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141. Effectiveness of a cross-circuit exercise training program in improving the fitness of overweight or obese adolescents with intellectual disability enrolled in special education schools. (Abstract)

Effectiveness of a cross-circuit exercise training program in improving the fitness of overweight or obese adolescents with intellectual disability enrolled in special education schools. This study assessed the effects of a cross-circuit training intervention program on the body composition, cardiorespiratory fitness, balance, and muscular strength endurance of overweight or obese students with intellectual disability. A total of 43 students with intellectual disability (aged 13-19 years) were (...) program. Moreover, the exercise tolerance test (including total exercise time and maximal heart rate), dynamic balance, sit-up, and vertical jump performance of the participants improved significantly. In conclusion, the cross-circuit training program effectively improved cardiorespiratory fitness, dynamic balance, muscular strength and endurance, and weight control in overweight or obese students with intellectual disability enrolled in a special education school.Copyright © 2016 Elsevier Ltd. All

2016 Research in developmental disabilities

142. Combined education and patient-led goal setting intervention reduced chronic low back pain disability and intensity at 12 months: a randomised controlled trial. (Abstract)

Combined education and patient-led goal setting intervention reduced chronic low back pain disability and intensity at 12 months: a randomised controlled trial. One model of care that has not been tested for chronic low back pain (LBP) is patient-led goal setting. We aimed to compare the clinical effectiveness and healthcare use of a patient-led goal setting approach (intervention) with simple advice to exercise (control) over 12 months.An assessor-blinded randomised controlled trial (...) . Intervention was education combined with patient-led goal setting compared with a control group receiving a standardised exercise programme. The primary outcomes were back pain disability and pain intensity. Secondary outcomes were quality of life, kinesiophobia, self-efficacy, depression, anxiety and stress. Outcomes and healthcare use were assessed immediately post-treatment (2 months) and after 4 and 12 months. Analysis was by intention to treat.Seventy-five patients were randomly assigned to either

2019 British Journal of Sports Medicine Controlled trial quality: predicted high

143. Effects of motor control exercise and patient education program in the management of chronic low back pain among community-dwelling adults in rural Nigeria: a study protocol for a randomized clinical trial. Full Text available with Trip Pro

performance.This will be the first community-based trial to assess the benefits of exercise and education in the management of CLBP among adults in rural Nigeria. The study may provide a relatively inexpensive, assessable, and effective alternative intervention for reducing CLBP disability in a low-resource rural Nigerian community. Trial registration:This study is registered at ClinicalTrial.gov and the trial registration number is NCT03393104. (...) Effects of motor control exercise and patient education program in the management of chronic low back pain among community-dwelling adults in rural Nigeria: a study protocol for a randomized clinical trial. The impact of chronic low back pain (CLBP) is disproportionally higher in rural Nigeria than in urban areas but lack access to rehabilitation. While exercise and education are commonly advocated interventions for the rehabilitation of CLBP, there is a paucity of community-based randomized

2019 Integrative medicine research Controlled trial quality: uncertain

144. App-based multidisciplinary back pain treatment versus combined physiotherapy plus online education: a randomized controlled trial. Full Text available with Trip Pro

App-based multidisciplinary back pain treatment versus combined physiotherapy plus online education: a randomized controlled trial. Non-specific low back pain (LBP) is one of the leading causes of global disability. Multidisciplinary pain treatment (MPT) programs comprising educational, physical, and psychological interventions have shown positive treatment effects on LBP. Nonetheless, such programs are costly and treatment opportunities are often limited to specialized medical centers. mHealth (...) , the Kaia App was provided for 3 months. Control treatment consisted of six individual physiotherapy sessions over 6 weeks and high-quality online education. The primary outcome, pain intensity, was assessed at 12-week follow-up on an 11-point numeric rating scale (NRS). Our per-protocol analysis showed no significant differences between the groups at baseline (Kaia App group: M = 5.10 (SD = 1.07) vs. control group: M = 5.41 (SD = 1.15). At 12-week follow-up the Kaia App group reported significantly

2019 NPJ digital medicine Controlled trial quality: uncertain

145. THE INFLUENCE OF EDUCATIONAL DANCE ON THE MOTOR DEVELOPMENT OF CHILDREN. Full Text available with Trip Pro

, Brazil). Children were randomized by lot in two groups (intervention and control). Children with intellectual and/or physical disabilities and the premature ones were excluded from the analysis. The two groups had their motor development evaluated in three moments: before the intervention, after the intervention and six to eight months after the end of the intervention. The intervention group participated in an educational dance class program for seven months. Control and intervention groups were (...) THE INFLUENCE OF EDUCATIONAL DANCE ON THE MOTOR DEVELOPMENT OF CHILDREN. The purpose of this study was to compare the motor development of children who practiced educational dance with the motor development of children who did not practice it and to verify the results obtained after six to eight months after the end of the intervention.The study was carried out with 85 children enrolled in the first year of elementary school in two schools located in the south of São Paulo city (São Paulo

2019 Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo Controlled trial quality: uncertain

146. Service user perspectives on palliative care education for health and social care professionals supporting people with learning disabilities. Full Text available with Trip Pro

Service user perspectives on palliative care education for health and social care professionals supporting people with learning disabilities. Evidence from European and American studies indicates limited referrals of people with learning (intellectual) disabilities to palliative care services. Although professionals' perceptions of their training needs in this area have been studied, the perceptions of people with learning disabilities and family carers are not known. This study aimed to elicit (...) the views of people with learning disabilities, and their family carers concerning palliative care, to inform healthcare professional education and training.A qualitative, exploratory design was used. A total of 17 people with learning disabilities were recruited to two focus groups which took place within an advocacy network. Additionally, three family carers of someone with a learning disability, requiring palliative care, and two family carers who had been bereaved recently were also

2015 BMJ Supportive & Palliative Care

147. Lessons learned from a blended telephone/e-health platform for caregivers in promoting physical activity and nutrition in children with a mobility disability. Full Text available with Trip Pro

Lessons learned from a blended telephone/e-health platform for caregivers in promoting physical activity and nutrition in children with a mobility disability. Children with physical disabilities report higher rates of sedentary lifestyle and unhealthy dietary patterns than non-disabled peers. These behaviors can increase comorbidities, caregiver burden, and healthcare costs. Innovative interventions are needed to assist caregivers of children with physical disabilities improve health behaviors (...) disability, but technology must be balanced with ease of use for parents while also engaging the child.Copyright © 2019 Elsevier Inc. All rights reserved.

2020 Disability and health journal Controlled trial quality: uncertain

148. The keys to learning for university students with disabilities: Motivation, emotion and faculty-student relationships. Full Text available with Trip Pro

has hitherto been paid to motivation, emotion and the importance of faculty-student relationships in the learning processes of students with disabilities. In this study, 119 faculty members from 10 Spanish universities who engage in inclusive practices in all areas of knowledge recounted, in response to questions asked during a semi-structured interview, how they motivated and related to their students. The conclusion reached is that students with disabilities are more motivated than their fellow (...) The keys to learning for university students with disabilities: Motivation, emotion and faculty-student relationships. The affective-emotional dimension may constitute a key element in teaching and learning processes. It is linked to relationship between faculty and students and may help foster students with disabilities' motivation to learn and remain at university. This is the approach adopted in this article, which aims to fill a gap detected in the literature, since very little attention

2019 PLoS ONE

149. Clinical and patient-reported outcomes in children with learning disabilities treated using the Hall Technique: a cohort study. (Abstract)

Clinical and patient-reported outcomes in children with learning disabilities treated using the Hall Technique: a cohort study. Introduction Preformed metal crowns (PMC) placed using the Hall Technique (HT) are effective for managing carious lesions in primary molars and might be tolerable and successful for children with learning disabilities (CLD), possibly avoiding the need for sedation/ anaesthesia.Aim To investigate the effectiveness of the HT for management of carious lesions in children (...) with learning disabilities through a prospective service evaluation.Methods Sixteen, 4-12-year-old CLD had 27 carious lesions managed using the HT and were followed-up. Outcomes were: 1) incidence of dental pain/infection; 2) success of treatment outcomes as judged by patients and parents/carers; and 3) adverse outcomes.Results Twenty seven teeth treated with HT were followed up for five to 87 months (mean = 24) with no episodes of pain and/or infection in treated teeth. Treatment was rated as causing

2020 British Dental Journal

150. Machine learning analysis of motor evoked potential time series to predict disability progression in multiple sclerosis. Full Text available with Trip Pro

Machine learning analysis of motor evoked potential time series to predict disability progression in multiple sclerosis. Evoked potentials (EPs) are a measure of the conductivity of the central nervous system. They are used to monitor disease progression of multiple sclerosis patients. Previous studies only extracted a few variables from the EPs, which are often further condensed into a single variable: the EP score. We perform a machine learning analysis of motor EP that uses the whole time (...) series, instead of a few variables, to predict disability progression after two years. Obtaining realistic performance estimates of this task has been difficult because of small data set sizes. We recently extracted a dataset of EPs from the Rehabiliation & MS Center in Overpelt, Belgium. Our data set is large enough to obtain, for the first time, a performance estimate on an independent test set containing different patients.We extracted a large number of time series features from the motor EPs

2020 BMC Neurology

151. Advancing research opportunities and promoting pathways in graduate education: a systemic approach to BUILD training at California State University, Long Beach (CSULB) Full Text available with Trip Pro

Advancing research opportunities and promoting pathways in graduate education: a systemic approach to BUILD training at California State University, Long Beach (CSULB) First-generation college graduates, racial and ethnic minorities, people with disabilities, and those from disadvantaged backgrounds are gravely underrepresented in the health research workforce representing behavioral health sciences and biomedical sciences and engineering (BHS/BSE). Furthermore, relative to their peers, very (...) few students from these underrepresented groups (URGs) earn scientific bachelor's degrees with even fewer earning doctorate degrees. Therefore, programs that engage and retain URGs in health-related research careers early on in their career path are imperative to promote the diversity of well-trained research scientists who have the ability to address the nation's complex health challenges in an interdisciplinary way. The purpose of this paper is to describe the challenges, lessons learned

2017 BMC proceedings

152. 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

153. 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

154. 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

155. Clinical and cost effectiveness of staff training in the delivery of Positive Behaviour Support (PBS) for adults with intellectual disabilities, autism spectrum disorder and challenging behaviour - randomised trial. Full Text available with Trip Pro

Clinical and cost effectiveness of staff training in the delivery of Positive Behaviour Support (PBS) for adults with intellectual disabilities, autism spectrum disorder and challenging behaviour - randomised trial. Although Positive Behaviour Support (PBS) is a widely used intervention for ameliorating challenging behaviour (CB), evidence for its use in adults with intellectual disability (ID) and comorbid autism (ASD) is lacking. We report a planned subsidiary analysis of adults with both ASD

2020 BMC Psychiatry

156. 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

157. 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

158. 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

159. 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

160. 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

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