請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/47758完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳為堅(Wei J. Chen) | |
| dc.contributor.author | Liang-Jen Wang | en |
| dc.contributor.author | 王亮人 | zh_TW |
| dc.date.accessioned | 2021-06-15T06:16:52Z | - |
| dc.date.available | 2011-09-09 | |
| dc.date.copyright | 2010-09-09 | |
| dc.date.issued | 2010 | |
| dc.date.submitted | 2010-08-11 | |
| dc.identifier.citation | 1. Petersen, M.C., D.A. Kube, and F.B. Palmer, Classification of developmental delays. Semin Pediatr Neurol, 1998. 5(1): p. 2-14.
2. First, L.R. and J.S. Palfrey, The infant or young child with developmental delay. N Engl J Med, 1994. 330(7): p. 478-83. 3. Als, H., et al., Early experience alters brain function and structure. Pediatrics, 2004. 113(4): p. 846-57. 4. Zimmer, M.H. and L.M. Panko, Developmental status and service use among children in the child welfare system: a national survey. Arch Pediatr Adolesc Med, 2006. 160(2): p. 183-8. 5. Bonnier, C., Evaluation of early stimulation programs for enhancing brain development. Acta Paediatr, 2008. 97(7): p. 853-8. 6. Shevell, M.I., et al., Etiologic determination of childhood developmental delay. Brain Dev, 2001. 23(4): p. 228-35. 7. Denhoff, E., Current status of infant stimulation or enrichment programs for children with developmental disabilities. Pediatrics, 1981. 67(1): p. 32-7. 8. Ramey, C.T. and S.L. Ramey, Early intervention and early experience. Am Psychol, 1998. 53(2): p. 109-20. 9. Shonkoff, J.P. and P. Hauser-Cram, Early intervention for disabled infants and their families: a quantitative analysis. Pediatrics, 1987. 80(5): p. 650-8. 10. Majnemer, A., Benefits of early intervention for children with developmental disabilities. Semin Pediatr Neurol, 1998. 5(1): p. 62-9. 11. Guralnick, M.J., Effectiveness of early intervention for vulnerable children: a developmental perspective. Am J Ment Retard, 1998. 102(4): p. 319-45. 12. Zeanah, C.H. and S. McDonough, Clinical approaches to families in early intervention. Semin Perinatol, 1989. 13(6): p. 513-22. 13. Gomby, D.S., et al., Long-term outcomes of early childhood programs: analysis and recommendations. Future Child, 1995. 5(3): p. 6-24. 14. Potter, C., Program Evaluation in Research in practice: Applied methods for the social sciences K.D.D.P. Terre Blanche, Editor. 2006, Cape Town: UCT Press. . 15. Campbell, M., et al., Framework for design and evaluation of complex interventions to improve health. BMJ, 2000. 321(7262): p. 694-6. 16. Cook, T., and Shadish, WR, Program Evaluation: The Worldly Science. Annual Review of Psychology, 1986. 37: p. 193-232. 17. Stolk, M.N., Mesman, J., Zeijl, J., Lenneke R. A. Alink, Marian J. Bakermans-Kranenburg, Marinus H. van IJzendoorn, Femmie Juffer, Hans M. Koot Early parenting intervention aimed at maternal sensitivity and discipline: a process evaluation. Journal of Community Psychology, 2008. 36(6): p. 780-797. 18. Kitzman, H., Cole, R., Yoos, H.L., Olds, D. , Challenges experienced by home visitors: A qualitative study of program implementation. Journal of Community Psychology, 1997. 25: p. 95-109. 19. Cicchetti, D. and S.P. Hinshaw, Editorial: prevention and intervention science: contributions to developmental theory. Dev Psychopathol, 2002. 14(4): p. 667-71. 20. Anderson, L.M., et al., The effectiveness of early childhood development programs. A systematic review. Am J Prev Med, 2003. 24(3 Suppl): p. 32-46. 21. Orton, J., et al., Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge? A systematic review. Dev Med Child Neurol, 2009. 51(11): p. 851-9. 22. Lee, V.E., et al., Are Head Start effects sustained? A longitudinal follow-up comparison of disadvantaged children attending Head Start, no preschool, and other preschool programs. Child Dev, 1990. 61(2): p. 495-507. 23. Malakoff, M.E., J.M. Underhill, and E. Zigler, Influence of inner-city environment and Head Start experience on effectance motivation. Am J Orthopsychiatry, 1998. 68(4): p. 630-8. 24. Schweinhart, L.J., Weikart, D.P., Larner, M.B. , Consequences of three preschool curriculum models through age 15. Early Child Res Q, 1986. 1: p. 15-45. 25. Rickards, A.L., et al., A randomized, controlled trial of a home-based intervention program for children with autism and developmental delay. J Dev Behav Pediatr, 2007. 28(4): p. 308-16. 26. Jones, K., et al., Efficacy of the Incredible Years Basic parent training programme as an early intervention for children with conduct problems and ADHD. Child Care Health Dev, 2007. 33(6): p. 749-56. 27. Oyemade, U.J., Washington, V., Gullo, D.F., The relationship between Head Start parental involvement and the economic and social self-sufficiency of Head Start families. J Negro Educ, 1989. 58: p. 5-15. 28. Singer, P., Joint operations: articulation in the family division. Trans Med Soc Lond, 1999. 116: p. 58-63. 29. Heinicke, M., et al., [Inpatient treated, mono-symptomatic childhood enuresis--results of follow-up in adulthood]. Gesundheitswesen, 2000. 62(8-9): p. 442-5. 30. Egeland, B., Erickson, M.F., Attachment theory and findings: Implications for prevention and intervention., in Prevention in mental health: Now, tomorrow, ever?, S.K.H. Parens, Editor. 1993, Northvale: NJ: Aronson. p. 21-50. 31. Hale, B., Seitz V, Zigler E., Health service and Head Start: A forgotten formula. Journal of Applied Developmental Psychology, 1990. 11: p. 447-58. 32. Smith, B., Klonglan G, Marketing early intervention: Public awareness and Public Law. Infants and Young Children, 1990. 3(2): p. 39-45. 33. Soumerai, S.B. and J. Avorn, Principles of educational outreach ('academic detailing') to improve clinical decision making. JAMA, 1990. 263(4): p. 549-56. 34. Tan, K.M., Influence of educational outreach visits on behavioral change in health professionals. J Contin Educ Health Prof, 2002. 22(2): p. 122-4. 35. Arcia, E., Keyes L, Gallagher JJ, Herrick H., National portrait of sociodemographic factors associated with underutilization of services: Relevance to early intervention. Journal of Early Intervention, 1993. 17: p. 283-298. 36. Heinrichs, N., et al., Parent recruitment and retention in a universal prevention program for child behavior and emotional problems: barriers to research and program participation. Prev Sci, 2005. 6(4): p. 275-86. 37. Baydar, N., M.J. Reid, and C. Webster-Stratton, The role of mental health factors and program engagement in the effectiveness of a preventive parenting program for Head Start mothers. Child Dev, 2003. 74(5): p. 1433-53. 38. Berlin, L.J., et al., The effectiveness of early intervention: examining risk factors and pathways to enhanced development. Prev Med, 1998. 27(2): p. 238-45. 39. Spoth, R., Redmond C, Hockaday C, Shin CY. , Barriers to participation in family skills preventive interventions and their evaluations: A replication and extension. Family Relations, 1996. 45(3): p. 247-254. 40. Dumka, L., Garza, C., Roosa, M. Stoerzinger, H., Recruitment and retention of high-risk families into a preventive parent training intervention. The Journal of Primary Prevention, 1997. 18(1): p. 25-39. 41. McWilliam, R., Lang, L., Vandiviere, P., Angell, R., Collins, L., & Underdown, G. , Satisfaction and struggles: Family perceptions of early intervention services. Journal of Early Intervention, 1995. 19: p. 43-60. 42. Shirk, S.R. and M. Karver, Prediction of treatment outcome from relationship variables in child and adolescent therapy: a meta-analytic review. J Consult Clin Psychol, 2003. 71(3): p. 452-64. 43. Chu, F.Y., [The community-oriented experience of early intervention services in Taipei City]. Hu Li Za Zhi, 2007. 54(5): p. 18-23. 44. Chen, Y., Sheu ML, Parental satisfaction with Early Rehabilitation Services for Children with Developmental Delays. Journal of Healthcare Management 2009. 10(4): p. 289-307. 45. Tsai, S.K., The Effectiveness of Parent Education Program for Parents of Developmentally Delayed Young Children. Journal of National Taipei Teachers Collage, 2002. 15: p. 363-386. 46. Wang, L.W., S.T. Wang, and C.C. Huang, Preterm infants of educated mothers have better outcome. Acta Paediatr, 2008. 97(5): p. 568-73. 47. American Psychiatric Association, American Psychiatric Association. Diagnostic and Statistical Manual of Mental disorders in DSM-IV-TR (Text Revision). 4, Editor. 2000: Washington, DC. p. 85-93. 48. Cheng, T.A. and P. Williams, The design and development of a screening questionnaire (CHQ) for use in community studies of mental disorders in Taiwan. Psychol Med, 1986. 16(2): p. 415-22. 49. Cheng, T.A., A community study of minor psychiatric morbidity in Taiwan. Psychol Med, 1988. 18(4): p. 953-68. 50. Smilkstein, G., C. Ashworth, and D. Montano, Validity and reliability of the family APGAR as a test of family function. J Fam Pract, 1982. 15(2): p. 303-11. 51. Chau, T.T., et al., [A preliminary study of family Apgar index in the Chinese]. Gaoxiong Yi Xue Ke Xue Za Zhi, 1991. 7(1): p. 27-31. 52. Hsu CC, S.S., Shao SJ, Lin CC, Soong WT, Chang C, Chinese child developmental inventory: a tentative normative data. Acta Pediatrica Sinica, 1978. 19: p. 142-57. 53. Wolery, M., Proportional change index: An alternative for comparing child change data. Exceptional Children, 1983. 50: p. 167-170. 54. Parra-Medina, D., et al., Successful recruitment and retention strategies for a randomized weight management trial for people with diabetes living in rural, medically underserved counties of South Carolina: the POWER study. J Am Diet Assoc, 2004. 104(1): p. 70-5. 55. Bailey, D.B., Jr., et al., First experiences with early intervention: a national perspective. Pediatrics, 2004. 113(4): p. 887-96. 56. Bond, B.A.W.a.M.A., The Effects of a Language and Literacy Intervention on Head Start Children and Teachers. Journal of Educational Psychology, 2006. 98: p. 63-74. 57. Ko, H.C., Chu P.Y., Lu W.M. et al. , Chinese Child Development Inventory: An Updated Normative Data. Psychological testing, 2008. 55: p. 313-340. 58. Duncan, G.J., J. Brooks-Gunn, and P.K. Klebanov, Economic deprivation and early childhood development. Child Dev, 1994. 65(2 Spec No): p. 296-318. 59. Wang, W.Y. and Y.J. Jong, Parents' psychosocial problems influencing the continuity of early intervention treatment in children with developmental delay. Kaohsiung J Med Sci, 2000. 16(12): p. 620-5. 60. Shu, B.C. and F.W. Lung, The effect of support group on the mental health and quality of life for mothers with autistic children. J Intellect Disabil Res, 2005. 49(Pt 1): p. 47-53. 61. DB Bailey Jr, R.M., LA Darkes, Family Outcomes in Early Intervention: A Framework for Program Evaluation and Efficacy Research. exceptional children, 1998. 3: p. 313-328. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/47758 | - |
| dc.description.abstract | 目的: 本研究針對某一區域性發展遲緩兒童聯合評估及介入計畫進行系統性的評價，包括：1) 主動推廣是否對早療計畫的收案及個案參與有所影響；2) 早療計畫對於兒童的發展及照顧者的心理健康是否有助益；3) 過程因素和結果的關係。
方法: 於2009年2月至7月間在基隆長庚醫院接受傳統早療介入的個案視為歷史性對照組 (第一組)；而2009年8月至2010年1月接受整合性介入計畫的個案作為主要的研究對象(第二組)。第一組的個案照顧者在初次評估 (前測) 及六個月後 (後測) 分別填寫學齡前兒童行為發展量表 (CCDI)。第二組兒童的照顧者在前測和後測分別填寫滿意度問卷、中國人健康問卷(CHQ)、家庭關懷度指數 (Family APGAR)、及CCDI。 結果: 第一組共有36位個案；第二組有50位個案。第二組兒童的照顧者對於計畫一般是滿意的。兒童個案的性別可以獨立預測照顧者對早療評估硬體的可近性與費用滿意度，以及持續回診與否。第一組兒童的溝通表達、概念理解、環境理解、身邊處理、和一般發展在介入期間有顯著進步；第二組兒童在精細動作及一般發展有顯著改善。照顧者的CHQ和family APGAR分數在介入期間則無顯著改變。兒童發展的進步和回診與否、組別之間並無顯著的關聯性。 結論: 在早療介入期間兒童發展在許多面向呈現顯著的進步，而個案的性別在早療計畫中的影響值得進一步再探究。本研究提供一個早療計畫的系統性評估資料，包含過程與結果的分析，其結果可以應用於未來發展遲緩兒童早療評估及介入計畫的改善。 | zh_TW |
| dc.description.abstract | Objectives: This study aimed to systemically evaluate a regional program for integrated assessment and early intervention for children with development delay. We examined whether the effort of practicum will be beneficial for the recruitment and retaining of the program; whether the program is effective for the child development and well-being of the caregivers; and to determine the relationships of process issue with outcome.
Methods: Children enrolled in the Traditional Intervention program of Chang Gung Memorial Hospital at Keelung (CGMH-K) from Feb 2009 to Jul 2009 were regarded as historical control (Group 1). Children who attended Integrative Intervention program during Aug 2009 to Jan 2010 were treated as the main study group (Group 2). For Group 1, patients’ major caregivers were requested to fill Chinese Child Development Inventory (CCDI) only at pretest and posttest (6 months later). The caregivers of children in Group 2 filled CCDI, Chinese Health Questionnaire (CHQ), family APGAR and Satisfaction Questionnaire at the first visit (pretest) and at posttest (6 months later). Results: There were 36 cases in Group 1, and 50 cases in Group 2. Caregivers enrolled in program were overwhelmingly satisfied with most services. Gender was an independent factor to predict satisfaction with accessibility and cost of the program, and revisit to the program. There were significant improvements in expression language, conceptual comprehension, situation comprehension, self help, and general development for children in Group 1. There were significant improvements in fine motor and general development for children in Group during the intervention. There were no significant changes for scores of CHQ and family APGAR of children’s caregivers. The progressions of children’s development were not significantly associated with their revisit and grouping. Conclusion: Global improvements in children’s development were noticed during intervention. The role of patient’s gender playing in early intervention program warrants further investigation. A systemic evaluation in a macroscopic view was performed for the early intervention program with both outcome and process perspectives. We could further apply these results to improve the integrated assessment and early intervention program for children with development delay in the future. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T06:16:52Z (GMT). No. of bitstreams: 1 ntu-99-R97847004-1.pdf: 1099744 bytes, checksum: eb79f204459a2000839767c772b9b1fa (MD5) Previous issue date: 2010 | en |
| dc.description.tableofcontents | 口試委員會審定書…………………………………………….……….….......….i
ACKNOWLEDGEMENT…………………………………………..…..…......... ii 中文摘要………………………………………………………………....…........ iv ABSTRACT…………………………………………………….…………......…. v CONTENTS……………………………………………………….…..…...….... vii LIST OF FIGURES…………………………………………….……..….......... ix LIST OF TABLES……………………...……………………………..….…..…..x CHAPTER 1 INTRODUCTION…………………………………………............1 1.1. General concept of developmental delay and early intervention…..…...1 1.2. Framework and historical aspect of early intervention program…...…..1 1.3. Evaluation for early intervention program…………………….................2 CHAPTER 2 LITERATURE REVIEW…………………………………............4 2.1. The outcome evaluation for early intervention program…………...........4 2.2. Evaluation for early intervention program and process………...............6 2.3. Literature of domestic research for early intervention……….…………..7 CHAPTER 3 SPECIFIC AIMS AND HYPOTHESIS……………….…...........9 3.1. Specific aims………………………………………………….………........9 3.2. Practicum unit features ……………………………………….…….….....9 3.3. Study Framework……………………………………………….…......….10 3.4. Hypotheses………………………………………………………..……....12 CHAPTER 4 METHODS………………………………………………...........13 4.1. Participants……………………………………………………..…..........13 4.2. Measures………………………………………………………..…..........13 4.3. Statistical Analyses…………………………………………19 CHAPTER 5 RESULTS………………………………………………20 5.1. Recruitment…………………………………………………20 5.2. Characteristics of participants……………………………20 5.3. CHQ, family APGAR and satisfaction……………………21 5.4. Revisit …………………………………………………………22 5.5. Outcome for children’s development and family well-being……………….22 CHAPTER 6 DISCUSSION………………………………………………...….24 6.1. Recruitment…………………………………………………………....…..24 6.2. Satisfaction……………………………………………………….............25 6.3. Retaining……………………………………………………….…….……..26 6.4. Development of Children………………………………………..…..........27 6.5. Family well-being……………………………………………….….…..….28 6.6. Limitations……………………………………………………....…..........29 6.7. Conclusions………………………………………………………............30 REFERENCES…………………………………………….…………….…..….31 | |
| dc.language.iso | en | |
| dc.title | 某一區域性發展遲緩兒童聯合評估及早期療育計畫之系統性評價 | zh_TW |
| dc.title | Systemic Evaluation of a Regional Program for Integrated Assessment and Early Intervention for Children with Development Delay | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 98-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳志根(Chih-Ken Chen),高淑芬(Shur-Fen Gau) | |
| dc.subject.keyword | 早期療育,計畫評估,結果,過程,發展遲緩, | zh_TW |
| dc.subject.keyword | early intervention,program evaluation,outcome,process,developmental delay, | en |
| dc.relation.page | 48 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2010-08-11 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 公共衛生碩士學位學程 | zh_TW |
| 顯示於系所單位： | 公共衛生碩士學位學程 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-99-1.pdf 目前未授權公開取用 | 1.07 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。