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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Predictors of Better Health Outcomes of Mothers of Children with Autistic Spectrum Disorder

Hutchinson, Paula S. 13 April 2010 (has links)
Caring for children with autism place mothers at high risk for poor health outcomes and compromises the health of all family members (e.g., Bristol, 1987; Hastings et al., 2005a). Although poor outcomes prevail, some mothers do well despite their caregiving challenges. While ample research exists on mothers’ supports and stress, virtually nothing is known about their strengths. Emerging research suggests that parental self-efficacy and empowerment may contribute to better outcomes in mothers of children with autism. The purpose of the present study was to identify predictors of better outcomes in mothers of children with autism. Relationships among child disruptive behaviour, supports, self-efficacy, empowerment, maternal distress and positive perceptions of parenting were examined using a postal survey design. Mothers (N = 114) of school-age children with autism provided demographic information and completed various scales (i.e., the Developmental Behaviour Checklist, Family Support, Difficult Behaviour Self-Efficacy, Family Empowerment, Hospital Anxiety and Depression, Positive Contribution). Overall, 35% of the variance was explained in maternal distress (i.e., anxiety and depression). After accounting for mothers’ age and child disruptive behaviour, support and empowerment were subsumed by parental self-efficacy in predicting lower levels of maternal distress. Collectively, 17% of the variance was explained in mothers’ positive perceptions of parenting. Self-efficacy partially mediated the moderate effect of disruptive behaviour on mothers’ distress and fully mediated the small effect of disruptive behaviour on mothers’ positive perceptions of parenting. Thus, parental self-efficacy for managing children’s difficult behaviour is very promising for preserving mothers’ health. While discussion focuses on outstanding issues to be addressed, the findings suggest that tailoring formal services to enhance parental efficacy, rather than providing support and consultation services alone, would be more in line with mothers’ needs and possibly improve both children’s and families’ outcomes.
2

The General Population's Perception of Factors Associated With Positive or Negative Perceptions of Physical Therapy Care in Those With Low Back Pain

Strowbridge, Jada M 01 January 2022 (has links)
Low back pain (LBP) has a global impact on health and is a substantial contributor to long term disability. The economic burden of LBP is immense and it is advancing annually. Costs attributing to LBP in the United States is about $84.1 to $624.8 billion. Physical therapy is commonly recommended for those with LBP since it is linked to improved clinical outcomes. However, patient perceptions can influence how this treatment approach is perceived. It is unclear if these perceptions can influence outcomes for patients suffering from LBP. Therefore, the purpose of this study is to identify the factors associated with positive or negative perceptions of physical therapy care in those with LBP. This was accomplished by developing and administering a comprehensive Qualtrics survey to participants in the Orlando area. Participants who took the survey were screened for eligibility requirements with exclusion criteria being those from vulnerable populations including pregnant women, minors, prisoners, and any person unable to provide informed consent. Screening, demographic, clinical, and perception questions were embedded within the online survey. Those who participated had to be 18 years or older, located within the Orlando area, able to provide informed consent, and speak English. Results from the data identified the five top key indicators which included clear explanation by the physical therapist on the treatment plan, how clear the physical therapist is in explaining the problem, friendliness of the physical therapist, patients perceive physical therapy is very effective in treatment of knee, and patients perceive physical therapy is very effective in treatment of lower back.

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