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1.
J Paediatr Child Health ; 45(3): 118-24, 2009 Mar.
Article in English | MEDLINE | ID: mdl-19210601

ABSTRACT

AIM: Children from vulnerable families, where there is social disadvantage, parental mental health problems, substance abuse or domestic violence, are at risk of attention, language, learning and behaviour problems because of poor attachment and lack of stimulation in the early years. Three primary modes of early intervention have been shown to produce sustained improvements in children's health, education and well-being despite these risk factors. This pilot aimed to evaluate the Spilstead Model (SM) of early intervention in Australia, which provides a uniquely integrated model of centre-based care, incorporating all three best-practice approaches. METHOD: The study targeted all new clients who attended the SM programme over a 12-month period. A battery of standardised clinician and parent-rated measures assessed parent, child and family functioning via pre-post test research design. RESULTS: Results indicated large effect size changes (P < 0.01) in parent/child interaction; reduced parent stress; parental satisfaction; parent confidence; parental capacity; family interactions; child well-being; and total family functioning. A total of 71% of children who presented on initial developmental screening with delays in the clinical range were found to be within the normal range on post-testing; 41% moved from the below average range to scores within the normal range in language development. Parents noted improvements in externalising behaviours of large effect size (1.46). CONCLUSIONS: (i) Results were highly positive for both children and parents; (ii) the synergistic nature of the SM may have the potential to maximise outcomes for families via a cumulative programme effect; and (iii) implications for further research were established.


Subject(s)
Child Welfare , Parent-Child Relations , Program Evaluation , Risk Reduction Behavior , Vulnerable Populations , Child, Preschool , Family Relations , Humans , New South Wales , Pilot Projects
2.
East Mediterr Health J ; 13(5): 1153-9, 2007.
Article in French | MEDLINE | ID: mdl-18290409

ABSTRACT

A retrospective study was conducted between 2000 and 2003 on 1620 women (mean age 39.6 years) in northern Morocco to determine the incidence of cervical cancer and assess the value of cervical smear in the diagnosis. Patients were interviewed using a questionnaire before carrying out a gynaecological examination and taking a cervical smear sample. Of the total sample, 23.1% had an abnormal cervical smear, of whom 5.6% showed intraepithelial lesions, both low and high grade. The women presenting with cervicitis represented the highest percentage with suspect smears (30.8%); 90.9% of the smears showing high grade lesions were histologically confirmed as cervical cancer. A screening programme is a matter of urgency in northern Morocco.


Subject(s)
Mass Screening/methods , Uterine Cervical Neoplasms/diagnosis , Vaginal Smears/standards , Adolescent , Adult , Age Distribution , Aged , Biopsy , Female , Health Services Needs and Demand , Humans , Incidence , Mass Screening/standards , Metrorrhagia/etiology , Middle Aged , Morocco/epidemiology , Population Surveillance , Retrospective Studies , Sensitivity and Specificity , Surveys and Questionnaires , Total Quality Management , Uterine Cervical Neoplasms/complications , Uterine Cervical Neoplasms/epidemiology , Uterine Cervicitis/etiology , Vaginal Smears/statistics & numerical data
3.
(East. Mediterr. health j).
in French | WHO IRIS | ID: who-117360

ABSTRACT

A retrospective study was conducted between 2000 and 2003 on 1620 women [mean age 39.6 years] in northern Morocco to determine the incidence of cervical cancer and assess the value of cervical smear in the diagnosis. Patients were interviewed using a questionnaire before carrying out a gynaecological examination and taking a cervical smear sample. Of the total sample, 23.1% had an abnormal cervical smear, of whom 5.6% showed intraepithelial lesions, both low and high grade. The women presenting with cervicitis represented the highest percentage with suspect smears [30.8%]; 90.9% of the smears showing high grade lesions were histologically confirmed as cervical cancer. A screening programme is a matter of urgency in northern Morocco


Subject(s)
Vaginal Smears , Mass Screening , Uterine Cervical Neoplasms
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