Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Role of the Caregiver in Sustaining Gains due to Developmental Intervention


Affiliations
1 Developmental and Behavioural Paediatrician, New Horizons Child Development Centre, Goregaon East, Mumbai, India
2 Research Associate, New Horizons Foundation, Mumbai, India
3 In-Charge, New Horizons Health and Research Foundation, Mumbai, India
     

   Subscribe/Renew Journal


Positive parent-child interactions are critical for effectively navigating the course of a child’s development. In children with developmental and behavioural disorders intervention plan needs to cater to both the child as well as the entire family, to ensure positive changes for both. Due to limited data, time and resource constraints, clinicians in India often are not able to optimally engage and optimize caregiver involvement in the treatment plan. A 2 years and 9-months-old boy presented to a multidisciplinary child development centre due to delayed speech and hyperactivity. In addition, he was found to be fidgety, restless, could not wait for his turn, stubborn, showed head banging when demands were not met and temper tantrums. A battery of developmental assessment led to a diagnosis of attention deficit hyperactivity disorder (ADHD), predominantly hyperactive-impulsive type (DSV-IV-TR). The child received an individualized goal based multi-disciplinary intervention involving parental counselling, occupational therapy and speech and language therapy over a period of 2 years. In addition, parents were actively engaged and coached to implement best practices i.e., reduced screen time, increase play time, home cooked food, sleep hygiene and parent diary. This collaborative approach with parents helped to accelerate and sustain the effectiveness of the multidisciplinary intervention. In a child with ADHD, predominantly hyperactive-impulsive type, caregiver-centred approach plays a vital role in augmenting and sustaining the desired outcomes achieved by a multidisciplinary intervention

Keywords

Behavior Therapy, Screen Time, Parent-Child Relationship, Developmental Disabilities, ADHD, Parenting, India.
Subscription Login to verify subscription
User
Notifications
Font Size


  • McIntyre LL. Family-Based Practices to Promote Well-Being. Am J Intellect Dev Disabil. 2020;125(5):349-352.
  • Schopler E, Reichler RJ. Parents as cotherapists in the treatment of psychotic children. J Autism Child Schizophr. 1971;1(1):87-102.
  • Murthy R S. Caregiving and caregivers: Challenges and opportunities in India. Indian J Soc Psychiatry 2016;32:10-8
  • Quach J, Hiscock H, Ukoumunne OC, Wake M. A brief sleep intervention improves outcomes in the school entry year: a randomized controlled trial. Pediatrics. 2011;128(4):692-701.
  • Arnold LE, Lofthouse N, Hurt E. Artificial food colors and attention-deficit/hyperactivity symptoms: conclusions to dye for. Neurotherapeutics. 2012;9(3):599-609.
  • Arnold LE, Lofthouse N, Hurt E. Artificial food colors and attention-deficit/hyperactivity symptoms: conclusions to dye for. Neurotherapeutics. 2012;9(3):599-609.
  • Pontifex MB, Saliba BJ, Raine LB, Picchietti DL, Hillman CH. Exercise improves behavioral, neurocognitive, and scholastic performance in children with attention-deficit/hyperactivity disorder. J Pediatr. 2013;162(3):543-551.
  • Smith AL, Hoza B, Linnea K, et al. Pilot physical activity intervention reduces severity of ADHD symptoms in young children. J Atten Disord. 2013;17(1):70-82.
  • Nimbalkar S, Raithatha S, Shah R, Panchal DA. A Qualitative Study of Psychosocial Problems among Parents of Children with Cerebral Palsy Attending Two Tertiary Care Hospitals in Western India. ISRN Family Med. 2014;2014:769-619.

Abstract Views: 57

PDF Views: 0




  • Role of the Caregiver in Sustaining Gains due to Developmental Intervention

Abstract Views: 57  |  PDF Views: 0

Authors

Samir H. Dalwai
Developmental and Behavioural Paediatrician, New Horizons Child Development Centre, Goregaon East, Mumbai, India
Shreya Mahesh Jaokar
Research Associate, New Horizons Foundation, Mumbai, India
Manish Rammohan Garg
In-Charge, New Horizons Health and Research Foundation, Mumbai, India
Barkha Chawla
Developmental and Behavioural Paediatrician, New Horizons Child Development Centre, Goregaon East, Mumbai, India

Abstract


Positive parent-child interactions are critical for effectively navigating the course of a child’s development. In children with developmental and behavioural disorders intervention plan needs to cater to both the child as well as the entire family, to ensure positive changes for both. Due to limited data, time and resource constraints, clinicians in India often are not able to optimally engage and optimize caregiver involvement in the treatment plan. A 2 years and 9-months-old boy presented to a multidisciplinary child development centre due to delayed speech and hyperactivity. In addition, he was found to be fidgety, restless, could not wait for his turn, stubborn, showed head banging when demands were not met and temper tantrums. A battery of developmental assessment led to a diagnosis of attention deficit hyperactivity disorder (ADHD), predominantly hyperactive-impulsive type (DSV-IV-TR). The child received an individualized goal based multi-disciplinary intervention involving parental counselling, occupational therapy and speech and language therapy over a period of 2 years. In addition, parents were actively engaged and coached to implement best practices i.e., reduced screen time, increase play time, home cooked food, sleep hygiene and parent diary. This collaborative approach with parents helped to accelerate and sustain the effectiveness of the multidisciplinary intervention. In a child with ADHD, predominantly hyperactive-impulsive type, caregiver-centred approach plays a vital role in augmenting and sustaining the desired outcomes achieved by a multidisciplinary intervention

Keywords


Behavior Therapy, Screen Time, Parent-Child Relationship, Developmental Disabilities, ADHD, Parenting, India.

References