■由于复杂和非典型的发育轨迹,激发患有严重或严重智力障碍(ID)和严重智力障碍和多重障碍(PIMD)的儿童的情绪和行为状态变得越来越难以捉摸。很明显,环境,受天气条件和一天中的时间的影响,在塑造儿童的行为中起着举足轻重的作用,情感,和互动。这强调了环境作为探索患有PIMD/ID的儿童的交流动态的关键因素的重要性。
■在秋季和冬季超过五个月,我们对20名8~16岁的PIMD/ID儿童进行了105次录像.这些会议旨在捕捉护理人员解释的情绪和行为状态,同时收集室内和室外天气指数,location,和时间数据。使用针对个体特征和位置变异性进行调整的交叉分类多级和一般线性模型,并进行随后的简单斜率分析,我们研究了室内和室外天气指数以及一天中的时间对患有PIMD/ID的儿童的情绪和行为状态的主要和季节性交互作用。
■模型显示,较高的大气压(atm),表示宜人和有利的天气条件,与增加的参与度(室内:p<0.01;室外:p<0.01)和兴趣(室外:p<0.01)行为有关。相比之下,午餐时间前参与度下降(p<0.01;p<0.001),以及以低压系统(p<0.05)和较强风速(p<0.05)为特征的恶劣或不稳定天气条件导致更多的拒绝或分歧。在冬季,儿童与照顾者的一致性显著提高(p<0.001).有趣的是,他们在阴天也参与更多(p<0.05)。此外,简单的斜率分析表明,秋季高atm条件与更多的参与有关(p<0.05),而潮湿条件则预测更多的参与行为(p<0.001)。然而,多云天气预测冬季注意力集中(p<0.05)和兴趣(p<0.01)行为较少。
■这项研究证实了天气指数的波动,包括季节变化和一天中的时间,可以提供潜在的途径指标并补充行为观察,以引起患有PIMD/ID的儿童的行为状态。这些发现强调了在为该人群设计有意义的互动和沟通干预措施时考虑这些因素的重要性。
UNASSIGNED: Eliciting the emotional and behavioral states of children with severe or profound intellectual disabilities (IDs) and profound intellectual and multiple disabilities (PIMD) due to their complex and atypical developmental trajectories has become increasingly elusive. It is evident that the environment, influenced by weather conditions and time of the day, plays a pivotal role in molding children\'s behaviors, emotions, and interactions. This underscores the significance of the environment as a critical factor in exploring the communication dynamics of children with PIMD/IDs.
UNASSIGNED: Over five months during fall and winter seasons, we conducted 105 video-recorded sessions with 20 children aged 8 to 16 with PIMD/IDs. These sessions aimed to capture the emotional and behavioral states interpreted by caregivers while simultaneously collecting indoor and outdoor weather indices, location, and time data. Using cross-classified multilevel and general linear models adjusted for individual characteristics and location variability with subsequent simple slope analyses, we examined the main and seasonal interaction effects of indoor and outdoor weather indices and time of the day on the emotional and behavioral states of children with PIMD/IDs.
UNASSIGNED: The models revealed that higher atmospheric pressure (atm), indicative of pleasant and favorable weather conditions, was associated with increased engagement (indoor: p < 0.01; outdoor: p < 0.01) and interest (outdoor: p < 0.01) behaviors. In contrast, engagement levels decreased before lunchtime (p < 0.01; p < 0.001), and inclement or unstable weather conditions characterized by low-pressure systems (p < 0.05) and stronger wind speed (p < 0.05) led to more refusal or disagreement. During winter, children displayed significantly more agreement with their caregivers (p < 0.001). Interestingly, they also engaged more on cloudy days (p < 0.05). Furthermore, simple slope analyses revealed that high atm conditions in fall were linked to more engagement (p < 0.05) while humid conditions predicted more assent behaviors (p < 0.001). However, cloudy weather predicted less attentional focusing (p < 0.05) and interest (p < 0.01) behaviors in winter.
UNASSIGNED: This study confirms that fluctuations in weather indices, including seasonal changes and time of the day, can provide potential pathway indicators and supplement behavioral observations to elicit the behavioral states of children with PIMD/IDs. These findings highlight the importance of considering these factors when designing meaningful interactions and communication interventions for this population.