Jenny Ziviani

Jenny Ziviani
The University of Queensland | UQ

About

386
Publications
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Publications

Publications (386)
Article
Purpose To examine the psychometric properties of a parent-report measure of engagement in pediatric rehabilitation. Method 113 parents (of children 4 months to 18 years, varying in diagnoses) were recruited from standard outpatient/inpatient, early intervention, and life skills programs, sampled from different sites in Canada, the US, and Austral...
Article
Background: The term 'Responsibility Sharing', albeit poorly defined, has emerged from the diabetes literature, to describe a distinct mechanism for comprehensively managing the characteristic shift in responsibility that underpins the transition to self-management for adolescents. Methods: A scoping review, following the PRISMA-ScR guidelines,...
Article
Introduction Canine‐assisted therapy is thought to facilitate the engagement of children on the autism spectrum within therapy sessions. There is limited research, however, about how canine‐assisted occupational therapy with children on the autism spectrum enhances their engagement in therapy and therapy outcomes. The aim of this study was to gain...
Article
Background Achieving optimal outcomes for children in occupational therapy settings is influenced, in part, by their engagement. The nature of child engagement from the occupational therapy perspective remains relatively unexplored. Method A qualitative research methodology was adopted, using an interpretive description approach. Thirty-two occupa...
Article
Purpose: To investigate client (youth/caregiver) and service provider engagement in outpatient pediatric rehabilitation therapy sessions. Methods: In an ethnographic study, five research assistants attended 28 outpatient sessions, mostly delivered by occupational, physical, and speech-language therapists, and rated signs of client, provider, and re...
Article
Introduction The facilitation of meaningful leisure participation for children and young people requires an understanding of what leisure means to them. This study aimed to understand meaningful leisure from the perspective of children and young people with complex physical and communication disabilities. Method A hermeneutic phenomenological rese...
Article
Aim: To investigate measurement properties and feasibility of upper limb activity measures in children aged 5-18 years with bilateral cerebral palsy (CP). Methods: Five electronic databases were searched to identify measures of upper limb activity with published psychometric data for children with bilateral CP aged 5-18 years. Measures included...
Article
Full-text available
Introduction Adolescents with brain injury frequently have difficulties with social competence, which persist into adulthood affecting their participation in daily life. To date, there has been limited research into the efficacy of social competence interventions in this population. Research from the Program for the Education and Enrichment of Rela...
Article
Statement of context Canine-assisted occupational therapy for children on the autism spectrum has been proposed as a means of enhancing goal-directed interventions, yet there remain no clear guidelines of its safe and ethical practice. Critical reflection on practice Introducing a therapy dog into occupational therapy practices with children on th...
Article
Purpose: To conduct a qualitative investigation of engagement in pediatric rehabilitation therapy. Methods: Interviews were conducted with 10 youth, 10 caregivers, and 10 service providers. Transcripts were analyzed thematically using an inductive approach. Results: Themes illustrated three perspectives: engagement as a connection with components o...
Article
Purpose: This study aimed to understand parent engagement and disengagement in the delivery of occupational therapy to their children. Methods: This study used a qualitative interpretive description methodology. Focus groups and individual interviews were employed. Thirty-two occupational therapists participated in focusgroups or one-on-one intervi...
Article
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Purpose: The development of a physical literacy definition and standards framework suitable for implementation in Australia. Method:Modified Delphi methodology. Results: Consensus was established on four defining statements: Core-Physical literacy is lifelong holistic learning acquired and applied in movement and physical activity contexts; Composi...
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Autism spectrum disorder (ASD) is a neurodevelopmental condition impacting individuals’ social communication and interactions. Animal-assisted interventions (AAI) have been identified as practice modalities for children with ASD. A systematic review of the literature was completed identifying 13 articles addressing the impact AAI has on the social...
Article
Assessment of physical literacy poses a dilemma of what instrument to use. There is currently no guide regarding the suitability of common assessment approaches. The purpose of this brief communication is to provide a user's guide for selecting physical literacy assessment instruments appropriate for use in school physical education and sport setti...
Article
Neuromotor performance in infants before and after early open-heart surgery and risk factors for delayed development at 6 months of age – ERRATUM - Volume 29 Issue 2 - Miranda J. Campbell, Jenny M. Ziviani, Christian F. Stocker, Asaduzzaman Khan, Leanne Sakzewski
Article
Hospitalization for illness or injury can be experienced by children and their families as traumatic, which can impede recovery and lead to ongoing problems. The provision of quality trauma-informed or psychosocial care by hospital staff may mitigate trauma-related problems; however, there is great variability in the use of psychosocial care practi...
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Aim To examine the stability over time of the Manual Ability Classification System (MACS) levels in children with cerebral palsy (CP) aged 18 to 60 months. Method This was a prospective longitudinal population‐based study of 252 Australian children (160 males [63%] 92 females [37%]; mean age [SD] 41.7mo [14], range 17.2mo–69.2mo) with CP. Children...
Technical Report
Full-text available
The 2018 AHKA Report Card on Physical Activity for Children and Young People was developed using synthesised data from a number of national and state/territory based surveys. The AHKA Research Working Group evaluated all the data in order to assign letter grades to each of the 12 indicators using pre-determined criteria and benchmarks and provided...
Article
Trauma-informed care or psychosocial care can prevent or reduce the long-term impacts of hospitalization on children and their families, but few hospital staff members receive formal training in the optimal delivery of this care. This study aimed to (a) identify predictors of staff knowledge, confidence, use, and barriers regarding psychosocial car...
Article
Background Early identification of infants with CHD at heightened risk of developmental delays can inform surveillance priorities. This study investigated pre-operative and post-operative neuromotor performance in infants undergoing open-heart surgery, and their developmental status at 6 months of age, to identify risk factors and inform care pathw...
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Aim To describe longitudinal development of self‐care and its relationship to manual ability in children with cerebral palsy (CP) aged 18 months to 5 years across all functional abilities. Method This was a prospective longitudinal population‐based study of 290 children with CP (178 [61%] males, 112 [39%] females). Self‐care was assessed using the...
Article
Children with developmental disabilities participate in more solitary, sedentary, and home-based leisure activities than active physical pursuits or community-based activities. Clinical experience suggests that children with less well-recognized developmental difficulties also have compromised leisure experiences; however, this has not been fully i...
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Introduction: There is strong evidence that goal-directed occupational therapy achieves improvements in motor and self-care outcomes for children with unilateral cerebral palsy. This pilot study aimed to describe collaborative goals set in occupational therapy sessions, develop categories to describe session content and determine the percentage of...
Article
Establishing fidelity processes and measures is an important step in the development of interventions. Accurate referencing, naming of interventions and robust discussion of deviations from the theories, methods or terminology underpinning interventions support the fidelity of future applications of interventions in research and clinical settings....
Article
Aim: To examine the conceptual and clinometric properties of measures for parent engagement in developmental or rehabilitation interventions for children and youth (<18 years of age). Methods: Four electronic databases were searched. Studies were included if they reported measures of at least one domain of parent engagement (i.e. affective, cogn...
Article
Purpose: The Pediatric Rehabilitation Intervention Measure of Engagement-Observation (PRIME-O) version was designed to capture signs of affective, cognitive and behavioral involvement for clients and service providers and in the client-provider interaction. Methods: Phase 1 examined interrater consensus and construct validity of a pilot version, us...
Article
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Objectives Congenital hemiplegia is the most common form of cerebral palsy (CP). Children with unilateral CP show signs of upper limb asymmetry by 8 months corrected age (ca) but are frequently not referred to therapy until after 12 months ca. This study compares the efficacy of infant-friendly modified constraint-induced movement therapy (Baby mCI...
Article
Background: Emotionally available parent-child relationships are supportive of child health and development. When a child has cerebral palsy, a range of child and parent factors can potentially impact the parent-child relationship; however, little research has specifically addressed this question. The aim of this study is to investigate links betw...
Conference Paper
Full-text available
Objectives: Research increasingly indicates that nature in the built environment (i.e. nature loving cities, or 'biophilic urbanism') impacts on health and wellbeing. This calls for a holistic approach to designing health care facilities that goes beyond immediate clinical care, and prioritises the practical importance of environmental design quali...
Article
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Objectives Cerebral palsy (CP) remains the world’s most common childhood physical disability with total annual costs of care and lost well-being of $A3.87b. The PREDICT-CP (NHMRC 1077257 Partnership Project: Comprehensive surveillance to PREDICT outcomes for school age children with CP) study will investigate the influence of brain structure, body...
Conference Paper
Full-text available
The healthcare industry is increasingly adopting integrated care systems in which building design plays a significant role in patient experiences, treatment and wellbeing. People-centred building design builds on several decades of research that demonstrate how certain environments stimulate behavioural, as well as physiological and neurological ch...
Article
Aim: Assessing the neurodevelopmental status of infants with congenital heart disease before surgery provides a means of identifying those at heightened risk of developmental delay. This study aimed to investigate factors impacting clinical feasibility of pre-operative neurodevelopmental assessment of infants undergoing early open heart surgery....
Article
Purpose: Occupational Performance Coaching (OPC) has been proposed as an intervention for working with caregivers towards achievement of goals for themselves and their children. Preliminary studies indicate the effectiveness of OPC; however, translation into practice requires an understanding of therapists’ perceptions of applying OPC in their serv...
Article
Objective: To examine the efficacy of a multi-modal web-based therapy program, Move it to improve it (Mitii™) delivered at home to improve Executive Functioning (EF) in children with an acquired brain injury (ABI). Design: Randomised Waitlist controlled trial. Setting: Home environment. Participants: Sixty children with an ABI were matched i...
Article
Introduction: Infants with asymmetric brain injury (asymBI) are at high risk of Unilateral Cerebral Palsy (UCP). The Grasp and Reach Assessment of Brisbane (GRAB) was developed to detect asymmetries in unimanual/bimanual upper limb (UL) reach and grasp behaviours in infants with asymBI. This study reports the development of the GRAB and evaluates...
Article
Full-text available
Background: Two years on from the inaugural Active Healthy Kids Australia (AHKA) Physical Activity Report Card, there has been little to no change with the majority of Australian children still insufficiently active. Methods: The 2016 AHKA Report Card was developed using the best available national- and state-based physical activity data, which...
Article
Purpose state: Determine the efficacy of Move-it-to-improve-it (Mitii?), a multi-modal web-based program, in improving Executive Function (EF) in children with unilateral cerebral palsy (UCP). Method: Participants (n?=?102) were matched in pairs then randomized to: intervention (Mitii? for 20 weeks; n?=?51; 26 males; mean age?=?11 years 8 months (S...
Article
Objectives: Intravenous (IV) cannulation is commonly performed in pediatric emergency departments (EDs). The busy ED environment is often not conducive to conventional nonpharmacological pain management. This study assessed the use of Ditto (Diversionary Therapy Technologies, Brisbane, Australia), a handheld electronic device which provides proced...
Article
Aims: To determine whether the multi-modal web-based rehabilitation 'Move it to improve it' (Mitii) is more effective than wait list control (usual care) to improve occupational performance, upper limb function, and visual perception in children with acquired brain injury (ABI). Method: Fifty-eight randomly allocated children (53% males; mean ag...
Article
Purpose: The trajectory of health-related quality-of-life (HRQoL) for children aged 4-9 years and its relationship with speech and language difficulties (SaLD) was examined using data from the Longitudinal Study of Australian Children (LSAC). Method: Generalized linear latent and mixed modelling was used to analyse data from three waves of the L...
Article
Background Persistent impairments resulting from childhood acquired brain injury (ABI) can impact performance of activities of daily living (ADL). Objective and reliable measures of ADL skills are required for treatment planning and research. Aim To evaluate test–retest reproducibility of the Assessment of Motor and Process Skills (AMPS) for childr...
Article
Aims: To pilot efficacy of a tailored multifaceted implementation program to change clinical practice of occupational therapists (OTs) providing upper limb (UL) therapy for children with unilateral cerebral palsy (UCP). Methods: This before and after study piloted a multifaceted implementation program comprising audit/feedback, barrier identific...
Article
Aim: To determine the efficacy of web-based training on activity capacity and performance in children with unilateral cerebral palsy (CP). Method: In a matched-pairs randomized waitlist controlled trial, independently ambulant children and adolescents with unilateral CP were allocated to receive 30 minutes of training (intervention) 6 days per w...
Article
Aims: This study examined strategies mothers reported as effective in facilitating children's successful performance in activities they identified as goals during Occupational Performance Coaching (OPC). Methods: Twenty-nine mothers of children with occupational performance issues engaged in OPC. A random sample of 44 /157 (28%) coaching session...
Article
Speech and/or language difficulties (SaLD) can potentially compromise a child’s health-related quality-of-life (HRQoL). Very few studies have examined associations between SaLD, other child and family factors and HRQoL and none have been undertaken in Australia. We explore these associations using data from a nationally representative Australian sa...
Article
The term, 'self-determination', implies that individuals have choice and control over aspects of their lives. Individual/family preferences and choices are now core aspects of Australia's National Disability Insurance Scheme, underpinning the importance attributed to these concepts in relation to the fostering of wellbeing. As occupational therapis...
Article
Full-text available
Acquired brain injury (ABI) refers to multiple disabilities arising from damage to the brain acquired after birth. Children with an ABI may experience physical, cognitive, social and emotional-behavioural impairments which can impact their ability to participate in activities of daily living (ADL). Recent developments in technology have led to the...
Article
Aims: This study aimed to understand engagement of children in a home-based computer program, "Move it to improve it" (Mitii™), designed to enhance motor, cognitive and visual perceptual skills. Methods: Participants were 10 children with unilateral cerebral palsy involved in the 20-week Mitii™ program (mean age = 11 years; 5 males) and their ca...
Article
Aims: To examine test-retest reproducibility of the Assessment of Motor and Process Skills (AMPS) in children aged 8-16 years with unilateral cerebral palsy (UCP). Methods: Thirty children with mild to moderate UCP (mean age = 11y 7m, SD 2y 4m; males = 18; Manual Ability Classification System level I = 10, II = 20; Gross Motor Function Classific...
Article
Aims: To determine if mastery motivation at baseline predicts engagement in two goal-directed upper limb (UL) interventions for children with unilateral cerebral palsy (UCP). Methods: Participants were 44 children with UCP, mean age 7 years 10 months, Manual Ability Classification System level I (N = 23) or II (N = 21). Twenty-six children recei...
Article
Introduction: Research suggests that learning gained through training is infrequently implemented in the workplace. A short-term postcourse comentoring program was developed with the aim of facilitating workplace implementation of learning after a 3-day course for occupational therapists. The program was evaluated for usefulness, successes, challe...
Article
Introduction: No burn-scar specific, health-related quality of life (HRQOL) measure exists. This study aimed to develop a patient-reported, evaluative HRQOL measure to assess the impact of burn scarring in children and adults. Method: Semi-structured interviews, content validation surveys, and cognitive interviews were used to develop and test c...
Article
Australia has joined a growing number of nations which have evaluated the physical activity and sedentary behaviour status of their children. Australia received a 'D minus' in the first Active Healthy Kids Australia Physical Activity Report Card. An expert subgroup of the Australian Report Card Research Working Group iteratively reviewed available...
Article
The primary aim of this study was to describe and compare the clinical characteristics of two groups of children presenting to a feeding clinic: children with Autism Spectrum Disorder (ASD) and children with a non-medically complex history (NMC). A secondary aim was to compare participants according to degree of oral motor impairment, presence of o...
Article
Full-text available
Statement of context The effectiveness of early intervention for children with developmental disabilities is thought to be related to parental sensitivity and responsiveness. A brief relationship-focused occupational therapy intervention for Shelly, a young girl with cerebral palsy, and her mother, Jane, is described. Critical reflection on practi...
Article
Full-text available
Objective: Ahead of the convergence of two major paediatric services, we examined evidence-based practice (EBP) self-efficacy, outcome expectance, knowledge and use among allied health (AH) staff in two major Queensland (Qld) paediatric services. This was to determine whether any differences existed based on organisational affiliation, profession...
Article
Participation in leisure has known health benefits. Children and young people (CYP) with physical disabilities demonstrate reduced participation in leisure. To facilitate their meaningful participation, one must understand what leisure means to CYP. The aim of this study was to systematically synthesize evidence from qualitative studies on the mean...
Article
This study examined relationships between activities of daily living (ADL) motor and process skills, unimanual capacity, bimanual performance, and visual perception in children with unilateral cerebral palsy (CP). Participants were 101 children with unilateral CP (51 males, 50 females; mean age 11y 9mo [SD 2y 5mo; range 8-17y]; Manual Ability Class...
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Full-text available
The adolescent period is associated with changes in eating and activity behaviors in girls. Less reliance on parental provision and choice of food, coupled with a decrease in participation in physical activity and sport, can create an energy imbalance, predisposing to weight gain. Physiological alterations to body composition, reduction in insulin...
Article
AimThe study aimed to investigate the effectiveness of a web-based therapy programme, ‘Move it to improve it’ (Mitii™), in children with unilateral cerebral palsy (UCP) on occupational performance, upper limb function, and visual perception.Method Participants (n=102) were matched in pairs and randomized to intervention (Mitii for 20wks; 26 males,...