Camp-based psychosocial intervention dosage and changes in independence in young people with spina bifida.

Camp-based psychosocial intervention dosage and changes in independence in young people with spina bifida.
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脊柱裂的年轻人的基于营地的社会心理干预剂量和独立性的变化。

DOI:
10.1111/dmcn.14250
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发表时间:
2019-12
影响因子:
3.8
通讯作者:
Holmbeck GN
Holmbeck GN
中科院分区:
医学2区
文献类型:
--
作者:
Driscoll CFB;Murray CB;Holbein CE;Stiles-Shields C;Cuevas G;Holmbeck GN

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研究营地干预剂量与脊柱裂年轻人独立相关技能变化之间的关系。参与者为110名个体(平均年龄[SD] 14岁7个月[6岁1个月],范围6- 32岁; 66名女性,54名男性),他们参加了2至6次(平均2.40;操作为“剂量”)脊柱裂患者的夏令营。年轻营员的父母(例如,<18岁)也参与了数据收集。营员和/或家长完成了干预前措施,评估营员的医疗责任水平、对医疗任务的掌握程度和社交技能。结果包括干预前评分从第1次给药到最后一次给药的变化。分层回归分析有和没有协变量(年龄,智商,在剂量1病变水平)显示,增加剂量与更大的家长报告的改善营员的医疗责任和掌握医疗任务显着相关。增加剂量也与医疗责任增加的露营者报告显著相关,但当包括协变量时,这种关系不再显著。干预剂量与露营者社交技能的变化无关。反复参与营地为基础的干预与条件相关的独立性的改善。未来的工作重点可能是制定干预措施,以促进改善社会技能的年轻人脊柱裂。
To examine associations between camp-based intervention dosage and changes in independence-related skills for young people with spina bifida. Participants were 110 individuals (mean age [SD] 14y 7mo [6y 1mo], range 6–32y; 66 females, 54 males) who attended a summer camp for individuals with spina bifida between 2 to 6 times (mean 2.40; operationalized as ‘dosage’). Parents of young campers (e.g. those <18y) also participated in data collection. Campers and/or parents completed preintervention measures assessing campers’ level of medical responsibility, mastery over medical tasks, and social skills. Outcomes included change in preintervention scores from dose 1 to final dose. Hierarchical regression analyses with and without covariates (age, IQ, and lesion level at dose 1) revealed that increased dosage was significantly associated with greater parent-reported improvements in campers’ medical responsibility and mastery over medical tasks. Increased dosage was also significantly associated with camper-report of increased medical responsibility, but this relationship was no longer significant when including covariates. Intervention dosage was not associated with changes in campers’ social skills. Repeated participation in a camp-based intervention was associated with improvements in condition-related independence. Future work may focus on the development of interventions to promote improvements in social skills for young people with spina bifida.
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影响因子: 3.6
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