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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Year-Long Caregiver Training Program Improves Cognition in Preschool Ugandan Children with HIV</title><author><name sortKey="Boivin, Michael J" sort="Boivin, Michael J" uniqKey="Boivin M" first="Michael J." last="Boivin">Michael J. Boivin</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Neurology/Ophthalmology, Michigan State University, East Lansing, MI, United States; East Lansing, MI, United States</nlm:aff></affiliation></author><author><name sortKey="Bangirana, Paul" sort="Bangirana, Paul" uniqKey="Bangirana P" first="Paul" last="Bangirana">Paul Bangirana</name><affiliation><nlm:aff id="A2">Department of Psychiatry, Makerere University, Kampala, Uganda</nlm:aff></affiliation></author><author><name sortKey="Nakasujja, Noeline" sort="Nakasujja, Noeline" uniqKey="Nakasujja N" first="Noeline" last="Nakasujja">Noeline Nakasujja</name><affiliation><nlm:aff id="A2">Department of Psychiatry, Makerere University, Kampala, Uganda</nlm:aff></affiliation></author><author><name sortKey="Page, Connie F" sort="Page, Connie F" uniqKey="Page C" first="Connie F." last="Page">Connie F. Page</name><affiliation><nlm:aff id="A3">Department of Probability and Statistics, Michigan State University</nlm:aff></affiliation></author><author><name sortKey="Shohet, Cilly" sort="Shohet, Cilly" uniqKey="Shohet C" first="Cilly" last="Shohet">Cilly Shohet</name><affiliation><nlm:aff id="A4">School of Education, Bar Ilan University, Ramat-Gan, Israel</nlm:aff></affiliation></author><author><name sortKey="Givon, Deborah" sort="Givon, Deborah" uniqKey="Givon D" first="Deborah" last="Givon">Deborah Givon</name><affiliation><nlm:aff id="A4">School of Education, Bar Ilan University, Ramat-Gan, Israel</nlm:aff></affiliation></author><author><name sortKey="Bass, Judith K" sort="Bass, Judith K" uniqKey="Bass J" first="Judith K." last="Bass">Judith K. Bass</name><affiliation><nlm:aff id="A5">Psychiatric Epidemiology Program, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA</nlm:aff></affiliation></author><author><name sortKey="Opoka, Robert O" sort="Opoka, Robert O" uniqKey="Opoka R" first="Robert O." last="Opoka">Robert O. Opoka</name><affiliation><nlm:aff id="A6">Department of Paediatrics and Child Health, Makerere University, Kampala, Uganda</nlm:aff></affiliation></author><author><name sortKey="Klein, Pnina S" sort="Klein, Pnina S" uniqKey="Klein P" first="Pnina S." last="Klein">Pnina S. Klein</name><affiliation><nlm:aff id="A4">School of Education, Bar Ilan University, Ramat-Gan, Israel</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23958115</idno><idno type="pmc">3812379</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812379</idno><idno type="RBID">PMC:3812379</idno><idno type="doi">10.1016/j.jpeds.2013.06.055</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001853</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001853</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Year-Long Caregiver Training Program Improves Cognition in Preschool Ugandan Children with HIV</title><author><name sortKey="Boivin, Michael J" sort="Boivin, Michael J" uniqKey="Boivin M" first="Michael J." last="Boivin">Michael J. Boivin</name><affiliation><nlm:aff id="A1">Department of Psychiatry and Neurology/Ophthalmology, Michigan State University, East Lansing, MI, United States; East Lansing, MI, United States</nlm:aff></affiliation></author><author><name sortKey="Bangirana, Paul" sort="Bangirana, Paul" uniqKey="Bangirana P" first="Paul" last="Bangirana">Paul Bangirana</name><affiliation><nlm:aff id="A2">Department of Psychiatry, Makerere University, Kampala, Uganda</nlm:aff></affiliation></author><author><name sortKey="Nakasujja, Noeline" sort="Nakasujja, Noeline" uniqKey="Nakasujja N" first="Noeline" last="Nakasujja">Noeline Nakasujja</name><affiliation><nlm:aff id="A2">Department of Psychiatry, Makerere University, Kampala, Uganda</nlm:aff></affiliation></author><author><name sortKey="Page, Connie F" sort="Page, Connie F" uniqKey="Page C" first="Connie F." last="Page">Connie F. Page</name><affiliation><nlm:aff id="A3">Department of Probability and Statistics, Michigan State University</nlm:aff></affiliation></author><author><name sortKey="Shohet, Cilly" sort="Shohet, Cilly" uniqKey="Shohet C" first="Cilly" last="Shohet">Cilly Shohet</name><affiliation><nlm:aff id="A4">School of Education, Bar Ilan University, Ramat-Gan, Israel</nlm:aff></affiliation></author><author><name sortKey="Givon, Deborah" sort="Givon, Deborah" uniqKey="Givon D" first="Deborah" last="Givon">Deborah Givon</name><affiliation><nlm:aff id="A4">School of Education, Bar Ilan University, Ramat-Gan, Israel</nlm:aff></affiliation></author><author><name sortKey="Bass, Judith K" sort="Bass, Judith K" uniqKey="Bass J" first="Judith K." last="Bass">Judith K. Bass</name><affiliation><nlm:aff id="A5">Psychiatric Epidemiology Program, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA</nlm:aff></affiliation></author><author><name sortKey="Opoka, Robert O" sort="Opoka, Robert O" uniqKey="Opoka R" first="Robert O." last="Opoka">Robert O. Opoka</name><affiliation><nlm:aff id="A6">Department of Paediatrics and Child Health, Makerere University, Kampala, Uganda</nlm:aff></affiliation></author><author><name sortKey="Klein, Pnina S" sort="Klein, Pnina S" uniqKey="Klein P" first="Pnina S." last="Klein">Pnina S. Klein</name><affiliation><nlm:aff id="A4">School of Education, Bar Ilan University, Ramat-Gan, Israel</nlm:aff></affiliation></author></analytic><series><title level="j">The Journal of pediatrics</title><idno type="ISSN">0022-3476</idno><idno type="eISSN">1097-6833</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P2">To evaluate if mediational intervention for sensitizing caregivers (MISC) MISC biweekly caregiver training significantly enhanced child development, compared with biweekly training on health and nutrition (active control) and to evaluate whether MISC training improved the emotional well-being of the caregivers compared with controls.</p></sec><sec id="S2"><title>Study design</title><p id="P3">Sixty of 120 rural Ugandan preschool child/caregiver dyads with HIV were assigned by randomized clusters to biweekly MISC training alternating between home and clinic for one year. Control dyads received a health and nutrition curriculum. Children were evaluated at baseline, 6 months, and 1 year with the Mullen Early Learning Scales and the Color-Object Association Test (COAT) for memory. Caldwell HOME and videotaped child/caregiver MISC interactions also were evaluated. Caregivers were evaluated for depression and anxiety with the Hopkins Symptoms Checklist.</p></sec><sec id="S3"><title>Results</title><p id="P4">Between-group repeated-measures ANCOVA comparisons were made with age, sex, CD4 levels, viral load, material SES, physical development, and HAART treatment status as covariates. The children given MISC had significantly greater gains compared with controls on the Mullen Visual Reception scale (visual-spatial memory) and on COAT memory. MISC caregivers significantly improved on HOME scale and total frequency of MISC videotaped interactions. MISC caregivers also were less depressed. Mortality was less for children given MISC compared with controls during the training year.</p></sec><sec id="S4"><title>Conclusions</title><p id="P5">MISC was effective in teaching Ugandan caregivers to enhance their children’s cognitive development through practical and sustainable techniques applied during daily interactions in the home.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0375410</journal-id><journal-id journal-id-type="pubmed-jr-id">5127</journal-id><journal-id journal-id-type="nlm-ta">J Pediatr</journal-id><journal-id journal-id-type="iso-abbrev">J. Pediatr.</journal-id><journal-title-group><journal-title>The Journal of pediatrics</journal-title></journal-title-group><issn pub-type="ppub">0022-3476</issn><issn pub-type="epub">1097-6833</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23958115</article-id><article-id pub-id-type="pmc">3812379</article-id><article-id pub-id-type="doi">10.1016/j.jpeds.2013.06.055</article-id><article-id pub-id-type="manuscript">NIHMS502485</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>A Year-Long Caregiver Training Program Improves Cognition in Preschool Ugandan Children with HIV</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Boivin</surname><given-names>Michael J.</given-names></name><degrees>PhD, MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Bangirana</surname><given-names>Paul</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Nakasujja</surname><given-names>Noeline</given-names></name><degrees>PhD, MMed</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Page</surname><given-names>Connie F.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Shohet</surname><given-names>Cilly</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Givon</surname><given-names>Deborah</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Bass</surname><given-names>Judith K.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Opoka</surname><given-names>Robert O.</given-names></name><degrees>MMed, MPH</degrees><xref ref-type="aff" rid="A6">6</xref></contrib><contrib contrib-type="author"><name><surname>Klein</surname><given-names>Pnina S.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A4">4</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Psychiatry and Neurology/Ophthalmology, Michigan State University, East Lansing, MI, United States; East Lansing, MI, United States</aff><aff id="A2"><label>2</label>Department of Psychiatry, Makerere University, Kampala, Uganda</aff><aff id="A3"><label>3</label>Department of Probability and Statistics, Michigan State University</aff><aff id="A4"><label>4</label>School of Education, Bar Ilan University, Ramat-Gan, Israel</aff><aff id="A5"><label>5</label>Psychiatric Epidemiology Program, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA</aff><aff id="A6"><label>6</label>Department of Paediatrics and Child Health, Makerere University, Kampala, Uganda</aff><author-notes><corresp id="FN1">Address correspondence to: Michael J. Boivin, Department of Psychiatry, 965 Fee Road, Room A227, Michigan State University, East Lansing, MI 48824, USA, [ <email>boivin@msu.edu</email>]; Office Phone: +1 517-432-4203; FAX: +1 517 884-275</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>8</day><month>8</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>16</day><month>8</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>11</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>11</month><year>2014</year></pub-date><volume>163</volume><issue>5</issue><elocation-id>10.1016/j.jpeds.2013.06.055</elocation-id><permissions><copyright-statement>© 2013 Mosby, Inc. All rights reserved.</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><sec id="S1"><title>Objective</title><p id="P2">To evaluate if mediational intervention for sensitizing caregivers (MISC) MISC biweekly caregiver training significantly enhanced child development, compared with biweekly training on health and nutrition (active control) and to evaluate whether MISC training improved the emotional well-being of the caregivers compared with controls.</p></sec><sec id="S2"><title>Study design</title><p id="P3">Sixty of 120 rural Ugandan preschool child/caregiver dyads with HIV were assigned by randomized clusters to biweekly MISC training alternating between home and clinic for one year. Control dyads received a health and nutrition curriculum. Children were evaluated at baseline, 6 months, and 1 year with the Mullen Early Learning Scales and the Color-Object Association Test (COAT) for memory. Caldwell HOME and videotaped child/caregiver MISC interactions also were evaluated. Caregivers were evaluated for depression and anxiety with the Hopkins Symptoms Checklist.</p></sec><sec id="S3"><title>Results</title><p id="P4">Between-group repeated-measures ANCOVA comparisons were made with age, sex, CD4 levels, viral load, material SES, physical development, and HAART treatment status as covariates. The children given MISC had significantly greater gains compared with controls on the Mullen Visual Reception scale (visual-spatial memory) and on COAT memory. MISC caregivers significantly improved on HOME scale and total frequency of MISC videotaped interactions. MISC caregivers also were less depressed. Mortality was less for children given MISC compared with controls during the training year.</p></sec><sec id="S4"><title>Conclusions</title><p id="P5">MISC was effective in teaching Ugandan caregivers to enhance their children’s cognitive development through practical and sustainable techniques applied during daily interactions in the home.</p></sec></abstract><kwd-group><kwd>child development</kwd><kwd>HIV</kwd><kwd>caregiver</kwd><kwd>training</kwd><kwd>Uganda</kwd><kwd>language</kwd><kwd>HAART</kwd><kwd>nutrition</kwd><kwd>cognition</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>R34 MH082663 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source><award-id>R01 HD070723 || HD</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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