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PubMed1999

Parenting by people with learning disabilities: the educational needs of the community nurse.

This article discusses some of the findings of a research project which was designed to examine the role of community learning disability nurses in supporting people with learning disabilities who become parents. The need for information and help with the experience of pregnancy, childbirth, becoming parents and bringing up children has been highlighted in a recently issued guide for commissioning and providing services for people with learning disabilities (NHS Executive 1998). This research, however, indicates that nurses do not feel themselves to be adequately prepared for their role in supporting parenting. Responses from a questionnaire survey of 266 practitioners revealed little coverage of key issues relating to parenting on either pre-registration or post-basic courses and suggests, therefore, that some courses may not be meeting the perceived needs of these nurses in this crucial aspect of their role. This is likely to have significant consequences for this client group and suggests that educationalists need to consider ways of including more extensive discussion of parenting in educational provision for the multiplicity of professional groups who support and care for adults with learning disabilities.

Adult↗
PubMed1987

Specific auditory perceptual dysfunction in a learning disabled child.

An 11 1/2 year old child with learning disability was evaluated with a battery of auditory and linguistic test procedures: electrophysiologic (auditory brain stem, middle latency response, and late potentials), electroacoustic (stapedial reflexes), and behavioral (measures of phonetic-phonologic, syntactic, and semantic processing). The overall pattern of results suggested the presence of an isolated auditory-phonologic processing disorder. Results supported an auditory-perceptual, as opposed to a linguistic-cognitive, model of learning disability.

Aptitude↗
PubMed1985

Tactile stimulation and interhemispheric communication by learning disabled children: an exploratory study.

33 right-handed, learning disabled children aged 8-10 yr., 11-13 yr., and 14-16 yr. were presented a tactile discrimination task. Pairs of fabrics of different or the same texture were presented to the same hand (uncrossed condition) or alternating hands (crossed condition). Analysis indicated that the total number of crossed errors was significantly greater for the youngest children. There were no significant differences between the groups for the uncrossed condition. These results suggest that younger learning disabled children may experience greater difficulty on a task which required interhemispheric transfer.

Adolescent↗
PubMedDate not supplied

Neurodevelopmental precursors to learning disabilities: a preliminary report from a parent survey.

This study documented the number and type of neurodevelopmental problems reported by parents of children with and without learning disabilities (LD), and examined whether a pattern of problems could be identified. One hundred parents, 50 for each group, responded to a retrospective developmental survey. Their children were between 9 and 13 years of age and had a history of either typical academic achievement or classification of a learning disability. Results indicated that the children with learning disabilities were reported to have significantly more neurodevelopmental problems or delays across domains (e.g., language, motor, attention, social behavior) than normal achievers. The study showed that a sizeable portion, although not all, of the children with LD had a history of neurodevelopmental problems. Despite findings that suggest that some difficulties more commonly co-occurred than others, a pattern of neurodevelopmental difficulties was not observed in these children. However, some specific difficulties, such as with following multistep directions, printing letters of the alphabet, and understanding directions (e.g., up, down, right, left), seemed to most typify the students with learning disabilities.

Adolescent↗
PubMed2004

[A study of 100 consecutive children presenting with learning disabilities].

DESIGN: To determine the impact of a neuropediatrician view on diagnosis and management of learning disabilities. METHOD: Retrospective review of the medical records of the last 100 children attending for learning disabilities from 1st June 2000 through 31st May 2001. Assessment concerned school curriculum, type of management before consultation, diagnosis procedure and type of management following consultation. Differential diagnosis was made in 100% of cases following evaluation. RESULTS: The three main diagnoses were attentionnal deficit disorder with hyperactivity (39%), mental retardation (17%) and dyslexia (7%). Mental retardation and cerebral palsy diagnoses had not been made before consultation. Conversely, 70% of the diagnoses of dyslexia made before consultation were incorrect. Medical treatment was proposed in 38% of cases and modification in the management in 59% of cases. CONCLUSION: This study highlights the interest of a rigorous diagnosis procedure for learning disabilities, based on a neuropediatrics examination, a cognitive evaluation and phonological and lexical evaluation. It only may lead to an appropriate management.

Adolescent↗
PubMed1992

Grade retention rates among students with learning disabilities.

This study investigated the grade retention of students with learning disabilities. Data were collected on 689 students referred and identified as having learning disabilities during the 1987-88 school year in Indiana. Of these students, 58% had been retained before identification. The results of this investigation suggest that retention is being used as a remediation before labeling a student. Implications of this practice and alternatives to grade retention as a method to address the academic needs of students are discussed.

Achievement↗
PubMed1993

An analysis of labels for people with learning disabilities.

There have been many changes in the terminology used to describe people with learning disabilities in recent years. One of the arguments for 'new' terms is their more positive connotations. This claim was investigated in a study in which sixth-form pupils (age 16-19) completed semantic differentials for contemporary and older labels referring to learning disabilities. Apart from the label 'exceptional', all had very similar negative connotations. The problems arising from using denotative terms inaccurately in order to foster more positive images of individuals with learning disabilities are briefly discussed. Alternative ways of deciding between labels are suggested.

Adolescent↗
PubMed1998

Changes in services for students with learning disabilities in U.S. and Canadian medical schools, 1991 to 1997.

PURPOSE: To determine the changes between 1991 and 1997 in the admission policies of and services offered by U.S. and Canadian medical schools to students with learning disabilities. METHOD: Between June 1 and August 31, 1997, the author surveyed 144 medical schools in the United States and Canada regarding their services and programs for learning-disabled medical students. The questionnaire was the same one as used in a 1991 study. RESULTS: Of the medical schools contacted, 106 responded (one Canadian school sent a letter but did not complete the questionnaire). Ninety-four of 96 U.S. schools and seven of the remaining nine Canadian schools said that they accept students with learning disabilities. All of the respondents that accept such students claimed to make some academic accommodations. Most indicated that they would administer non-standard (e.g., untimed) licensing examinations, and many reported that their affiliated postgraduate medical training programs would also make appropriate accommodations for students with learning disabilities. CONCLUSION: When compared with the results from the 1991 survey, the new data suggest that medical schools have improved their services for learning-disabled students in response to the Americans with Disabilities Act.

Canada↗
PubMed1991

Identifying students with learning disabilities: the effect of implementing statewide guidelines.

Methods for identifying students with learning disabilities continue to be an area of controversy. The present investigation examined the impact of implementing statewide guidelines for the identification of these students. Data were collected from multidisciplinary team reports on 718 students with learning disabilities who were referred and labeled during the 1983-84 school year (before implementation of statewide learning disability guidelines) and 790 students who were identified during 1987-88 (after implementation of the guidelines). The results of the study revealed that the statewide guidelines significantly changed the characteristics of students who were identified. After the implementation of the guidelines, students with much more severe academic problems were identified. These students were much more likely to have a severe discrepancy and be chronically failing in the regular classroom. However, even with explicit, widely accepted guidelines, approximately one third of all students identified in 1987-88 failed to meet the stated criteria for identification. The implications of these findings for professional practice and future research are discussed.

Achievement↗
PubMedDate not supplied

Reading comprehension instruction: summarization and self-monitoring training for students with learning disabilities.

Forty-five middle-school students with learning disabilities were randomly assigned to one of three reading-comprehension training conditions: (a) summarization training, (b) summarization training with a self-monitoring component, or (c) traditional instruction. All students were interviewed before and after training regarding the strategies they typically employ during reading comprehension; during one training session, "think aloud" protocols were collected. Results indicated that students with learning disabilities trained in summarization procedures performed statistically higher on all dependent measures. In addition, on some transfer measures, students who were trained in the monitoring component statistically outperformed those with only the summarization training.

Adolescent↗
PubMed2001

Are antipsychotic drugs the right treatment for challenging behaviour in learning disability?: The place of a randomised trial.

People with learning disability sometimes display challenging behaviour. This can be managed by use of antipsychotic medication or behavioural therapy or both. There is no solid evidence, however, that these therapies are safe and effective. A randomised controlled trial of antipsychotic medication has been proposed to deliver such evidence. However, this presents difficult issues in the ethics of research with learning disabled people. In particular, is a trial the most efficient and fairest way to evaluate practice in this area? This paper reviews the clinical situation, gives the rationale for the trial, and analyses the ethical arguments for and against such a trial.

Antipsychotic Agents↗
PubMed2006

Learning disabilities and performance on the Pennsylvania System of School Assessment.

The No Child Left Behind Act mandates all students in schools receiving Title I funds show proficiency in reading by 2014. This stricture applies to students with diagnosed learning disabilities as well as to students without learning disabilities. Multiple regression analyses on data for seniors attending a Grade 9-12 predominately white, comprehensive vocational-technical school indicated that, when absenteeism, socioeconomic status, and sex were held constant, the 26 students with diagnosed learning disabilities scored 246.7 points lower on the Pennsylvania System of School Assessment Reading subtest (n = 107) and 214.4 points lower on the Pennsylvania System of School Assessment Mathematics subtest (n = 106) than students not so diagnosed, and the 27 students diagnosed with learning disabilities scored 126.3 points lower on the Writing subtest (n= 114) than students not so diagnosed.

Achievement↗
PubMedDate not supplied

Assessing pain in people with profound learning disabilities.

People with profound learning and multiple disabilities are at risk of pain because they experience complex and severe health conditions and frequently undergo surgical procedures that cause pain. Pain assessment in this client group requires a skilled approach, although there is little evidence available to guide nursing practice. In the absence of pain assessment measures specifically designed for use with people with profound learning disabilities, the nurse will need to rely on careful observation and interpretation of the client's communicative behaviour, clinical judgement and knowledge of the person during assessment. Intuition is also an important attribute and can be a valuable source of knowledge when assessing clients who are unable to verbalize their experience of pain. These issues, along with implications for nursing practice, are explored.

Communication↗
PubMedDate not supplied

The MMPI-2 profile of adults with learning disabilities in university and rehabilitation settings.

The primary purpose of this study was to compare the personality profiles of adults with learning disabilities attending a large state university (8 females, 8 males) to those participating in training programs in a rehabilitation setting (8 females, 18 males), in an attempt to identify affective variables that should be considered in transitional and postsecondary program planning. A secondary purpose of the study was to compare the performance of two groups of adults with learning disabilities (i.e., university and rehabilitation) to a normative group of college students. The mean age for all subjects was between 20 and 23 years. Findings from the study indicated that the personality profiles of individuals with learning disabilities in either a rehabilitation setting or seeking a university degree are significantly different from those of the normative population of normally achieving college students. The rehabilitation group in this study demonstrated feelings of social isolation, poor self-concept, self-doubt, and extreme restlessness. Somewhat different profiles were seen with the university group as they indicated feelings of fear, obsessive thoughts, lack of self-confidence, self-doubt, and extreme self-criticism. Both groups demonstrated profiles of individuals under extreme short- and long-term stress leading to anxiety. The study also reviewed the relevance and appropriateness of using the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) that will have direct application for the assessment and intervention of adults with learning disabilities either in a rehabilitation setting or seeking a university degree.

Adolescent↗
PubMed1983

Attentional deficit in learning-disabled children: evidence from visual half-field asymmetries.

The structural theory of cerebral lateralization has been typically used to explain hemispheric asymmetries. However, the attentional model of brain functioning may help resolve some of the inconsistent findings with groups of learning-disabled children. To test this hypothesis, a visual half-field paradigm for word recognition was employed in a group of 26 learning-disabled and 26 normal children matched for sex, chronological age, and handedness. Three experimental conditions (unilateral, cued unilateral, and bilateral) and two word error types (visually and acoustically confusable words) were analyzed. The results indicated that normals produced the expected RVHF superiority under all experimental conditions, but the learning-disabled produced the expected RVHF superiority only under the cued unilateral condition. Learning-disabled children also made significantly more visually and acoustically confusable errors than normals and unlike normal children increased the number of acoustic errors in the RVF under bilateral stimulation. These results provide evidence that learning-disabled children may process information inefficiently and have brain activation patterns that are more susceptible to attentional effects.

Adolescent↗
PubMed1999

Bereavement and grief in adults with learning disabilities. A follow-up study.

BACKGROUND: This paper reports on the follow-up of a cohort of parentally bereaved adults with learning disabilities. AIMS: To investigate whether significant psychopathology, present up to 2.1 years after the death, had resolved five years later. METHOD: Of an original sample of 50 adults with learning disabilities, 41 were reassessed. The Aberrant Behaviour Checklist and the Psychopathology Instrument for Mentally Retarded Adults were re-administered to carers. RESULTS: At follow-up, there was a small increase in the measures of aberrant behaviour. Measures of psychopathology showed improvement, and in particular there was a reduction in anxiety. CONCLUSIONS: The response to bereavement by adults with learning disabilities is similar in type, though not in expression, to that of the general population. Learning disability is a significant predictor of mental health problems following bereavement. Participants adapted more easily when basic emotional needs had been constructively met by carers.

Adult↗
PubMed1994

Explanatory model to describe school district prevalence rates for mental retardation and learning disabilities.

Data reports from South Carolina's 92 independent school districts were used to calculate prevalence rates of mental retardation and learning disabilities among school-age children. These prevalence rates were 41.66/1,000 children enrolled for mental retardation and 33.21/1,000 children enrolled for learning disabilities. The 1980-1981 school year was selected because this was the last year in which disaggregated reports were submitted for placement in educable mental handicap (EMH), trainable mental handicap (TMH), and profound mental handicap (PMH) programs. Exploratory factor analysis and multiple regression analysis were used to explain school district prevalence rates of categorization of children into programs for mental retardation and learning disabilities. Results show that community SES and tax inputs explain 39% of the variation in prevalence rates and that these factors affect rates indirectly.

Adolescent↗