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Behavioral management in children with intellectual disabilities in a resource-poor setting in Barwani, India

Ram Lakhan1

  • 1Department of Epidemiology and Biostatistics, School of Health Sciences, College of Public Service, Jackson State University, Jackson, MS, USA.

Indian Journal of Psychiatry
|February 28, 2014
PubMed

Insights

Behavioral interventions effectively improved behavior in children with intellectual disabilities (ID) in resource-poor Indian settings. Improvements were noted across all domains, with variations based on ID severity and co-occurring conditions.

Area of Science:

  • Child Psychology
  • Developmental Disabilities
  • Behavioral Science

Background:

  • Behavioral problems in children with intellectual disabilities (ID) are a significant challenge in resource-limited regions of India.
  • Effective management strategies are crucial for improving the quality of life for these children and their families.

Purpose of the Study:

  • To evaluate the efficacy of behavioral interventions for children with ID in resource-poor settings in India.
  • To analyze the outcomes of behavioral management programs implemented in clinical and community-based environments.

Main Methods:

  • A cohort of 104 children (ages 3-18) with ID and behavioral problems participated.
  • The Behavioral Assessment Scale for Indian Children with Mental Retardation (BASIC-MR) was used for pre- and post-intervention assessments.
  • Statistical analyses included the Wilcoxon matched-pairs signed-rank test and chi-squared test.

Main Results:

  • Significant behavioral improvements were observed across all assessed domains (P < 0.05).
  • The degree of improvement varied significantly based on the severity of intellectual disability (P = 0.001).
  • Children with multiple disabilities showed different levels of response compared to those without (P = 0.011).

Conclusions:

  • Behavioral interventions are effective for children with intellectual disabilities, even in resource-poor areas.
  • The findings support the feasibility and positive impact of implementing such interventions in underserved communities in India.
Abstract

Keywords:
Behavioral assessment scale for Indian children with mental retardationIndiabehavioral problemscommunity-based rehabilitationintellectual disabilitiesmultiple disabilitiestribal population

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