Problem Checklist Research Articles

Pain in palliative cancer patients – Analysis of the German National Palliative Care Registry

Palliative care aims to improve the quality of life in patients with progressive diseases such as cancer. Effective cancer pain management is a major challenge of palliative treatment. Empirical data on the prevalence of cancer pain, the efficiency of pain treatment and influencing factors are scarce. Here, we investigated pain in cancer patients treated on inpatient palliative care wards in Germany. N = 4779 data sets provided by the German Palliative Care Registry from yearly evaluation periods between 2015 and 2020 were included. Pain ratings were assessed by professionals through a checklist of symptoms and problems (HOPE-SP-CL). More than half of the included patients suffered from moderate/severe pain at the beginning of inpatient palliative care and in 71% of these patients, pain relief was achieved at the end of inpatient treatment. Pain intensity, depression and ECOG performance status at admission were weak predictors of later pain relief. The highest pain intensity at the beginning and least pain relief were found in patients with bone and cartilage cancer. The highest percentage of adequate pain control (81%) was seen in 2020. Data from the German Palliative Care Registry confirmed that although increasingly better addressed over the years, insufficiently controlled cancer pain remains a challenge for palliative care units. Patient-specific (e.g. psychological comorbidity) and cancer-related (e.g. bone or cartilage cancer) risk factors for poor pain treatment underline the need for individualized multimodal pain management including psychological support.

Evaluation of Questions in Middle School Mathematics Textbooks in Terms of Problem Solving Strategies

Purpose: This study aims to analyze solved problems in mathematics textbooks, focusing on both general and specific problem-solving strategies. By conducting a detailed analysis of each general strategy, the study seeks to provide a comprehensive evaluation of the problem-solving approaches presented in the textbooks. Design/Methodology/Approach: The document analysis method was utilized in this study. Solved problems from the mathematics textbooks published by the Ministry of National Education (MoNE) for 5th, 6th, 7th, and 8th grades during the 2023-2024 academic year were examined. Data were collected using the “Solved Problems Checklist” and “Problem-Solving Strategies Determination Form” developed by Hatay (2020). A qualitative descriptive analysis method was employed to analyze the data, with percentage and frequency values calculated to present the findings. Findings: The analysis revealed that the stages of planning and implementing a solution plan were prominently featured in the middle school mathematics textbooks. Specifically, the initial stage of understanding the problem often included visual aids such as figures, diagrams, tables, and pictures. In the planning phase, the predominant solutions involved discussions of mathematical operations. Highlights: The study’s findings indicate that while problem-solving strategies are generally emphasized in mathematics education, certain steps, such as solution evaluation, are given greater focus. Additionally, the research highlights a significant gap in the inclusion of the problem-posing stage, the final step of general problem-solving strategies, in the analyzed mathematics textbooks.

Reliability and Validity Evidences of Tej Emotional and Behavioral Problem Checklist (TEJ-CL) for Child Mental Health Assessment in Nepal

Introduction: The Tej Emotional and Behavioral Problem Checklist (TEJ-CL) was developed in Nepalese context to aid assessment of childhood emotional and problems of children. This study aimed to evaluate TEJ-CL's factor structure, reliability, and validity evidences as an add-on and symptom monitoring test.Methods: This cross-sectional validation study included guardians of 320 children (age 5 – 17 years) from tertiary mental health centers in Kathmandu as referred group, along with 601 children from two schools (private and community) in Kathmandu as non-referred group.Study was conducted after obtaining ethical approval (ref: 183 (6-11-E)2/073/074 and ref: 776). TEJ-CL, an 89-item parent-reported questionnaire, served as the index test, while referral status acted as the reference standard. Factor structure, internal consistency, test-retest/ cross-informant correlations and criterion validity evidence was assessed using principal component analysis, coefficient alpha, spearman's rank correlation and linear regression models, respectively.Results: Analysis was done using 179 referred and 412 non-referred individuals based on non-missing data. Principal component analysis in referred sample reduced the number of items of questionnaire to 65 from 89 and indicated six factors: externalizing behavioral issues, anxiety/worries, upset/sadness, somatic concern, miscellaneous syndrome, and severe issues with coefficient alpha ranging from .62 to .95. As criterion validity evidence, referred children showed significantly higher scores than non-referred children across composite and factor scores, except for anxiety/worries factor. Similarly, regression analyses within the referred group demonstrated significant associations between factor scores and specific diagnoses.Conclusions: Reliability and validity estimate of questionnaire is comparable to similar empirically based scales. Future research should focus on assessing the tool's generalizability and improving discriminatory indexes.

Effective factors on Migration to Kerman City and Immigrants’ Problems Using Analytical Hierarchy Process Model and Technique for Order of Preference by Similarity to Ideal Solution

Introduction: Marginal immigrants cause many problems in economic, social and cultural, physical ,and environmental aspects of cities. This study aims to investigate the factors affecting migration to Kerman city and the problems of marginalized immigrants using the analytical hierarchy process (AHP) and technique for order of preference by similarity to ideal solution (TOPSIS) models. Methods: This cross-sectional study was conducted in 2022, with a sample size of 147 households selected from Kerman suburban region. The data were collected by a standardized questionnaire measuring effective factors on the migration and the checklist of the immigrant problems. Results: The most important immigration factors were economic, social, geographical, political, educational and religious-cultural factors, respectively. Among 37 components studied, transferring the job of the family man as the family head, being on the main land, air and rail ways, having a special position at the international level, burying the family’s dead members in the desired city, and the education of the wife or one of the children of the family were the most important components. According to the results, more than 90% did not have access to public baths, sports facilities, government centers, private institutions, and parks, and recreational spaces. Conclusion: According to AHP model, economic factors ,and then social factors, were the most important reasons for migrating to the suburbs of Kerman. Therefore, it is suggested to create stable and long-term job opportunities , improve employment and business environment in the cities, and develop infrastructure to control migration to the city capitals.

Validating a Pragmatic Measure of Evidence-Based Practice (EBP) Delivery: Therapist Reports of EBP Strategy Delivery and Associations with Child Outcome Trajectories.

Pragmatic measures of evidence-based practice (EBP) implementation can support and evaluate implementation efforts. We examined the predictive validity of therapist reports of EBP strategy delivery for children's mental health outcomes. Data were obtained from 1,380 sessions with 248 children delivered by 76 therapists in two county systems. Children (Mage=11.8 years, SD = 3.7) presented with internalizing (52%), externalizing (27%), trauma (16%), and other (5%) concerns. Therapists reported their delivery of EBP strategies on a revised version of the EBP Concordant Care Assessment (ECCA; Brookman-Frazee, et al., Administration and Policy in Mental Health and Mental Health Services Research, 48, 155-170, 2021) that included 25 content (e.g., parenting, cognitive behavioral) and 12 technique strategies (e.g., modeling, practice/role-play). On average, 5.6 ECCA session reports (SD = 2.3) were obtained for each client, and caregivers reported symptoms on the Brief Problem Checklist (Chorpita, et al., Journal of Consulting and Clinical Psychology, 78(4), 526-536, 2010) at baseline, weekly over two months, and again at four months. Multilevel models examined whether the mean extensiveness of each EBP strategy predicted trajectories of child outcomes. More individual technique (6 of 12) than content strategies (1 of 25) were associated with outcome trajectories. For techniques, more extensive use of Performance Feedback and Live Coaching and less extensive use of Addressing Barriers were associated with greater declines in total symptoms, and more extensive use of Establishing/Reviewing Goals, Tracking/Reviewing Progress, and Assigning/Reviewing Homework was associated with declines in externalizing symptoms. For content, more extensive use of Cognitive Restructuring was associated with declines in total symptoms. In addition, higher average extensiveness ratings of the top content strategy across sessions was associated with greater declines in total and externalizing symptoms. Therapist-reported delivery of some EBP strategies showed evidence of predictive validity and may hold utility in indexing quality of care.

Personality traits and measures of neuropsychiatric symptoms

Objectives Changes in personality and behavioral symptoms are a core clinical criterion for the diagnosis of dementia. This study examines the association between caregiver-rated personality traits and multiple measures of neuropsychiatric symptoms. Method Caregivers of individuals with dementia (N = 191) or cancer (N = 137) provided premorbid and concurrent personality trait ratings using the Big Five Inventory-2. Caregivers also completed the Mild Behavioral Impairment Checklist, Neuropsychiatric Inventory Questionnaire, and Revised Memory and Behavior Problems Checklist. Results In the combined sample, high concurrent neuroticism was associated with emotional dysregulation (r = 0.51), low agreeableness with impulse dyscontrol (r=-0.40), and low conscientiousness with decreased motivation (r=-0.42). Associations were similar across neuropsychiatric symptom scales, similar across cancer and dementia, but stronger with concurrent than premorbid personality ratings, and stronger for the individuals with mild than moderate-severe dementia. Conclusion Personality was associated with neuropsychiatric symptoms, including with the measure for mild behavioral impairment. Personality had stronger associations when concurrently assessed, indicating that personality traits co-develop with neuropsychiatric symptoms. The associations were similar across cancer and dementia, suggesting transdiagnostic processes not limited to dementia. Neuropsychiatric symptoms are partly an expression of personality; accounting for personality traits could help with diagnosis and disease monitoring, tailoring interventions, and fostering person-centered care.

Utilization of the Adolescent and Young Adult Psycho-Oncology Screening Tool in a Pediatric Hospital Adolescent/Young Adult Program.

Purpose: The AYA Psycho-Oncology Screening Tool was developed to assess adolescent and young adult (AYA) patients' distress during cancer treatment. The on-treatment distress screening tool has been validated with AYAs and includes a 10-point distress thermometer (DT) and a 53-item problem checklist (PCL). However, previous studies have not solely examined AYA cancer distress within a children's hospital. Therefore, our project aimed to explore AYA distress in a pediatric cancer setting. Methods: AYA-aged participants (aged ≥15) were given the distress screener initially within 1 month of diagnosis and every 2, 4, or 6 months, depending on their previous distress score. Chi-square, independent t-tests, and binary logistic regressions were conducted for data analysis. Results: Between January 2021 and July 2022, we completed 123 screenings in 68 AYAs (age 15-30) on treatment. Average DT score was 2.96 with 30% of participants endorsing distress levels of 5 and above. There were statistically significant differences by sex as females endorsed higher levels of distress compared with males. Adolescents (<18) endorsed statistically significant higher frequency of emotional PCL items in comparison with young adults (≥18). There were no differences by race or diagnosis. Conclusions: Our team gained awareness of specific areas of concerns for AYAs, allowing for more targeted interventions for distressed participants. Certain demographic variables may put participants at risk for increased distress. As a result of the project, a protocol has been developed to follow up with participants if they report a certain distress score (5 or above) and/or endorse critical items.

Designing and Validating a Comprehensive Patient-Reported Outcomes Measure for Ambulatory Cancer Settings: The Revised Edmonton Symptom Assessment System for Cancer.

Patient-reported outcomes (PROs) information has been routinely collected in Cancer Care Alberta (CCA) for years using the revised Edmonton Symptom Assessment System (ESAS-r) and Canadian Problem Checklist (CPC). There was interest in combining these into a more comprehensive single measure tailored to ambulatory cancer settings. The purpose of this study was to validate an expanded and redesigned ESAS-r called the ESAS-r Cancer. Stakeholder engagement, a review of the literature, and 2 years of CPC data collected in the cancer program informed the addition of six symptoms to the ESAS-r. To assess and validate the measure, 1,600 randomly sampled patients were mailed paper copies of the ESAS-r Cancer, ESAS-r, and a validated, comprehensive PRO measure called the Memorial System Assessment Scale-Short Form (MSAS-SF), which is often used with patients with cancer. Canonical Correlation Analysis and exploratory factor analyses were performed to assess concurrent and construct validity of the ESAS-r Cancer against ESAS-r, using MSAS-SF as the reference measure for comparison. Cronbach α was calculated to assess reliability. Four hundred and sixty-one patients (29% response rate) completed all three questionnaires. ESAS-r Cancer showed higher numerical correlation than ESAS-r and accounted for more information included on MSAS-SF, explaining slightly more variance than ESAS-r (75.2% v 73.5%). The three-dimensional factor structure of ESAS-r Cancer outperformed the two-dimensional factor structure of ESAS-r. The reliability of ESAS-r Cancer was verified and found to be slightly higher than ESAS-r (Cronbach α = .903 v .884). ESAS-r Cancer is now in use with patients throughout CCA. This valid and reliable PRO measure can be used by other cancer or specialized health care programs who wish to routinely assess common symptoms.

Family Caregivers' Progress Toward Values Moderates the Associations between Behavioral Symptoms of Dementia, Caregiver Burden, and Depressive Symptoms.

Increasingly, dementia caregiver interventions are informed by acceptance-based approaches such as Acceptance and Commitment Therapy. These interventions promote psychological skills like psychological flexibility and value-based living. Less is known how these constructs interact within well-established caregiver stress processes. We examined a moderated mediation model (N = 161 dementia caregivers; PROCESS Procedure; SPSS Release 4.1), with BPSD frequency (Revised Memory and Behavior Problems Checklist) predicting depressive symptoms (10-item CES-D), mediated via caregiver burden (short Burden inventory). The moderator was the Values Questionnaire, and we controlled for gender, caregiver duration, age, income, and education. Results: revealed that the indirect effect of BPSD on depressive symptoms through caregiver burden was weakened through higher progress toward values (moderated mediation significant at p < .05). Committed action toward values signify caregivers' success at balancing care-related stress with other priorities. Interventions that build skills in values-based living have promise for caregivers, offering healthier ways to adjust to being a caregiver.

EHR documentation of cost discussions and financial interventions for a cohort of patients with advanced cancer: Findings from a retrospective chart review-based study.

e23150 Background: Financial Toxicity (FT), the adverse impact of high medical costs on quality of life, notably affects many oncology patients. In a prior initiative to improve quality of life for advanced cancer patients, a palliative care-trained nurse practitioner (PCNP) was embedded in an academic oncology practice. Patients completed the Edmonton Symptom Assessment System (ESAS) and Canadian Problem Checklist (CPC) to gauge physical symptoms, psychosocial issues, and financial concerns. However, the incidence of self-reported financial issues and electronic health record (EHR) documentation of cost discussions and interventions remain unclear for this patient group. Methods: The study included adult oncology patients with advanced cancer seen by the PCNP from January 1, 2020, to January 1, 2022. We assessed incidence of self-reported financial concerns via CPC checklists in this cohort. Ten charts underwent detailed manual review for evidence of cost discussions or referral to finance-related interventions for up to 1 year from the initial consult with the PCNP or until death. During the review, we identified keywords in documentation of cost discussions and finance-related interventions to create a keyword library. We iteratively compared the library to our reference standard manual chart review to ensure 100% sensitivity. We then employed this keyword library to evaluate the remaining charts. Descriptive statistics were employed to assess correlations between self-reported financial concerns, chart documentation of cost discussions or financial interventions, and patient demographics. Results: Out of 109 eligible patients, 71% (77) completed pre-visit questionnaires, with 30% (23) reporting financial issues. Of this group, 43% (10) died during the study period. Average follow-up was 5.0 months among the decedents. Among those reporting financial concerns, 65% (15) had documented cost discussions or financial assistance referrals in the EHR, involving physicians, social workers, and other clinic staff. Most interventions addressed medication costs and referrals to financial assistance as indicated. Patient demographics (age, sex, insurance type) showed no apparent association with chart documentation of cost discussions or financial assistance. Conclusions: We used retrospective chart review to evaluate the extent of documentation of cost discussions and finance-related intervention in a cohort of patients with advanced cancer. In our patient cohort, 30% self-reported financial concerns, a proportion consistent with previously reported incidence of FT among oncology patients. Notably, 35% of the patients with known financial concerns had no other relevant documentation in the EHR. More work is needed to establish best practices for systematic screening for FT and interventions to support patients.

Parent-child relationship measures and pre-post treatment changes for a clinical preschool sample using DC:0-3R

BackgroundTo reduce psychopathologies in children, various treatment approaches focus on the parent-child relationship. Disruptions in the parent-child relationship are outlined in the most recently revised versions of the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC:0-3R/DC:0–5). The measures used to assess the parent-child relationship include the Parent-Infant Relationship Global Assessment Scale (PIRGAS) and the Relationship Problems Checklist (RPCL), which cover, e.g., essential concepts like over- or underinvolvement of the caregiver. However, not much is known about the cross-sectional and predictive value of PIRGAS and RPCL scores at admission to discharge, namely whether changes in these scores are correlated with child and maternal psychopathologies and changes through treatment.MethodsBased on clinical records of 174 preschool-aged children of the Family Day Hospital, we report related basic descriptive data and changes from admission to discharge for the parent-child relationship, child behaviour, and maternal psychopathology. We used a Pearson correlation or a point-biserial correlation to describe the associations and performed a paired t-test to examine differences before and after measurement.ResultsOur results show overall improvements in our parent-child relationship measures and in child and maternal psychopathology. However, we observed little or no correlation between the parent-child relationship measures and child or maternal psychopathology.ConclusionsWe highlight potential drawbacks and limitations of the two relationship measures used that may explain the results of this study on the associations between the variables assessed. The discussion emphasizes the assessment of DC:0-3R/DC:0–5, which are popular in clinical practice for economic reasons.

Dedicated financial hardship screening adds value to routine distress screening among gynecologic cancer patients

ObjectivesTo evaluate existing distress screening to identify patients with financial hardship (FH) compared to dedicated FH screening and assess patient attitudes toward FH screening. MethodsWe screened gynecologic cancer patients starting a new line of therapy. Existing screening included: (1) Moderate/severe distress defined as Distress Thermometer score ≥ 4, (2) practical concerns identified from Problem Checklist, and (3) a single question assessing trouble paying for medications. FH screening included: (1) Comprehensive Score for Financial Toxicity (COST) tool and (2) 10-item Financial Needs Checklist to guide referrals. FH was defined as COST score < 26. We calculated sensitivity (patients with moderate/severe distress + FH over total patients with FH) and specificity (patients with no/mild distress + no FH over total patients with no FH) to assess the extent distress screening could capture FH. Surveys and exit interviews assessed patient perspectives toward screening. ResultsOf 364 patients screened for distress, average age was 62 years, 25% were Black, 45% were Medicare beneficiaries, 32% had moderate/severe distress, 15% reported ≥1 practical concern, and 0 reported trouble paying for medications. Most (n = 357, 98%) patients also completed FH screening: of them, 24% screened positive for FH, 32% reported ≥1 financial need. Distress screening had 57% sensitivity and 77% specificity for FH. Based on 79 surveys and 43 exit interviews, FH screening was acceptable with feedback to improve the timing and setting of screening. ConclusionsDedicated FH screening was feasible and acceptable, but sensitivity was low. Importantly, 40% of women with FH would not have been identified with distress screening alone.

A STUDY OF SELF-ESTEEM, ACADEMIC SELF-CONCEPT, AND LOCUS OF CONTROL AMONG BEHAVIORAL PROBLEM AND NON-BEHAVIORAL PROBLEM CHILDREN

OBJECTIVE: The aim of current study was to identify and compare the children with behavioral problems and without behavioral problems on self-esteem, academic self-concept, and locus of control. METHOD: For this study, a cross sectional research design was used, for data collection purposive sampling technique was applied. Out of 300 children a sample of 34 children with behavioral problems (that lies above 67th percentile) and a matched comparative group of 34 children (fall below 33 percentile children) were selected. The age range of sample was 11-13 years and from Wah Cantt data was collected. A booklet consisted of consent form, demographic sheet, children behavioral problem checklist; self-esteem scale, academic self-concept, and locus of control scales were administered. RESULTS: Correlational analysis indicated that there was significant relationship between all the study variables. Children with behavioral problems exhibited lower level of self-esteem (M=39.92; SD=16.4) than non-behavioral problem children (M=47.57; SD=9.52). On academic self-concept, children with behavioral problems exhibited lower mean scores (M=32.9; SD=26.3) as compared to children having non-behavioral problems (M=44.6; SD=15.8). Furthermore, results also highlighted that non-problematic children exhibit less external locus of control (M=8.35; SD=2.51) as compared to problematic children (M=10.70; SD=3.36). CONCLUSION: This study highlighted that SE, ASC and LOC are related process children behavioral problems. Therefore, in order to handle such children, teachers and school counselor should develop such intervention strategies that promote their self-esteem, academic self-concept and internal locus of control. Keywords: self-esteem, Locus of control, Behavioral problems, academic self-esteem.

Homebound elderly with dementia and their family caregivers: Examining the situation in Hong Kong, Singapore, and Japan before COVID-19

This study aimed to clarify the status of problematic behaviors among elderly patients with dementia at home and the associated burden on their family caregivers in Japan, Hong Kong, and Singapore immediately before the COVID-19 pandemic. The study included 563 family caregivers of elderly patients with dementia living at home in these three regions. Information regarding their demographic characteristics, such as age, gender, education level, income, marital status, and family status, was obtained. The Revised Memory and Behavior Problems Checklist, a 24-item scale for assessing problem behaviors, and the Zarit Burden Interview, a 22-item scale for measuring caregiver burden, were used alongside other relevant scales. The findings indicated that the majority of family caregivers were female and in their 60s across all three regions, while elderly patients with dementia were mostly female and living alone in their 80s. In addition, a significant proportion of these patients had comorbidities such as diabetes and other health conditions. In Japan, although the patients exhibited relatively intact physical function and a low degree of dementia, the caregivers experienced high-stress levels. The demographic profiles of family caregivers of elderly patients with dementia at home in Hong Kong, Singapore, and Japan were remarkably similar, particularly in terms of age and gender distribution. Furthermore, marital and employment statuses were comparable between Hong Kong and Singapore. While the previous studies have taken a broad view of Asia, focusing on Hong Kong, Singapore, and Japan in particular has facilitated the identification of clues for developing targeted countermeasures.

Manajemen Need Assesment di SMP Negeri 3 Langkaplancar

This study aims to describe how the management need assessment at SMPN 3 Langkaplancar. In this study, the method used was a qualitative approach by making observations and interviews. The research subject in this study is BK Teacher who is responsible for managing guidance and counseling programs in schools. The results showed that Need Assessment Management was carried out, one of which was for the development of students' potential at SMPN 3 Langkaplancar. Various types of assessments carried out include assessment of test techniques such as conducting aptitude tests, interest tests, and achievement tests. And non-test technical assessments are carried out with various types of assessments such as DCM (Problem Checklist), AUM (General Problem Disclosure Tool), ITP (Developmental Task Inventory), ATP (Developmental Task Application), AKPD (Assessment of Student Needs). BK teachers process data to compile a program to provide services that are in accordance with student needs. BK teachers at SMPN 3 Langkaplancar said that when there are students with low assessment results, they will be given services that are in accordance with their needs, on the other hand, if students with high assessment results, BK teachers look for ways so that students can remain consistent.

Level of Distress Experienced by Glioblastoma Multiforme Patients and Caregivers in Relation to their Medical Education Background: A Qualitative Study

BACKGROUND: Glioblastoma multiforme (GBM) is a primary brain tumor with extensive infiltration of surrounding brain tissue and a high rate of recurrence, with an average survival of 13–16 months. Due to the rapid course of the disease, multimodality treatment, and poor prognosis, both the patients and their caregivers will face significant psychological distress. Identification of the types and severity of distress is crucial to control morbidity during treatment. AIM: This study aims to define the level of distress experienced by patients and their caregivers during the treatment period by considering their medical education background. At the time of publication, this type of study is unique and has never been done before. MATERIALS AND METHODS: This study was conducted at the Neurosurgery Outpatient Department of Mochtar Riady Comprehensive Cancer Center Siloam Hospital Jakarta. Patients with GBM and their caregivers were recruited during the early stages of radiation treatment (T1) and the follow-up chemotherapy (T2) and were assessed using the distress thermometer (DT) and National Comprehensive Cancer Network (NCCN) problem checklist followed by in-depth interviews. Participants were divided into two groups based on medical education background. Significant distress is defined as DT score &gt;4. RESULTS: Data from four pairs of patient-caregivers are collected during the early stages of T1. Two pairs of Patient-Caregivers without medical educational background (P-C non-D) are included later during T2. From T1, patients and caregivers with medical education (P-D) are higher than those without medical education (P-D &gt; P-non D; C-D &gt; C-non D). Another comparison shows that P-D is higher than C-D. In contrast, P-non D is lower than C-non D. Based on the time data collected, it shows DT: P-non D T2 &gt; P-non D T1, but there is no difference between T2 and T1 in the caregiver’s group: C-non D T1 = C- non D T2. From the NCCN problem checklist, it is known that they attribute their distress mostly to physical problems. CONCLUSION: The physical and mental changes experienced by patients cause distress for patients and their caregivers. Knowledge of disease and treatment possessed by patients or caregivers helps them deal with GBM and the entire course of treatment.

Exploring relationship satisfaction in mothers of children with disabilities: the predictive role of interparental conflicts and moderating role of dyadic coping.

Parenting responsibilities, while a source of happiness, often lead to considerable stress for parents of children with disabilities. While most parents try to cope with these challenges together, some level of interparental conflict is almost inevitable. Frequently assuming primary responsibility for children with disabilities, mothers can be substantially impacted by interparental conflict with their partners and the resulting stress. However, implementing dyadic coping strategies in managing stressful situations serves as a buffer against adverse effects, while also enhancing relationship satisfaction. This study aimed to explore the relationship between interparental conflicts, dyadic coping, and relationship satisfaction among 232 mothers of children with disabilities in Croatia who were in an intimate relationship and shared a household with their partners, regardless of marital status. We analysed a non-probabilistic sample of women in Croatia who reported being in an intimate relationship, sharing a household with a partner (whether married or simply cohabitating) and being a mother to a child with a diagnosed developmental disability. Participants completed questionnaires online in March of 2021 (sociodemographic variables, the Parent Problem Checklist, the Dyadic Coping Inventory and the Marriage Quality Index). Results of hierarchical multiple regression show that mothers' perceptions of how they help their partner cope with stress do not predict how satisfied they are in a relationship; instead, relationship satisfaction depends on their perceptions of how their partner helps them and how they cope with stress as a team. Furthermore, moderation analysis revealed the effect of interparental conflicts were entirely mitigated by high supportive and low negative dyadic coping of the partner. When mothers felt adequately supported by their partner, the negative impact of stress caused by interparental conflicts did not spill over into their relationship. Our results suggest that by recognizing the importance of psychological support and couples therapy in strengthening dyadic coping, government and non-profit initiatives can effectively empower parents of children with disabilities, fostering healthier and more resilient family dynamics that promotes the well-being of parents and their children.

Study on primary screening technique for children with autism spectrum disorder

To explore screening tools for children with autism spectrum disorder (ASD), which are convenient for primary hospitals, it can provide basic data for formulating ASD prevention policies. This was a cross-sectional study by cluster sampling. Huyi District and Xincheng District were extracted for investigation in Xi'an City. From July 2021 to September 2022, all children aged from 3 months to 36 months who live in the two districts were subjected to primary screening. The child care physician used the routine screening tool "warning signs checklist for screening psychological, behavioral and developmental problems of children" and cartoon pictures of "early high-risk warning signs of autism", the children who were positive in the initial screening were referred to the district level maternal and child health hospital for re-screening, and those who were positive in the re-screening were referred to Xi 'an Children's Hospital for diagnosis. The results showed that a total of 17 905 children aged from 3 months to 36 months were initially screened in the two districts, including 10 588 children aged from 18 months to 36 months, 50 children who were positive in the initial screening and 50 children who were re-screened. 23 children (18 boys and 5 girls) were diagnosed with ASD. The prevalence rate of ASD in children was 2.17‰ (95% confidence interval:1.29‰-3.06‰). 42 children were positive for "warning signs checklist" at the preliminary screening, and 19 were confirmed as ASD. 27 children were positive for "cartoon pictures" in the preliminary screening, and 23 were confirmed with ASD. The "cartoon pictures" in the preliminary screening and diagnosis of consistent rate was higher than the "warning signs checklist", two kinds of screening methods comparison were statistically significant difference in the odds of consistent (χ2=11.01, P=0.001). In conclusion, relying on the three-level network of maternal and child health care, it is conducive to the whole process management of screening and diagnosis of children with ASD, and to guide the formulation of prevention policies. The cartoon pictures of "early high-risk warning signs of autism" can assist the identification of children with ASD based on the "warning signs checklist", which is simple, effective and suitable for promotion in the community health care.

Problem checklist to identify problems with students in Islamic boarding schools

Purpose - This article aims to analyze the use of DCM (Problem Checklist) to identify student problems in Islamic boarding schools. Second, develop a guidance and counseling service program for Islamic boarding school students' issues.Method - This type of research uses descriptive quantitative analysis. The data collection technique uses the Problem Checklist (DCM) instrument. Data was obtained from 18 students from class XII at the El-Syarief Islamic Boarding School. Data was processed using MS Excel and analyzed using a quantitative description.Result - The research results show that students are very problematic in social and organizational elements, with a percentage of 60%, and personal aspects, with a percentage of 100%. Some guidance and counseling services that can be used to overcome student problems include individual counseling services, group guidance, and information.Implication – This research aims to identify what problems students face in Islamic boarding schools and determine interventions that are appropriate to the issues they face. Counselors in schools and Islamic boarding schools can implement the results of this intervention.Originality - This research strengthens the identification of student problems and designs appropriate interventions to overcome these problems.***Tujuan - Artikel ini bertujuan untuk menganalisis penggunaan DCM (Daftar Cek Masalah) untuk mengidentifikasi masalah santri di pesantren. Kedua, mengembangkan program layanan bimbingan dan konseling untuk permasalahan santri di pondok pesantren.Metode - Jenis penelitian ini menggunakan analisis kuantitatif deskriptif. Teknik pengumpulan data menggunakan instrumen Daftar Cek Masalah (DCM). Data diperoleh dari 18 siswa kelas XII di Pondok Pesantren El-Syarief. Data diolah menggunakan MS Excel dan dianalisis menggunakan deskripsi kuantitatif.Hasil - Hasil penelitian menunjukkan bahwa santri sangat bermasalah pada unsur sosial dan organisasi, dengan persentase 60%, dan aspek pribadi, dengan persentase 100%. Beberapa layanan bimbingan dan konseling yang dapat digunakan untuk mengatasi permasalahan siswa antara lain layanan konseling individu, bimbingan kelompok, dan informasi.Implikasi - Penelitian ini bertujuan untuk mengidentifikasi masalah apa saja yang dihadapi siswa di pondok pesantren dan menentukan intervensi yang sesuai dengan masalah yang mereka hadapi. Konselor di sekolah dan pondok pesantren dapat mengimplementasikan hasil intervensi ini.Orisinalitas - Penelitian ini memperkuat identifikasi masalah santri dan merancang intervensi yang tepat untuk mengatasi masalah tersebut.

INITIAL FINDINGS ON THE BENEFITS OF THE TOVERTAFEL: REDUCING BEHAVIORS IN PERSONS WITH DEMENTIA

Abstract Technologies have been developed to reduce behaviors in persons with dementia by addressing unmet needs through activities that stimulate multiple senses. The Tovertafel (“magic table”) is a novel device from the Netherlands that enables purposeful play using interactive games designed to promote social, physical, and cognitive engagement in people with dementia. This study is investigating whether an intervention using the Tovertafel improves quality of life for residents with moderate to severe dementia living in long-term care communities in the Midwest. Twelve white women with an average BIM score of 6 completed the study at the initial facility. The 4-week intervention consisted of 30-minute game sessions with 2 to 6 individuals each weekday. Participants attended 2.5 sessions per week on average and displayed increased engagement during the games per facilitator reports. Direct care staff completed the Revised Memory and Behavior Problems Checklist–Nursing Home and the Apathy Evaluation Scale–10 for all participants. Data collected eight times over six consecutive weeks during the control (2 weeks) and intervention (4 weeks) periods were analyzed. After checking assumptions, paired-sample t-tests were conducted that indicated significantly fewer memory-related behaviors (p=.047) (e.g., repetitive behaviors and questions) and instances of apathy (p=.027), during the intervention period than the control. Despite reductions in depressive and disruptive behaviors, no statistically significant differences were found. Initial findings suggest that the Tovertafel could offer innovative ways to provide activities to people with moderate to severe dementia in long-term care settings, increase their quality of life, and improve interactions with staff.