ORCID Profile
0000-0002-3689-1760
Current Organisations
Colorado State University
,
The University of Newcastle
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Publisher: Wiley
Date: 21-09-2017
DOI: 10.1111/DMCN.13560
Abstract: This study examined cross-sectional population-based rates in reported need and unmet need for occupational, physical, and speech therapy services in children with autism spectrum disorder (ASD) compared with children with attention-deficit-hyperactivity disorder (ADHD) and cerebral palsy (CP). The 2005-2006 and 2009-2010 (USA) National Survey of Children with Special Health Care data sets were used to compare therapy need and unmet need among children younger than 18 years with ASD (n=5178), ADHD (n=20 566), and CP (n=1183). Bivariate approaches and multivariate logistic regression using imputed data were used to identify associations between child and family characteristics, and access to therapy services. After adjusting for other variables, children with ASD had a significantly greater likelihood of having an unmet therapy need compared with children with ADHD (odds ratio [OR] 1.66, 95% confidence interval [CI] 1.36-2.03), but a similar unmet need as children with CP (OR 1.30, 95% CI 0.97-1.74). Factors associated with unmet need included survey year, younger child age, no health insurance, and increased functional and behavioral difficulties. Children in our s le had greater unmet therapy needs in 2009 than in 2005. Caregiver-reported reasons for unmet need included cost and school resources. Research examining future trends in therapy access are warranted for children with ASD and CP. Children with complex diagnoses of autism spectrum disorder and cerebral palsy had reported unmet need for therapy services. High costs of therapy were the primary reported reason contributing to reduced access among children.
Publisher: Elsevier
Date: 2020
Publisher: Wiley
Date: 05-07-2020
Publisher: MDPI AG
Date: 26-07-2020
Abstract: Play is known as the core occupation of young children as it lays a foundation for their early development and physical, emotional and social wellbeing. Literature suggests that unstructured free play and mindfulness interventions may independently promote wellbeing among preschoolers. However, there is no clear evidence of their combination in supporting wellness in early learning environments. We conducted a quasi-experimental study with 42 children aged four to six years, attending two kindergartens in Hong Kong. The intervention included unstructured play with non-directional loose parts (play materials), conducted outdoors for one hour daily followed by a mindfulness intervention for 10 min per day indoors. The intervention lasted for five consecutive days. We examined happiness and aspects of playfulness before and after the intervention, finding a significant increase in all areas. Given greater freedom in play choice, children showed more disruptive behaviors during unstructured play than the control group engaging in recess as usual. We conclude that unstructured play in addition to mindfulness intervention is effective in promoting students’ happiness and playfulness, both of which may help maintain mental health and wellbeing amid stressors such as transition and separation. The increased disruptive behavior requires additional investigation.
Publisher: AOTA Press
Date: 03-2023
Abstract: Importance: Although a central tenet of occupational therapy practice, evidence-based practice is at times overrepresented by research and can overlook the contributions of clinical expertise, the lived experience, and context. This survey affords the occupational therapy practitioner the opportunity to understand sensory integration and processing (SI/P) as experienced by autistic adults. Objective: To explore the following research question through a retrospective analysis of an internet-based survey: What is the relationship between the SI/P differences and mental health concerns reported by autistic adults? Design: Nonexperimental retrospective analysis of data collected from September 2018 through June 2019. The analysis team joined the project after the survey had been launched. Setting: The Grand Sensory Survey (GSS) was available internationally through the websites and social media accounts of the Autistic Empire and STAR Institute for Sensory Processing. Participants: The s le included 440 total responses. Excluding responses from participants ages ≤18 yr (n = 24), 416 responses were included: n = 189 identified as autistic, n = 147 identified as nonautistic, and n = 80 did not provide a response to this query. Outcomes and Measures: The GSS included questions about demographics, mental health, and sensory experiences. Results: Both SI/P disruptions and sensory sensitivity predicted anxiety and depression (p & .001). Conclusions and Relevance: Differences in SI/P are significant factors in mental health for autistic adults. What This Article Adds: We implicate multiple aspects of SI/P and their influence on mental health among autistic adults. The autistic-led design of the survey ensures representation of issues that are pivotal to the autistic community, broadening the template for aspects of SI/P that should be considered when looking at client factors in autism and influence on function and participation. Positionality Statement: The authors deliberately use identity first language in keeping with requests from the autistic community (see bout-asan/identity-first-language/). This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021 Kenny et al., 2016). This article is written from the perspective of the social model of disability and a neuro ersity affirming frame of reference. Three of the five authors are autistic.
Publisher: SAGE Publications
Date: 06-10-2023
DOI: 10.1177/00084174221129941
Abstract: Background. Integration of occupational therapy into a c environment may support participation for children with neurodevelopmental differences, but evidence is limited. Purpose. This study examines the effects of participation of children with regulation/sensory processing differences at one such integrated c on parent-established functional goals. Method. We used a pre-test ost-test repeated measures cohort design. In idualized goals were established with parents three months before c using the Canadian Occupational Performance Measure (COPM) ( n = 82, child ages 4–13). Parents re-rated goals immediately before, one month after, and three months after c . Findings. Repeated measures ANOVA revealed improvement in occupational performance over the week of c significantly exceeded change within the three months prior. Improvements remained stable three months post-c . Implications. Integrating occupational therapy within a c setting is beneficial for children with neurodevelopmental differences. The COPM can be integrated into a c setting to document meaningful change in in idualized parent-established goals.
Publisher: Springer Science and Business Media LLC
Date: 18-10-2021
Publisher: Springer Science and Business Media LLC
Date: 06-03-2022
DOI: 10.1007/S10803-021-04925-W
Abstract: This study explored potential influence of a text-based program for fathers of children on the autism spectrum. Fathers (N = 184) were recruited through autism services across Australia. Participants received messages focusing on five domains: (a) relationships with parenting partner (b) formal support (c) father-child interaction (d) understanding autism and, (e) coping. Surveys explored parenting stress, co-parenting quality and autism-specific parenting self-efficacy. Eighty-eight percent completed the program, 43.6% completed pre and post surveys. There was significant reduction in parenting stress (p < .01) and increase in autism-specific parenting self-efficacy (p < .01). Effect sizes indicate these may be clinically meaningful. This highly scalable intervention has potential to influence factors that shape and sustain relationships fathers share with their children on the autism spectrum, families and services.
Publisher: WMU Department of Occupational Therapy
Date: 15-01-2023
Publisher: AOTA Press
Date: 03-2023
Abstract: Importance: Parent–child play is a beneficial and meaningful co-occupation. Therapists who want to optimize parent–child play for Latino- and Latina-American dyads need valid, reliable measures to assess caregiver playfulness in addition to preexisting measures of child playfulness. Objective: To evaluate data collected from Latino-American caregivers with the Scale of Parental Playfulness Attitude (PaPA), a 28-item parent self-report to determine its construct validity, internal reliability, and cross-cultural validity. Design: Quantitative exploratory design applying a latent-trait psychometric model. Setting: Online survey. Participants: Convenience s le of 50 Spanish-speaking parents from the mainland United States recruited via snowballing (88% mothers, ages 24–47 yr M = 34.8 yr 82% first-generation Americans). The inclusion criteria were age ≥18 yr literate in Spanish primary caregiver to a child age 2.5–7 yr. Data from an existing s le of 50 parents dwelling in Puerto Rico were used to examine cross-cultural validity. Outcomes and Measures: Rasch analysis demonstrated evidence for adequate construct validity: positive point-measure correlations, 93% fit of items, logical item hierarchy, and good progression of the rating scale. Range and mean for parent playfulness exceeded those of the items principal-components analysis revealed one contrast of 4.46 eigenvalues, bringing unidimensionality into question. Evidence suggested excellent internal reliability (person-reliability index = 0.85, strata = 3.55) and good cross-cultural validity (25 of 28 items formed a similar hierarchy for parents dwelling in the mainland United States and Puerto Rico). Conclusions and Relevance: Although the PaPA can be used to assess caregiver playfulness with culturally erse Latino-American dyads, further research is required. What This Article Adds: This study provides evidence for the construct validity and internal reliability of a tool that measures parent playfulness in the context of parent–child play. The PaPA is an important tool for occupational therapists working with Latino-American families.
Publisher: Wiley
Date: 06-2020
DOI: 10.1111/NHS.12732
Publisher: Hindawi Limited
Date: 17-06-2021
DOI: 10.1155/2021/6662724
Abstract: Aim. To review current evidence regarding the effectiveness of occupational therapy coaching interventions for parents of children with sensory integration difficulties, delivered to in iduals or groups of parents. Method. A historical scoping review was completed of empirical research records to summarize what is known and how this information can guide future research. The process was guided by PRISMA guidelines. Inclusion criteria were English language and peer-reviewed empirical studies of parent coaching intervention for children with sensory processing or sensory integration difficulties. Five databases were searched. Papers were critically reviewed using McMaster’s guidelines. Results. Four studies met the search criteria. Three studies took a direct coaching approach with in idual parents or families. The fourth study took a mixed educational/coaching approach with groups of parents and teachers. Conclusion. There is some evidence to conclude that occupational therapists can deliver in idual parent-focused coaching interventions which impact positively on in idual child goals, parental stress, and sense of competence. Group intervention can lead to caregivers’ improved perceived and actual knowledge of sensory integration, as well as a sense of self-efficacy in dealing with sensory-related child behaviors. Current evidence is limited. Suggestions for future research are offered.
Publisher: Springer Science and Business Media LLC
Date: 25-03-2017
Publisher: SAGE Publications
Date: 07-12-2019
Abstract: Preliminary reports support the hypothesis that sensory issues may be related to atypical defecation habits in children. Clinical practice in this area is limited by the lack of validated measures. The toileting habit profile questionnaire was designed to address this gap. This study included two phases of validity testing. In phase 1, we used Rasch analysis of existing data to assess item structural validity, directed content analysis of recent literature to determine the extent to which items capture clinical concerns, and expert review to validate the toileting habit profile questionnaire. Based on phase 1 outcomes, we made adjustments to toileting habit profile questionnaire items. In phase 2, we examined the item structural validity of the revised toileting habit profile questionnaire. Phase 1 resulted in a 17-item questionnaire: 15 items designed to identify habits linked to sensory over-reactivity and two designed to identify sensory under-reactivity and/or poor perception items. The analysis carried out in phase 2 supported the use of the sensory over-reactivity items. Remaining items can be used as clinical observations. Caregiver report of behaviour using the revised toileting habit profile questionnaire appears to adequately capture challenging defecation behaviours related to sensory over-reactivity. Identifying challenging behaviours related to sensory under-reactivity and/or perception issues using exclusively the revised toileting habit profile questionnaire is not recommended.
Publisher: Frontiers Media SA
Date: 06-09-2019
Publisher: MDPI AG
Date: 19-03-2021
Abstract: The authors wish to make the following corrections to their paper [...]
Publisher: AOTA Press
Date: 2023
Abstract: Importance: Parent training is an essential part of occupational therapy intervention for children with sensory processing and sensory integration (SP–SI) challenges, and parents’ learning needs should be considered. Objective: To identify the extent to which adult learning needs are considered in occupational therapy literature addressing parent training as a part of intervention for children with SP–SI challenges. Data Sources: Searches were performed of the following databases: MEDLINE, PsycINFO, CINAHL, Web of Science, EMBASE, and ERIC. The date range was limited to 1990 to 2019 to capture literature focused on family-centered care. Study Selection and Data Collection: Using Arksey and O’Malley’s framework for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews Checklist, the following criteria were used to guide the literature searches: population (parents and families of children with SP–SI challenges), intervention (parent training), outcomes (parent learning needs), and concept (parents as adult learners). Findings: Searches produced 133 peer-reviewed articles, and 5 met the criteria for inclusion. Qualitative thematic analysis, including stakeholder interviews, revealed two themes: (1) Parents focus on children’s needs, not their own, and (2) parents benefit from connection with peers and learn through shared experiences. Conclusions and Relevance: Parent training is an essential component of occupational therapy however, there is limited occupational therapy evidence examining parents’ learning needs, specifically parents of children with SP–SI challenges. Future studies should investigate parents’ learning needs in relation to occupational therapy intervention for families of children with SP–SI challenges. What This Article Adds: Parents’ learning needs are both rarely considered in the occupational therapy literature and important for best practice in pediatric therapy for children with SP–SI challenges. The results of this scoping review point to the need for further investigation of parent training programs specifically examining parents as adult learners.
Publisher: Informa UK Limited
Date: 26-04-2023
Publisher: Wiley
Date: 12-12-2018
DOI: 10.1002/AUR.2046
Publisher: Informa UK Limited
Date: 29-03-2019
Publisher: Wiley
Date: 28-06-2019
DOI: 10.1002/AUR.2164
Publisher: AOTA Press
Date: 05-2019
Abstract: OBJECTIVE. We examined the literature to identify reports of sensory integration concerns in children with functional defecation issues and to explore whether difficulty processing sensation may be related to their challenging bowel management behaviors. METHOD. A scoping review was used to address the research question. We sourced articles from six databases in three languages, searched reference lists of all included articles, and identified additional articles through discussion with experts in the field. RESULTS. Twelve articles were included in the final synthesis, identifying 15 challenging behaviors potentially related to sensory integration concerns. CONCLUSION. We summarize research documenting sensory integration concerns in children with functional defecation issues, providing researchers and clinicians with an overview of the current state of understanding.
Publisher: Frontiers Media SA
Date: 17-05-2022
DOI: 10.3389/FPSYG.2022.877527
Abstract: The prevalence of sleep dysfunction is considerably higher in the autistic population than in the non-autistic. Similarly, the incidence of sensory reactivity differences in autism exceeds that in the neurotypical population. The basis of sleep disorders in autism is multifactorial, but sensory integration rocessing concerns may play a role. Research that investigates this interplay for autistic in iduals is limited but vital. In this scoping review, we examined literature addressing the following research question: What is the relationship between sleep and sensory integration rocessing in autism? We included articles if they were peer-reviewed, English or Spanish, purposefully addressed sensory integration rocessing differences, were sleep focused and included autism as the primary diagnosis or population. Articles were excluded if the language was not English or Spanish, research was conducted with animals, they were non-peer-reviewed, the primary population was not autistic, the sensory focus reflected a specific sensorineural loss (e.g., blindness, or deafness), there was not a clear inclusion of sensory integration rocessing or sleep. We searched six databases and included all citations from the inception of each database through June 2021. The search strategy identified 397 documents that were reduced to 24 included articles after exclusion criteria were applied. The majority of studies we identified characterized the relation between sleep and sensory integration rocessing differences in autism. Investigators found multiple sleep concerns such as bedtime resistance, sleep anxiety, delayed sleep onset, night awaking, and short sleep duration in autistic in iduals. Identified sensory concerns focused on reactivity, finding hyper- and hypo-reactivity as well as sensory seeking across sensory domains. Co-existence of sleep concerns and sensory integration rocessing differences was frequently reported. Few intervention studies showed a clear sensory focus those that did emphasized pressure, movement, touch, and in idual sensory preferences/needs. Swimming programs and massage showed promising results. No studies were of high quality. At a minimum, there is a co-existence of sensory reactivity differences and sleep concerns in autistic children, and possibly autistic adults. The relationship between poor sleep and sensory integration rocessing differences is complex and multi-faceted, requiring additional research. Interventions that purposefully include a central sensory component have not been well studied in autistic children or adults. Overall studies with greater rigor and purposeful use of sensation and sensorimotor supports as a component of intervention are needed. This study was not funded.
Publisher: SAGE Publications
Date: 29-06-2017
Abstract: Preterm infants admitted to the Neonatal Intensive Care Unit are at higher risk of poor neurodevelopmental and sensory outcomes. There is interest in establishing whether elements of the Neonatal Intensive Care Unit sensory environment may influence the sensory and overall development of these infants. The purpose of this scoping review was to provide a comprehensive overview of relevant research regarding the sensory elements of the Neonatal Intensive Care Unit, and their short- and long-term influence on preterm infants. This scoping review is underpinned by the six-stage framework by Arksey and O’Malley. There are few studies that have directly examined the influence of the Neonatal Intensive Care Unit environment upon the sensory and developmental outcomes of infants born preterm, in infancy. The findings of the studies included in this review suggest that the Neonatal Intensive Care Unit sensory environment may alter developmental trajectories of preterm infants. However, low-quality evidence exists in this field, with much of the literature being preliminary. Further experimental studies are required that combine multiple methods of assessment to more rigorously understand the sensory characteristics of the Neonatal Intensive Care Unit, and their relationship with developmental outcomes across early childhood.
Publisher: Springer Science and Business Media LLC
Date: 07-11-2021
Publisher: No publisher found
Date: 2017
DOI: 10.7812/TPP/17-047
Publisher: MDPI AG
Date: 28-06-2019
Abstract: Sensory integration, now trademarked as Ayres Sensory Integration® or ASI, is based on principles of neuroscience and provides a framework for understanding the contributions of the sensory and motor foundations of human behavior. The theory and practice of ASI continues to evolve as greater understanding of the neurobiology of human behavior emerges. In this paper we examine core constructs of ASI identified in the seminal work of Dr. Jean Ayres, and present current neuroscience research that underlies the main patterns of sensory integration function and dysfunction. We consider how current research verifies and clarifies Ayres’ propositions by describing functions of the vestibular, proprioceptive, and tactile sensory systems, and exploring their relationships to ocular, postural, bilateral integration, praxis, and sensory modulation. We close by proposing neuroplasticity as the mechanisms underlying change as a result of ASI intervention.
Publisher: Informa UK Limited
Date: 17-08-2023
Publisher: Virginia Tech Libraries
Date: 2023
Publisher: Frontiers Media SA
Date: 07-06-2022
Location: United States of America
No related grants have been discovered for Shelly J Lane.