISSL para medir o estresse dos pais; o Inventário de Depressão de Beck para avaliar a existência e o grau de depressão; o FACES III para avaliar a percepção do funcionamento familiar; o Inventário de Estratégias de Coping para avaliar o nível de enfrentamento; o Questionário de Suporte Social para avaliar a percepção do suporte social; o PSOC para avaliar a satisfação parental; a Escala de Satisfação Conjugal para avaliar a satisfação marital e a FES para avaliar o empoderamento dos pais. A fim de observar as interações pai-filho, mãe-filho e pai-mãe-filho utilizou-se o Protocolo de Categorias de Análise das Filmagens de Interação, o Sistema Definitivo de Categorias Observacionais e o Protocolo de Avaliação da Interação Diádica/Triádica. Observou-se que todas as crianças apresentavam atrasos de desenvolvimento. A avaliação dos genitores indicou: baixos níveis de estresse em relação à presença da criança, ausência de estresse entre os genitores masculinos, estresse para todas as mães, altos índices de autoestima e empoderamento, depressão em um pai, altos índices de coesão e adaptabilidade familiar, diversas estratégias de enfrentamento, ampla rede e satisfação com o suporte social e boa satisfação conjugal entre os casais. Além disso, todos ofereciam ambiente domiciliar que estimulava e apoiava as crianças e as interações familiares foram satisfatórias, porém, diferentes em alguns aspectos entre pais e mães e nas díades e tríades. As atividades de treino realizado pelo pai, baseadas no Portage, desenvolveram novos repertórios na criança, comportamentos positivos nas interações foram mais frequentes com o passar do tempo e houve diminuição dos índices indicativos de estresse nas mães. As demais características parentais avaliadas não sofreram alterações generalizadas durante a participação das famílias no estudo. A estimulação e o apoio no ambiente domiciliar sofreram melhoras e pioras dependendo da família. Discute-se a relação entre alguns resultados e pesquisas na área. Conclui-se que programas de intervenção precoce deveriam abandonar o modelo centrado na criança para adotar um modelo centrado na família, na qual o pai constitui genitor relevante para o funcionamento da mesma e para o desenvolvimento dos filhos.