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  1. Article: Parenting Challenges and Reasons for Not Availing Rehabilitation Services Among Families of Adolescents with Autism Spectrum Disorder: A Qualitative Study.

    Noori, Fathima / Tiwari, Shivani / Padickaparambil, Sebastian / Pothiyil, Dan Isaac

    Indian journal of psychological medicine

    2022  Volume 45, Issue 3, Page(s) 263–270

    Abstract: Background: Autism spectrum disorder (ASD) is a lifelong condition requiring continued rehabilitation services. However, children with ASD who seek rehabilitation services tend to drop out once they enter puberty, because of varying reasons, some of ... ...

    Abstract Background: Autism spectrum disorder (ASD) is a lifelong condition requiring continued rehabilitation services. However, children with ASD who seek rehabilitation services tend to drop out once they enter puberty, because of varying reasons, some of which are unknown. This study intended to explore the reasons for not availing of rehabilitation services in families of adolescents with ASD and the parental challenges in taking care of adolescents with ASD.
    Method: The study followed a descriptive qualitative research design by conducting in-depth interviews with 12 primary caregivers of adolescents with ASD (10 to 19 years; mean age 16.3 years) who were not availing of any direct rehabilitation services. All interviews were conducted by telephone, and data obtained were subjected to thematic analysis.
    Results: The results showed two major themes, viz. reasons for discontinuing the rehabilitation services and parental challenges among primary caregivers of adolescents with ASD, and their corresponding subthemes. The reasons for discontinuation of rehabilitation included financial difficulties, difficulties in handling the child, and a lack of improvement in the child. A few of the parental challenges were disruptive behaviors and associated medical conditions of the child and difficulty in managing changes during adolescence.
    Conclusion: The study revealed several reasons as well as potential barriers to avail rehabilitation services in Indian families of adolescents with ASD. The data further unveil related parenting challenges specific to the Indian context. Further, implications for service providers and policymakers are discussed.
    Language English
    Publishing date 2022-06-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2622378-8
    ISSN 0975-1564 ; 0253-7176
    ISSN (online) 0975-1564
    ISSN 0253-7176
    DOI 10.1177/02537176221096769
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Authors' Response to the Comments on "Cross-disciplinary Appraisal of Knowledge and Beliefs Regarding the Diagnosis of Autism Spectrum Disorders in India: A Cross-sectional Survey".

    Jain, Atika / Tiwari, Shivani / Padickaparambil, Sebastian

    Indian journal of psychological medicine

    2020  Volume 42, Issue 4, Page(s) 405–406

    Language English
    Publishing date 2020-07-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2622378-8
    ISSN 0975-1564 ; 0253-7176
    ISSN (online) 0975-1564
    ISSN 0253-7176
    DOI 10.1177/0253717620932737
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Cross-Disciplinary Appraisal of Knowledge and Beliefs Regarding the Diagnosis of Autism Spectrum Disorders in India: A Cross-Sectional Survey.

    Jain, Atika / Tiwari, Shivani / Padickaparambil, Sebastian

    Indian journal of psychological medicine

    2020  Volume 42, Issue 3, Page(s) 219–224

    Abstract: Background: Many healthcare professionals, including pediatricians, psychiatrists, Clinical Psychologists (CPs), Occupational Therapists (OTs), and Speech-Language Pathologists (SLPs), are involved in the identification and intervention of Autism ... ...

    Abstract Background: Many healthcare professionals, including pediatricians, psychiatrists, Clinical Psychologists (CPs), Occupational Therapists (OTs), and Speech-Language Pathologists (SLPs), are involved in the identification and intervention of Autism Spectrum Disorders (ASD) in children. Distinctive training backgrounds and professional exposure can result in contrasting ideas regarding the assessment, diagnosis, and treatment of ASD. Only a few studies have addressed the cross-disciplinary perspective of knowledge, belief, and awareness about diagnostic criteria required for diagnosing ASD.
    Materials and methods: A total of 154 allied healthcare professionals (98 SLPs, 33 CPs, and 23 OTs) participated in the study. The survey tool used for this study was adapted from a previously available survey on the assessment of knowledge and belief about ASD and self-efficacy.
    Results: The overall knowledge and belief of allied healthcare professionals regarding ASD differed significantly across the groups. However, the knowledge of Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) diagnostic criteria for ASD did not differ significantly between the groups.
    Conclusion: Our findings have salient clinical implications and advocates for the continued education of healthcare professionals in India regarding recent diagnostic criteria for ASD.
    Language English
    Publishing date 2020-04-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2622378-8
    ISSN 0975-1564 ; 0253-7176
    ISSN (online) 0975-1564
    ISSN 0253-7176
    DOI 10.4103/IJPSYM.IJPSYM_163_19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effectiveness of a multifactorial context-enhancing functional therapy to promote functional arm use and recovery of stroke survivors: study protocol for a clinical trial.

    Rajagopalan, Vasanthan / Natarajan, Manikandan / Gorthi, Sankar Prasad / Padickaparambil, Sebastian / Solomon, John M

    BMJ open

    2019  Volume 9, Issue 9, Page(s) e023963

    Abstract: Introduction: After a stroke, 55% of survivors do not regain the ability to completely use their arm in daily life functioning. Currently, evidence-based guidelines recommend functional training for improving the affected hand after stroke. However, ... ...

    Abstract Introduction: After a stroke, 55% of survivors do not regain the ability to completely use their arm in daily life functioning. Currently, evidence-based guidelines recommend functional training for improving the affected hand after stroke. However, promoting an optimal quantity and quality of functional training is influenced by personal and environmental contextual factors. Studies that comprehensively target multiple factors regulating arm use are limited. This study compares the effects of functional training to multifactorial context-enhancing functional training program for improving functional arm use and recovery after stroke.
    Methods and analysis: This is a protocol for an observer-blinded, two parallel groups, randomised controlled trial. A total of 126 community-dwelling subacute and chronic stroke survivors will be included in the study. A tailor-made multifactorial context-enhancing intervention-incorporating education, environmental enrichment and behaviour change techniques to reinforce functional training will be provided to the experimental group. The functional training group will be provided with functional exercises. The intervention will be delivered for 2 months. The primary outcomes of functional arm use and recovery will be measured using Motor Activity Log, Goal Attainment Scale and Rating of Everyday Arm-use in the Community and Home scale. The secondary outcomes of arm motor impairment and function will be measured using Fugl-Meyer upper limb score, Action Research Arm Test, ABILHAND questionnaire and Stroke Impact Scale. These will be measured at three points in time: before, after 2 months and after 1-month follow-up. The outcome measures will be analysed using one-way analysis of variance and regression analysis will be performed to identify factors limiting optimal task practice.
    Ethics and dissemination: The study has been approved by the Institutional Ethics Committee of Kasturba Hospital, Manipal, India. Participants will sign a written informed consent prior to participation. The results will be published on completion of the trial and communicated to community-dwelling stroke survivors.
    Trial registration number: CTRI/2017/10/010108.
    MeSH term(s) Activities of Daily Living ; Double-Blind Method ; Exercise Therapy/standards ; Female ; Humans ; Male ; Observational Studies as Topic ; Paresis/etiology ; Paresis/rehabilitation ; Quality of Life ; Randomized Controlled Trials as Topic ; Recovery of Function ; Stroke/complications ; Stroke/therapy ; Stroke Rehabilitation/standards ; Survivors ; Upper Extremity/physiopathology
    Language English
    Publishing date 2019-09-17
    Publishing country England
    Document type Clinical Trial Protocol ; Journal Article
    ZDB-ID 2747269-3
    ISSN 2044-6055 ; 2044-6055 ; 2053-3624
    ISSN (online) 2044-6055
    ISSN 2044-6055 ; 2053-3624
    DOI 10.1136/bmjopen-2018-023963
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus.

    Mahmood, Amreen / Deshmukh, Anagha / Natarajan, Manikandan / Marsden, Dianne / Vyslysel, Glade / Padickaparambil, Sebastian / Ts, Shwetha / Direito, Artur / Kumaran, Senthil / N, Girish / Sachdev, Harpreet / Kumar Veluswamy, Sundar / Karthikbabu, Suruliraj / Unnikrishnan, B / English, Coralie / Solomon, John M

    BMJ open

    2022  Volume 12, Issue 1, Page(s) e055946

    Abstract: Objective: To develop a set of strategies to enhance adherence to home-based exercises after stroke, and an overarching framework to classify these strategies.: Method: We conducted a four-round Delphi consensus (two online surveys, followed by a ... ...

    Abstract Objective: To develop a set of strategies to enhance adherence to home-based exercises after stroke, and an overarching framework to classify these strategies.
    Method: We conducted a four-round Delphi consensus (two online surveys, followed by a focus group then a consensus round). The Delphi panel consisted of 13 experts from physiotherapy, occupational therapy, clinical psychology, behaviour science and community medicine. The experts were from India, Australia and UK.
    Results: In round 1, a 10-item survey using open-ended questions was emailed to panel members and 75 strategies were generated. Of these, 25 strategies were included in round 2 for further consideration. A total of 64 strategies were finally included in the subsequent rounds. In round 3, the strategies were categorised into nine domains-(1) patient education on stroke and recovery, (2) method of exercise prescription, (3) feedback and supervision, (4) cognitive remediation, (5) involvement of family members, (6) involvement of society, (7) promoting self-efficacy, (8) motivational strategies and (9) reminder strategies. The consensus from 12 experts (93%) led to the development of the framework in round 4.
    Conclusion: We developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders' experiences and the cost-effectiveness of implementing these strategies.
    MeSH term(s) Consensus ; Delphi Technique ; Exercise ; Humans ; Stroke/psychology ; Stroke/therapy ; Survivors/psychology
    Language English
    Publishing date 2022-01-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-055946
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A multicentric, 2 × 2 factorial, randomised, open-label trial to evaluate the clinical effectiveness of structured physical activity training and cognitive behavioural therapy versus usual care in heart failure patients: a protocol for the PACT-HF trial.

    Jeemon, Panniyammakal / Reethu, Salim / Ganapathi, Sanjay / Lakshmi Kanth, Lakshmipuram Rajappan / Punnoose, Eapen / Abdullakutty, Jabir / Mattumal, Shafeeq / Joseph, Johny / Joseph, Stigi / Venkateswaran, Chitra / Sunder, Poornima / Babu, Abraham Samuel / Padickaparambil, Sebastian / Neenumol, Kandagathuparambil Rajan / Chacko, Susanna / Shajahan, Shamla / Krishnankutty, Krishnaja / Devis, Selma / Joseph, Rani /
    Shemija, Bhagavathikandy / John, Sneha Anna / Harikrishnan, Sivadasanpillai

    Wellcome open research

    2022  Volume 7, Page(s) 210

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2022-08-12
    Publishing country England
    Document type Journal Article
    ISSN 2398-502X
    ISSN 2398-502X
    DOI 10.12688/wellcomeopenres.18047.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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