title: Psychological adjustment and levels of self esteem in children with visual-motor integration difficulties influences the results of a randomized intervention trial.
abstract: This study evaluates how much the effects of intervention programs are influenced by pre-existing psychological adjustment and self-esteem levels in kindergarten and first grade children with poor visual-motor integration skills, from low socioeconomic backgrounds. One hundred and sixteen mainstream kindergarten and first-grade children, from low socioeconomic backgrounds, scoring below the 25th percentile on a measure of visual-motor integration (VMI) were recruited and randomly divided into two parallel intervention groups. One intervention group received directive visual-motor intervention (DVMI), while the second intervention group received a non-directive supportive intervention (NDSI). Tests were administered to evaluate visual-motor integration skills outcome. Children with higher baseline measures of psychological adjustment and self-esteem responded better in NDSI while children with lower baseline performance on psychological adjustment and self-esteem responded better in DVMI. This study suggests that children from low socioeconomic backgrounds with low VMI performance scores will benefit more from intervention programs if clinicians choose the type of intervention according to baseline psychological adjustment and self-esteem measures.
authors.affiliation: Ono Academic College, Kiryat Ono, Israel. lahav.orit@gmail.com
authors.forename: Orit
authors.initials: O
authors.lastname: Lahav
authors.forename: Alan
authors.initials: A
authors.lastname: Apter
authors.forename: Navah Z
authors.initials: NZ
authors.lastname: Ratzon
mesh_terms: D000223:Adaptation, Psychological; D001321:Autistic Disorder / Q000523:psychology / Q000534:rehabilitation; D002547:Cerebral Palsy / Q000523:psychology / Q000534:rehabilitation; D002648:Child; D002675:Child, Preschool; D019988:Children with Disabilities / Q000523:psychology; D018479:Early Intervention, Educational / Q000379:methods; D004495:Education of Persons with Intellectual Disabilities / Q000379:methods; D004519:Education, Special / Q000379:methods*; D005260:Female; D006801:Humans; D008282:Mainstreaming, Education / Q000379:methods; D008297:Male; D009048:Motor Skills; D019957:Motor Skills Disorders / Q000523:psychology* / Q000534:rehabilitation*; D011237:Predictive Value of Tests; D011597:Psychomotor Performance; D012649:Self Concept; D012678:Sensation Disorders / Q000523:psychology / Q000534:rehabilitation; D012959:Socioeconomic Factors; D014796:Visual Perception