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Gelişim Odaklı ve Ev Tabanlı Erken Müdahale Programı: Bir Olgu Sunumu

Year 2021, Volume: 18 Issue: Eğitim Bilimleri Özel Sayısı, 3929 - 3947, 15.09.2021
https://doi.org/10.26466/opus.898096

Abstract

Erken müdahale; yaşıtlarının gelişim düzeyinden farklı gelişim gösteren, risk grubunda olarak değerlendirilen, 0-3 yaş çocuk ve ailelerine yönelik geliştirilen, multidisipliner bir yaklaşımla gelişimsel destek uygulamalarını kapsayan hizmetlerdir. Bu çalışmada; gelişimsel odaklı erken müdahale programı çerçevesinde 17 aylık bir bebeğe ev merkezli erken müdahale uygulamaları yapılmıştır ve bu uygulamaların etkisi değerlendirilmiştir. Bu çalışmada her hafta aileye çocuğun yetersiz olduğu becerilere yönelik hedefler verilmiş; ailenin evde çocukla uygulama yapmaları desteklenmiş ve her hafta aileyle birlikte programın süreci değerlendirilmiştir. Uygulamalara başlamadan önce ve sonra çocuğa Denver II Gelişim Tarama Envanteri ile Portage Gelişim Ölçeği uygulanmıştır. Gelişimsel odaklı ev merkezli erken müdahale sonucunda; çocukta sosyal, bilişsel, özbakım ve özellikle psikomotor gelişim alanlarında artış olmuştur. Erken müdahale sonunda bebeğin el sallama, bir nesneyi bir başka yere aktarabilme, göz kontağı kurarak iletişim kurma, ismine tepki verme, dikkatini gösterilen nesneye verebilme, büyük parçalı yapbozları dizme gibi uygulamaları yapmaya başladığı belirlenmiştir. Ayrıca ön değerlendirmelerde çocuğuyla nasıl oyun oynayacağını ve çocuğunun gelişimsel dönemlerde neler yapabileceği konusunda yetersiz olan anne babanın, erken müdahale uygulamaları sonunda katılımcı ve özgüvenli oldukları gözlenmiştir.

References

  • Aytekin, Ç. and Bayhan, P. (2016). Developing the home-based early ıntervention program and a case study. International Journal of Early Childhood Special Education (INT-JECSE), 8(1), 62–82. Doi:10.20489/intjecse.239576
  • Aytekin, Ç., Taştekin, E. and Özkızıklı, S. (2018). Gelişimsel erken müdahale uygulaması: uygulama basamakları üzerine bir örnek. 2. Uluslararası Erken Çocuklukta Müdahale Kongresi (ICECI), 29-31 Mart 2018, Antalya. Birkan, B. (2002). Erken özel eğitim hizmetleri, Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 3(2), 99- 109.
  • Canavera, K., Johnson, L.M. and Harman, J. (2018). Beyond parenting: the responsibility of multidisciplinary health care providers in early intervention policy guidance. Am J Bioeth, 18(11), 58–60.
  • Case-Smith, J. (2013). Systematic review of interventions to promote social emotional development in young children with or at risk for disability. American Journal of Occupational Therapy, 67(4), 395-404. Doi:10.5014/ajot.2013.004713
  • Conner, J. (2012). A play and language ıntervention for two-yearold children: Implications for ımproving play skills and language. The Degree Specialist in Education, University of Nebraska at Omaha, Nebraska.
  • Dalmau, M., Balcells, A., Gine, C., Canadas, M., Casas, O., Salat, Y., Farre, V. and Calaf, N. (2017). How to implement the family-centered model in early intervention. Anales de Psicología, 33(3), 641-651.
  • Diken, İ., Bayhan, P., Turan, F., Sipal, F., Sucuoglu, B. and Ceber-Bakkaloglu, H. (2012). Early childhood intervention and early childhood special education in Turkey within the scope of the Developmental System Approach. Infants and Young Children, 25(4), 346-353. Doi:10.1097/IYC.0b013e318268541d.
  • Dunst, C. J., Bruder, M. B., Trivette, C. M., Hamby, D., Raab, D. and McLean, M. (2001). Characteristics and consequences of everyday natural learning opportunities. Topics in Early Childhood Special Education, 21(2), 68-92. Doi:10.1177/027112140102100202.
  • Duttine, A., Smythe, T. and Calheiro, M.R. (2019). Development and assessment of the feasibility of a Zika family support programme: A study protocol. Wellcome Open Res., 4, 80-91.
  • Epley, P. H., Summers, J. A. and Turnbull, A. P. (2011). Family outcomes of early intervention: Families’ perceptions of need, services, and outcomes. Journal of Early Intervention, 33(3), 201-219. Doi:10.1177/1053815111425929.
  • Fixsen, D.L., Blase, K.A., Naoom, S.F. and Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531-540.
  • Freedman, R.I. and Capabianco, N.B. (2000). The power to choose: The supports for families caring for individuals with developmental disabilities. Health and Social Work, 25(1), 59-68.
  • Guralnick, M.J. (2001). A developmental systems model for early intervention. Infants and Young Children, 14(2), 1-18.
  • Güngör, Ö. (2018). Bilimsel araştırma süreçleri yöntem, teknik ve etiğe giriş el kitabı. Ankara: Grafiker Yayın.
  • Güran, Ö., Bülbül, A., Uslu, S., Dursun, M., Zubarioğlu, U. and Nuhoğlu, A. (2013). Çok düşük doğum ağırlıklı bebeklerin hastalık ve ölüm oranlarının zaman içerisindeki değişimi. Türk Ped Arş, 48(1), 102-109.
  • Humphry, R. and Wakeford, L. (2008). Development of everyday activities: A model for occupation-centred therapy. Infants and Young Children, 21(3), 230- 240.
  • İçöz, Ö., Batuk, M. and Batuk, İ. T. (2018). Odyolojik takipte erken müdahale: bir olgu sunumu. 1.Uluslararası Erken Müdahale ve Rehabilitasyon Kongresi, 30 Mart- 01 Nisan 2018, Ankara.
  • Joseph, K.S. (2007). Theory in obstetrics, an epidemiologic framework for justifying indicated early delivery. BMC Pregnancy Childbirth, 7, 1-15.
  • Karaaslan, Ö (2010). Etkileşime dayalı erken eğitim programının (edep) gelişimsel yetersizliğe sahip çocuklar ve anneler üzerindeki etkililiği. Doktora Tez., Anadolu Üniversitesi, Eğitim Bilimleri Enstitüsü, Özel Eğitim Bilim Dalı, Eskişehir.
  • Keilty, B. (2008). Early intervention home-visiting principles in practice: A reflective approach. Young Exceptional Children, 11, 29-40.
  • King, G., Strachan, D., Tucker, M., Duwyn, B., Desserud, S. and Shillington, M. (2009). The application of a transdisciplinary model for early intervention services. Infants and Young Children, 22(3), 211-223.
  • Law, M., Teplicky, R., King, S., King, G., Kertoy, M., Moning, T. and BurkeGaffney, J. (2005). Family-centered service: moving ideas into practice. Child Care, Health and Development, 31(6), 633-642.
  • McBride, S. L. and Peterson, C. (1997). Home-based early intervnetion with families of children with disabilities: Who is doing what. Topics in Early Childhood Special Education, 17(2), 209-233. Doi:10.1177/027112149701700206.
  • Olusanya, B.O. Vries, P.J. and Olusanya, B.O. (2018). Nurturing care for children with developmental disabilities: a moral imperative for subSaharan Africa. Lancet Child Adolesc Health, 2(11), 772–774.
  • Poon, J.K., LaRosa, A.C., Pai, G.S. (2010). Developmental delay, timely identification and assessment. Indian Journal of Pediatric, 47, 415-422.
  • Raspa, M., Hebbeler, K., Bailey, D.B. and Scarborough, A.A. (2010). Service provider combinations and the delivery of early intervention services to children and families. Infants and Young Children, 23(2), 132-144.
  • Rowe, M.L., Levine, S.C., Fisher, J. and Goldin-Meadow, S. (2009). The joint effects of biology and input on the language development of brain-injured children. Developmental Psychology, 45, 90–102. Doi:10.1037/a0012848
  • Sawyer, B. E. and Campbell, P. H. (2012). Early interventionists' perspectives on teaching caregivers. Journal of Early Intervention, 34(2), 104-124. Doi:10.1177/1053815112455363.
  • Schulting, A. B. (2009). The kindergarten home visit project: A kindergarten transition intervention study. The Degree of Doctor of Philosophy. Duke University, Durham NC- USA.
  • Smythe, T., Adelson, J.D. and Polack, S. (2020). Systematic review of interventions for reducing stigma experienced by children with disabilities and their families in low- and middle-income countries: State of the evidence. Trop Med Int Health, 25, 508–524.
  • Sperry, D. E., Sperry, L. L. and Miller, P. J. (2019). Reexamining the verbal environments of children from different socioeconomic backgrounds. Child Development, 90(4), 1303-1318. Doi:10.1111/cdev.13072
  • Swanson, S., Raab, M. and Dunst, C.J. (2011). Strengthening family capacity to provide young children everyday natural learning opportunities. Journal of Early Childhood Research, 9(1), 66-80. Doi:10.1177/1476718X10368588
  • Trivette, C.M., Dunst, C.J. and Hamby, D.W. (2010). Influences of family-systems intervention practices on parent-child interactions and child development. Topics in Early Childhood Special Education, 30(1), 3-19. Wolery, M. (2011). Intervention research: The importance of fidelity measurement. Topics in Early Childhood Special Education, 31, 155-157
  • Yalaz, K., Anlar, B. and Bayoglu, B. (2010). Denver II Gelişimsel Tarama Testi Türkiye standardizasyonu el kitabı. [Denver II Developmental Screening Test Handbook]. Ankara: Anıl Grup Matbaacılık.
  • Xu, Y. and Filler, J. W. (2005). Linking assessment and intervention for developmental/functional outcomes of premature, low-birth-weight children. Early Childhood Education Journal, 32(6), 383-389. Doi:10.1007/s10643-005- 0008-4.
  • Zuna, N.I., Selig, J.P., Summers, J.A. and Turnbull, A.P. (2009). Confirmatory factor analysis of a family quality of life scale for families of kindergarten children without disabilities. Journal of Early Intervention, 31(2), 111-125.

Developmentally Focused and Home-Based Early Intervention Program: A Case Report

Year 2021, Volume: 18 Issue: Eğitim Bilimleri Özel Sayısı, 3929 - 3947, 15.09.2021
https://doi.org/10.26466/opus.898096

Abstract

Early intervention refers to a multidisciplinary approach to developmental support services developed for children aged 0-3 who are considered to be in the risk group and tend to develop differently from their peers' development level. In this study, home-centered early intervention was applied to a 17-month-old toddler within the framework of a developmentally focused early intervention program, and the effects of these practices were evaluated respectively. Denver-II Developmental Screening Inventory and Portage Developmental Scale were applied to the child before and after the program. As a result of developmentally focused and home-based early intervention, there has been an increase in the social, cognitive, self-care, and especially psychomotor developmental domains of the child. We revealed that the toddler started to perform applications such as waving hands, transferring an object to another place, communicating by making eye contact, reacting to his name being called, being able to pay attention to the object shown, and layering the puzzles. In addition, in the preliminary evaluations, we observed that the parents who were insufficient about how to play games with their children and what their children could do during the developmental stages were found to be participatory and self-confident after the early intervention applications.

References

  • Aytekin, Ç. and Bayhan, P. (2016). Developing the home-based early ıntervention program and a case study. International Journal of Early Childhood Special Education (INT-JECSE), 8(1), 62–82. Doi:10.20489/intjecse.239576
  • Aytekin, Ç., Taştekin, E. and Özkızıklı, S. (2018). Gelişimsel erken müdahale uygulaması: uygulama basamakları üzerine bir örnek. 2. Uluslararası Erken Çocuklukta Müdahale Kongresi (ICECI), 29-31 Mart 2018, Antalya. Birkan, B. (2002). Erken özel eğitim hizmetleri, Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 3(2), 99- 109.
  • Canavera, K., Johnson, L.M. and Harman, J. (2018). Beyond parenting: the responsibility of multidisciplinary health care providers in early intervention policy guidance. Am J Bioeth, 18(11), 58–60.
  • Case-Smith, J. (2013). Systematic review of interventions to promote social emotional development in young children with or at risk for disability. American Journal of Occupational Therapy, 67(4), 395-404. Doi:10.5014/ajot.2013.004713
  • Conner, J. (2012). A play and language ıntervention for two-yearold children: Implications for ımproving play skills and language. The Degree Specialist in Education, University of Nebraska at Omaha, Nebraska.
  • Dalmau, M., Balcells, A., Gine, C., Canadas, M., Casas, O., Salat, Y., Farre, V. and Calaf, N. (2017). How to implement the family-centered model in early intervention. Anales de Psicología, 33(3), 641-651.
  • Diken, İ., Bayhan, P., Turan, F., Sipal, F., Sucuoglu, B. and Ceber-Bakkaloglu, H. (2012). Early childhood intervention and early childhood special education in Turkey within the scope of the Developmental System Approach. Infants and Young Children, 25(4), 346-353. Doi:10.1097/IYC.0b013e318268541d.
  • Dunst, C. J., Bruder, M. B., Trivette, C. M., Hamby, D., Raab, D. and McLean, M. (2001). Characteristics and consequences of everyday natural learning opportunities. Topics in Early Childhood Special Education, 21(2), 68-92. Doi:10.1177/027112140102100202.
  • Duttine, A., Smythe, T. and Calheiro, M.R. (2019). Development and assessment of the feasibility of a Zika family support programme: A study protocol. Wellcome Open Res., 4, 80-91.
  • Epley, P. H., Summers, J. A. and Turnbull, A. P. (2011). Family outcomes of early intervention: Families’ perceptions of need, services, and outcomes. Journal of Early Intervention, 33(3), 201-219. Doi:10.1177/1053815111425929.
  • Fixsen, D.L., Blase, K.A., Naoom, S.F. and Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531-540.
  • Freedman, R.I. and Capabianco, N.B. (2000). The power to choose: The supports for families caring for individuals with developmental disabilities. Health and Social Work, 25(1), 59-68.
  • Guralnick, M.J. (2001). A developmental systems model for early intervention. Infants and Young Children, 14(2), 1-18.
  • Güngör, Ö. (2018). Bilimsel araştırma süreçleri yöntem, teknik ve etiğe giriş el kitabı. Ankara: Grafiker Yayın.
  • Güran, Ö., Bülbül, A., Uslu, S., Dursun, M., Zubarioğlu, U. and Nuhoğlu, A. (2013). Çok düşük doğum ağırlıklı bebeklerin hastalık ve ölüm oranlarının zaman içerisindeki değişimi. Türk Ped Arş, 48(1), 102-109.
  • Humphry, R. and Wakeford, L. (2008). Development of everyday activities: A model for occupation-centred therapy. Infants and Young Children, 21(3), 230- 240.
  • İçöz, Ö., Batuk, M. and Batuk, İ. T. (2018). Odyolojik takipte erken müdahale: bir olgu sunumu. 1.Uluslararası Erken Müdahale ve Rehabilitasyon Kongresi, 30 Mart- 01 Nisan 2018, Ankara.
  • Joseph, K.S. (2007). Theory in obstetrics, an epidemiologic framework for justifying indicated early delivery. BMC Pregnancy Childbirth, 7, 1-15.
  • Karaaslan, Ö (2010). Etkileşime dayalı erken eğitim programının (edep) gelişimsel yetersizliğe sahip çocuklar ve anneler üzerindeki etkililiği. Doktora Tez., Anadolu Üniversitesi, Eğitim Bilimleri Enstitüsü, Özel Eğitim Bilim Dalı, Eskişehir.
  • Keilty, B. (2008). Early intervention home-visiting principles in practice: A reflective approach. Young Exceptional Children, 11, 29-40.
  • King, G., Strachan, D., Tucker, M., Duwyn, B., Desserud, S. and Shillington, M. (2009). The application of a transdisciplinary model for early intervention services. Infants and Young Children, 22(3), 211-223.
  • Law, M., Teplicky, R., King, S., King, G., Kertoy, M., Moning, T. and BurkeGaffney, J. (2005). Family-centered service: moving ideas into practice. Child Care, Health and Development, 31(6), 633-642.
  • McBride, S. L. and Peterson, C. (1997). Home-based early intervnetion with families of children with disabilities: Who is doing what. Topics in Early Childhood Special Education, 17(2), 209-233. Doi:10.1177/027112149701700206.
  • Olusanya, B.O. Vries, P.J. and Olusanya, B.O. (2018). Nurturing care for children with developmental disabilities: a moral imperative for subSaharan Africa. Lancet Child Adolesc Health, 2(11), 772–774.
  • Poon, J.K., LaRosa, A.C., Pai, G.S. (2010). Developmental delay, timely identification and assessment. Indian Journal of Pediatric, 47, 415-422.
  • Raspa, M., Hebbeler, K., Bailey, D.B. and Scarborough, A.A. (2010). Service provider combinations and the delivery of early intervention services to children and families. Infants and Young Children, 23(2), 132-144.
  • Rowe, M.L., Levine, S.C., Fisher, J. and Goldin-Meadow, S. (2009). The joint effects of biology and input on the language development of brain-injured children. Developmental Psychology, 45, 90–102. Doi:10.1037/a0012848
  • Sawyer, B. E. and Campbell, P. H. (2012). Early interventionists' perspectives on teaching caregivers. Journal of Early Intervention, 34(2), 104-124. Doi:10.1177/1053815112455363.
  • Schulting, A. B. (2009). The kindergarten home visit project: A kindergarten transition intervention study. The Degree of Doctor of Philosophy. Duke University, Durham NC- USA.
  • Smythe, T., Adelson, J.D. and Polack, S. (2020). Systematic review of interventions for reducing stigma experienced by children with disabilities and their families in low- and middle-income countries: State of the evidence. Trop Med Int Health, 25, 508–524.
  • Sperry, D. E., Sperry, L. L. and Miller, P. J. (2019). Reexamining the verbal environments of children from different socioeconomic backgrounds. Child Development, 90(4), 1303-1318. Doi:10.1111/cdev.13072
  • Swanson, S., Raab, M. and Dunst, C.J. (2011). Strengthening family capacity to provide young children everyday natural learning opportunities. Journal of Early Childhood Research, 9(1), 66-80. Doi:10.1177/1476718X10368588
  • Trivette, C.M., Dunst, C.J. and Hamby, D.W. (2010). Influences of family-systems intervention practices on parent-child interactions and child development. Topics in Early Childhood Special Education, 30(1), 3-19. Wolery, M. (2011). Intervention research: The importance of fidelity measurement. Topics in Early Childhood Special Education, 31, 155-157
  • Yalaz, K., Anlar, B. and Bayoglu, B. (2010). Denver II Gelişimsel Tarama Testi Türkiye standardizasyonu el kitabı. [Denver II Developmental Screening Test Handbook]. Ankara: Anıl Grup Matbaacılık.
  • Xu, Y. and Filler, J. W. (2005). Linking assessment and intervention for developmental/functional outcomes of premature, low-birth-weight children. Early Childhood Education Journal, 32(6), 383-389. Doi:10.1007/s10643-005- 0008-4.
  • Zuna, N.I., Selig, J.P., Summers, J.A. and Turnbull, A.P. (2009). Confirmatory factor analysis of a family quality of life scale for families of kindergarten children without disabilities. Journal of Early Intervention, 31(2), 111-125.
There are 36 citations in total.

Details

Primary Language English
Subjects Sociology (Other)
Journal Section Articles
Authors

Hatice Yalçın 0000-0003-3557-8649

Publication Date September 15, 2021
Acceptance Date June 3, 2021
Published in Issue Year 2021 Volume: 18 Issue: Eğitim Bilimleri Özel Sayısı

Cite

APA Yalçın, H. (2021). Developmentally Focused and Home-Based Early Intervention Program: A Case Report. OPUS International Journal of Society Researches, 18(Eğitim Bilimleri Özel Sayısı), 3929-3947. https://doi.org/10.26466/opus.898096