Deirdra Murphy

The Effect of Hippotherapy on Functional Outcomes for Children with Disabilities: A Pilot Study

Purpose: The purpose of this study was to measure the effect of hippotherapy on functional outcomes using the Goal Attainment Scale (GAS) for children with physical disabilities. Methods: Participants included 4 children aged 5 to 9 years with physical impairments and/or documented motor delays. Individual measurable objectives were developed using the GAS for each child. Data were collected on each child every other week throughout the baseline and intervention phase over 1 year using a multiple single case experimental A-B design. Results: Three of the 4 children had a significant improvement in functional outcomes based on a standardized T-score formula from the GAS. Two of the 4 children had statistically significant results on the nonparametric binomial test following 6 months of intervention. Conclusion: This study represents an initial attempt to use the GAS in a single-case design with a variety of pediatric diagnoses.

The marginalization of chronically ill adolescents

Chronic illness during adolescence adds a dimension to a developmental stage that already has the potential to be tumultuous. Consequences of marginalization that predispose well adolescents to risk behaviors such as low self-worth and feelings of isolation are compounded in the chronically ill. In the authors proposed model, it is essential that nurses promote strategies that empower chronically ill adolescents. Care should be community-based and have an integrated multidisciplinary approach involving nursing, medicine, allied health care providers, and, (very importantly) the social networks of the adolescent [38,39]. For optimal health outcomes, we must begin to empower the chronically ill to meet their developmental need both within their social and medical contexts.

An online social network to increase walking in dog owners: a randomized trial

PURPOSE Encouraging dog walking may increase physical activity in dog owners. This cluster-randomized controlled trial investigated whether a social networking Web site (Meetup™) could be used to deliver a multicomponent dog walking intervention to increase physical activity. METHODS Sedentary dog owners (n = 102) participated. Eight neighborhoods were randomly assigned to the Meetup™ condition (Meetup™) or a condition where participants received monthly e-mails with content from the American Heart Association regarding increasing physical activity. The Meetup™ intervention was delivered over 6 months and consisted of newsletters, dog walks, community events, and an activity monitor. The primary outcome was steps; secondary outcomes included social support for walking, sense of community, perceived dog walking outcomes, barriers to dog walking, and feasibility of the intervention. RESULTS Mixed-model analyses examined change from baseline to postintervention (6 months) and whether change in outcomes differed by condition. Daily steps increased over time (P = 0.04, d = 0.28), with no differences by condition. The time-condition interaction was significant for the perceived outcomes of dog walking (P = 0.04, d = 0.40), such that the Meetup™ condition reported an increase in the perceived positive outcomes of dog walking, whereas the American Heart Association condition did not. Social support, sense of community, and dog walking barriers did not significantly change. Meetup™ logins averaged 58.38 per week (SD, 11.62). Within 2 months of the intervention ending, organization of the Meetup™ groups transitioned from the study staff to Meetup™ members. CONCLUSIONS Results suggest that a Meetup™ group is feasible for increasing physical activity in dog owners. Further research is needed to understand how to increase participation in the Meetup™ group and facilitate greater connection among dog owners.

Supporting university students with autism spectrum disorder

Increasing numbers of students with autism spectrum disorder are entering higher education. Their success can be jeopardized by organizational, social/emotional, and academic challenges if appropriate supports are not in place. Our objective was to evaluate the effectiveness of a support group model for university students with autism spectrum disorder in improving psychological and functional outcomes. A curriculum guided the weekly discussions and consisted of topics such as time and stress management, managing group work, and social communication. Efficacy was assessed through pre- and post self-report measures focused on self-esteem, loneliness, anxiety, and depression. Functional changes in academic and social skills were examined through qualitative analysis of focus groups. Findings from the self-report measures indicated significant reductions in feelings of loneliness and general anxiety, and a significant increase in self-esteem at the end of the program compared to the beginning. Five prominent themes were identified in the focus-group analysis and reflected how the program had positively impacted participants’ skills and coping: executive functioning; goal setting; academics and resources; stress and anxiety; and social. Given the cost effectiveness of “in-house” interventions and the potential for improving academic outcomes and retention of students with autism spectrum disorder, further research examining similar program models is warranted.

Barriers and facilitators to dog walking in New England

Dog walking may increase physical activity among dogs and their owners. Understanding barriers and facilitators to walking the dog is critical to developing interventions to increase dog walking. This study aimed to confirm previously identified barriers and facilitators of dog walking, and to identify unique factors that may be relevant to dog walking in cities with variable weather. This mixed methods study used focus groups to identify barriers and facilitators associated with dog walking and a survey to examine which factors were associated with dog walking. Focus group participants described barriers, such as lack of time, weather, lack of places to walk and the dogs bad behaviour. Facilitators included enjoyment, dog walking norms (defined as the participants perception of how much the veterinarian, other dog owners, and their family think they should walk the dog), and socialisation opportunities. A hierarchical regression analysis of survey data revealed that the participants perception of dog ...