Marquette University College of Nursing, Milwaukee, WI, USA.
West J Nurs Res. 2021 Apr;43(4):356-363. doi: 10.1177/0193945920948867. Epub 2020 Aug 14.
The purpose of this mixed methods pre-/post-pilot intervention study was to assess parental psychological health and child challenging behaviors before and after a swimming program for children with autism. Participants were 10 parent-child dyads. Child's challenging behaviors were lower in the post testing (Cohen's d = 0.07-0.45). Mean scores were improved for parent perception of general health (Cohen's d = 0.22). Three themes emerged from the post swim program focus group: (a) Parent satisfaction with instructors with sub themes (i) firmness (ii) creativity, and (iii) promotion of social interaction and sharing, (b) improved child sleeping, and (c) family dynamics with sub themes (i) siblings wanted to swim and (ii) parents' fear of drowning. Preliminary results point to improved child behaviors and parent perception of general health. Future studies can focus on expanding the swim program to include all family members.
本混合方法预/后试点干预研究的目的是评估自闭症儿童游泳计划前后父母的心理健康和儿童的挑战性行为。参与者为 10 对父母-儿童二人组。孩子的挑战性行为在测试后降低（Cohen's d=0.07-0.45）。父母对一般健康的感知的平均得分有所提高（Cohen's d=0.22）。游泳后方案焦点小组出现了三个主题：（a）家长对教练的满意度，包括子主题（i）坚定（ii）创造力，以及（iii）促进社交互动和分享，（b）孩子睡眠改善，以及（c）家庭动态，包括子主题（i）兄弟姐妹想游泳和（ii）父母对溺水的恐惧。初步结果表明，儿童行为和父母对一般健康的认知有所改善。未来的研究可以集中于扩大游泳计划，将所有家庭成员都包括在内。
