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Learning Disabilities

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141. Effects of spinal manipulation and pain education on pain in patients with chronic low back pain: a protocol of randomized sham-controlled trial Full Text available with Trip Pro

manipulation plus pain education or (2) sham treatment plus pain education. Each group will be received two sessions per week over six weeks of treatment. The measures will be applied at baseline, six weeks, and three months after randomization. The primary outcome will be a pain intensity at six weeks postrandomization. Secondary outcomes will be pressure pain threshold, disability, fear and avoidance beliefs, kinesiophobia, risk of poor prognosis, quality of life, and inflammatory biomarkers.Evidence has (...) Effects of spinal manipulation and pain education on pain in patients with chronic low back pain: a protocol of randomized sham-controlled trial Low back pain (LBP) has more than doubled in the last 20 years, probably influenced by biopsychosocial factors. Noninvasive treatments have been applied in individuals with chronic nonspecific LBP as spinal manipulation and pain education. However, the neurophysiological effects of these treatments are not clear. The aim of this research is to verify

2018 Integrative medicine research Controlled trial quality: uncertain

142. The effects of health promotion model-based educational program on self-care behaviors in patients undergoing coronary artery bypass grafting in Iran Full Text available with Trip Pro

The effects of health promotion model-based educational program on self-care behaviors in patients undergoing coronary artery bypass grafting in Iran Post-operative self-care behaviors, have positive effects on increase in adaptability, and reduce cardiac surgery patients' disability. The present study is carried out aimed at determining the effect of education based on a health promotion model on the patients' self-care behaviors after coronary artery bypass surgery.This is a semi-experimental (...) , Chi-Square tests, Mann-Whitney and ANCOVA at the significance level of p<0.05.The average score of total self-care behaviors in cardiac surgery patients was not significant between the two groups before education (p=0.065), but after training, a significant difference was observed between the two groups (p<0.001). The analysis of ANOVA with repeated measure indicated that following the intervention, significant difference was observed between the two groups in terms of improvement of self-care

2018 Electronic physician Controlled trial quality: uncertain

143. Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial Full Text available with Trip Pro

Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial Staff training in positive behaviour support (PBS) is a widespread treatment approach for challenging behaviour in adults with intellectual disability. Aims To evaluate whether such training is clinically effective in reducing challenging behaviour during routine care (trial registration: NCT01680276).We carried out (...) a multicentre, cluster randomised controlled trial involving 23 community intellectual disability services in England, randomly allocated to manual-assisted staff training in PBS (n = 11) or treatment as usual (TAU, n = 12). Data were collected from 246 adult participants.No treatment effects were found for the primary outcome (challenging behaviour over 12 months, adjusted mean difference = -2.14, 95% CI: -8.79, 4.51) or secondary outcomes.Staff training in PBS, as applied in this study, did not reduce

2018 EvidenceUpdates

144. Development of tablet personal computer-based cognitive training programs for children with developmental disabilities whose cognitive age is less than 4 years. Full Text available with Trip Pro

Development of tablet personal computer-based cognitive training programs for children with developmental disabilities whose cognitive age is less than 4 years. This study was to develop tablet personal computer-based cognitive training programs for children with developmental disabilities whose cognitive age is less than 4 years. Twelve cognitive training programs (named Injini) were designed comprising cognitive domains that included attention, visual and auditory perception, memory (...) the success rate did not decrease with increase in level in some programs. After adjusting the difficulty level, the analyses in children with cognitive impairment demonstrated that the success rate gradually decreased with increasing level in all programs. Cognitive training programs for children with developmental disabilities were successfully developed.

2020 Medicine

145. NICE learning disabilities and challenging behaviour guidance highlights need for stronger evidence

care and education services for everyone with a learning disabilities. This includes those who are at risk of developing, as well as those who are already displaying behaviour that challenges. The lead commissioner should: Take a ‘whole life’ approach enabling smooth transitions from childhood to adult services Pool budgets and other resources to develop local and regional services across health, social care and education and with neighbouring authorities Consider jointly commissioning the most (...) designating a lead commissioner to oversee the commissioning of health, social and educational services for people with learning disabilities. Funding It is suggested that a range of funding arrangements should be available such as direct payments, personal budgets or individual service funds, and that an individual should be supported to make a choice on this if they wish. Service providers NICE recommend that learning disability service providers should: Work in partnership with each individual

2018 The Learning Disabilities Elf

146. NICE learning disabilities and challenging behaviour guidance highlights need for stronger evidence

care and education services for everyone with a learning disabilities. This includes those who are at risk of developing, as well as those who are already displaying behaviour that challenges. The lead commissioner should: Take a ‘whole life’ approach enabling smooth transitions from childhood to adult services Pool budgets and other resources to develop local and regional services across health, social care and education and with neighbouring authorities Consider jointly commissioning the most (...) designating a lead commissioner to oversee the commissioning of health, social and educational services for people with learning disabilities. Funding It is suggested that a range of funding arrangements should be available such as direct payments, personal budgets or individual service funds, and that an individual should be supported to make a choice on this if they wish. Service providers NICE recommend that learning disability service providers should: Work in partnership with each individual

2018 The Learning Disabilities Elf

147. ADHD symptoms and learning behaviors in children with ASD without intellectual disability. A mediation analysis of executive functions. Full Text available with Trip Pro

ADHD symptoms and learning behaviors in children with ASD without intellectual disability. A mediation analysis of executive functions. In spite of its importance for education, the relationship between learning behaviors (LB), attention deficit hyperactivity disorder symptoms (ADHD) and executive functioning (EF) in children with autism spectrum disorder (ASD) has hardly been explored. The first objective of the present study was to compare children with ASD without intellectual disability (...) and children with typical development (TD) on ADHD symptoms and learning behaviors: Motivation/competence, attitude toward learning, persistence on the task, and strategy/flexibility. The second objective was to analyze the mediator role of behavioral regulation and metacognition components of EF between ADHD symptoms and learning behaviors in children with ASD. Participants were 89 children between 7 and 11 years old, 52 with ASD and 37 with TD, matched on age and intelligence. Their teachers filled out

2018 PLoS ONE

148. Challenges faced by parents of children with learning disabilities in Opuwo, Namibia Full Text available with Trip Pro

disabilities. The main challenges emanate from financial instability, as well as lack of knowledge regarding services and programmes for children with learning disabilities. This lack of knowledge on the part of participants could indicate poor policy education by policy implementers at grass-roots level. (...) Challenges faced by parents of children with learning disabilities in Opuwo, Namibia Parenting children with learning disabilities requires a high level of knowledge and access to resources, information and services. In developing countries, however, these resources and services are not always available. Parents in Namibia, a developing country, therefore face challenges addressing children's learning and other developmental disabilities, including challenges related to preventative

2017 African journal of disability

149. NICE learning disabilities and challenging behaviour guidance highlights need for stronger evidence

care and education services for everyone with a learning disabilities. This includes those who are at risk of developing, as well as those who are already displaying behaviour that challenges. The lead commissioner should: Take a ‘whole life’ approach enabling smooth transitions from childhood to adult services Pool budgets and other resources to develop local and regional services across health, social care and education and with neighbouring authorities Consider jointly commissioning the most (...) designating a lead commissioner to oversee the commissioning of health, social and educational services for people with learning disabilities. Funding It is suggested that a range of funding arrangements should be available such as direct payments, personal budgets or individual service funds, and that an individual should be supported to make a choice on this if they wish. Service providers NICE recommend that learning disability service providers should: Work in partnership with each individual

2018 The Learning Disabilities Elf

150. The Individuals With Disabilities Education Act (IDEA) for Children With Special Educational Needs. Full Text available with Trip Pro

to young adulthood to a free appropriate public education through EI and special education services. These services bolster development and learning of children with various disabilities. This clinical report provides the pediatric health care provider with a summary of key components of the most recent version of this law. Guidance is also provided to ensure that every child in need receives the EI and special education services to which he or she is entitled. Copyright © 2015 by the American Academy (...) The Individuals With Disabilities Education Act (IDEA) for Children With Special Educational Needs. The pediatric health care provider has a critical role in supporting the health and well-being of children and adolescents in all settings, including early intervention (EI), preschool, and school environments. It is estimated that 15% of children in the United States have a disability. The Individuals with Disabilities Education Act entitles every affected child in the United States from infancy

2015 Pediatrics

151. School?based Education Programmes for the Prevention of Child Sexual Abuse: A Systematic Review Full Text available with Trip Pro

The study population comprised children (aged 5 to 12 years) and adolescents (aged 13 to 18 years) attending primary (elementary) or secondary (high) schools. 3.1.3 Types of interventions Included interventions were school‐based education programmes focusing on knowledge of sexual abuse and sexual abuse prevention concepts, or skill acquisition in protective behaviours, or both, compared with no intervention or the standard school curriculum. For this update, we excluded: interventions for preventing (...) , puppet shows, films, lectures, and discussions have been used with some programmes employing single formats, whereas others use combinations of formats ( ; ; ). Programme teaching methods have been conceptualised on a continuum from those employing purely didactic approaches, such as a speech, address, or talk, stressing students' passive listening and acquisition of knowledge, to those employing behavioural approaches, such as modelling, and emphasising students' active participation in role‐play

2015 Campbell Collaboration

152. Behavioral, Psychological, Educational, and Vocational Interventions to Facilitate Employment Outcomes for Cancer Survivors: A Systematic Review Full Text available with Trip Pro

focused on identifying interventions with behavioral, psychological, educational, or vocational content that aim to facilitate cancer survivors' employment outcomes, including a) employment status, b) return‐to‐work, c) absenteeism, and d) time spent on work disability or sick leave. Interventions of interest included education, training, psychological support, environmental adjustments or accommodations, flexible or job‐sharing work conditions, or job search and placement assistance. We were also (...) applicants in the current study‐‐‐other services were contingent on the clients' employment status” (Chiu et al., 2013, p. 7). Employed clients needed services to support work adjustment and accommodation, such as diagnosis, treatment, “rehabilitation technology, disability‐related augmentative skills training, technical assistance services, on‐the‐job supports and basic academic, remedial or literacy training” (Chiu et al., 2013, p. 7). Especially because there were significantly lower educational

2015 Campbell Collaboration

153. A Journey to Learn about Pain – a book about pain education for children

A Journey to Learn about Pain – a book about pain education for children A Journey to Learn about Pain - a book about pain education for children Research into the role of the brain and mind in chronic pain A Journey to Learn about Pain – a book about pain education for children November 9, 2018 by Persistent pain in children is an increasingly recognized clinical problem with high prevalence rates found in some populations. A conservative estimate posits that 20% to 35% of children (...) A, Morley S. Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst Rev. 2009;2(2):CD003968. [8] Robins H, Perron V, Heathcote LC, Simons LE. Pain Neuroscience Education: State of the Art and Application in Pediatrics. Children. 2016;3(4):43. [9] Louw A, Diener I, Butler DS, Puentedura EJ. The Effect of Neuroscience Education on Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain. Arch Phys Med Rehabil. 2011;92(12

2018 Body in Mind blog

154. Moderators of Treatment Outcomes After Telehealth Self-Management and Education in Adults With Multiple Sclerosis: A Secondary Analysis of a Randomized Controlled Trial (Abstract)

Moderators of Treatment Outcomes After Telehealth Self-Management and Education in Adults With Multiple Sclerosis: A Secondary Analysis of a Randomized Controlled Trial To examine moderators of treatment effects in a randomized controlled trial comparing a telehealth self-management intervention with a telehealth multiple sclerosis (MS) education intervention for fatigue, pain, and mood in adults with MS.Secondary analysis of a single-blind randomized controlled trial.Community.Adults with MS (...) and chronic fatigue, chronic pain, and/or moderate depressive symptoms (N=163) recruited from across the United States.Two 8-week, telephone-delivered symptom interventions delivered 1:1: a self-management intervention (n=75) and an MS education intervention (n=88).Outcome measures were fatigue impact pain interference, and depressive symptom severity assessed at baseline and posttreatment. Potential moderators of treatment effects assessed at baseline were demographics (age, sex, and education), clinical

2018 EvidenceUpdates

155. Preoperative Pain Neuroscience Education Combined With Knee Joint Mobilization for Knee Osteoarthritis: A Randomized Controlled Trial Full Text available with Trip Pro

on knee pain, disability, and psychosocial variables.Forty-four patients with knee osteoarthritis were allocated to receive 4 sessions of either PNE combined with knee joint mobilization or biomedical education with knee joint mobilization before surgery. All participants completed self-administered questionnaires and quantitative sensory testing was performed at baseline, after treatment and at a 1 month follow-up (all before surgery), and at 3 months after surgery.Significant and clinically relevant (...) in psychosocial variables (pain catastrophizing, kinesiophobia) both before and after surgery.Preoperative PNE combined with knee joint mobilization did not produce any additional benefits over time for knee pain and disability, and CS measures compared with biomedical education with knee joint mobilization. Superior effects in the PNE with knee joint mobilization group were only observed for psychosocial variables related to pain catastrophizing and kinesiophobia.

2018 EvidenceUpdates

156. Hypnosis Enhances the Effects of Pain Education in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial (Abstract)

Hypnosis Enhances the Effects of Pain Education in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial The potential benefits of combining pain education (PE) with clinical hypnosis (CH) has not yet been investigated in individuals with chronic pain. A total of 100 patients with chronic nonspecific low back pain were randomized to receive either: 1) PE alone, or 2) PE with CH. Outcomes were collected by a blinded assessor at 2 weeks and 3 months after randomization (...) . The primary outcomes were average pain intensity, worst pain intensity (both assessed with 11-point numeric rating scales), and disability (24-item Roland Morris Disability Questionnaire) at 2 weeks. At 2 weeks, participants who received PE with CH reported lower worst pain intensity (mean difference = 1.35 points, 95% confidence interval [CI] = .32-2.37) and disability (mean difference = 2.34 points, 95% CI = .06-4.61), but not average pain intensity (mean difference = .67 point, 95% CI = -.27 to 1.62

2018 EvidenceUpdates

157. Long term survival, health, social functioning, and education in patients with European Lyme neuroborreliosis: nationwide population based cohort study. Full Text available with Trip Pro

(difference -1000, -20 000 to 18 000, Danish kroner), days of sick leave (difference -0.3, -3.5 to 3.0, per year), rates of receipt of a disability pension (difference -0.9%, -3.2% to 1.3%), and number of children (difference -0.10, -0.27 to 0.08). More patients were married (difference 4.8%, 2.2% to 7.4%) and had completed high school education (difference 7%, 1% to 12%).A verified diagnosis of Lyme neuroborreliosis had no substantial effect on long term survival, health, or educational/social (...) Long term survival, health, social functioning, and education in patients with European Lyme neuroborreliosis: nationwide population based cohort study. To estimate long term survival, health, and educational/social functioning in patients with Lyme neuroborreliosis compared with the general population.Nationwide population based cohort study using national registers.Denmark.All Danish residents diagnosed during 1986-2016 as having Lyme neuroborreliosis (n=2067), defined as a positive Borrelia

2018 BMJ

158. Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain: A Single-Blind Randomized Controlled Trial (Abstract)

Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain: A Single-Blind Randomized Controlled Trial To assess the effect of a pain neurophysiology education (PNE) program plus therapeutic exercise (TE) for patients with chronic low back pain (CLBP).Single-blind randomized controlled trial.Private clinic and university.Patients with CLBP for ≥6 months (N=56).Participants were randomized to receive either a TE program consisting of motor control, stretching (...) , and aerobic exercises (n=28) or the same TE program in addition to a PNE program (n=28), conducted in two 30- to 50-minute sessions in groups of 4 to 6 participants.The primary outcome was pain intensity rated on the numerical pain rating scale which was completed immediately after treatment and at 1- and 3-month follow-up. Secondary outcome measures were pressure pain threshold, finger-to-floor distance, Roland-Morris Disability Questionnaire, Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia

2018 EvidenceUpdates

159. Addition of an educational programme for primary caregivers to rehabilitation improves self-care and mobility in children with cerebral palsy: a randomized controlled trial (Abstract)

of Disability Inventory were assessed by a blinded assessor. The clinical outcomes were obtained at the completion of treatment (12 weeks).Of the 63 patients included, 60 (mean ± SD age: 4.6 ± 2.74 years) completed the protocol. The combined education and rehabilitation, as compared with conventional rehabilitation alone, yielded significantly greater benefit in the self-care domain of the Functional Skills Scale (mean change 1.74 versus 5; P = 0.001), self-care (mean change 5.52 versus 13.99; P = 0.017 (...) ) and the mobility domain of the Caregiver Assistance Scale of Pediatric Evaluation of Disability Inventory (mean change 0.87 versus 17.88; P = 0.002).Self-care and mobility improved in children with cerebral palsy with the addition to conventional rehabilitation of an educational programme for primary caregivers.

2018 EvidenceUpdates

160. Effect and cost-effectiveness of educating mothers about childhood DPT vaccination on immunisation uptake, knowledge, and perceptions in Uttar Pradesh, India: A randomised controlled trial Full Text available with Trip Pro

Effect and cost-effectiveness of educating mothers about childhood DPT vaccination on immunisation uptake, knowledge, and perceptions in Uttar Pradesh, India: A randomised controlled trial To assess the effect of health information on immunisation uptake in rural India, we conducted an individually randomised controlled trial of health information messages targeting the mothers of unvaccinated or incompletely vaccinated children through home visits in rural Uttar Pradesh, India.The study tested (...) by 14 percentage points (risk difference: 14%, 95% CI: 8% to 21%, p < 0.001; relative risk: 1.72, 95% CI: 1.29 to 2.29). It had a large positive effect on knowledge of the causes, symptoms, and prevention of tetanus but no effect on perceptions of vaccine efficacy. There was no difference in the proportion of children with DPT3 between the group that received information framed as a loss and the group that received information framed as a gain (risk difference: 4%, 95% CI: -5% to 13%; p = 0.352

2018 EvidenceUpdates Controlled trial quality: predicted high

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