Specific Counseling Research Articles

Knowledge and Attitude of the General Population in Saudi Arabia Toward Weight Management Medications (WMMs): A Cross-Sectional Study.

Over the past decades, the global prevalence of obesity has tripled, with the Kingdom of Saudi Arabia experiencing a notably higher rate of increase. While lifestyle modifications remain the first line of treatment, pharmacological interventions are often employed when dietary and exercise interventions prove insufficient. However, safety concerns, misuse, and limited knowledge about weight management medications (WMMs) pose serious challenges. The objectives of this study were to determine the level of knowledge and examine attitudes towards WMMs among the general population, and to explore the factors associated with these knowledge levels and attitude patterns. A cross-sectional study was conducted among adults from the general population in Saudi Arabia from January 2023 to May 2023. Participants completed a validated, self-administered electronic questionnaire in Arabic language. The questionnaire captured sociodemographic, lifestyle and health data, knowledge about WMMs, and attitudes toward them. The outcome measures included knowledge and attitudes scores. Factors associated with knowledge and attitudes were analyzed using chi-square tests. Statistical significance was determined at a p-value of <0.05. Around 716 respondents were included in the final analysis. Most of the participants acknowledged diet 565 (78.9%) and exercise 621 (86.7%) as effective strategies to lose weight. Only 222 (31.0%) participants recognized pharmaceutical medications as a weight management strategy. Knowledge about specific weight loss medications varied, with the highest recognition for semaglutide (Ozempic®, Novo Nordisk, Bagsværd, Denmark) 236 (33.0%) and liraglutide (Saxenda®, Novo Nordisk, Bagsværd, Denmark) 228 (31.8%), while the other WMMs were not commonly known between participants. Regarding attitudes, the majority disagreed with statements that WMMs are more effective than diet/exercise 413 (57.7%), are safe 405 (56.6%), and are more convenient to use 408 (57.0%). Notably, about three-quarters [534 (74.6%)] of participants agreed that these medications require specialist's counseling. No correlation was observed between knowledge score and attitude score (Pearson's correlation coefficient r=0.03; p=0.330). Respondents' knowledge about WMMs was significantly influenced by age, monthly income, educational level, psychiatric history, and previous use of WMMs (p<0.05). Adequate knowledge was more prevalent among participants aged 26-35, earning more than 20K SAR monthly, postgraduates, those with a psychiatric history, and past users of WMMs. Attitudes toward WMMs, however, showed no significant association with sociodemographic or health-related factors (p>0.05). However, prior use of WMMs significantly correlated with attitudes (p=0.007), with past users demonstrating more favorable attitudes. This study reveals a limited knowledge and cautious attitude regarding WMMs in the Saudi population, despite the high prevalence of obesity. With prior use of WMMs correlating with better knowledge and more favorable attitudes, these findings emphasize the need for targeted interventions to enhance public awareness and safe usage of these medications.

Counseling Confidence in Preservice and Early Career Speech-Language Pathologists

Purpose: Effective counseling skills are included in standards of practice by speech-language pathology accrediting and training programs, although many speech-language pathologists (SLPs) continue to report a lack of skills in this area. The purpose of this study was to determine whether SLP graduate students and early career SLPs who have taken a dedicated counseling course report higher levels of confidence in counseling skills than those whose counseling training was infused across the curriculum. A secondary aim was to determine which specific counseling skills have the strongest relationship with completing a counseling course. Method: A survey, adapted from the Counselor Activity Self-Efficacy Scales for Speech-Language Pathologists, was used to gather information from SLP graduate students and early career SLPs using nonprobability sampling. Data were analyzed from 140 surveys. Research questions were answered descriptively and with independent-samples t tests. Correlation analysis was used to determine which counseling skills were linked with completion of a dedicated counseling course. Results: Participants who completed a counseling course reported significantly increased confidence across all counseling domains assessed: Helping Skills Exploration, Helping Skills Action, Helping Skills Insight, Emotional Support Skills, and Session Management. Twenty-six counseling skills were significantly correlated to completing a counseling course. Regardless of educational approach, confidence in personal adjustment counseling skills was lower than that in informational counseling skills. However, personal adjustment counseling skills confidence was significantly higher for participants who had completed a dedicated course. Conclusions: Overall, the findings of this study suggest that dedicating a course to the education and training of counseling skills in graduate programs may be beneficial. Implications of these findings for clinical applications and future directions in training are discussed.

Gambaran Sarana dan Prasarana Bimbingan dan Konseling di Sekolah SMP Swasta Cerdas Murni

This study has the objective of describing the condition of guidance and counseling facilities and infrastructure at the Smart Pure Private Middle School, Deli Serdang Regency, North Sumatra. This study used qualitative research methods. The research subject was the Smart Pure private junior high school (SMP). Data collection instruments were in the form of observations and also interviews about the condition of guidance and counseling facilities and infrastructure at the Smart Pure Private Middle School. Data analysis techniques in this study used descriptive data analysis. The results of the study show that the availability of guidance and counseling rooms is quite adequate, the availability of special counseling rooms and also the inhibiting factors for the availability of counseling guidance facilities&#x0D; Keywords: facilities, infrastructure, counseling guidanc

Editor’s Corner

Remember when we were all shaking our heads in August about the classified government documents found at Mar-a-Lago, then it so happened that former Vice President Mike Pence and President Joe Biden also had classified materials? It seems folks who work at the White House may have a penchant for taking them home.All three are being investigated, though former President Donald Trump may be in the hottest of water. Attorney General Merrick Garland has appointed special counsel Jack Smith, who is investigating Trump’s complicity in the January 6 attack and the wider attempt to overturn the 2020 election. Smith is also probing the former president’s actions over the classified materials found at his Florida home after he refused to hand them over for months.

O-071 Paternal body mass index affects early embryo development but does not impact clinical outcomes: a timelapse study of 7,656 embryos in oocyte donation cycles

Abstract Study question Does paternal body mass index (BMI) affect preimplantation development and clinical outcomes in oocyte donation cycles? Summary answer High paternal BMI was associated with delays in early development and poorer embryo quality on day 3, but this did not adversely affect pregnancy outcomes. What is known already Maternal obesity is known to negatively affect preimplantation development and clinical outcomes. While oocyte competence plays a major role in early embryogenesis, male obesity has been linked to poorer semen parameters and epigenetic alterations in sperm. Such characteristics may inherently compromise preimplantation development and ultimately impair reproductive success. Only a few reports have assessed the effects of male BMI on the progression of cell divisions and embryo morphokinetic patterns. However, current findings remain contradictory, while the effects of male obesity on fertility continue to be understudied. Study design, size, duration This retrospective study included 7,656 embryos from 1,342 oocyte donation ICSI cycles, performed between April 2018 and December 2021 across two fertility centres. Sperm originated from the partner (n = 1087) or donor (n = 255) and was either fresh (n = 460) or frozen (n = 835). Only the first fresh (n = 1,140) or frozen (n = 202) embryo transfer (ET) was considered. Our database included 1,089 single and 238 double ETs performed at either the cleavage (n = 424) or blastocyst stage (n = 903) of development. Participants/materials, setting, methods Males were stratified according to BMI, based on WHO guidelines, defined as: normal weight (BMI&amp;lt;24.9, n = 677); pre-obese, (BMI=25.0–29.9, n = 533); and obese (BMI&amp;gt;30, n = 132). Patients with severe male factor and preimplantation genetic testing cycles were excluded. Univariate analyses and logistic regression were used to evaluate associations between BMI, embryo morphokinetics and clinical outcomes. Analyses were adjusted for various confounders pertaining to patient demographics, sperm and cycle parameters. A p-value of &amp;lt; 0.05 was considered significant. Main results and the role of chance Overall, obese men displayed poorer sperm motility and underwent more day 2-4 embryo transfers and freeze-all cycles, compared to pre-obese and normal weight men (p &amp;lt; 0,05). Fertilization rates were not affected by male BMI (77.0% ± 18.9 normal weight; 77.4% ± 18.1 pre-obese; 75.3% ± 19.9 obese; p = 0.62), also in our adjusted analysis. Several morphokinetic parameters were delayed in embryos from pre-obese and obese patients, including pronuclei fading (tPNf, p = 0.0064) and division timings from the 2 to 5-cell stage (t2-t3-t4-t5, p &amp;lt; 0,05). Successively, the number of good quality cleavage embryos decreased significantly with higher BMI (normal weight, 62%; pre-obese, 59%; obese, 50.8%; p = 0.02). In contrast, developmental events past the 5-cell stage, including time to 8-cells (t8), blastulation (tSB) and expanded blastocyst (tB) were comparable amongst the groups (p &amp;gt; 0.05). Similarly, we observed no effect of male BMI on blastocyst quality (normal weight, 70.2%; pre-obese, 73.4%; obese, 75.5%; p = 0.06). Despite early developmental delays, we observed no significant effects on biochemical pregnancy (normal weight, 64.7%; pre-obese 64.1%; obese, 58.7%; p = 0.45), ongoing pregnancy (normal weight, 60.0%; pre-obese, 58.8%; obese, 52.9%; p = 0.35) and live birth rate (normal weight, 41.9%; pre-obese, 42.0%; obese, 34.9%; p = 0.27). Our adjusted analysis corroborated these findings. Limitations, reasons for caution The main limitation of this study is its retrospective design, which may not account for all confounders. Moreover, lifestyle factors, such as smoking or alcohol consumption were not considered. As such, results cannot be generalized to all patient populations. Wider implications of the findings Obese males show lower motile sperm counts and delayed cleavage development. While these changes impaired day 3 embryo quality, they did not affect blastocyst development and quality. That translates into comparable clinical outcomes, suggesting that specific counselling is not required in obese patients. Trial registration number not applicable

Well Advised

Abstract: Societal and scientific interest in the prediction and early diagnosis of Alzheimer’s disease is growing. However, decisions regarding early diagnosis must be well-considered. The decision-making process requires specific counseling for concerned individuals, which is currently missing. In our project “Well Advised”, we investigate the needs and expectations of people concerned about their memory regarding counseling services in Germany. Using a mixed-methods approach, we analyze the evaluative interviews from telephone counseling ( n = 44) and one expert focus group with 4 participants. Our evaluation shows a great need for information; the low-threshold telephone counseling service is appreciated. The topics of interest of those seeking advice concern medical-ethical issues of autonomy, the right (not) to know, and risk-benefit considerations. From these findings, we developed a training module and counseling guideline.

Outcome Comparison Between Arthroscopic Repair Of Full-Thickness Rotator Cuff Tear In Workers’ Compensation And Non-Workers’ Compensation Patients: Special Counseling Is Required

Outcome Comparison Between Arthroscopic Repair Of Full-Thickness Rotator Cuff Tear In Workers’ Compensation And Non-Workers’ Compensation Patients: Special Counseling Is Required

Effect of an app for promoting advance care planning and motivating patients to write their advance directives

BackgroundAccordons-nous, a smartphone app, was developed to support patients in the advance care planning (ACP) process. The app raises awareness and facilitates communication on this sensitive topic. It helps patients express their values and preferences for care and write their advance directives (AD).ObjectiveMeasure the impact of distributing Accordons-nous on patients’ propensity to engage in the ACP process, compared with the distribution of a leaflet. A secondary objective was to test the effect of socio-demographic factors (age, health status, gender, level of education) on propensity to engage in ACP.MethodsPre-post randomized control study. Participants were patients approached in medical waiting rooms. They received the app (treatment) or an information leaflet (control). They responded to two questionnaires: one at recruitment and a second 3–4 weeks later. Improvement on four variables relevant to ACP was measured: reported contemplation of an event relevant to ACP; decision about treatment in case of that event; discussion about it with relatives or health care professionals; writing advance directives. Statistical analysis included between-group comparisons of pre-post differences with 2-sample tests for equality of proportions and logistic regression models.ResultsFour hundred seventy three participants were recruited and full responses obtained from 312. Overall, the intervention (control and treatment together) had a positive effect on the mean reported ACP engagement for all variables: new or renewed contemplation 54%; increase in decision 8%, discussion 11%, and writing 1%, compared to the baseline. Compared to the control (leaflet), the treatment group (app) had a larger effect size for all variables: between-group difference in contemplation + 11% (logistic regression, p = .05), decision + 1% (but p > .05 on this variable), discussion + 5% (p = .05), and writing AD + 5% (p = .03). Moreover, greater age was positively correlated with having written AD at inclusion (21% among retired compared to 2% among young adults) and with the propensity to write AD after our intervention (logistic regression, p = .001). Other factors tested (frequency of consultations, gender, level of education) had no effect on participants’ ACP engagement.ConclusionsWhen distributed without specific counselling, the tool increased reported ACP engagement, although effect sizes remain modest. Further studies are needed to investigate whether the app could generate greater ACP engagement if used by professionals in dedicated ACP consultations.

Injury Risk in Collegiate Football Players With Generalized Joint Hypermobility: A Prospective Cohort Study Over 2 Years.

Generalized joint hypermobility (GJH) has been identified as a risk factor for injury in various athletic patient populations. To evaluate GJH as a predisposing risk factor for injury in a population of National Collegiate Athletic Association (NCAA) Division I football players. Cohort study; Level of evidence, 2. The Beighton score was collected for 73 athletes during their preseason physical examinations in 2019. GJH was defined as a Beighton score ≥4. Athlete descriptive characteristics, including age, height, weight, and playing position, were recorded. The cohort was evaluated prospectively for 2 years, and the number of musculoskeletal issues, injuries, treatment episodes, days unavailable, and surgical procedures for each athlete during this period were recorded. These measures were compared between the GJH and no-GJH groups. The mean Beighton score was 1.4 ± 1.5 for the 73 players; 7 players (9.6%) had a Beighton score indicating GJH. During the 2-year evaluation, there were 438 musculoskeletal issues, including 289 injuries. The mean number of treatment episodes per athlete was 77 ± 71 (range, 0-340), and the mean number of days unavailable was 67 ± 92 days (range, 0-432 days). There were 23 athletes who required 25 operations, the most common procedure being arthroscopic shoulder stabilization (n = 6). The number of injuries per athlete was not significantly different between the GJH and no-GJH groups (3.0 ± 2.1 vs 4.1 ± 3.0; P = .13), nor were there any between-group differences in the number of treatments received (74.6 ± 81.9 vs 77.2 ± 71.5; P = .47), days unavailable (79.6 ± 124.5 vs 65.3 ± 89.3; P = .61), or rates of surgery (43% vs 30%; P = .67). A preseason diagnosis of GJH did not place NCAA football players at a greater risk for injury during the 2-year study period. Based on the findings of this study, no specific preparticipation risk counseling or intervention is warranted for football players who are diagnosed with GJH as defined by the Beighton score.

COVID-19 fear, vaccination hesitancy, and vaccination status in pregnant and breastfeeding women in Turkey.

This study aimed to determine the level of COVID-19 fear, vaccination, and vaccination hesitancy as well as the affecting factors in pregnant and breastfeeding women who participated in an online prenatal education in Turkey. The study, which was designed as descriptive cross-sectional, was conducted online with 360 pregnant and breastfeeding women from Istanbul. Data were collected through the Participant Information Form, Fear of COVID-19 Scale and Vaccine Hesitancy Scale in Pandemics. The rate of accepting the COVID-19 vaccine is 65.6%. The Fear of COVID-19 Scale was 16.215.54, and the Vaccine Hesitancy Scale in Pandemics mean score was 29.294.54. The COVID-19 fear of the women participating in this study was moderate, the level of vaccination hesitancy was low, and two-thirds of them were vaccinated. There is a need to organize special counseling and vaccination campaigns for pregnant and lactating women.

(025) Evaluation of the Efficacy of the Novel Treatment Strategy to Treat Dhat Syndrome: A Pilot Study

Abstract Introduction Dhat Syndrome, a syndrome which has obtained the status of culture-bound sexual neurosis, is difficult to treat due to the unwavering belief of the patient that his symptoms are attributable to semen loss. At present, the treatment is aimed at relieving anxiety and depression associated with this condition and not at addressal of the root cause. The best way to address this is by direct demonstration to the patient that the prevention of ejaculation has no health benefits. Objective To prospectively evaluate the efficacy of a novel treatment strategy to alter the mental construct of the dhat syndrome patients by demonstrating zero health benefits of total prevention of semen loss during treatment with silodosin over occasional semen loss during treatment with placebo in a randomized double blind placebo controlled two arm switch over study design. Methods After obtaining ethical committee approval and written informed consent from the participants, the adult males attending to the out-patient department with complaints suggestive of dhat syndrome were recruited as study participants. Those with pre-existing psychiatric disorders, sexual disorders, endocrine disorders and disorders referable to the genitourinary system were excluded. All the study participants were administered Dhat Syndrome Evaluation Questionnaire (DSEQ), Physical Activity Scale for Persons with Physical Disabilities (PASPPD) modified for the study and Hamilton Anxiety Rating Scale (HARS) at the beginning of the study. PASPPD was again administered to the participants at monthly intervals till the end of the study. Following recruitment, the participants were randomly assigned to two groups. Group 1 received daily dose of oral placebo and weekly counseling for 2 months whereas Group 2 received oral silodosin 8 mg daily and weekly counseling for 2 months. Then, the treatment with silodosin and placebo were switched between the groups for two more months. In the end, the responses to PASPPD at monthly intervals were compared and the details were shared with the participants during a special individual counseling session, after which, the participants were again administered DSEQ and HARS and the responses were compared with the responses recorded at the beginning. The difference was considered statistically significant if p value was ≤0.05 Results A total of 32 males grouped as 1(N=18, mean age 28.9±4.8 years) and 2 (N=14, mean age 27.4±4.3 years) were part of this study. All the participants reported total anejaculation during the treatment with silodosin. 59.4% patients reported occasional semen loss during treatment with placebo. The PASPPD scores showed no statistically significant difference irrespective of the type of treatment in 90.6% of the participants. At the end of the study, there was statistically significant improvement in HARS in 71.9% of the patients and 62.5% of the patients had the insight that semen loss was not harmful. Conclusions The alteration of the mental construct of the dhat syndrome patients using novel treatment strategy was successful in majority of our study participants. A larger multicentre trial with a bigger sample size could bring in a paradigm shift in the management of dhat syndrome, which is very difficult to treat. Disclosure No

(172) TrueNorth Sexual Health and Rehabilitation eTraining (SHAReTraining) in Prostate Cancer: Evaluation of an Online Course for Practitioners

Abstract Introduction Sexual dysfunction (SD) is a prevalent and distressing side effect for survivors of prostate cancer (PCa). Unfortunately, many health care practitioners (HCPs) report a lack of training and confidence in addressing the sexual health needs of PCa patients. Consequently, many PCa patients do not receive the comprehensive sexual healthcare needed to manage their SD. Objective To address the gap in HCP training, the Movember Foundation funded the development and evaluation of a 12-week, faculty-facilitated, online course designed to train HCPs in the delivery of PCa specific sexual health counselling: the TrueNorth Sexual Health And Rehabilitation eTraining (SHAReTraining). Course content includes, SD assessment and intervention, professional ethics, unique needs of sexual and gender minority populations, and approaches to implementing sexual health programming in a healthcare setting. Methods Participants completed a pre-course survey (n=23), a retrospective pre-post survey (n=19), and a 3-month follow-up survey (n=19) to assess retention of relevant outcomes. Outcomes included HCP perceived knowledge and self-efficacy to conduct assessments and provide interventions across a number of relevant physical, functional, psychological, and relational domains of SD in PCa survivors and their partners. Additionally, completed a course satisfaction survey at the conclusion of the course. Results Descriptive analysis of the pre-post survey revealed that graduates perceived knowledge of sexual health counselling improved from a mean of 51.12% pre-course to 75.18% post-course across all measured domains. Similarly, graduate ratings of self-efficacy in providing comprehensive care increased from a mean of 56.63% pre-course to 79.73% post-course. The follow-up survey demonstrated participants’ self-efficacy remained high 3-months post-course at 79.75%. Graduate experience taking the course was uniformly positive with a vast majority (94.7%) agreeing that they were satisfied with the course. Conclusions For HCPs seeking specialized sexual health care training for PCa patients, the TrueNorth SHAReTraining course is an accessible and effective resource. Graduates of the course have the potential to improve the quality of SD care they provide to their patients. Disclosure No

Perinatal care and breastfeeding education during the COVID-19 pandemic: Perspectives from Kenyan mothers and healthcare workers.

The impact of the COVID-19 pandemic on breastfeeding (BF) practices in low- and middle-income countries (LMICs) is not well understood.Modifications in BF guidelines and delivery platforms for breastfeeding education during the COVID-19 pandemic are hypothesised to have affected BF practices. We aimed to understand the experiences with perinatal care, BF educationand practice among Kenyan mothers who delivered infants during the COVID-19 pandemic.We conducted in-depth key informant interviews with 45 mothers who delivered infants between March 2020 and December 2021, and 26 health care workers (HCW) from four health facilities in Naivasha, Kenya.While mothers noted that HCWs provided quality care and BF counselling, individual BF counselling was cited to be less frequent than before the pandemic due to altered conditions in health facilities and COVID-19 safety protocols. Mothers stated that some HCW messages emphasised the immunologic importance of BF. However, knowledge among mothers about the safety of BF in the context of COVID-19 was limited, with few participants reporting specific counselling or educational materials on topics such as COVID-19 transmission through human milk and the safety of nursing during a COVID-19 infection. Mothers described COVID-19-related income loss and lack of support from family and friends as the major challenge to practising exclusive breastfeeding (EBF) as they wished or planned. COVID-19 restrictions limited or prevented mothers' access to familial support at facilities and at home, causing them stress and fatigue. In some cases, mothers reported job loss, time spent seeking new means of employmentand food insecurity as causes for milk insufficiency, which contributed to mixed feeding before 6 months.The COVID-19 pandemic created changes to the perinatal experience for mothers. While messages about the importance of practising EBF were provided, altered HCW education delivery methods, reduced social supportand food insecurity limit EBF practices for mothers in this context.

Smoking patterns, stances and awareness regarding anti-smoking legislation of medical students in Dhaka city, Bangladesh

Globally every year cigarette smoking is known as universal and preventable cause of mortalities and morbidities among young people and students. In developing countries like Bangladesh the use of cigarette is increasing day by day. As students are very important segment of the society they should be educated with the consequences of smoking cigarette. A descriptive cross-sectional survey on 280 medical students of a selected medical college was carried out to determine their smoking patterns, stances and awareness regarding anti-smoking legislation in Dhaka city. The study was commenced from July to December, 2014. The frequency of smoking in the study was 63.2% and it was highest among final year students. More than fifty percent students smoked 1 to 5 sticks per day. Comprehensive plan with proper instructions and measures should be developed to educate healthcare providers regarding smoking hazards and provide counseling to large number of general public. Specific training and counseling should be a part of the required curriculum at medical schools to address these issues.

Prevalence and risk factors of disordered eating behavior in youth with hypertension disorders.

Adolescents with certain health conditions requiring lifestyle management, such as diabetes mellitus, have higher disordered eating behavior (DEB) risk than the general adolescent population, but DEB is underdiagnosed and can lead to adverse health consequences. In youth with other conditions requiring lifestyle counseling such as hypertension (HTN), DEB prevalence and associated risk factors are unknown. We hypothesized that youth with HTN disorders would have higher DEB prevalence than the general adolescent population, and that obesity, chronic kidney disease (CKD), and less specialized lifestyle counseling would be associated with higher DEB risk. Prospective cross-sectional study of youth aged 11-18years with HTN disorders. We excluded patients with diabetes mellitus, kidney failure or transplantation, or gastrostomy tube dependence. We collected data via surveys and electronic health record abstraction. We administered the validated SCOFF DEB screening questionnaire. We compared DEB prevalence using a one-sample z-test of proportions (p0 = 0.1) and estimated DEB risk by obesity, CKD, and lifestyle counseling source using multivariable generalized linear models. Of 74 participants, 59% identified as male, 22% as Black or African American, and 36% as Hispanic or Latino; 58% had obesity and 26% had CKD. DEB prevalence was 28% (95% CI 18-39%, p < 0.001). CKD was associated with higher DEB prevalence (adjusted RR 2.17, 95% CL 1.09 to 4.32), but obesity and lifestyle counseling source were not. DEB prevalence is higher in youth with HTN disorders and comparable to other conditions requiring lifestyle counseling. Youth with HTN disorders may benefit from DEB screening. A higher resolution version of the Graphical abstract is available as Supplementary information.

Effectiveness of an awareness program on mothers’ knowledge toward household accidents among their children

In most countries, accidents involving children at home were a serious health problem that could sometimes lead to death. Study Aims: To determine the effectiveness of the awareness program on mothers’ knowledge by comparing the pre- and post-test scores on household accidents. Study Design: A quasi-experimental design, carried out in February 2022 and until April 2022 at AL-Najaf city_ Al-Zahra Teaching Hospital. Study Sample: The sample size was 100 participants. 50 mothers are subjected to the awareness program as the study group, while the remaining 50 participants considered as control group, which is not exposed to the awareness program sessions. Study Results: The majority of participants had poor knowledge about study topic in the pre-test, whereas all of them had good knowledge after being exposed to instructional sessions in the post-test. In addition, there is no significant relationship between the overall assessment of mothers’ knowledge regarding household accidents and their demographic data, except for age and educational level, where there was a significant association (P&lt;0.05) with mothers’ knowledge. Conclusion: According to the results of the current study, it was concluded that there is a need for special counseling programs for mothers who have children of pre-school age about the most important domestic accidents, how to avoid their occurrence, and what are the most important measures necessary to manage them. Recommendations: Spreading cultural awareness among mothers about how to take care of their child, monitor it, and avoid neglect in order to prevent any accidents.

Study of Mental Health Quotes for Positive Mindset in Digital Era

The purpose of this research is to examine mental health quotes for a positive mindset after the Covid-19 pandemic hit especially in digital era. The research method used is descriptive qualitative. The data source is 65 quotes from World Health Mental Day 2022, Make Mental Health for All A Global Priority on a very large banner. Data collection techniques include library techniques, see, and record. The analysis is qualitative content analysis. The presentation is descriptive and argumentative. The results of the study show that when someone wants to give quotes that aim to create a positive mindset, the tendency for the type of language style that appears consists of: Association 50%, Paradox 17%, Climax 15%, Allegory 8%, Anticlimax 6%, Irony and Rhetorical 2% each. The findings from this study are in the form of association style patterns with criticism, conditions, affection, prohibitions, definitive, optimistic, and advice patterns. The pattern of Paradox language style is patterned as suggestion, alert, prohibition, annoyance, consistency, and introspection. Command and support patterned Climax language styles. Allegory style pattern with an optimistic pattern. Anticlimax stylized pattern with prohibition pattern. Irony language style pattern which is patterned as a prohibition for satire. The patterned Rhetorical style of language asks something. Thus, the novelty revealed of the synergy from the fields of linguistics and counseling can produce more specific, effective, and efficient counseling therapies in the future, especially in mental health.&#x0D; Keywords: Digital Mental Health, Positive Mindset, Language Style

Pandemic Pivoting: The Use of Home Wi-Fi Accounts and Fast-Food Parking Lots for Teachers’ Internet Connectivity

Click to increase image sizeClick to decrease image size Additional informationNotes on contributorsTrina HarlowTrina Harlow, Assistant Professor of Art Education, Department of Art and Design, University of Central Arkansas in Conway; Adjunct Faculty, University of North Texas in Denton. Email: drtrinaharlow@gmail.com. Website: https://www.onlineartteachers.comYang YangYang Yang, Associate Professor, Department of Special Education, Counseling and Student Affairs, College of Education, Kansas State University in Manhattan. Email: yyang001@k-state.eduSarah AckermannSarah Ackermann, Executive Director for Teaching Innovation, Division of Online and Strategic Learning, Ball State University in Muncie, Indiana. Email: sarahcress@gmail.comBeth DobbersteinBeth Dobberstein, Doctoral Student, University of Wisconsin in Milwaukee. Email: bethel@uwm.eduBob ReekerBob Reeker, K–5 Visual Art Specialist & Interventionist, Robinson Elementary School in Lincoln, Nebraska. Email: bobreeker@gmail.comTim NeedlesTim Needles, Art Teacher/Technology Integration Specialist, Smithtown School District in Smithtown, New York; Adjunct Professor, Five Towns College in Dix Hills, New York. Email: needlesart@gmail.com

THE ROLE OF THE INTERDISCIPLINARY TEAM (TEACHERS, PSYCHOLOGISTS, SUPPORT TEACHERS, PSYCHOPEDAGOGUES, ETC.) IN MEDIATING CONFLICTS BETWEEN PARENTS OF CHILDREN WITH DISABILITIES AND PARENTS OF TYPICAL CHILDREN, IN ORDER TO EFFECTIVELY INTEGRATE CHILDREN WITH DISABILITIES

Our study wants to find if the success of the functional integration of children with disabilities depends on the degree of involvement of specialists in the mediation of conflicts with the parents of typical children and their opposing attitude towards integration. In order to have a functional integration and all the children in the class, typical or disabled, in order to benefit from education, they need the attention and involvement of specialists, the support of parents, and relationships with classmates. The involvement of specialists in counseling parents with disabilities as well as typical ones, may facilitate a successful integration. In order to identify the benefits of integration for all children, the support of school managers and the support of school inspectorates is essential.: functional integration; parents with SCR (special counseling requirements); parents of typical children. The integration of children with disabilities in mainstream education is not a new topic anymore. Ever since Salamanca Conference (1994), which promoted the acceptance of diversity by offering equal educational opportunities to all disadvantaged students (Salamanca Declaration on Special Needs Education), the foundations of the principle of normalization were laid. In turn, the principle of normalization, as a concept, favored the integration of

Parental perspectives on Phelan-McDermid syndrome: Results of a worldwide survey

Phelan-McDermid syndrome (PMS) is a rare neurodevelopmental disorder characterised by hypotonia, speech problems, intellectual disability and mental health issues like regression, autism and mood disorders. In the development, implementation and dissemination of a new clinical guideline for a rare genetic disorder like PMS, the parental experienced perspective is essential. As information from literature is scarce and often conflicting the European Phelan-McDermid syndrome guideline consortium created a multi-lingual survey for parents of individuals with PMS to collect their lived experiences with care needs, genotypes, somatic issues, mental health issues and parental stress. In total, we analysed 587 completed surveys from 35 countries worldwide. Based on parental reporting, PMS appeared to be caused by a deletion of chromosome 22q13.3 in 78% (379/486) of individuals and by a variant in the SHANK3 gene in 22% (107/486) of the individuals. Parents reported a wide variety of developmental, neurological, and other clinical issues in individuals with PMS. The most frequently experienced issues were related to speech and communication, learning disabilities/intellectual disability, and behaviour. While most reported issues were present across all age groups and genotypes, the prevalence of epilepsy, lymphoedema, and mental health issues do appear to vary with age. Developmental regression also appeared to begin earlier in this cohort than described in literature. Individuals with PMS due to a 22q13.3 deletion had a higher rate of kidney issues and lymphoedema compared to individuals with SHANK3 variants. Parental stress was high, with specific contributing factors being child and context related in accordance with the PMS phenotype. The survey results led to various validated recommendations in the European PMS guideline including an age specific surveillance scheme, specific genetic counselling, structured healthcare evaluations on sleep and communication and a focus on family well-being.