Browsing by Author "Thorburn, Marigold J."

Now showing 1 - 7 of 7
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    Childhood awakening: A Jamaican experiment
    (Jun. 1981) Thorburn, Marigold J.;
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    Identification of childhood disability in Jamaica: Evaluation of the ten question screen
    (Sep., 1992) Thorburn, Marigold J.;
    This study examined the internal validity and reasons for false positives for the Ten Question Screen (with and without probes), used by community workers in developing nations to assess type and severity of disability. Results support the use of the screen, but only if paired with measurements of hearing and visual impairments
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    Identification of childhood disability in Jamaica: The ten question screen
    (Jun. 1992) Thorburn, Marigold J.;
    This study was part of the International Epidemiologic Study on Childhood Disability. The Ten Question Screen (TQ) was used as the main instrument to identify disability in a two-stage population-based survey of 5,478 children aged 2-9 years in Clarendon, Jamaica. In the second stage, TQ positive and 8 percent of the screen negative controls were professionally assessed by a doctor and a psychologist, using standard criteria based on the main classification system of the ICIDH. Sensitivity of the TQ as a whole varied in different strata of the group and amongst different disabilities, from perfect girls under six years, fits and motor disabilities, and for serious disability in all groups except boys over five years with cognitive disability. Specificity was good, but the false positive rate was unacceptably high, at 74 percent. It was concluded that the validation of a simple questionnaire of perceptions of behaviour against objective measurements of impairments was perhaps not fair to the TQ. In spite of this, the TQ would be a very useful instrument in collecting disability data or for identifying people in need of rehabilitation help, if a way of reducing false positives could be found
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    In Jamaica, community aides for disabled preschool children
    (Spring 1981) Thorburn, Marigold J.;
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    Parent evaluation of community based rehabilitation in Jamaica
    (Jun. 1992) Thorburn, Marigold J.;
    This article reports on a survey of parent views of the community-based rehabilitation programme in two Jamaican communities. Analysis of the 539 questionnaire responses indicated appreciation of home visits, increased knowledge, and improved attitudes and child-rearing practices. Unmet needs in child and parent education were also identified
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    Recent developments in low-cost screening and assessment of childhood disabilities in Jamaica. Part 2: Assessment
    (Jun. 1993) Thorburn, Marigold J.;
    This article summarizes the requirements and criteria for assessment of childhood disabilities. It reviews research carried out in Jamaica and outlines procedures for medical and psychological assessment used in the International Epidemiological Study of Childhood Disability, as well as local experience in community-based rehabilitation. While the medical assessment procedures were considered to be validated, there was urgent need for local research and development in psychological assessment. These approaches, while not perfect, bring the possibility of local community capability closer. They will require changes in professional attitudes, training of health and educational personnel, and changes in the service systems, so that screening and assessment can be integrated into existing services. However, although this will obviate the need for new, specialized administrations, improved linkages and lines of referral will be necessary
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    Service needs of children with disabilities in Jamaica
    (1992) Thorburn, Marigold J.;
    This study investigated the service needs of 994 2- to 9-year-old children in Clarendon, Jamaica. Parents were asked about symptoms relating to six different disabilities--visual, hearing, speech, motor, cognitive, and fits. Following medical and psychological assessment, a diagnosis of mild, moderate, severe, or no disability was made. For children with disabilities, the frequencies of five possible types of intervention recommended by the physician were analysed and related to the prevalence of the six disabilities in the parish. Of the disabled children, 62 percent needed special education, 29.5 percent needed community-based services, 21 percent needed spectacles, 21 percent needed specialist referral, and 6 percent required medical treatment. Training of existing health and education personnel in basic techniques of screening and assessment was recommended