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... age of those children who dropped out was 148.00 months (SD = 9.54). Table 2 displays group means at post-test, while Table 3 summarizes the results of the primary analyses. Significant effects were not found for the BASC or DANVA2 measures. ...

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... 36 The inclusion and consideration of creative, dramatic and theatrical approaches to facilitate and promote the generalisation of learnt skills to everyday environments have also featured. [37][38][39] In recent years, more positive outcomes (eg, formation of appropriate peer networks and translation of learnt skills) have been associated with programmes that include caregiver involvement. 40 41 Specifically, GSSIs that included caregiver groups were deemed more effective, with an associated large effect size (Standardised Mean Difference, SMD −0.91, 95% CI −1.20 to -0.61; Z=6.08), compared with the moderate effect size (SMD −0.63, 95% CI −1.23 to -0.02; Z=2.03) associated with GSSIs without caregiver components. ...
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... When the literature is examined, there are many studies on drama, social information processing and creativity. There are studies that conclude that drama education is effective on social information processing and social competence (Guli et al. 2013;Şenol and Metin 2020). The drama-supported pre-school curriculum prepared by (Hui et al. 2011;Hui et al. 2015) had an impact on the creativity of pre-school children. ...
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The aim of this study is to determine the importance and effectiveness of different interventions aimed at improving social skills in people with autism spectrum disorder (ASD) through theatrical techniques. It aims to establish a direct relationship between the interventions and the benefits for socioemotional reciprocity, nonverbal communication behaviors used for social interactions and the development, establishment and understanding of interpersonal relationships. For this purpose, a systematic review of the literature published from 2011 to 2021 in the ERIC, Web of Science, EuropePMC, PubPsych, Índices-Csic, Redalyc, Roderic, Scopus, PubMed, Scielo and Dialnet databases was carried out, and a total of 29 articles were reviewed. The results indicate that theater creates a safe environment in which people with ASD can engage with their own emotions and those of others, thereby offering a therapeutic setting in which to promote communication, motor development and social coexistence. The implications and limitations of the study are discussed.
... Performance-based strategies to enhance social creativity, then, aim to promote generation of a wide and varied set of novel responses to (realistic or outlandish) social scenarios, regardless of their practical feasibility (Guli et al., 2008) to enhance preparedness for and responsiveness to unstructured interaction (Guli, 2004, p. 200;Guli et al., 2013). Likewise, by providing a broad sample of social behaviors and responses, these strategies may aid participants in considering novel social perspectives, thus promoting perspectivetaking and emotion recognition (Goldstein & Winner, 2012). ...
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Autistic social challenges have long been assumed to arise from a lack of social knowledge (“not knowing what to do”), which has undergirded theory and practice in assessment, treatment, and education. However, emerging evidence suggests these differences may be better accounted for by difficulties with social performance (“doing what they may know”). This distinction has important implications for research, practice, policy, and community support of autistic people. This review examines the theoretical and clinical implications and empirical status of the knowledge-performance distinction in autism. Current evidence suggests that social knowledge deficits are neither definitional nor reliably related to outcomes in autism. Prioritizing social knowledge, then, may produce unanticipated, problematic consequences in terms of accuracy of assessment, intervention effectiveness, and promotion of stigma. It may also yield unrealistic expectations around the value of knowledge for autistic people and their families, yielding important ethical considerations. Conversely, recent evidence highlights performance-related factors as being especially promising for better modeling and addressing social challenges in autism. Prioritizing performance, then, may offer new directions for assessment, substantially different intervention opportunities, and novel methods of inclusion and affirmation. This review touches upon each of these domains and implications, integrates these developments with broader models of social competence in youth, and provides direction for future research and practice regarding social competence in autism.
... In both drama therapy and community theater interventions, the intent is to promote more holistic changes in participants, including changes in relationships, emotions, and imagination (Guli et al., 2013;Spolin, 1986). Given these potential benefits, theater may also be a powerful interdisciplinary training technique for health care providers. ...
... Considering that health education is one of the main activities of health professionals, this situation is quite remarkable. In the current studies, in the education of nurses (Wasylko & Stickley, 2003) and midwives (Kemp, 2009), and health professionals generally, creative drama is used in teaching preventive health practices to healthy people (Stephens et al., 2007;Joronen, 2008) and in the processing of some psychosocial issues (Dikici et al., 2010;Guli et al., 2013). ...
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Type 1 diabetes, although it can be seen in all age groups, is frequently seen between the ages of 7-15. When diabetes is managed effectively, complications related to diabetes can be delayed or even prevented. Studies have also proven that education is effective in diabetes management. Creative drama is a group activity, that can provide a curative environment for adolescents with T1DM in the adolescent period. There are not many studies in the literature on the use of creative drama in the field of health. The current study aims to describe the use of creative drama in the education of patients with type 1 diabetes. The study follows the qualitative research method, and all data were sought from previous research. According to the results of the research, it was determined that there was a positive change in children's knowledge, attitudes, and behaviors using the creative drama method. Keywords: Creative drama; diabetes; education; nursing.
... A recent systematic review suggested that interventions primarily targeting body functions or activity performance had little effect on participation while those directly targeting participation by providing children and parents with individual coaching sessions, setting mutually agreed-upon participation goals and selecting the most appropriate therapeutic activities for achieving the participation goals [23,24] demonstrated greater effects [25]. To date, interventions have targeted narrowly defined subgroups of children with SHCN such as those in foster care or those with social difficulties [23,26] and have been conducted by single professional groups (e.g., educators, occupational therapists or psychologists) [23,24,26]. However, approaches that are condition-and potentially agegeneric may be particularly useful because service delivery processes might be comparable across different chronic conditions [27] and care fragmentation can simultaneously be counteracted. ...
... A recent systematic review suggested that interventions primarily targeting body functions or activity performance had little effect on participation while those directly targeting participation by providing children and parents with individual coaching sessions, setting mutually agreed-upon participation goals and selecting the most appropriate therapeutic activities for achieving the participation goals [23,24] demonstrated greater effects [25]. To date, interventions have targeted narrowly defined subgroups of children with SHCN such as those in foster care or those with social difficulties [23,26] and have been conducted by single professional groups (e.g., educators, occupational therapists or psychologists) [23,24,26]. However, approaches that are condition-and potentially agegeneric may be particularly useful because service delivery processes might be comparable across different chronic conditions [27] and care fragmentation can simultaneously be counteracted. ...
... We anticipate this study will complement the small number of existing intervention studies in several ways. First, in contrast to the few published intervention studies focusing on single professions [23,24,26] or therapies [54], the PART-CHILD intervention deliberately embraces interdisciplinary care teams including paediatricians, nurses, allied health professionals and other non-medical staff. Targeting interdisciplinary care teams has the potential to strengthen interdisciplinary teamwork necessary to implement participationcentred care by promoting the development of an institution-wide shared understanding of participation-centredness and by accounting for the complementary roles of different professions in complex care processes for children with SHCN. ...
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Introduction: Participation is an important dimension of healthy child development and is associated with higher self-rated health, educational attainment and civic engagement. Many children with special healthcare needs (SHCN) experience limited participation and are thus at risk for adverse health and developmental outcomes. Despite this, interventions that promote participation in healthcare are scarce. We therefore evaluate the effectiveness of a complex age- and condition-generic intervention that strengthens participation-centred care involving parents and their children with SHCN by, inter alia, assessing preferences, specifying participation goals and facilitating shared decision-making in care. Methods and analysis: In this study protocol we describe the design and procedures for an unblinded, stepped wedge, cluster randomised trial conducted in 15 German interdisciplinary healthcare facilities providing services for children aged 0-18 years with SHCN. Sites are randomised to five periods in which they switch from control to intervention condition in blocks of three. The intervention includes: (1) team training focused on participation-centred care, (2) introduction of a new software facilitating participation-focused documentation and (3) implementation support promoting the transfer of training content into routine care. Study sites deliver routine care while in the control condition. As primary outcome, the degree of perceived shared decision-making with parents (CollaboRATEpediatric parent scale), a potential antecedent of achieving participation goals in everyday life, is assessed on one randomly selected day per week during the entire study period, directly following care appointments. We aim to sample 70 parents per study site and period. Additionally, participation of children is assessed within a closed embedded cohort with three parent and patient surveys. Intervention effectiveness will be modelled with a marginal model for correlated binary outcomes using generalised estimation equations and complete cases. A comprehensive mixed-methods process evaluation complements the effectiveness analyses.