ÇOCUKLUK ÇAĞINDA ERKEN MÜDAHALEDE HEDEF ODAKLI YAKLAŞIMLAR: GELENEKSEL DERLEME

Yıl 2022, Cilt: 7 Sayı: 1, 101 - 111, 21.03.2022

Muhammed Taha Tüfek , Bülent Elbasan

https://doi.org/10.52881/gsbdergi.955986

Cited By: 2

Öz

Erken müdahale hizmetleri, neonatal dönemden başlayan ve 3 yaşına kadar devam eden, çocuklarda olası sorunları azaltmak ve gelişimi en üst düzeyde destekleyebilmek için mümkün olduğunca çabuk ve hızlı sonuçlar almayı amaçlayan transdisipliner yaklaşım içeren hizmetlerdir. Erken müdahalenin etkinliğinin anlaşılmasıyla önemi giderek artmakta ve literatürde erken müdahale ile ilgili yapılan çalışma sayısı her geçen gün daha da yükselmektedir. Bazı çalışmalar, aile eğitimi ve ailenin desteğinin erken müdahale programlarına eklenmesi sayesinde yöntemlerin etkinliğinin artırılabileceğini göstermektedir. Hedef odaklı erken müdahale yaklaşımları çocuğun aktiviteleri ve gelişimiyle ilgilenmesinin yanı sıra aile eğitimi ve ailenin gelişimini de destekleyen yaklaşımlardır. Bu yaklaşımların her biri hedefler doğrultusunda düzenlemeler, aktiviteler ve görevler içerir. Son yıllarda yeni geliştirilen ve uzmanlar tarafından uygulanan birçok hedef odaklı erken müdahale yaklaşımı mevcuttur. Yaklaşımların hepsi çözüm hedefli olup çocuk ve ailenin gelişimine odaklanması ve programın ilerleyişi yönünden bazı ayrımlara sahiptir. Her bir program kendi içerisindeki bakış açısı itibariyle küçük farklılıklar içermektedir. Bu derlemede çocukluk çağında sıkça uygulanan hedef odaklı erken müdahale programlarının felsefesine, özelliklerine, uygulama yöntemlerine, benzerliklerine ve farklılıklarına yer verilmektedir. Erken müdahaledeki uzman personelin, bu yöntemlerin özellikleri ve farklılıkları hakkında ayrıntılı bilgi sahibi olması ve bu doğrultuda çocuğun ihtiyacına yönelik doğru yöntemi uygulaması önemlidir. Bu nedenle ortak bir amaca sahip, işbirlikçi, kanıta dayalı hizmetler üreten, çocuğu ve ebeveynleri destekleyen bir ya da birkaç yöntemin birlikte kullanılmasının erken müdahalede daha etkili ve verimli olabileceğini düşünmekteyiz.

Anahtar Kelimeler

: erken müdahale, ; hedef odaklı yaklaşım, pediatrik rehabilitasyon, ; aile merkezli yaklaşım, çevresel zenginleştirme

GOAL – ORIENTED EARLY INTERVENTION APPROACHES IN CHILDHOOD: TRADITIONAL REVIEW

Öz

The early intervention services include a transdisciplinary approach, starting from the neonatal period until the age of three, aiming to achieve results immediately to reduce possible problems in children and to support optimal development. After understanding their effectiveness, the importance gradually become evident and the relevant studies in the literature is growing than ever. According to some studies, integrating family awareness and parental support to early intervention programs might enhance their effectiveness. The goal-oriented early intervention approaches support the education and development of the family as well as dealing with the activities and development of the child. Each of these approaches includes enrichment, activities and tasks for the objectives. Currently, there are many such intervention approaches recently developed and implemented by experts. All of the approaches are solution-oriented and have some differences by focusing on the development of the child and family and progressing the program. Each program differs slightly by its approaching. This review includes the concept, characteristics, application methods, similarities and differences of early intervention programs commonly used in childhood includes the philosophy, characteristics, application methods, similarities and differences of these programs frequently used during childhood. The professionals in early intervention must have detailed knowledge of the features and differences of these approaches, as well as the proper method of the child in this regard. As a conclusion, we believe that it would be more advantageous if professionals adopted one or more methods that provide cooperative, evidence-based services, thereby supporting children and parents in early intervention.

Anahtar Kelimeler

early intervention, goal-oriented approach, pediatric rehabilitation, family centered approach, environmental enrichment

Kaynakça

• 1. Bailey DB, Hebbeler K, Scarborough A, Spiker D, Mallik S. First experiences with early intervention: A national perspective. Pediatrics. 2004;113(4):887-96.
• 2. Guralnick MJ. Why early intervention works: A systems perspective. Infants and young children. 2011;24(1):6.
• 3. Ramey CT, Ramey SL. Early intervention and early experience. American psychologist. 1998;53(2):109.
• 4. Bailey DB, Hebbeler K, Spiker D, Scarborough A, Mallik S, Nelson L. Thirty-six-month outcomes for families of children who have disabilities and participated in early intervention. Pediatrics. 2005;116(6):1346-52.
• 5. Guralnick MJ. Effectiveness of early intervention for vulnerable children: A developmental perspective. American Journal on Mental Retardation. 1997;102(4):319-45.
• 6. Hauser-Cram P, Warfield ME, Shonkoff JP, Krauss MW, Sayer A, Upshur CC, et al. Children with disabilities: A longitudinal study of child development and parent well-being. Monographs of the Society for Research in Child Development. 2001:i-126.
• 7. McCarton CM, Brooks-Gunn J, Wallace IF, Bauer CR, Bennett FC, Bernbaum JC, et al. Results at age 8 years of early intervention for low-birth-weight premature infants: The Infant Health and Development Program. Jama. 1997;277(2):126-32.
• 8. Campbell FA, Ramey CT, Pungello E, Sparling J, Miller-Johnson S. Early childhood education: Young adult outcomes from the Abecedarian Project. Applied developmental science. 2002;6(1):42-57.
• 9. Reynolds AJ, Temple JA, Robertson DL, Mann EA. Long-term effects of an early childhood intervention on educational achievement and juvenile arrest: A 15-year follow-up of low-income children in public schools. Jama. 2001;285(18):2339-46.
• 10. Phillips DA, Shonkoff JP. From neurons to neighborhoods: The science of early childhood development: National Academies Press; 2000.
• 11. Mahoney G, O'Sullivan P, Dennebaum J. A national study of mothers' perceptions of family-focused early intervention. Journal of Early intervention. 1990;14(2):133-46.
• 12. Hadders‐Algra M, Boxum AG, Hielkema T, Hamer EG. Effect of early intervention in infants at very high risk of cerebral palsy: a systematic review. Developmental Medicine & Child Neurology. 2017;59(3):246-58.
• 13. Hutchon B, Gibbs D, Harniess P, Jary S, Crossley SL, Moffat JV, et al. Early intervention programmes for infants at high risk of atypical neurodevelopmental outcome. Developmental Medicine & Child Neurology. 2019;61(12):1362-7.
• 14. Bröring T, Oostrom KJ, Lafeber HN, Jansma EP, Oosterlaan J. Sensory modulation in preterm children: Theoretical perspective and systematic review. PloS one. 2017;12(2):e0170828.
• 15. Vergara E, Anzalone M, Bigsby R, Gorga D. Specialized knowledge and skills for occupational therapy practice in the neonatal intensive care unit. The American Journal of Occupational Therapy. 2006;60(6):659.
• 16. Uk ES. Ei Smart Motor Component [Available from: http://www.eismart.co.uk/ei-smart-approach/motor/.
• 17. van Wassenaer‐Leemhuis AG, Jeukens‐Visser M, van Hus JW, Meijssen D, Wolf MJ, Kok JH, et al. Rethinking preventive post‐discharge intervention programmes for very preterm infants and their parents. Developmental Medicine & Child Neurology. 2016;58:67-73.
• 18. Nugent JK. The C ompetent N ewborn and the N eonatal B ehavioral A ssessment S cale: T. B erry B razelton's Legacy. Journal of child and adolescent psychiatric nursing. 2013;26(3):173-9.
• 19. Blauw-Hospers CH, Dirks T, Hulshof LJ, Bos AF, Hadders-Algra M. Pediatric physical therapy in infancy: from nightmare to dream? A two-arm randomized trial. Physical Therapy. 2011;91(9):1323-38.
• 20. Dirks T, Blauw-Hospers CH, Hulshof LJ, Hadders-Algra M. Differences between the family-centered “COPCA” program and traditional infant physical therapy based on neurodevelopmental treatment principles. Physical Therapy. 2011;91(9):1303-22.
• 21. Hadders-Algra M. The neuronal group selection theory: promising principles for understanding and treating developmental motor disorders. Developmental Medicine and Child Neurology. 2000;42(10):707-15.
• 22. Ives Y. What is' coaching'? An exploration of conflicting paradigms. International Journal of Evidence Based Coaching & Mentoring. 2008;6(2).
• 23. King G, Tucker MA, Baldwin P, Lowry K, Laporta J, Martens L. A life needs model of pediatric service delivery: services to support community participation and quality of life for children and youth with disabilities. Physical & occupational therapy in pediatrics. 2002;22(2):53-77.
• 24. Ziegler SA, Dirks T, Reinders-Messelink HA, Meichtry A, Hadders-Algra M. Changes in therapist actions during a novel pediatric physical therapy program: Successes and challenges. Pediatric Physical Therapy. 2018;30(3):223-30.
• 25. Wann JP, Mon-Williams M, Rushton K. Postural control and co-ordination disorders: The swinging room revisited. Human Movement Science. 1998;17(4-5):491-513.
• 26. Barela JA, Dias JL, Godoi D, Viana AR, de Freitas PB. Postural control and automaticity in dyslexic children: The relationship between visual information and body sway. Research in developmental disabilities. 2011;32(5):1814-21.
• 27. Polastri PF, Barela JA. Perception-action coupling in infants with Down syndrome: effects of experience and practice. Adapted Physical Activity Quarterly. 2005;22(1):39-56.
• 28. Barela JA, Focks GMJ, Hilgeholt T, Barela AM, Carvalho RdP, Savelsbergh GJ. Perception–action and adaptation in postural control of children and adolescents with cerebral palsy. Research in Developmental Disabilities. 2011;32(6):2075-83.
• 29. Godoi D, Barela JA. Body sway and sensory motor coupling adaptation in children: effects of distance manipulation. Developmental Psychobiology: The Journal of the International Society for Developmental Psychobiology. 2008;50(1):77- 87.
• 30. Rahlin M. In: Rahlin M, editor. Physical Therapy for Children With Cerebral Palsy: An Evidence-Based Approach: SLACK Incorporated; 30.02.2016. p. 231-48.
• 31. Tscharnuter I. Clinical application of dynamic theory concepts according to Tscharnuter Akademie for Movement Organization (TAMO) therapy. Pediatric Physical Therapy. 2002;14(1):29-37.
• 32. Leier A, Barnett J, Rahlin M, editors. Effects of a novel intervention on meal participation across settings in a 10-year-old child with dyskinetic cerebral palsy. Demonstration poster presented at the 70th Annual Meeting of the American Academy for Cerebral Palsy and Developmental Medicine Hollywood, FL; 2016.
• 33. McWilliam R. Routines-based early intervention. Supporting Young Children and Their Families Baltimore: Brookes. 2010.
• 34. Sytsma SE, Kelley ML, Wymer JH. Development and initial validation of the child routines inventory. Journal of Psychopathology and Behavioral Assessment. 2001;23(4):241-51.
• 35. McWilliam RA, Casey AM, Sims J. The routines-based interview: A method for gathering information and assessing needs. Infants & Young Children. 2009;22(3):224-33.
• 36. Akhbari Ziegler S, Mitteregger E, Hadders‐Algra M. Caregivers' experiences with the new family‐centred paediatric physiotherapy programme COPCA: a qualitative study. Child: Care, Health and Development. 2020;46(1):28-36.
• 37. Sgandurra G, Bartalena L, Cecchi F, Cioni G, Giampietri M, Greisen G, et al. A pilot study on early home-based intervention through an intelligent baby gym (CareToy) in preterm infants. Research in developmental disabilities. 2016;53:32-42.
• 38. Hwang A-W, Chao M-Y, Liu S-W. A randomized controlled trial of routines-based early intervention for children with or at risk for developmental delay. Research in developmental disabilities. 2013;34(10):3112-23.