Systemic Evaluation of a Regional Program for Integrated Assessment and Early Intervention for Children with Development Delay
Date Issued
2010
Date
2010
Author(s)
Wang, Liang-Jen
Abstract
Objectives: This study aimed to systemically evaluate a regional program for integrated assessment and early intervention for children with development delay. We examined whether the effort of practicum will be beneficial for the recruitment and retaining of the program; whether the program is effective for the child development and well-being of the caregivers; and to determine the relationships of process issue with outcome.
Methods: Children enrolled in the Traditional Intervention program of Chang Gung Memorial Hospital at Keelung (CGMH-K) from Feb 2009 to Jul 2009 were regarded as historical control (Group 1). Children who attended Integrative Intervention program during Aug 2009 to Jan 2010 were treated as the main study group (Group 2). For Group 1, patients’ major caregivers were requested to fill Chinese Child Development Inventory (CCDI) only at pretest and posttest (6 months later). The caregivers of children in Group 2 filled CCDI, Chinese Health Questionnaire (CHQ), family APGAR and Satisfaction Questionnaire at the first visit (pretest) and at posttest (6 months later).
Results: There were 36 cases in Group 1, and 50 cases in Group 2. Caregivers enrolled in program were overwhelmingly satisfied with most services. Gender was an independent factor to predict satisfaction with accessibility and cost of the program, and revisit to the program. There were significant improvements in expression language, conceptual comprehension, situation comprehension, self help, and general development for children in Group 1. There were significant improvements in fine motor and general development for children in Group during the intervention. There were no significant changes for scores of CHQ and family APGAR of children’s caregivers. The progressions of children’s development were not significantly associated with their revisit and grouping.
Conclusion: Global improvements in children’s development were noticed during intervention. The role of patient’s gender playing in early intervention program warrants further investigation. A systemic evaluation in a macroscopic view was performed for the early intervention program with both outcome and process perspectives. We could further apply these results to improve the integrated assessment and early intervention program for children with development delay in the future.
Subjects
early intervention
program evaluation
outcome
process
developmental delay
Type
thesis
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