Making Decisions About Service Delivery in Early Childhood Programs

Case-Smith, Jane; Holland, T

doi:10.1044/0161-1461(2009/08-0023)

Cited by 24 publications

(14 citation statements)

References 32 publications

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“…As adjuvant treatment to surgical programs, such as lung volume reduction surgery, rehabilitation plays an important role in the preparation of these patients for the procedure, facilitating postoperative recovery. ( 1 , 23 ) …”

Section: Discussionmentioning

confidence: 99%

Impact of pulmonary rehabilitation on quality of life and functional capacity in patients on waiting lists for lung transplantation

et al. 2013

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OBJECTIVE: To investigate the impact of a pulmonary rehabilitation program on the functional capacity and on the quality of life of patients on waiting lists for lung transplantation. METHODS: Patients on lung transplant waiting lists were referred to a pulmonary rehabilitation program consisting of 36 sessions. Before and after the program, participating patients were evaluated with the six-minute walk test and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). The pulmonary rehabilitation program involved muscle strengthening exercises, aerobic training, clinical evaluation, psychiatric evaluation, nutritional counseling, social assistance, and educational lectures. RESULTS: Of the 112 patients initially referred to the program, 58 completed it. The mean age of the participants was 46 ± 14 years, and females accounted for 52%. Of those 58 patients, 37 (47%) had pulmonary fibrosis, 13 (22%) had pulmonary emphysema, and 18 (31%) had other types of advanced lung disease. The six-minute walk distance was significantly greater after the program than before (439 ± 114 m vs. 367 ± 136 m, p = 0.001), the mean increase being 72 m. There were significant point increases in the scores on the following SF-36 domains: physical functioning, up 22 (p = 0.001), role-physical, up 10 (p = 0.045); vitality, up 10 (p < 0.001); social functioning, up 15 (p = 0.001); and mental health, up 8 (p = 0.001). CONCLUSIONS: Pulmonary rehabilitation had a positive impact on exercise capacity and quality of life in patients on lung transplant waiting lists.

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Section: Discussionmentioning

confidence: 99%

Impact of pulmonary rehabilitation on quality of life and functional capacity in patients on waiting lists for lung transplantation

et al. 2013

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“…The coteaching model, in which three adults with common goals contributed to instruction, monitoring, and reinforcement, may account for the students' gains. The positive results may relate to the model of service delivery in which occupational therapy services were integrated into the classroom and the curriculum (Case-Smith & Holland, 2009). The occupational therapist provided tools for students to use, consistency in how handwriting was taught, and methods to reinforce students' learning.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an Integrated Handwriting Program for First-Grade Students: A Pilot Study

Case-Smith

Holland

Bishop

2011

The American Journal of Occupational Therapy

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We developed and piloted a program for first-grade students to promote development of legible handwriting and writing fluency. The Write Start program uses a coteaching model in which occupational therapists and teachers collaborate to develop and implement a handwriting-writing program. The small-group format with embedded individualized supports allows the therapist to guide and monitor student performance and provide immediate feedback. The 12-wk program was implemented with 1 class of 19 students. We administered the Evaluation of Children's Handwriting Test, Minnesota Handwriting Assessment, and Woodcock-Johnson Fluency and Writing Samples test at baseline, immediately after the Write Start program, and at the end of the school year. Students made large, significant gains in handwriting legibility and speed and in writing fluency that were maintained at 6-mo follow-up. The Write Start program appears to promote handwriting and writing skills in first-grade students and is ready for further study in controlled trials.

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“…Consultation models do not always result in ideal occupational therapist participation in services to the child; they can evolve into delegation of intervention implementation to the teacher with minimal participation of the occupational therapist. When students need ongoing assessment to plan and coordinate their program, other models of service delivery are needed (Case-Smith & Holland, 2009).…”

Section: Inclusive Models Of Handwriting Interventionsmentioning

confidence: 99%

Effect of a Coteaching Handwriting Program for First Graders: One-Group Pretest–Posttest Design

Case-Smith

Holland²,

Lane

et al. 2012

The American Journal of Occupational Therapy

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We examined the effects of a cotaught handwriting and writing program on first-grade students grouped by low, average, and high baseline legibility. The program's aim was to increase legibility, handwriting speed, writing fluency, and written expression in students with diverse learning needs. Thirty-six first-grade students in two classrooms participated in a 12-wk handwriting and writing program cotaught by teachers and an occupational therapist. Students were assessed at pretest, posttest, and 6-mo follow-up using the Evaluation Tool of Children's Handwriting-Manuscript (ETCH-M) and the Woodcock-Johnson Writing Fluency and Writing Samples tests. Students made large gains in ETCH-M legibility (η² = .74), speed (η²s = .52-.65), Writing Fluency (η² = .58), and Writing Samples (η² = .59). Students with initially low legibility improved most in legibility; progress on the other tests was similar across low-, average-, and high-performing groups. This program appeared to benefit first-grade students with diverse learning needs and to increase handwriting legibility and speed and writing fluency.

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Making Decisions About Service Delivery in Early Childhood Programs

Cited by 24 publications

References 32 publications

Impact of pulmonary rehabilitation on quality of life and functional capacity in patients on waiting lists for lung transplantation

Impact of pulmonary rehabilitation on quality of life and functional capacity in patients on waiting lists for lung transplantation

Effectiveness of an Integrated Handwriting Program for First-Grade Students: A Pilot Study

Effect of a Coteaching Handwriting Program for First Graders: One-Group Pretest–Posttest Design

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