{"id":545,"date":"2024-11-20T20:50:06","date_gmt":"2024-11-20T20:50:06","guid":{"rendered":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/?p=545"},"modified":"2024-11-20T20:52:52","modified_gmt":"2024-11-20T20:52:52","slug":"ecv2024-431","status":"publish","type":"post","link":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/ecv2024-431\/","title":{"rendered":"ECV2024-431 &#8211; Steppingstones: Supporting parents of children with neurological difficulties (CWND) in Fiji"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"545\" class=\"elementor elementor-545\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-08ace52 elementor-reverse-mobile elementor-section-stretched elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"08ace52\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b1787f6\" data-id=\"b1787f6\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eb1e12a elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"eb1e12a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-medium\">Presentation - ECV2024-431<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-75dbcd2 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"75dbcd2\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-12021ac\" data-id=\"12021ac\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4ffda65 elementor-widget elementor-widget-text-editor\" data-id=\"4ffda65\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1>Steppingstones: Supporting parents of children with neurological difficulties (CWND) in Fiji<\/h1>\n<h1><!-- \/wp:heading --><!-- wp:paragraph --><\/h1>\n<h1><!-- \/wp:paragraph --><!-- wp:paragraph --><\/h1>\n<p><strong>Haritha Amunugama<\/strong>, Frank Hilton Organization, Suva, Fiji (haritha.a@hilton.org.fj) <br \/><strong>Dira Ah Kee<\/strong>, Frank Hilton Organization, Suva, Fiji (dira@hilton.org.fj) <br \/><strong>Chamila Sewwandi<\/strong>, Frank Hilton Organization, Suva, Fiji (chamila.s@hilton.org.fj) <br \/><strong>Tiahli Ricketts<\/strong>, Frank Hilton Organization, Suva, Fiji (tiahli.r@hilton.org.fj)<\/p>\n<h1><!-- \/wp:paragraph --><!-- wp:paragraph --><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5de0ab2d elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5de0ab2d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5c0cdf0c\" data-id=\"5c0cdf0c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3d6248d7 elementor-widget elementor-widget-video\" data-id=\"3d6248d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/2k8PCCRHCfI&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2f32c4e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2f32c4e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e495f7f\" data-id=\"e495f7f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b9ce34e elementor-widget elementor-widget-text-editor\" data-id=\"b9ce34e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Background: <\/strong>Parent education programs for CWND significantly enhance parental skills for child safety and improve developmental outcomes. The Steppingstones program was inspired by the Ubuntu and Hambisela programs and culturally adopted in 2019 by the Frank Hilton Organization\u2019s Physiotherapy, Speech Pathology, and Community Support teams, addresses the unique challenges faced by CWND in Fiji\u2019s diverse cultural and socio-economic context.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><strong>Aims: <\/strong>To review the efficacy of the culturally adapted version of the Steppingstones program for Fijian parents.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><strong>Method:<\/strong> Between 2019 and 2024, 93 parents from 80 families with CWND participated in the program, which included seven learning modules covering topics \u2013 understanding your child, children\u2019s rights, positioning, communication, feeding, play, and community inclusion. Written consent was obtained from the participants for their child\u2019s data to be used anonymously for research purposes on the first day, and the Steppingstones evaluation survey was completed on the first and last days of the program. Quantitative data were analysed using descriptive statistics, while qualitative data were analysed thematically.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><strong>Results:<\/strong> The data indicated that parents struggled with acquiring knowledge and practical skills. Throughout the nine programs, barriers affecting the effectiveness of community-based programs were identified: poor attendance, attitudinal barriers, language differences, financial constraints, and facilitator confidence.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><strong>Conclusions:<\/strong> In Fiji, cultural, language, financial, and service resourcing barriers must be considered and addressed to ensure that Steppingstones participants can attend the program. Modifications to the Steppingstones program, such as conducting home visits, providing transportation, organising briefings, aligning the program with participants\u2019 needs, and making sessions more practical, were done to encourage engagement and participation.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><strong>Implications for children and families:<\/strong> You will feel confident to support your CWND. Addressing language differences and attitudinal barriers through practicals ensures a better understanding of the techniques.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><strong>Implications for practitioners:<\/strong> This will help you understand the challenges of working with CWND in diverse communities and developing culturally sensitive parent education programs tailored to specific socio-economic contexts in lower-resource countries.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><strong>Key words<\/strong>: community services, parent-training, Fiji, cerebral palsy, FHO, multidisciplinary, families\u2019 voices<\/p>\n<p><strong>This presentation relates to the following <\/strong><a href=\"https:\/\/sdgs.un.org\/goals\"><strong>United Nations Sustainable Development Goals<\/strong><\/a><strong>:<\/strong><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:list --><\/p>\n<ul>\n<li><a style=\"font-style: inherit; font-weight: inherit;\" href=\"https:\/\/sdgs.un.org\/goals\/goal3\">SDG 3: Good Health and Well-being<\/a><\/li>\n<li><a style=\"font-style: inherit; font-weight: inherit;\" href=\"https:\/\/sdgs.un.org\/goals\/goal4\">SDG 4: Quality Education<\/a><\/li>\n<li><a href=\"https:\/\/sdgs.un.org\/goals\/goal10\">SDG 10: Reduced Inequalities<\/a><\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Haritha Amunugama, Frank Hilton Organization, Suva, Fiji (haritha.a@hilton.org.fj)<br \/>\nDira Ah Kee, Frank Hilton Organization, Suva, Fiji (dira@hilton.org.fj)<br \/>\nChamila Sewwandi, Frank Hilton Organization, Suva, Fiji (chamila.s@hilton.org.fj)<br \/>\nTiahli Ricketts, Frank Hilton Organization, Suva, Fiji (tiahli.r@hilton.org.fj)<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[9,41,1],"tags":[20,21,27],"class_list":["post-545","post","type-post","status-publish","format-standard","hentry","category-families-voices","category-interdisciplinary","category-presentations","tag-sdg-03","tag-sdg-04","tag-sdg-10"],"_links":{"self":[{"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/posts\/545","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/comments?post=545"}],"version-history":[{"count":4,"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/posts\/545\/revisions"}],"predecessor-version":[{"id":549,"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/posts\/545\/revisions\/549"}],"wp:attachment":[{"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/media?parent=545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/categories?post=545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2024\/wp-json\/wp\/v2\/tags?post=545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}