Browsing by Author "Schlebusch, Liezl"

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    Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies
    (2023) Combrinck, Jeanri; Schlebusch, Liezl; de Vries Petrus
    The systematic use of implementation strategies can enhance sustainable implementation of evidence-based interventions in real-world settings. However, there are little data on the use of implementation strategies in low-resourced settings. The World Health Organization Caregiver Skills Training Programme (WHO-CST) for families of children with developmental disabilities was piloted in a rural setting in South Africa and was called the 'Diamond Families Project'. The goal of this study was to describe systematically the implementation strategies used during the planning phase of the project. Archival project records were reviewed to identify all planning activities, which were coded into implementation strategies using a tailored manual and consensus coding approach. We identified 150 activities representing 33 unique implementation strategies across nine categories. Developing stakeholder interrelationships was the most frequently used category, with the largest number of actors, highest costs, and longest cumulative duration. Developing an implementation blueprint was the most frequently used individual strategy, while promoting adaptability had the longest duration. The Diamond Families Project incorporated a comprehensive set of implementation strategies with a clear focus on building stakeholder relationships. Findings contribute to an evidence-base of implementation strategies for WHO-CST in South Africa, which may inform the implementation of interventions in similar low-resourced settings.
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    The health and well-being of caregivers raising children with and without autism spectrum disorder in the South African context
    (2022) Smith, Louise; Harty, Michal; Schlebusch, Liezl
    Background: Children require a nurturing environment to develop optimally and reach their full potential. A critical component of this environment is the health and well-being of caregivers so that they can provide responsive caregiving. It is believed that parents or caregivers of children with ASD will have poorer health and well-being than parents or caregivers of children without ASD. Therefore, parents of children with ASD may require more support to enable them to provide responsive caregiving to these children. Methods: This study was a quantitative study that employed an analytical, comparative design. The purpose of this study is to determine if there is a significant difference in the health and well-being of parents with children with ASD and parents of children without ASD in the South African context. Two hundred and eight participants from two schools in Kwa-Zulu Natal completed a paper-based survey containing 3 questionnaires relating to health-related quality of life; stress, anxiety and depression and parental self-efficacy. Parenting constructs such as stress, anxiety and parental self-efficacy are measured and described, and the association between Health-related Quality of Life and constructs such as stress, anxiety and parental self-efficacy is explored. It took place at a special needs school in KZN and mainstream school in the same district. Results: The results of this study demonstrated a poorer HRQOL in some of the areas of parents of a child with ASD compared to parents of a child without ASD. The results from this study demonstrate the importance for health practitioners to focus on the parents' health and well-being as part of the child's intervention. Conclusion: Intervention is mainly child-focussed however it is important for practitioners to understand the caregiver's health and well-being as this will have a positive influence of the child and in turn, lead to successful intervention. It is therefore important to have a family-centred approach. The QOL of the parents or caregivers of children with ASD will improve through support and intervention which will positively impact on the child's development. If the caregiver is receiving the appropriate support, their QOL will improve and they will be able to provide nurturing care that the child needs.