Novita Research Report - 2004 to 2007 - Novita Children's Services

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28MethodA quasi-experimental design was used. Data was collected at four months and two monthsprior to parents attending It Takes Two to Talk® training to estimate change in communicationpatterns without parent training, and at one month and four months after intervention toinvestigate the effects of the intervention. Participants were 25 families (four from Novita and21 from England) with children with non-progressive motor disorders affecting at least twolimbs and expressive communication. Children were aged between 18 months and 3.6 years,with a situational understanding and spoke English as a first language.Data was collected through a combination of assessment tools, behavioral observations,interviews and questionnaires. During each visit, mothers and children were videotapedplaying with a special box of toys. They completed Parenting Sense of Competence Scale(PSOC) to measure the value they place on parenting and their perceived skills as parents.Mothers were interviewed at the end of the program regarding their perceptions of usefulnessand suitability of the training program.Each mother–child pair dyad was transcribed and coded (using a scheme developed by DrPennigton in previous studies) to show the structure of conversation and pragmatic functionsexpressed. Modes of communication used by children were also coded. Hotelling one andtwo sample tests were used to test overall changes in communication patterns for mothersand children. Maternal language was coded using the Systematic Analysis of LanguageTranscripts, which were analysed alongside differences in PSOC data using repeatedmeasures tests. Data comparisons were undertaken at four different points of time.ResultsImplicationsThe study found that interaction patterns were stable before training. Mothers initiated lessand produced more responses after training, and produced fewer requests and moreprovisions of information, acknowledgements, confirmations and denials. Children producedmore initiations and fewer responses after training, and more requests and provisions ofinformation, fewer acknowledgements, yes-no answers and physical responses. Mothers’linguistic input to children reduced in complexity. Changes were maintained four months later.Mothers’ views of parenting did not change. The qualitative study suggested that familieswho attended found the training acceptable and useful.For clients – provides access to a program that provides beginning evidence of positivechanges in communication patterns in children with motor disorders following parentsundertaking the program.For services – this is the first study to examine the effectiveness of It Takes Two to Talk® withchildren with motor disorders, and begins to build an evidence-base.StatusCompleted
29Project titleContributorsSummaryThe MOVE program for special schools for students with severe and multipledisabilities: A pilot studyJudith Hodson (Elizabeth Special School), Kerry EvansThe Mobility Opportunities Via Education (MOVE) program was originally developed in thelate 1980s in the USA to meet the needs of school students with severe physical disabilities.Such students can tend to lose physical skills and develop deformities as they grow older.The program aims to counteract this pattern by encouraging families, teachers and therapiststo work together toward goals specific to the individual student’s needs. MOVE is activitybased,offering students various opportunities to improve sitting, standing and walking skillswhile participating in daily living activities.This project aims to implement a pilot MOVE program at the Elizabeth Special School toevaluate the effect on students’ gross motor skills, integration of positioning and mobilityopportunities into school curriculum/activities, generalisation of activities and new skills to allareas of students’ lives and team work between families, schools and therapists.MethodA pilot study of the MOVE program is currently underway with three students from ElizabethSpecial School’s Severe and Multiple Disabilities unit. These students are aged betweenseven and 10 years, are non-ambulatory (or mobile only with a mobility device) and areinvolved with their families’ consent.The students’ progress will be measured at baseline, six months and 12 months using theMOVE assessment form, gross motor function (Gross Motor Function Measure), functionalperformance (Canadian Occupational Performance Measure[COPM]), staff feedback (focusgroups) and family feedback (interviews and COPM).ResultsImplicationsTwelve month follow-up assessments are scheduled for October/November 2007. Resultswill be analyses to determine the impact of the MOVE program.For clients – if effective, the MOVE program will improve clients’ physical skills and minimisedevelopment of deformities.For services – The MOVE program will provide a collaborative and structured means ofproviding positioning and movement skills development for students within the schoolsetting.If found to be beneficial, the MOVE program could be implemented more widely withinNovita, in collaboration with other special schools across South Australia.StatusOngoing
Page 1 and 2: Research Report2004-2007Connecting
Page 3 and 4: Welcome to Research at NovitaWelcom
Page 8 and 9: List of project summariesProject ti
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Page 12 and 13: 12MethodThree groups of children ag
Page 14 and 15: 14Project titleContributorsFundingS
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Page 24 and 25: 24ResultsThree participants were re
Page 30 and 31: 30Evaluation of measurements, inter
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Page 34 and 35: 34ResultsFive students (25%) respon
Page 36 and 37: 36ImplicationsStatusFor consultants
Page 38 and 39: 38Project summariesEvaluation of se
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Page 46 and 47: 46Results The survey was sent to 22
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Page 52 and 53: 52ResultsThe prototype URC that was
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Page 56 and 57: 56MethodThe following process was u
Page 58 and 59: 58ImplicationsStatusThe project was
Page 60 and 61: 60ImplicationsStatusReferencesFamil
Page 62 and 63: 62ResultsThe workshop series began
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78ImplicationsThe ongoing use and i
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80ImplicationsStatusThis system is
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82Other refereed publicationsNguyen
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84Australian Group on Severe Commun
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86Mobility 2005, Exeter, UK• Outc
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88Grants and awards received*Novita
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902005 Australian and New Zealand A
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Head Office171 Days RoadRegency Par
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