Volume 21, Issue 12 (12-2023)                   Nursing and Midwifery Journal 2023, 21(12): 990-1005 | Back to browse issues page

Research code: 99020
Ethics code: IR.KAUMS.NUHEPM.REC.1399.015
Clinical trials code: IRCT20100211003329N5


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Roodbarani M, Tagharrobi Z, Sharifi K, Sooki Z, Zare M. COMPARISON OF THE EFFECT OF BRAIN GYM AND CHILD-PARENT RELATIONSHIP THERAPY ON BEHAVIORAL DISORDERS IN CHILDREN WITH AUTISM SPECTRUM DISORDER: A RANDOMIZED CLINICAL TRIAL. Nursing and Midwifery Journal 2023; 21 (12) :990-1005
URL: http://unmf.umsu.ac.ir/article-1-5100-en.html
1- M.Sc Student in Psychiatric Nursing, Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
2- Associate Professor of Nursing Education, Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran (Corresponding Author) , tagharrobi_z@yahoo.com
3- Associate Professor of Nursing, Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
4- Associate Professor of Reproductive Health, Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
5- Instructor, M.Sc. in Geriatric Nursing, Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
Abstract:   (1642 Views)
Background & Aims: Considering the numerous consequences of behavioral problems in children with Autism Spectrum Disorder (ASD), the present study aims to compare the effects of Brain Gym (BG) and Child-Parent Relationship Therapy (CPRT) on behavioral disorders in children with ASD in Kashan and Arak in 2020.
Materials & Methods: In this clinical trial, 36 eligible children were randomly selected and assigned to two intervention groups by block randomization. According to Dennison and Landreth-Bratton guidelines, BG and CPRT interventions were implemented in ten sessions. The demographic, Rutter, and Raven questionnaires were completed. Behavioral disorders were assessed by stereotyped behaviors, communication, and social interactions subscales of Gars-2 at the beginning, end of the intervention, and two months later. The data of 28 children (BG and CPRT, 15 and 13, respectively) were analyzed based on per-protocol and intention-to-treat designs by chi-square, Fisher, independent t-test, and repeated measures analysis of variance.
Results: There was no significant difference between the two groups' demographic variables. Both analyses showed the non-significance of the interaction effect of time and intervention, the non-significance of the group effect, and the significance of the time effect (p<0.0001) on the behavioral disorder scores. At the end of the intervention and two months later, there was no significant difference in the behavioral disorder scores between the two groups.
Conclusion: Each of the BG and CPRT interventions, with a slight difference in effectiveness, alone can reduce behavioral disorders in ASD. Therefore, depending on the available conditions and facilities, at least one of the mentioned interventions is suggested to reduce behavioral disorders in children with ASD.

 
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Type of Study: Research | Subject: پرستاری

References
1. Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet 2018;392(10146):508-20. [DOI:10.1016/S0140-6736(18)31129-2] [PMID]
2. Samadi S, McConkey R. Screening for autism in Iranian preschoolers: contrasting M-CHAT and a scale developed in Iran. J Autism Dev Disord 2015;45(9):2908-16. [DOI:10.1007/s10803-015-2454-1] [PMID]
3. Samadi SA, Mahmoodizadeh A, McConkey R. A national study of the prevalence of autism among five-year-old children in Iran. Autism 2012;16(1):5-14. [DOI:10.1177/1362361311407091] [PMID]
4. Kahfi M, Febriyana N, Hartini S, Takada S. Emotional and behavioral problems of pre-school children with autistic spectrum disorder assessed by the child behavior checklist 1½-5. Kobe J Med Sci 2018;64(5):E170. [PMID]
5. Madarevic M, Van Esch L, Lambrechts G, Ceulemans E, Van Leeuwen K, Noens I. Parenting behaviours among mothers of pre-schoolers on the autism spectrum: associations with parenting stress and children's externalising behaviour problems. Res Autism Spectr Disord 2022;90:101901. [DOI:10.1016/j.rasd.2021.101901]
6. Rezaee S, Choobdari A. Prevalence of risk factors during pregnancy in autism spectrum disorders. Nurs Midw J 2021;19(3):233-42. [Google Scholar]
7. Yaghmaei F, Sahar S. Quality of life of mothers of children with special needs: a qualitative study. Nurs Midw J 2014;11(12):0. [Google Scholar]
8. Leader G, Browne H, Whelan S, Cummins H, Mannion A. Affective problems, gastrointestinal symptoms, sleep problems, and challenging behaviour in children and adolescents with autism spectrum disorder. Res Autism Spectr Disord 2022;92:101915. [DOI:10.1016/j.rasd.2022.101915]
9. Klein N, Kemper K. Integrative approaches to caring for children with autism. Curr Probl Pediatr Adolesc Health Care 2016;46(6):195-201. [DOI:10.1016/j.cppeds.2015.12.004] [PMID]
10. Watson A, Kelso G. The effect of brain gym on academic engagement for children with developmental disabilities. Int J Healthc Biomed Res 2014;29(2):75-83. [Google Scholar]
11. Dennison PE. Brain gym and me: reclaiming the pleasure of learning. Educ Rev 2007. [Google Scholar]
12. Ghaheri B, Sheikh M, Memari AH, Hemayat Talab R. Investigating level of daily physical activity in children with high functioning autism and its relation with age and autism severity. J Arak Uni Med Sci 2013;16(8):66-77. [Google Scholar]
13. Nagarkar MR, Rokade P, Malwade M, Abdul D. Effectiveness of brain gym activity on quality of life in autism spectrum disorder. IJHBR 2018;6(2):11-6. [URL]
14. Sanders MR, Kirby JN, Tellegen CL, Day JJ. The triple p-positive parenting program: A systematic review and meta-analysis of a multi-level system of parenting support. Clin Psychol Rev 2014;34(4):337-57. [DOI:10.1016/j.cpr.2014.04.003] [PMID]
15. Jekan M, Hosseini SA, Mohammadi MR, Salehi M. The effects of ball skills training on motor development of children with high functioning autism. J Except Child 2013;13(2):61-70. [Google Scholar]
16. Eskandarnezhad M, Mahdizadeh L, Pourkhoshadi S. Determine the effectiveness of aerobic training on some motor skills, stereotypical behaviors and social adjustment of children with autism: Tabriz University; 2016.
17. Marpaung M, Sareharto T, Purwanti A, Hermawati D, editors. Brain gym to increase academic performance of children aged 10-12 years old (experimental study in tembalang elementary school and pedalangan elementary school semarang). IOP Conference Series: Earth and Environmental Science; 2017: IOP Publishing. [DOI:10.1088/1755-1315/55/1/012017]
18. Mokhtarian T, Yaryari F, Mokhtarian T. Effectiveness of brain gym in reducing maternal stress and hyperactivity and increasing attention in children with ADHD and reducing their stress. J Except Child 2015;15(3):31. [Google Scholar]
19. Nishabouri Mohammadi M, Soltani Kouhbanani S. The effectiveness of intervention of maternal-child-based education in the treatment game of sterilization in children with autism disorder. Proceeding of the 4th National Consultation and Mental Health Conference; Ghouchan2016. [URL]
20. Bradford AB, Burningham KL, Sandberg JG, Johnson LN. The association between the parent-child relationship and symptoms of anxiety and depression: The roles of attachment and perceived spouse attachment behaviors. J Marital Fam Ther 2017;43(2):291-307. [DOI:10.1111/jmft.12190] [PMID]
21. Rajabpour M, Makvandhosseini S, Rafieinia P. The effectiveness of parent-child relationship therapy on preschool children's aggression. Clin Psychol 2012;4(1):65-74. [URL]
22. Abbaslo F. The effect of Parent-Child Relationship Therapy (CPRT) training on mothers on reducing behavioral problems in children with ADHD. Pajouhan Sci J 2020;18(4):31-8. [DOI:10.52547/psj.18.4.31]
23. Doaei S, Bourbour F, Teymoori Z, Jafari F, Kalantari N, Abbas Torki S, et al. The effect of omega-3 fatty acids supplementation on social and behavioral disorders of children with autism: a randomized clinical trial. Pediatr Endocrinol Diabetes Metab 2021;27(1):12-8. [DOI:10.5114/pedm.2020.101806] [PMID] []
24. Landreth G, Bratton S. Child-Parent Relationship Therapy (CPRT): An evidence-based 10-session filial therapy model. 2nd Edition ed. London: Taylor & Francis Group; 2020. [DOI:10.4324/9781315537948]
25. Raven J, Court J. Manual for Raven's Progressive Matrices and Vocabulary Scales Summary of Contents of All Sections 2023. [URL]
26. Rajabi G. Normalizing the Raven coloure progressive matrices test on students of city Ahvaz. Contem Psychol 2008;3(1):23-32. [Google Scholar]
27. Gilliam JE. Gilliam autism rating scale: Examiner's manual: Pro-ed; 1995. [URL]
28. Ahmadi S, Safari T, Hemmatian M, Khalili Z. The psychometric properties of Gilliam Autism Rating Scale (GARS). Res Cogn Behav Sci 2011;1(1):87-104. [URL]
29. Goodman R. A modified version of the Rutter parent questionnaire including extra items on children's strengths: a research note. Journal of Child Psychology and Psychiatry 1994;35(8):1483-94. [DOI:10.1111/j.1469-7610.1994.tb01289.x] [PMID]
30. Yousefi F. Rutter scale regulation in order to study the behavioral and emotional problems of the boy and the schoolchildren of Shiraz elementary school students. J Humanit Soc Sci Uni Shiraz 1998;25 & 26:171-94. [URL]
31. Jafari S, Parizad N, Radfar M, Khalkhali H. The effect of localized play therapy with parental involvement on stereotyped behaviors of children with autism. Nurs Midw J 2022;20(2):125-36. [DOI:10.52547/unmf.20.2.125]
32. Abduh B, Tahar MM. The effectiveness of brain gym and brain training intervention on working memory performance of student with learning disability. ICSAR 2018;2(2):105-11. [DOI:10.17977/um005v2i22018p105]
33. Amanelahi P, Shadfar A, Aslani PD. Effects of child-parent relationship therapy on maternal parenting stress and parental acceptance of primary school children. Q J Fam Res 2019;15(4):103-20. [Google Scholar]
34. Mostafavi S, Sha'eiri M, Asghari Moghadam M, Mahmoudi Gharaee M. The effect of play therapy based on parent-child relationship on the stress of mothers of children with behavioral problems. Clin Psychol Pers 2013;19(7):33-42. [URL]
35. Adili S, Mirzaie RR, Abedi A. The effectiveness of filial therapy on the quality of parent-child interactions and health-related quality of life in children with behavioral/emotional problems. JOEC 2019;19(1):59-70. [Google Scholar]

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