Interventions Supporting Mental Health and Positive Behavior in Children Ages Birth--5 Yr: A Systematic Review.

Importance: It is critical for providers to use evidence-based interventions to address mental health and behavioral barriers to occupational performance during early childhood. Objective: To identify evidence-based interventions within the scope of occupational therapy practice to improve mental he...

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Publicado en:American Journal of Occupational Therapy Vol. 74; no. 2; pp. 1 - 30
Autores principales: Kingsley, Karrie, Sagester, Grace, Weaver, Lindy L.
Formato: research systematic review tables/charts Journal Article
Publicado: American Occupational Therapy Association Mar/Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2020
      vid: 74
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2020.039768
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        atl: Interventions Supporting Mental Health and Positive Behavior in Children Ages Birth--5 Yr: A Systematic Review.
      aug:
        au:
          Kingsley, Karrie
          Sagester, Grace
          Weaver, Lindy L.
        affil: Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
      sug:
        subj:
          Occupational Therapy Practice
          Mental Health In Infancy and Childhood
          Infant Behavior
          Child Behavior
          Behavior Modification
          Human
          Systematic Review
          Infant, Newborn
          Infant
          Child, Preschool
          Psycinfo
          Cochrane Library
          ERIC Database
          Medline
          Child Development
          Infant Development
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
      ab: Importance: It is critical for providers to use evidence-based interventions to address mental health and behavioral barriers to occupational performance during early childhood. Objective: To identify evidence-based interventions within the scope of occupational therapy practice to improve mental health and positive behavior for children ages 0--5 yr and their families. Data Sources: PsycINFO, Cochrane, ERIC, MEDLINE, and OTseeker databases were searched for publications from 2010 through March 2017. Study Selection and Data Collection: This review was completed in accordance with the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Risk of bias was assessed for each article using either A Measurement Tool to Assess Systematic Reviews (AMSTAR) or the Cochrane method. Articles meeting inclusion criteria were critically appraised. Findings: Forty-six articles met inclusion criteria and were organized into three themes: touch-based interventions (n = 9), parent--child interaction therapy (PCIT; n = 4), and instruction-based interventions (n = 33). Statistically significant findings and overall risk of bias supported the use of touch-based interventions, PCIT, and parent training. Conclusions and Relevance: The evidence indicates that touch-based interventions can improve infant self-regulation (strong), social behavior, and attachment (moderate) and reduce maternal stress, anxiety, and depression (low). Moderate-strength evidence supports PCIT to improve child behavior. The evidence indicates that parent training can improve parent behavior, maternal--infant attachment (strong), and parent mental health (moderate). Teacher training can improve mental health and behavior (moderate). Group-based parent training and sleep training have insufficient support (low). What This Article Adds:Occupational therapy professionals working with children younger than age 5 yr can use the results of this systematic review to guide clinical decision making related to mental health and behavioral outcomes.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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