TELETHERAPY- AN INNOVATIVE WAY OF TREATMENT IN THE FIELD OF OCCUPAIONAL THERAPY IN PAKISTAN

Teletherapy is an emerging and enlarging tool for having treatment in occupational therapy in rehabilitation sciences among occupational therapists all over the world mainly in Pakistan, especially during the era of COVID-19. A lot of studies have been done already highlighting the paramount of teletherapy around the world but it is a new rising mode of treatment in Pakistan coming to light. Therapists and Patients throughout the country making the most of this treatment way respectively and hence this method of treatment while using of technologies is highly being appreciated. The aim of this study is to foster and encourage the use of this technology in third-world countries like Pakistan. It is the most used treatment tool during COVID-19 among occupational therapists all over the country and is highly appreciated in order to cut-down the negative circumstances of a one-to-one session in which therapist and patient is in highly close contact to each other. This course of action has advocate the on-going rehabilitation treatment and has kept away people from COVID-19 expansion to the most extent. In this study, a 5years old boy was included with an under-diagnostic process within the umbrella term of genetic disorder. Having genetic disorder, his sessions were taken in tele-clinic using video call technology during COVID-19. In this process, AOTA Occupational Therapy Tele-Health Decision Guide, AOTA Occupational Profile Template, AOTA Advisory Opinion for the Ethics Commission Teletherapy, i-PiCS-Internet-Based Parent-Implemented Communication Strategies Program, and modeling strategy were followed.

Parental Perception, Child Temperament, Cognitive Appraisal and Anger Expression in Children With Emotional Behavioral Problems

The present research investigated anger expression in children with emotional behavioural problems and its relationship with parental perception, child temperament, and cognitive appraisal in Pakistani cultural context. The research was initiated with the hypotheses that authoritarian, permissive and uninvolved, parental perception would positively relate whereas authoritative parental perception would negatively relate with anger expression in children. Parental Perception, child temperament and cognitive appraisal would likely to predict anger expression in children. Role of child temperament as moderator and cognitive appraisal as mediator was also studied. The present research was carried out in two studies. In Study I an indigenous anger expression scale was developed, validated and standardized. Principal component analysis with varimax rotation and kaiser normalization generated four factors that were labeled as externalized anger, feeling of rejection, hostility and violence, and internalized anger. Moreover four measures including State Trait Anger Expression Inventory-2 for Children and Adolescents (Brunner & Spilberger 2009), Parental Perception Questionnaire (Pasquali et al, 2012), School Aged Temperament Inventory (McClowry, 1995) and Child Appraisal Questionnaire (Hood, Power, & Hill, 2009) were translated into Urdu following the standardized forward-backward translation procedures. In Study II, cross sectional research design was followed and a sample of 450 children including 225 children with emotional-behavioural problems and 225 emotionally healthy children were drawn from three hospitals and four schools in Lahore city. The age range of children was 9 through 13 (M=11.35, SD=1.36). Results indicated that authoritarian parental perception positively related and predicted while authoritative, permissive and uninvolved parental perception negatively related and predicted anger expression in children with xx emotional behavioural problems and emotionally healthy children. Likewise uninvolved parental perception positively related and predicted internalized anger expression. Child temperament significantly moderated and cognitive appraisal (significance, predictability and self- blame) significantly mediated the relationship in between parental perception and anger expression in children. Children with emotional behavioural problems were obtained higher scores on externalized anger expression and hostility and violence subscale. Gender differences were also observed but only for internalized anger expression i.e girls obtained higher scores. The findings and their implications were discussed on the part of parents, educators, researchers and clinicians.