Search results

Where no psychosocial or interventional support is provided, children with acquired brain injury (ABI) are at significant risk of serious long-term behavioural and social difficulties. The purpose of this paper is to report the six- and 18-month long-term treatment effects of a family centred behavioural intervention to help families manage and prevent challenging behaviours in children following ABI.

In total, 31 parents were followed up at three time points (post-intervention, 6 and 18 months) after participating in an ABI adapted manualised “Signposts for Building Better Behaviour” programme (Hudson et al., 2003).

Attrition rates were highest amongst families caring for a child with mild ABI. The maintenance of treatment effects were detailed for those families who reported a reduction in challenging behaviour immediately post-intervention. There were no significant elevations in challenging child behaviour, maladaptive parenting, or family dysfunction for any participants over the long-term follow-up. Irrespective of injury severity, parents reported high levels of satisfaction and efficacy in the parenting role at 18 months post-intervention.

“Signposts” has further demonstrated its clinical viability by meeting the needs of parents who have a child with ABI in both the short- and longer-term.

The purpose of this paper is to review and summarise a small but growing body of literature demonstrating that by embedding intervention within a family context offers the greatest promise of success in working with families caring for a child with traumatic brain injury (TBI).

The approach takes the form of a literature review.

The current family-centred evidence-based research indicates the potential benefits for the delivery of family focused interventions following childhood TBI.

The paper adds to the paediatric TBI literature as being of the few papers to incorporate a number of novel family-centred behavioural interventions into the one review paper.

Children with acquired brain injury (ABI) are at significant risk of serious behavioural and social difficulties. The burgeoning growth of research documenting behavioural sequelae after paediatric ABI has not been met with a concomitant level of research aimed at treating the problem. The purpose of this paper is to investigate whether a manualised behavioural intervention support programme could reduce challenging behaviours in children with ABI and improve family-parental well-being and functioning.

A total of 61 parents (48 mothers and 13 fathers) of 48 children aged between three and 12 years with mild, moderate, or severe ABI received an ABI adapted “Signposts for Building Better Behaviour” programme (Hudson et al., 2001) in group-support (GS) or telephone-support (TS) format. Trained “Signposts” practitioners delivered the programme over a five-month period. The programme consisted of nine information booklets, a DVD, and workbook. All families completed pre-intervention and post-intervention evaluations.

On an average parents completed 7.92 out of a possible nine intervention sessions (range 7-9). Parents in both TS and GS formats reported significant reductions in challenging child behaviours irrespective of injury severity. They also reported significant reductions in dysfunctional parenting practices, stress and family burden.

Overall, the current research provides support for Signposts to be used with families of children with ABI in an attempt to ameliorate negative outcomes for family, parent, and child.

The purpose of this paper is to determine the preliminary clinical utility of a telephone-support format of the “Signposts” (Hudson et al., 2003) behavioural intervention programme to be used with a paediatric traumatic brain injury (TBI) population.

Nine families caring for a child with moderate or severe TBI, participated in a pilot study of a TBI adapted “Signposts for Building Better Behaviour” manualised programme. The programme is designed to help parents learn positive parenting skills and strategies that empower them to successfully manage their child's challenging behaviour post-TBI. The programme consists of seven core sessions and two supplemental sessions. Parents work through the sessions with an accompaniment of guiding information booklets, a DVD with scenes modelling positive parenting strategies, and a workbook containing written exercises. At the completion of each session parents receive a telephone-support call from a trained Signposts practitioner who provides assistance and feedback on programme content.

On average parents completed eight sessions (range seven to nine) and every family completed the seven core sessions. Participation in the telephone-support calls was high with 96 per cent of calls having been successfully received by families. All parents agreed that the telephone calls were a useful part of the programme and felt that the materials were helpful for managing challenging behaviour. Paired-samples t-tests showed significant reductions for challenging behaviour from pre- to post-intervention. Parenting practices also significantly improved over the course of the intervention. In general, parents rated a high level of consumer satisfaction with the Signposts programme and its content.

Overall, these preliminary findings support the potential clinical utility of a telephone-support version of the Signposts programme to improve parenting skills and to reduce challenging child behaviour following TBI. This study has provided the impetus for a larger clinical research trial to be conducted.

THE London & Home Counties Branch of the la reports a gratifying response to its attempts last year to attract a wider list of applications for its biennial Senior Librarians Award, worth £800. As a result, a proportion of the 1973 award has been allotted to Ivan G Sparkes, Librarian of High Wycombe, Bucks, for research into source material relating to furniture history, and to Celia F Thimann, a lecturer at Ealing (London) school of librarianship for a visit to Japan in the autumn to study library provision and information systems in the field of ecological conservation and pollution.

In these days of jargon and slang, to the purist it must seem that little is described by its real name, that is, during conversation. Most people refer to the city as “the smoke” and the city‐dweller's pseudonym for the country is “out in the sticks”, which, of course, could mean that “the sticks” are kindling to a fire that has not been lit, with the city “smoke” as the end‐product of the fire that is burning up those who rush hither and thither in its bedlamite streets and ugly office blocks. The cottage, the church and inn no longer completely fill the lives of the villagers; they now have piped water supplies, electricity and telephones; deep freezers, colour television and cars; they have moved closer to the city standards of comfort and convenience without losing any of the enduring qualities which make them different. And the countryman is very different to the town‐dweller—in outlook, habit and countenance. Even the villager who works in the town and city, and nowadays there are many of them, would not change his home in the country for a flat or terrace house in a mean street, despite the long journeying to and fro. At one time, it had to be a special type of girl who chose a home in these rural settings, with few or perhaps no neighbours and no corner‐shop, but now more and more are realizing that life in a village is easier on the whole family.

OUR correspondents have commented upon the meagreness of the newspaper attention to the Annual Meeting of the Library Association. The opportunities which the affair would seem to afford for press comment are probably exaggerated by librarians, who quite naturally think their matters to be of importance. They are, but they have never been spectacular and are not likely to be so. What the modern pressman wants is a story ; he is not often interested in passive matters nowadays, and more than one editor has admitted that he is not concerned with what people say but with what they do. We may console ourselves to some extent by believing that our quiet work is more enduring than much that is greeted with fanfares. Snippets of facts about high issues of books, parsimony, or believed extravagance, are things that do find their way into the small paragraphs of daily papers. These may be good for our movement but there is no certainty that they are. The only sure advertisement of a library, publicly or otherwise maintained, is the quality of the service it can give.

DR. S. C. ROBERT'S Presidential Address which is printed in the L.A. Record for May and reprinted in the usual separate Proceedings, will be read by all manner of librarians not only for its individual charm but also for a suggestion here and there which may have lasting effects. His major conclusion is that “the spiritual harmony and the intellectual Stability of mankind will Still be largely determined by the reading and writing of books,” whatever may be the triumphs of cinema, wireless and television. This was well worth repeating at a time when we are occupied by visual methods, quite justly, indeed ; if only again to Stress that these must not become an obsession which prevents our seeing that our real purpose is the book. So, too, we may ponder his gentle caveat: “in our laudable efforts towards a perfection of order and classification, there is inevitably a tendency to mistake means for ends, to make our systems our masters rather than our servants.” We know that there is a growing revolt against the intricate simplicities that are being introduced in cataloguing and classification; so intricate, indeed, that except to those who have done careful preparatory reading, writers upon them are completely unreadable. Not the least interesting part of Dr. Roberts's address was his account of early encounters with a library indicator and its attendant difficulties. These may be read as a warning, seeing that most of us have never seen an indicator, and some, because of the losses open access involves, would like to return to what is stupidly called “closed‐access,” a term as sensible as hot ice or dry wet.