Sensory-based Art Therapy for Children with Developmental Trauma

This research explores the therapeutic characteristics of the art‟s sensory properties in art therapy treatment for children with developmental trauma. The researcher used interview as a method for gathering data in the qualitative research design. Two art therapists were interviewed individually in order to gain a deeper understanding about the research topic. The participants were selected based on their knowledge and practice utilizing art therapy in cases related to developmental trauma. The data gathered were coded and analyzed for emergent findings. The researcher finds that sensory-based art therapy facilitates regulation of affect and behavior, attachment repair, and the potential to process trauma memory through regression in the art. Also, the therapist‟s role as a witness for the client and a provider of a safe holding space is found to be a crucial component in sensory-based art therapy. These findings suggest implications for clinical practice and the careful construction of sensory-based art therapy according to the client‟s developmental age. Regression stimulated by loose art media may be a key component of trauma treatment. In order to regulate a child‟s affect and behavior, the art material and its quantity must be carefully selected based on its inherent sensory properties. Containment and attachment repair as the overarching goals of the art therapy treatment may also influence the selection of which art materials may be utilized. The researcher recommends a broader research study to explore treatment implications concerning sensory-based art interventions for children with developmental trauma

Forget & Diversify: Regularized Refinement for Weakly Supervised Object Detection

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Adaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis

BackgroundThe Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equivalence, acceptability, and content validity of the WHQ for use across low- and middle-income countries, and to make recommendations for its adaptation.MethodsThis was a mixed-methods study within a trial (SWAT) embedded in an international randomized trial, conducted according to best practice guidelines, and co-produced with community and patient partners (TALON-1). Structured interviews and focus groups were used to gather data regarding cross-cultural, cross-contextual equivalence of the individual items and scale, and conduct a translatability assessment. Translation was completed into five languages in accordance with Mapi recommendations. Next, data from a prospective cohort (SWAT) were interpreted using Rasch analysis to explore scaling and measurement properties of the WHQ. Finally, qualitative and quantitative data were triangulated using a modified, exploratory, instrumental design model.ResultsIn the qualitative phase, 10 structured interviews and six focus groups took place with a total of 47 investigators across six countries. Themes related to comprehension, response mapping, retrieval, and judgement were identified with rich cross-cultural insights. In the quantitative phase, an exploratory Rasch model was fitted to data from 537 patients (369 excluding extremes). Owing to the number of extreme (floor) values, the overall level of power was low. The single WHQ scale satisfied tests of unidimensionality, indicating validity of the ordinal total WHQ score. There was significant overall model misfit of five items (5, 9, 14, 15, 16) and local dependency in 11 item pairs. The person separation index was estimated as 0.48 suggesting weak discrimination between classes, whereas Cronbach's α was high at 0.86. Triangulation of qualitative data with the Rasch analysis supported recommendations for cross-cultural adaptation of the WHQ items 1 (redness), 3 (clear fluid), 7 (deep wound opening), 10 (pain), 11 (fever), 15 (antibiotics), 16 (debridement), 18 (drainage), and 19 (reoperation). Changes to three item response categories (1, not at all; 2, a little; 3, a lot) were adopted for symptom items 1 to 10, and two categories (0, no; 1, yes) for item 11 (fever).ConclusionThis study made recommendations for cross-cultural adaptation of the WHQ for use in global surgical research and practice, using co-produced mixed-methods data from three continents. Translations are now available for implementation into remote wound assessment pathways