Comparing the impact of two occupational therapy interventions on academic learning outcomes for children with Human Immunodeficiency Virus.
Introduction: The strong association between perinatal HIV infection and poor performance in academic learning is further challenged by various barriers to learning in the South African context of basic education. This study investigated the efficacy of a novel play-informed, caregiver-implemented,...
| Publicado en: | South African Journal of Occupational Therapy Vol. 53; no. 2; pp. 64 - 74 |
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| Autores principales: | , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Occupational Therapy Association of South Africa
Aug2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=170802055&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 170802055 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00382337 25J6 jtl: South African Journal of Occupational Therapy issn: 00382337 maglogo: N pubinfo: dt: Aug2023 vid: 53 iid: 2 pid: 30274 pub: Occupational Therapy Association of South Africa artinfo: ui: 170802055 170802055 170802055 10.17159/2310-3833/2023/vol53n2a7 170802055 ppf: 64 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Comparing the impact of two occupational therapy interventions on academic learning outcomes for children with Human Immunodeficiency Virus. aug: au: Otto, Caraleigh Gretschel, Pamela Ramugondo, Elelwani affil: Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa sug: subj: HIV Infections Psychosocial Factors Occupational Therapy Methods Teaching Methods Outcomes of Education Academic Performance Human Male Female Adult Comparative Studies South Africa Single-Blind Studies Randomized Controlled Trials Random Assignment Child Scales Pretest-Posttest Design Descriptive Statistics Low and Middle Income Countries Adult: 19-44 years Child: 6-12 years Male Female ab: Introduction: The strong association between perinatal HIV infection and poor performance in academic learning is further challenged by various barriers to learning in the South African context of basic education. This study investigated the efficacy of a novel play-informed, caregiver-implemented, home-based intervention (PICIHBI) for improving academic learning in HIV-positive children. Methodology: A single-blinded, randomised comparison group design was selected to compare PICHIBI with conventional one-on-one occupational therapy interventions. Children with HIV aged 5 to 8 years old on ART and their primary caregiver (N=23) were randomly allocated to an intervention group. The primary outcome of academic learning was measured using the Griffiths Mental Developmental Scales-Extended Revised and the short form Beery-Buktenica Visual Motor Integration test, 5th edition at baseline, mid (5 months) and post-intervention (after 10 months). Results: At baseline, the total sample (n=23) presented with below-average performance in all assessed academic learning outcomes. Between-group differences for all academic learning outcomes were not significant at mid or post-test assessment points. A statistically significant within-group change in visual motor integration was noted in the PICIHBI from baseline to mid-test (p=.019). In the conventional group, there were statistically significant changes in visual perception from baseline to mid (p=.001) and baseline to post-test (p=.009). The sub scale Performance in the conventional group improved significantly from baseline to mid-test (p=.027). Conclusion: While improvements were noted, children in both groups continued to present with academic learning concerns at post-test. These concerns motivate the need for continued monitoring and further investigation into the feasibility and effectiveness of occupational therapy interventions targeting the academic learning challenges of this population. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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