Parent Satisfaction Questionnaire Research Articles

Indonesian Translation and Cross-Cultural Validation of Pediatric Anesthesia Parent Satisfaction (PAPS) Questionnaire.

Many questionnaires have been widely used to assess patient satisfaction. One of them is the Pediatric Anesthesia Parent Satisfaction (PAPS) questionnaire. However, in Indonesia, the parent satisfaction of pediatric patients undergoing surgery has never been studied. Knowing patient satisfaction can provide feedback to improve the quality of anesthesia services. Furthermore, the PAPS questionnaire has never been used in Indonesia, so it needs to be translated and tested for validity and reliability before being implemented in Indonesia. to validate the Indonesian version of the PAPS questionnaire Method: This study uses a descriptive-analytic method with a cross-sectional design. The PAPS Questionnaire was translated into Indonesian version with the following steps (1) forward translation, (2) establish an expert committee, and (3) backward translation. After that, pilot testing and FGD with the expert were conducted to obtain the final questionnaire. Pearson's correlation and confirmatory factor analysis (CFA) were employed for the validity test. Sampling measurement before CFA was carried out with Keyser-Meyer-Olkin (KMO) and Bartlett's test. Cronbach's alpha determined the reliability test evaluation. Total number of subjects is 125 subjects. The PAPS questionnaire in the Indonesian version was obtained with help from INCULS and an anesthesiologist expert. Pearson's correlation found that all items ranged from r = 0.531-0.796 with p < 0.001. The CFA showed two factors that explained 65% of the total variance, with KMO being 0.937 (X2=1283.452, p < 0.001). Cronbach's alpha coefficient was 0.937. Indonesian version of the PAPS questionnaire is valid and reliable for assessing parents'satisfaction with the anesthesia services their child received.

Swedish parents' satisfaction and experience of facilitators and barriers with Family Check-up: A mixed methods study.

Family Check-up (FCU) was introduced in Sweden more than a decade ago. Little is known about what parents experience as FCU's key mechanisms leading to changes in parenting. The aim of this study was to investigate Swedish parents' satisfaction with FCU, and their experiences of facilitators and barriers for making changes in their parenting. A mixed methods approach was employed using a parent satisfaction questionnaire (n=77) and focus groups (n=15). General satisfaction with FCU was adequate, with an average rating of 4 on a five-point scale (range 3.1-4.6). The analysis of quantitative and qualitative data resulted in eight themes representing facilitators and four themes representing barriers, organized into three categories: (1) access and engagement; (2) therapeutic process; and (3) program components. Ease of access to FCU facilitated initial engagement. Individual tailoring and access to FCU during different phases of change facilitated sustained engagement and change. Therapeutic process facilitators were a meaningful, supportive relationship with the provider, psychological benefits for parents and benefits for the whole family. Program components that facilitated change in parenting were new learning of parenting strategies and use of helpful techniques such as videotaping and home practice. Negative experiences with service systems prior to starting FCU, parent psychological barriers, and parent-provider mismatch were described as potential barriers. Some parents desired other program formats that were not offered, and some felt that new learning was insufficient to improve child behavior. Understanding the parent perspective can contribute to successful future work with implementing FCU.

Evaluation of Cost and Parental Satisfaction in Type B Polydactyly Excision Completed in Office Vs. Operating Room

Background/Objective:One in 500 children in the US are born with polydactyly, extra digits on hands or feet. Out of those children, 95% of cases comprise of type B polydactyly, in which the extra digit is attached by neurovascular bundle without bones. Surgeries to remove type B polydactylies by excision have been traditionally performed in operating rooms. Even though operating room surgeries are successful, they can be expensive and time consuming. In contrast, the surgeries performed in physician’s office, while non-traditional, can minimize expenses and save time and effort. We hypothesize that excisions conducted in offices are safe alternatives to operating room excision and are associated with definitive financial savings for patients’ families and hospitals, while increasing satisfaction of parents.&#x0D; Methods:Using CPT codes and reviewing electronic medical records, we identified all patients from 2019 to 2022 who had been treated for Type B Polydactyly with either office procedures or OR procedures, all of which had been performed at Riley Children’s Hospital. Patient billing data were obtained from Indiana University Hospital billing department. Average charge to patients for total cost of procedure and estimated removal of one digit were analyzed and compared. A 9-question parental satisfaction questionnaire was administered to patient’s parents over phone call.&#x0D; Results:Thus far, out of 93 patients who underwent type B polydactyly removal, 36 patients received procedures in physician’s offices, and 57 patients received procedures in ORs. Average charge to patients per digit removed for in-office group was around $500 cheaper than that of OR group. Average total charge to patients for in-office group was around $600 cheaper than that of OR group. Parental satisfaction data are pending.&#x0D; Conclusion and Potential Impact:This study shows the cost effectiveness of type B polydactyly excision in office. With analysis of future satisfaction survey data, we hope to gauge parental satisfaction associated with in-office excisions and promote in-office excisions as effective alternative to OR excisions.

Generalized structural equation modeling: Symptom heterogeneity in attention-deficit/hyperactivity disorder leading to poor treatment efficacy.

BACKGROUNDTreatment efficacy for attention-deficit/hyperactivity disorder (ADHD) is reported to be poor, possibly due to heterogeneity of ADHD symptoms. Little is known about poor treatment efficacy owing to ADHD heterogeneity.AIMTo use generalized structural equation modeling (GSEM) to show how the heterogeneous nature of hyperactivity/impulsivity (H/I) symptoms in ADHD, irritable oppositional defiant disorder (ODD), and the presentation of aggression in children interferes with treatment responses in ADHD.METHODSA total of 231 children and adolescents completed ADHD inattention and H/I tests. ODD scores from the Swanson, Nolan, and Pelham, version IV scale were obtained. The child behavior checklist (CBCL) and parent’s satisfaction questionnaire were completed. The relationships were analyzed by GSEM.RESULTSGSEM revealed that the chance of ADHD remission was lower in children with a combination of H/I symptoms of ADHD, ODD symptoms, and childhood aggressive behavior. ODD directly mediated ADHD symptom severity. The chance of reaching remission based on H/I symptoms of ADHD was reduced by 13.494% [= exp (2.602)] in children with comorbid ADHD and ODD [odds ratio (OR) = 2.602, 95% confidence interval (CI): 1.832-3.373, P = 0.000] after adjusting for the effects of other factors. Childhood aggression mediated ODD symptom severity. The chance of reaching remission based on ODD symptoms was lowered by 11.000% [= 1 - exp (-0.117)] in children with more severe baseline symptoms of aggression based on the CBCL score at study entry [OR = -0.117, 95%CI: (-0.190)-(-0.044), P = 0.002].CONCLUSIONMediation through ODD symptoms and aggression may influence treatment effects in ADHD after adjusting for the effects of baseline ADHD symptom severity. More attention could be directed to the early recognition of risks leading to ineffective ADHD treatment, e.g., symptoms of ODD and the presentation of aggressive or delinquent behaviors and thought problems in children with ADHD.

Validity and reliability study for the Turkish adaptation of the Parent Satisfaction Questionnaire with Neonatal Hearing Screening Programs

Purpose To adapt the Parent Satisfaction Questionnaire with Neonatal Hearing Screening Programs (PSQ-NHSP) into the Turkish language and to measure the parents’ satisfaction with the NHSP in a public hospital in Turkey. Materials and methods One hundred ninety-three parents of newborns participated in this study. Parents completed Turkish translations of PSQ-NHSP after the hearing screening process. Parents’ satisfaction with the NHSP was measured in four dimensions: information about the NHSP, staff responsible for the hearing test, appointment schedule, and overall satisfaction. Results Overall, 75% of parents were satisfied with the NHSP. The corresponding satisfaction levels of parents in the specific dimensions were as follows: 68% for information, 75% for personnel responsible for the hearing test, 74% for the appointment schedule, and 78% reported overall satisfaction. The psychometric properties of the Turkish version of the PSQ-NHSP showed acceptable internal consistency reliability (a = 0.78). Conclusions The Turkish version of the PSQ-NHSP is valid and reliable in measuring parent satisfaction with the NHSP, and the parents were generally satisfied with the NHSP in Turkey.

A Pilot Study Delivering Physiotherapy Support for Rett Syndrome Using a Telehealth Framework Suitable for COVID-19 Lockdown

ABSTRACT Background: Rett syndrome (RTT) is a genetically caused neurodevelopmental disorder associated with severe disability. We assessed the feasibility of a telehealth program supporting gross motor skills in RTT. Methods: Five girls with RTT were assessed and a home-based exercise program developed in response to functional goals. Families then participated in monthly Skype sessions for 6 months, guided by a physiotherapist to monitor progress and adjust the program as necessary. Goal Attainment Scaling was used to evaluate progress and a parental satisfaction questionnaire was administered. Results: Four goals were established for each participant and progress was greater than would be expected in 16 of 20 goals. Parents evaluated the program as feasible and useful for their daughters. Discussion: A telehealth model of home-based intervention supported individuals with RTT to achieve gross motor skills and was found to be feasible. This model is important at present times during COVID-19 outbreak and lockdown.

Parent's Satisfaction of Universal Newborn Hearing Screening Program in Iran.

Measuring parent satisfaction is an important factor in pediatric health care service programs because parents play a major role in their child's life. The parental decisions are a basis for the success or failure of the child's treatment in many cases. The purpose of this study was to determine levels of parents' satisfaction following the implementation of universal newborn hearing screening (UNHS) program in Iran. In this study, the Persain version of the parent satisfaction questionnaire with neonatal hearing screening program (PSQ-NHSP) was used to measure parents' satisfaction on information of newborn hearing screening program, personnel in charge of the hearing testing, hearing screening activities, and overall satisfaction. Newborns were screened using transient evoked otoacoustic emissions and automatic auditory brainstem response tests within the first 48h of life for each ear. Of the 312 questionnaires distributed, 217 parents (67%) responded. The mean scores of the "overall satisfaction" items ranged from 4.07 to 4.29, demonstrating high levels of parent satisfaction with this aspect of the program. More than 86% of parents were overally satisfied with the hearing screening program. In open-ended items, 84% of parents comments showed their satisfaction. The findings of the present study revealed that parents were generally satisfied with the UNHS program. The PSQ-NHSP questionnaire is easily employed and effective method for assessing parental satisfaction with newborn hearing screening programs.

Paediatric dental-oral medicine clinic: management during COVID 19

Introduction: Minimising spread of the COVID-19 infection through reducing face-to-face consults is essential. In doing so, alternative assessment and communication methods for management of patients with oral conditions should be considered. Material and methods: Patients on the waiting list for the joint oral medicine-paediatric dental clinic between March and June 2020 were prioritised based on a criteria including relevant medical history, diagnosis and clinical need and current management − monitoring, topical therapy or systemic therapy. A telephone consult method was chosen to assess and follow up patients and a parental satisfaction questionnaire was conducted following telephone consult. Results: Recurrent aphthous stomatitis (RAS) was the most common diagnosis of patients reviewed on the telephone clinic. Overall, the patient satisfaction questionnaire revealed that 100% of respondents would prefer a telephone consult during COVID-19 rather than face-to-face appointments. 74% opted for a video consult in preference to a telephone consult. Conclusion: This service evaluation has found telephone consults to be a valuable alternative to face-to-face consults in the management of patients with chronic oral mucosal diseases. Telephone consultations have high parental satisfaction and are an effective, convenient method to assess and follow up patients whilst maintaining their safety during the COVID-19 pandemic.

The efficacy and acceptability of the Triple P: Positive Parenting Program with Turkish parents.

To evaluate the effectiveness of Group Teen Triple P with parents who have behaviorally disturbed adolescents. The research was conducted in an experimental manner. The sample was 76 parents who were grouped as 38 cases and 38 controls with a block randomization method. Data were collected using the Family Background Questionnaire, General Health Questionnaire (GHQ-12), Strengths and Difficulties Questionnaire (SDQ), Conflict Behavior Questionnaire (CBQ), and Parent Satisfaction Questionnaire. Group Teen Triple P Program was implemented with the case group for 8 weeks. Data were collected immediately after the programand again after 3 months. Data were evaluated using variance analysis, ttest, χ2 test, multivariate analysis of covariance, and analysis of covariancetest. It was found that participation in Group Teen Triple P resulted in the improvement of parental mental health, decreased problematic behavior of the adolescents, and fewer problems between adolescents and their parents. Group Teen Triple P should be made available to more parents of adolescents in Turkey.

Ağrıyı Azaltan Girişimi Tercih Edelim, Buzzy veya ShotBlocker: Bir Randomize Kontrollü Araştırma

INTRODUCTION: The aim of this study was to detect and compare the effects of ShotBlocker and Buzzy methods on pain, fear, and parental satisfaction during intramuscular injection. METHODS: This study was an experimental randomized controlled trial. The sample included 90 children at the ages of 6 and 12 to whom intramuscular injection was administered in the pediatric emergency department of a university hospital. The participants were randomly assigned to ShotBlocker (n=30), Buzzy (n=30), and control (n=30) groups. Child Information Form, Wong-Baker FACES Pain Rating Scale, Children’s Fear Scale, and Parental Satisfaction Questionnaire were used to collect the data. RESULTS: ShotBlocker and Buzzy groups had significantly lower pain and fear scores and higher parental satisfaction than control group after the procedure (p=0.0001). The lowest pain and fear score and the highest parental satisfaction score were observed in Buzzy group (p=0.0001). DISCUSSION AND CONCLUSION: Both ShotBlocker and Buzzy methods reduce pain and fear of children during intramuscular injection and increasing satisfaction of their parents. However, when compared to ShotBlocker, Buzzy method is more effective in reducing intramuscular injection-related pain and fear and should be preferred primarily.

Early unplanned return visits to a pediatric emergency department in Israel.

Early unplanned return visits (EURV) to the emergency department (ED) are stressful for children and caregivers. Dissatisfaction with the first ED visit could influence the decision to revisit the ED. The aim was to evaluate comprehensively parents' satisfaction with the first ED visit. A prospective questionnaire-based study of parents of EURV patients was conducted in a pediatric ED. Participants were enrolled based on convenience sampling. The study instrument was the parental satisfaction questionnaire (PSQ). The 27 PSQ items evaluate four themes related to satisfaction: attitude and respect, information provided, continuity of care, and waiting times. Items are rated on a five-point Likert scale. During the 18-month study, 101 parents of EURV patients were surveyed and 98 agreed to participate. On the return visit, 63 EURV patients were discharged and 35 EURV patients were hospitalized. Eighty-seven (88.7%) caregivers scored an overall level of satisfaction with the first visit of 8-10 on a 10-point Likert scale. Median scores in 22 PSQ items were 4 (interquartile range [IQR] 4-5) or 4 (IQR 3-4). Median scores for "physicians attention and answering questions and concern" and "physicians clear and understood explanations" were 3 (IQR 3-4) and 2 (IQR 2-3), respectively. The PSQ scores were similar for patients who were discharged on the return visit and patients who were hospitalized. Parents were satisfied with the care provided at the first ED visit. There was a lower level of satisfaction with physician interaction.

Newborn Hearing Screening: Early Education = More Satisfied Mothers.

Newborn hearing screening (NBHS) has become the norm in all states in the United States. However, parents receive limited information about it, usually at the hospital, and have low awareness about the process. Yet parents and professionals agree that communication about the NBHS process should begin before childbirth (Arnold et al., 2006). Having information about the screening process, simply by being present for the screening and knowing the results, has been shown to positively affect parental attitudes toward NBHS (Weichbold, Welzl-Mueller, & Mussbacher, 2001). Purpose The aim of this study was to assess whether providing expectant mothers with information related to the NBHS process in the 3rd trimester will increase their satisfaction with the NBHS program. Method Partnering with a local obstetrician, expectant mothers were provided with information regarding NBHS. A modified version of the Parent Satisfaction Questionnaire with Neonatal Hearing Screening Program (Mazlan, Hickson, & Driscoll, 2006) was administered to mothers who received information and mothers who did not receive any education. Results Quantitative results indicate significantly increased satisfaction with the NBHS program when early education was received. Qualitative comments from participants support the quantitative findings. Conclusion Results suggest that educating obstetricians and their nurses about NBHS and having them provide information to expectant mothers, as well as having mothers present for the screening, may increase parental satisfaction and therefore benefit early hearing detection and intervention programs.

Workplace Bullying Among Pediatric Nurses: Its Relationship to Children Exposure to Some Adverse Events and Parents Satisfaction

Background: W orkplace bullying especially in healthcare setting and among nurses is a widespread and serious problem. A number of countries including Egypt have increasingly been focusing on exploring this problem in order to prevent its negative implications on the victim’s health and work performance. The purpose of this study was to determine relationship between workplace bullying among pediatric nurses and children exposure to some adverse events and parents satisfaction. A correlational research design was used. The study was conducted at hemodialysis unit, Pediatric Intensive Care Unit (PICU), Neonatal Intensive Care Unit (NICU) and Pediatrics Department . A convenience sample of 118 staff nurses and random sample of 100 children parents were assigned from the previously mentioned settings. Three tools were used: Workplace Bullying Behaviors Scale , Parent's Satisfaction Questionnaire and Children Adverse Events Scale. The results of this study showed that, the highest percentage of the studied nurses in different studied areas had moderate level of workplace bullying behavior's exposure (61.0%), children had moderately level of exposure to some adverse events (61.9%) as reported by the studied staff nurses' and the highest percentage of the studied parents have moderately level of satisfaction of nursing care that was provided to their children (45%). The study concluded that, there was a positive relationship between the exposure of the nurses to the behaviors of bullying and the exposure of children to the adverse events. Also, there was a negative correlation between the exposure of nurses to bullying behavior and the level of parents 'satisfaction with the care given to their children. So, it was recommended that identifying behaviors of bullying and raising awareness of bullying behavior in society should be the first step in the solution. Subsequently, in-service training programs on bullying behaviors in all pediatric units should be designed and implemented to improve the knowledge and practices of nurses to control and prevent bullying in the workplace. Keywords : Workplace Bullying, children adverse events, and Parents Satisfaction DOI : 10.7176/JHMN/58-07

Parental satisfaction of child's perioperative care.

Satisfaction in the hospital setting is an important component of both hospital funding and patient experience. When it comes to a child's hospital experience, parent satisfaction of their child's perioperative care is also necessary to understand. However, little research has been conducted on the predictors of this outcome. Therefore, the purpose of this current study was to validate a priori selected predictors for parental satisfaction in their child's perioperative process. Eight hundred and ten pediatric patients who underwent tonsillectomy and adenoidectomy surgery and their parents were included in this study. The primary outcome was assessed using a 21-item parent satisfaction questionnaire resulting in three satisfaction scores: overall care satisfaction, OR/induction satisfaction, and total satisfaction. Descriptive statistics and correlational analysis found that sedative-premedication, parental presence at anesthesia induction, child social functioning, parental anxiety, and language were all significant predictors of various components of the satisfaction score. Regression models, however, revealed that only parent anxiety and child social functioning remained significant predictors such that parents who reported lower state anxiety (OR/induction satisfaction: OR=0.975, 95% CI [0.957, 0.994]; total satisfaction: OR=0.968, 95% CI [0.943, 0.993]) and who had higher socially functioning children (overall care satisfaction: OR=1.019, 95% CI [1.005, 1.033]; OR/induction satisfaction: OR=1.011, 95% CI [1.000, 1.022]) were significantly more satisfied with the perioperative care they received. Lower parent anxiety and higher child social functioning were predictive of higher parental satisfaction scores.

The effect of dynamic elastomeric fabric orthosis (DEFO) on sitting balance and gross manual dexterity in children with cerebral palsy: A single-blinded randomized controlled study

The aim of this study was to investigate if the use of a vest type dynamic elastomeric fabric orthosis (DEFO) will lead to improvement in sitting balance, hip lateralization and gross manual dexterity. Twenty-four children with CP between the ages of 3–7 with impaired trunk control were allocated to either of three groups: Control group who received only conventional exercise therapy, DEFO 2 hours group who wore DEFO 2 hours during therapy and DEFO 6 hours group who wore DEFO 4 hours in addition to 2 hours of wear during therapy. Children were evaluated with sitting domain of Gross Motor Function Measure (GMFM), Sitting Assessment Scale (SAS), Box and Block Test (BBT) and Parent Satisfaction Questionnaire before treatment (BT), at posttreatment, at 1 month posttreatment (MPT) and at 3 MPT. SAS and BBT were also assessed when immediately after wearing the orthosis. To measure trunk asymmetry and effect of orthosis in hip lateralization, changes in Cobb (CA) and kyphotic angles (KA) and Migration index (MI) between BT and 6 MPT were determined. All groups showed similar improvements except the control group showing less improvement in SAS scores than DEFO groups. SAS and BBT scores also improved immediately after wearing the orthosis. While CA and KA decreased significantly at 6 MPT, MI did not show statistically significant difference. Changes in radiographic assessments were similar between groups except kyphotic angle values. KA values showed less change in control group. When DEFO groups compared with each other, there were no significant differences in any of the assessments. DEFO vest has an immediate effect on sitting balance and gross manual dexterity. DEFO provides improvements in posture and balance during sitting. Using DEFO vest for 2 hours and 6 hours yielded similar outcomes. Wearing DEFO vest improves kyphotic posture but not scoliosis and hip lateralization.

Sacral nerve stimulation for constipation and fecal incontinence in children: Long-term outcomes, patient benefit, and parent satisfaction.

To evaluate the long-term efficacy of sacral nerve stimulation (SNS) in children with constipation and describe patient benefit and parent satisfaction. Using a prospective patient registry, we identified patients <21years old with constipation treated with SNS for >2years. We compared symptoms, medical treatment, PedsQL Gastrointestinal Symptom Scale (GSS), Fecal Incontinence Quality of Life Scale (FIQL), and Fecal Incontinence Severity Index (FISI) before SNS and at follow-up. We contacted parents to administer the Glasgow Children's Benefit Inventory (GCBI) and a parent satisfaction questionnaire. We included 25 children (52% male, median age 10years): 16 had functional constipation, six anorectal malformation, two tethered spinal cord, and one Hirschsprung's disease. Defecation frequency did not change after SNS but patients reporting fecal incontinence decreased from 72% to 20% (P<.01) and urinary incontinence decreased from 56% to 28% (P=.04). Patients using laxatives decreased from 64% to 44% (ns) and patients using antegrade enemas decreased from 48% to 20% (P=.03). GSS, most FIQL domains, and FISI were improved at follow-up. Six (24%) patients had complications requiring further surgery. Of the 16 parents contacted, 15 (94%) parents indicated positive health-related benefit and all would recommend SNS to other families. Sacral nerve stimulation is a promising and durable treatment for children with refractory constipation, and appears particularly effective in decreasing fecal incontinence. Although a quarter of patients experienced complications requiring additional surgery, nearly all parents reported health-related benefit. Future studies to identify predictors of treatment response and complications are needed.

Pay More Attention: a national mixed methods study to identify the barriers and facilitators to ensuring equal access to high-quality hospital care and services for children and young people with and without learning disabilities and their families

IntroductionDespite evidence of health inequalities for adults with intellectual disability (ID) there has yet to be a comprehensive review of how well hospital services are meeting the needs of children...

The effect of narrative writing of mothers on their satisfaction with care in the neonatal intensive care unit

Aim: This study was conducted to evaluate the effect of narrative writing on the satisfaction of the mothers with care in the neonatal intensive care unit (NICU) during their neonates’ hospitalization.Materials and methods: This quasi-experimental study with pretest and posttest were administered to a sample size of 70 mothers with preterm neonates. The Neonatal Index of Parental Satisfaction questionnaire was used. Descriptive and analytical statistics were used for data analysis.Results: The satisfaction level of the mothers was 113.1 ± 17.5 on the 3rd day and 102.3 ± 25.6 on the 10th day of the study in the control group. Paired t-test (p values < 0.011) in the control group showed a significant difference in the satisfaction level of the mothers. In the intervention group, the satisfaction level of the mothers was 107.5 ± 21.5 on the 3rd day and 137 ± 15.2 on the 10th day of the study. Paired t-test (p values < 0.001) showed a significant difference in the satisfaction level of the mothers between the 3rd and 10th day of the study. The results of independent t-test showed a significant difference in satisfaction between the intervention and control groups on the 10th day of the study (p < 0.001).Conclusion: We suggest that narrative writing may be considered as an efficient supportive intervention to increase the mothers’ satisfaction in the NICUs.

Caregiver Satisfaction with a Multisite Trial of Atomoxetine and Parent Training for Attention-Deficit/Hyperactivity Disorder and Behavioral Noncompliance in Children with Autism Spectrum Disorder.

The purpose of this study was to examine caregiver satisfaction with the research experience in a randomized clinical trial of atomoxetine (ATX) and parent training (PT) for attention-deficit/hyperactivity disorder (ADHD) and behavioral noncompliance co-occurring with autism. The Children with Hyperactivity and Autism Research Treatment Study (CHARTS) randomly assigned 128 children 5.00-14.11 years of age to four treatment groups (ATX + PT, ATX alone, PT + placebo[PBO], and PBO). Caregivers completed an 18 item questionnaire about their satisfaction with the research experience. We summarized caregiver responses with descriptive statistics and examined whether the responses were associated with demographic variables, treatment assignment, or the child's response to treatment (positive or negative). Ninety-three percent of caregivers (119) completed the questionnaire. When asked if they would join the study again if given the chance, 87% (103) responded "yes," 13% (15) responded "maybe," and 1% (1) responded "no." When asked if they would recommend the study to other caregivers of children with similar problems, 92% (109) responded "yes" and 8% responded (10) "maybe." Of the 59 Parent Satisfaction Questionnaire (PSQ) respondents who received PT, 75% (44) felt more confident in managing current child behaviors, 24% (14) felt that their level of confidence was unchanged, and 2% (1) felt less confident. Most caregivers expressed satisfaction with the study procedures, including the number of visits and the safety monitoring protocols. In general, caregivers were highly satisfied with their research experience. These findings may be useful for informing human subject committees and for designing study protocols that are appealing to families.

Investigation on the Effectiveness of Holistic Multi-dimensional Treatment Model (HMTM) in Improvement of CARS Test Indicators in Children suffering from Autism Spectrum Disorder

Introduction The goal of research is investigation on the effectiveness of Holistic Multi-dimensional Treatment Model (HMTM) in improvement of CARS test indicators in children with Autism Spectrum Disorder (ASD) and it is done without pharmaceutical interventions, without names and accompanied by parental satisfaction questionnaire. Materials and Methods In this study with purposeful sampling method, 60 autistic children chosen randomly among 6-10 year-old patients were taken under a 12-month observation. At the beginning of this research they were taken the CARS pre-test and then in each month a complete behavioral HMTM checklist and a CARS test was taken. Observing HMTM treatment model, includes intuitive checklist with the aim of intuitive adjustment, abnormal behaviors’ checklist with the aim of decreasing them, individual behaviors’ checklist with the aim of increasing them and emotional interactive behaviors checklist with the aim of improvement that are conducted in statistical tables. Results Results shown a positive impact of HMTM in treatment trend of autism spectrum disorder considering sum of CARS points, also the effect on each CARS test parameters and CARS parameters improvements are meaningful holistic approach in HMTM method has interpreted some vague CARS parameters furthermore (P<0.05). The statistical properties of CARS test with HMTM treatment model, indicates a high correlation coefficient and a significant relationship there was in behavior tables of HMTM and CARS test. Conclusion Holistic multi-dimensional treatment modelhas caused considerable and improvement children’s individual interactions and intuitive balance.