This page has only limited features, please log in for full access.
Cerebral palsy (CP) is a clinical diagnosis based on a combination of clinical and neurological signs, which occurs between the ages of 12 and 24 months. Cerebral palsy or a high risk of cerebral palsy can be accurately predicted before 5–6 months, which is the corrected age. This would allow the initiation of intervention at an early stage. Parents must be more involved in the development and implementation of the early therapy, increasing opportunities for parent–child interaction. The aim of this study was to learn from the perspectives of families with children under 12 months with unilateral cerebral palsy (UCP), what ingredients (barriers and facilitators) should be involved in early intervention so that we could co-design (researchers and families) a multidisciplinary guideline for a global intervention addressed to the needs of the child and the family. Semi-structured interviews were conducted at a time and venue convenient for the families. A total of ten families with experience in early intervention were invited to attend the interview with open questions: (1) What components should early intervention have for a baby diagnosed with UCP? (2) What components should early intervention have for the family? (3) What should the involvement of the family be in early intervention? (4) What barriers included in early intervention should be removed? From the data analysis, three key topics emerged and were subsequently named by focus group participants: (1) UCP early intervention components, (2) family involvement in early intervention of UCP, and (3) removing barriers and creating facilitators within early intervention. The participation of the families (mothers) in the co-design of the necessary ingredients within the scope of a multidisciplinary early intervention guide aimed at children with UCP under 12 months allows learning about their reality and not that of the therapist. The following list highlights the present barriers as perceived by the parents: intervention as spectators, therapeutic goals, clinic environment, and lack of empathy, and the possible facilitators determined by the parents during the implementation comprised teamwork, the family’s goals, motivation during the intervention, and learning at home. Thus, an early intervention program to improve global functionality should address family involvement through multidisciplinary coaching and the modification of the environment, encouraging family goals and family support through the family–therapist team.
Rocío Palomo-Carrión; Helena Romay-Barrero; Elena Pinero-Pinto; Rita-Pilar Romero-Galisteo; Purificación López-Muñoz; Inés Martínez-Galán. Early Intervention in Unilateral Cerebral Palsy: Let’s Listen to the Families! What Are Their Desires and Perspectives? A Preliminary Family-Researcher Co-Design Study. Children 2021, 8, 750 .
AMA StyleRocío Palomo-Carrión, Helena Romay-Barrero, Elena Pinero-Pinto, Rita-Pilar Romero-Galisteo, Purificación López-Muñoz, Inés Martínez-Galán. Early Intervention in Unilateral Cerebral Palsy: Let’s Listen to the Families! What Are Their Desires and Perspectives? A Preliminary Family-Researcher Co-Design Study. Children. 2021; 8 (9):750.
Chicago/Turabian StyleRocío Palomo-Carrión; Helena Romay-Barrero; Elena Pinero-Pinto; Rita-Pilar Romero-Galisteo; Purificación López-Muñoz; Inés Martínez-Galán. 2021. "Early Intervention in Unilateral Cerebral Palsy: Let’s Listen to the Families! What Are Their Desires and Perspectives? A Preliminary Family-Researcher Co-Design Study." Children 8, no. 9: 750.
Early Intervention (EI) is a set of interventions focused on responding to the needs of children with or at risk of developmental problems. This study aimed to investigate the relationships between the perceived quality of service, satisfaction and family quality of life. Methods: to conduct a multi-centre, transversal study with a non-probabilistic sample. The participants (N = 1551) were families from 24 Early Intervention Centres (EICs) located in Spain. Results: The results indicated an adequate fit of the measurement and structural models, with the latter showing a capacity of 73% to predict the family quality of life. The structural model established that the perceived service quality was a positive and significant predictor of satisfaction (β = 0.85; p< 0.001). Both the perceived quality of service (β = 0.28; p< 0.001) and satisfaction (β = 0.33; p< 0.001) obtained a similar positive and significant relationship with family quality of life, which was slightly stronger than satisfaction. Conclusions: This study provided a better understanding of the importance of the services offered in EICs and their influence on the satisfaction and family quality of life of their users. Thus, delving into these relationships was highly relevant for decision-making in the context of EI.
Inmaculada-Concepción Jemes-Campaña; Rita-Pilar Romero-Galisteo; Pablo Gálvez-Ruiz; Maria-Teresa Labajos-Manzanares; Noelia Moreno-Morales. Service Quality in Early Intervention Centres: An Analysis of Its Influence on Satisfaction and Family Quality of Life. Children 2021, 8, 716 .
AMA StyleInmaculada-Concepción Jemes-Campaña, Rita-Pilar Romero-Galisteo, Pablo Gálvez-Ruiz, Maria-Teresa Labajos-Manzanares, Noelia Moreno-Morales. Service Quality in Early Intervention Centres: An Analysis of Its Influence on Satisfaction and Family Quality of Life. Children. 2021; 8 (8):716.
Chicago/Turabian StyleInmaculada-Concepción Jemes-Campaña; Rita-Pilar Romero-Galisteo; Pablo Gálvez-Ruiz; Maria-Teresa Labajos-Manzanares; Noelia Moreno-Morales. 2021. "Service Quality in Early Intervention Centres: An Analysis of Its Influence on Satisfaction and Family Quality of Life." Children 8, no. 8: 716.
There is a lack of scientific evidence about the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The clinical manifestations are not thoroughly understood; classically, the virus manifests itself at the pulmonary level but can manifest at other levels. To the best of our knowledge, systematic reviews and non-systematic reviews about COVID-19 symptoms in the feet have not been published. The aim of this review of reviews was to analyze and synthesize the published reviews on manifestations of COVID-19 at the foot level. Methods: a review of reviews was conducted; the eligibility criteria included studies published in English or Spanish, involving children and adults with COVID-19, and reporting foot manifestations. PubMed, SciELO, Science Direct, Cochrane Database of Systematic Review, and Google Scholar were analyzed. Two authors independently performed the screening and quality assessment of the studies with AMSTAR 1, and finally, nine reviews were analyzed (one systematic and eight narratives studies). The main clinical manifestations at the foot level in patients with COVID-19 were vascular (edema, exanthems, chilblains, ischemia, and distal necrosis), dermatological (vesicular, maculopapular, papulosquamous, urticarial skin breakouts, and recurrent herpes), and neurological (muscular weakness in lower limbs, paresis, areflexias, ataxia, and difficulty walking). Erythema pernio or “COVID toes” was shown as the most characteristic lesion of this disease, especially in asymptomatic children and young people, so this typical manifestation may be considered important in patients who are positive for COVID-19. This finding does not allow for strong conclusions due to the scarce literature and methodological quality in this regard. Future studies are necessary.
Ana Jimenez-Cebrian; Aurora Castro-Mendez; Blanca García-Podadera; Rita Romero-Galisteo; Miguel Medina-Alcántara; Irene Garcia-Paya; Joaquín Páez-Moguer; Antonio Córdoba-Fernández. Clinical Manifestations of COVID-19 in the Feet: A Review of Reviews. Journal of Clinical Medicine 2021, 10, 2201 .
AMA StyleAna Jimenez-Cebrian, Aurora Castro-Mendez, Blanca García-Podadera, Rita Romero-Galisteo, Miguel Medina-Alcántara, Irene Garcia-Paya, Joaquín Páez-Moguer, Antonio Córdoba-Fernández. Clinical Manifestations of COVID-19 in the Feet: A Review of Reviews. Journal of Clinical Medicine. 2021; 10 (10):2201.
Chicago/Turabian StyleAna Jimenez-Cebrian; Aurora Castro-Mendez; Blanca García-Podadera; Rita Romero-Galisteo; Miguel Medina-Alcántara; Irene Garcia-Paya; Joaquín Páez-Moguer; Antonio Córdoba-Fernández. 2021. "Clinical Manifestations of COVID-19 in the Feet: A Review of Reviews." Journal of Clinical Medicine 10, no. 10: 2201.
Infantile hemiparesis may be associated with significant morbidity and may have a profound impact on a child’s physical and social development. Infantile hemiparesis is associated with motor dysfunction as well as additional neurologic impairments, including sensory loss, mental retardation, epilepsy, and vision, hearing, or speech impairments. The objective of this study was to analyze the association between the cause of infantile hemiparesis and birth (gestational age), age of diagnosis, and associated disorders present in children with infantile hemiparesis aged 0 to 3 years. An observational and cross-sectional study was performed. A simple and anonymous questionnaire was created ad hoc for parents of children diagnosed with infantile hemiparesis aged between 0 and 3 years about the situation regarding the diagnosis of hemiparesis, birth, cause of hemiparesis, and presence of other associated disorders. Perinatal stroke (60.1%) was the most common cause of hemiparesis, and the most typical associated disorder was epilepsy (34.2%), with the second largest percentage in this dimension corresponding to an absence of associated disorders (20.7%). The most frequent birth was “no premature” (74.1%). The mean age of diagnosis of infantile hemiparesis was registered at 8 months (IQR: 0–36). Knowing the possible association between different conditioning factors and the cause of infantile hemiparesis facilitates the prevention of severe sequelae in children and family, implementing an early comprehensive therapeutic approach in children with infantile hemiparesis.
Rocío Palomo-Carrión; Rita Romero-Galisteo; Helena Romay-Barrero; Inés Martínez-Galán; Cristina Lirio-Romero; Elena Pinero-Pinto. How Does the Cause of Infantile Hemiparesis Influence Other Conditioning Factors? A Preliminary Study in a Spanish Population. Children 2021, 8, 323 .
AMA StyleRocío Palomo-Carrión, Rita Romero-Galisteo, Helena Romay-Barrero, Inés Martínez-Galán, Cristina Lirio-Romero, Elena Pinero-Pinto. How Does the Cause of Infantile Hemiparesis Influence Other Conditioning Factors? A Preliminary Study in a Spanish Population. Children. 2021; 8 (5):323.
Chicago/Turabian StyleRocío Palomo-Carrión; Rita Romero-Galisteo; Helena Romay-Barrero; Inés Martínez-Galán; Cristina Lirio-Romero; Elena Pinero-Pinto. 2021. "How Does the Cause of Infantile Hemiparesis Influence Other Conditioning Factors? A Preliminary Study in a Spanish Population." Children 8, no. 5: 323.
La ludificación consiste en emplear el juego en contextos no lúdicos. Su uso en la rehabilitación motora de patologías neurológicas está muy extendido, pero sobre todo en pacientes adultos. El objetivo de esta revisión fue describir el uso de la ludificación en los tratamientos de rehabilitación en niños y adolescentes con afectación neuromotora. Se realizó una revisión sistemática de ensayos clínicos en diferentes bases de datos: Medline (a través de Pubmed), Scielo, SCOPUS, Dialnet, Cinahl y PEDro de la literatura científica publicada hasta la fecha siguiendo el protocolo PRISMA. La calidad metodológica de los estudios identificados se evaluó a través de la escala PEDro. De un total de 469 estudios localizados se seleccionaron 10 ensayos clínicos que cumplieron los criterios de inclusión. Se analizaron los sistemas de ludificación utilizados como parte del tratamiento rehabilitador en distintas afecciones neuromotoras en niños y adolescentes. La parálisis cerebral fue la afección con mayor número de estudios (n = 6), seguida del trastorno del desarrollo de la coordinación (n = 3). También se estudió la alteración del equilibrio y coordinación por causa neurológica (n = 1). El uso de la ludificación en rehabilitación aporta beneficios al tratamiento convencional de las alteraciones neuromotoras en niños y adolescentes, siendo el incremento de la motivación y de la adherencia terapéutica los que mayor consenso han alcanzado entre autores. Fuerza, equilibrio, funcionalidad y coordinación son otras variables analizadas que, si bien sugieren mejoras, necesitarían futuras investigaciones para determinar una óptima dosificación. Gamification consists of the use of games in non-playful contexts. It is widely employed in the motor rehabilitation of neurological diseases, but mainly in adult patients. The objective of this review was to describe the use of gamification in the rehabilitation of children and adolescents with neuromotor impairment. We performed a systematic review of clinical trials published to date on the MEDLINE (PubMed), Scielo, SCOPUS, Dialnet, CINAHL, and PEDro databases, following the PRISMA protocol. The methodological quality of the studies identified was assessed using the PEDro scale. From a total of 469 studies, 10 clinical trials met the inclusion criteria. We analysed the gamification systems used as part of the rehabilitation treatment of different neuromotor conditions in children and adolescents. Cerebral palsy was the most frequently studied condition (6 studies), followed by developmental coordination disorder (3), and neurological impairment of balance and coordination (1). The use of gamification in rehabilitation is helpful in the conventional treatment of neuromotor disorders in children and adolescents, with increased motivation and therapeutic adherence being the benefits with the greatest consensus among authors. While strength, balance, functional status, and coordination also appear to improve, future research should aim to determine an optimal dosage.
M. Pimentel-Ponce; R.P. Romero-Galisteo; R. Palomo-Carrión; E. Pinero-Pinto; J.A. Merchán-Baeza; M. Ruiz-Muñoz; J. Oliver-Pece; M. González-Sánchez. Ludificación y neurorrehabilitación motora en niños y adolescentes: revisión sistemática. Neurología 2021, 1 .
AMA StyleM. Pimentel-Ponce, R.P. Romero-Galisteo, R. Palomo-Carrión, E. Pinero-Pinto, J.A. Merchán-Baeza, M. Ruiz-Muñoz, J. Oliver-Pece, M. González-Sánchez. Ludificación y neurorrehabilitación motora en niños y adolescentes: revisión sistemática. Neurología. 2021; ():1.
Chicago/Turabian StyleM. Pimentel-Ponce; R.P. Romero-Galisteo; R. Palomo-Carrión; E. Pinero-Pinto; J.A. Merchán-Baeza; M. Ruiz-Muñoz; J. Oliver-Pece; M. González-Sánchez. 2021. "Ludificación y neurorrehabilitación motora en niños y adolescentes: revisión sistemática." Neurología , no. : 1.
Background Preterm infants have a higher risk of development disorders. Prematurity can be considered a source of stress, in both children and their parents, due to the high number of interventions that they require. Early intervention (EI) programmes have shown to have a positive influence on the neurodevelopment of children with neurological risk. On the other hand, parenting stress has a negative influence on the development of any child. This systematic review aimed to identify the effect of EI programmes on decreasing parenting stress suffered by parents of preterm babies. Methods Systematic review and meta‐analysis of experimental studies in accordance with the PRISMA declaration guidelines were applied in this work. Results Fifteen randomized clinical trials were included whose methodological quality was assessed using the PEDro scale. Stress data extraction was meta‐analysed using the inverse variance method in a random effects model. Statistical heterogeneity was assessed with the I2 heterogeneity statistic. The domains most commonly reported in the trials were the childcare‐related stress (Child Domain), personal discomfort (Parent Domain) and computation of both (Total Stress). The results showed significant (P < 0,05) and clinically relevant differences in favour of the EI programme group at 18 months and 5 years. Conclusions This review found moderate to strong evidence of the impact of EI programmes on the reduction of parenting stress in parents of preterm babies. These findings offer useful insights regarding the delivery of current support and the development of future family interventions. Finally, recommendations are provided for future intervention evaluation studies in this area.
Montserrat Girabent‐Farrés; Amanda Jimenez‐Gónzalez; Rita Pilar Romero‐Galisteo; Marta Amor‐Barbosa; Caritat Bagur‐Calafat. Effects of early intervention on parenting stress after preterm birth: A meta‐analysis. Child: Care, Health and Development 2021, 1 .
AMA StyleMontserrat Girabent‐Farrés, Amanda Jimenez‐Gónzalez, Rita Pilar Romero‐Galisteo, Marta Amor‐Barbosa, Caritat Bagur‐Calafat. Effects of early intervention on parenting stress after preterm birth: A meta‐analysis. Child: Care, Health and Development. 2021; ():1.
Chicago/Turabian StyleMontserrat Girabent‐Farrés; Amanda Jimenez‐Gónzalez; Rita Pilar Romero‐Galisteo; Marta Amor‐Barbosa; Caritat Bagur‐Calafat. 2021. "Effects of early intervention on parenting stress after preterm birth: A meta‐analysis." Child: Care, Health and Development , no. : 1.
Modified constraint-induced movement therapy (mCIMT) is efficient at improving upper limb non-use. The experiences of families and children with mCIMT could allow researchers to understand how it influences their day-to-day life and to improve the function of the affected upper limb without altering family life and avoiding frustration. In this qualitative study, we aimed to collect the experiences of parents and their children (aged 4–8 years) who did mCIMT at home regarding the application of low-intensity modified constraint-induced movement therapy to improve the affected upper limb functionality in infantile hemiplegia with moderate manual ability. Individual semi-structured interviews were performed to obtain insights into their experience with mCIMT. The experiences of parents and children were described in thematic sections. Eight children with hemiplegia (six years, standard deviation, SD: 1.77) and their parents were asked about their experiences after applying 50 h of mCIMT at home. Three main themes emerged from the children’s interview data: (1) the experience of wearing the containment in the modified constraint-induced movement therapy (CIMT) intervention, (2) the reaction to performing the therapy at home with his/her family, and (3) learning of the affected upper limb. In the parents’ interview data, there were two main themes: (1) the difficulty of executing an intensive therapy protocol (mCIMT: 50 h) at home and (2) the feeling of not wanting to finish the intervention. The experiences of the parents and their children regarding mCIMT allowed us to understand the facilitators and barriers that affect the execution of mCIMT at home, and this understanding allows us to improve its future application.
Rocío Palomo-Carrión; Helena Romay-Barrero; Rita-Pilar Romero-Galisteo; Elena Pinero-Pinto; Purificación López-Muñoz; Inés Martínez-Galán. Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience. Children 2020, 7, 248 .
AMA StyleRocío Palomo-Carrión, Helena Romay-Barrero, Rita-Pilar Romero-Galisteo, Elena Pinero-Pinto, Purificación López-Muñoz, Inés Martínez-Galán. Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience. Children. 2020; 7 (11):248.
Chicago/Turabian StyleRocío Palomo-Carrión; Helena Romay-Barrero; Rita-Pilar Romero-Galisteo; Elena Pinero-Pinto; Purificación López-Muñoz; Inés Martínez-Galán. 2020. "Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience." Children 7, no. 11: 248.
Background: Inappropriate posture in children while playing some string instruments can cause back pain and alterations of the spine. To date, there is no research on the effect of exercise on children who play a musical instrument, although it is known that transversus abdominis muscle control through the Pilates method has shown pain reduction and posture improvement in this population. Objective: To assess the effectiveness of the Pilates method combined with therapeutic exercise with respect to therapeutic exercise exclusively in reducing pain and improving postural alignment in children playing string instruments applying a protocol of low dose to increase children’s adherence to training. Methods: A randomized controlled pilot study was designed with two parallel intervention groups. Twenty-five children (10–14 years old) were randomized in two intervention groups: Pilates method with therapeutic exercise (experimental) and therapeutic exercise (control) for 4 weeks (50 min per day, one day per week). Two assessments were performed (before and after treatment) to assess back pain and shoulders and hips alignment using a visual analog scale and the Kinovea program. Results: Statistically significant differences were obtained for pain reduction before (p = 0.04) and after (p = 0.01) playing the instrument in the experimental group. There were no significant changes in alignment improvement in any of the two groups. Conclusion: The application of a low dose of the Pilates method combined with therapeutic exercise could be a beneficial intervention for pain reduction before and after musical practice in children who play string instruments.
Carolina Poncela-Skupien; Elena Pinero-Pinto; Carmen Martínez-Cepa; Juan Carlos Zuil-Escobar; Rita Pilar Romero-Galisteo; Rocío Palomo-Carrión. How does the Execution of the Pilates Method and Therapeutic Exercise Influence Back Pain and Postural Alignment in Children Who Play String Instruments? A Randomized Controlled Pilot Study. International Journal of Environmental Research and Public Health 2020, 17, 7436 .
AMA StyleCarolina Poncela-Skupien, Elena Pinero-Pinto, Carmen Martínez-Cepa, Juan Carlos Zuil-Escobar, Rita Pilar Romero-Galisteo, Rocío Palomo-Carrión. How does the Execution of the Pilates Method and Therapeutic Exercise Influence Back Pain and Postural Alignment in Children Who Play String Instruments? A Randomized Controlled Pilot Study. International Journal of Environmental Research and Public Health. 2020; 17 (20):7436.
Chicago/Turabian StyleCarolina Poncela-Skupien; Elena Pinero-Pinto; Carmen Martínez-Cepa; Juan Carlos Zuil-Escobar; Rita Pilar Romero-Galisteo; Rocío Palomo-Carrión. 2020. "How does the Execution of the Pilates Method and Therapeutic Exercise Influence Back Pain and Postural Alignment in Children Who Play String Instruments? A Randomized Controlled Pilot Study." International Journal of Environmental Research and Public Health 17, no. 20: 7436.
Falls in the elderly are associated with morbidity and mortality. Research about fall risk factors in Spanish care facilities is scarce. This study aimed to assess the prevalence of falls among residents living in long-term care Spanish institutions and to identify fall risk factors in this population. A nationwide retrospective cohort study was conducted in 113 centers. Persons over 70 years old who were living in a residential setting for at least 1 year were included. Simple and multiple regression analyses were conducted to estimate the associations between the main clinical variables registered in the databases and the presence of falls. A total of 2849 subjects were analyzed (mean age 85.21 years). The period prevalence of fallers in the last 12 months was 45.3%, with a proportion of recurrent fallers of 51.7%. The presence of falls was associated with lower Tinetti Scale scores (OR = 1.597, 95% CI: 1.280, 1.991; OR = 1.362, 95% CI: 1.134, 1.635), severe or moderate cognitive impairment (OR= 1.992, 95% CI: 1.472, 2.695; OR = 1.507, 95% CI: 1.231, 1.845, respectively), and polypharmacy (OR = 1.291, 95% CI: 1.039, 1.604). Fall prevention interventions should focus on the prevention of balance and cognitive deterioration and the improvement of these functions when possible. It should also focus on a periodical medication history revision aiming to avoid inappropriate prescriptions.
Lourdes Bujalance Díaz; María Jesús Casuso-Holgado; María Teresa Labajos-Manzanares; Francisco Javier Barón-López; Elena Pinero-Pinto; Rita Pilar Romero-Galisteo; Noelia Moreno-Morales. Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health 2020, 17, 7234 .
AMA StyleLourdes Bujalance Díaz, María Jesús Casuso-Holgado, María Teresa Labajos-Manzanares, Francisco Javier Barón-López, Elena Pinero-Pinto, Rita Pilar Romero-Galisteo, Noelia Moreno-Morales. Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health. 2020; 17 (19):7234.
Chicago/Turabian StyleLourdes Bujalance Díaz; María Jesús Casuso-Holgado; María Teresa Labajos-Manzanares; Francisco Javier Barón-López; Elena Pinero-Pinto; Rita Pilar Romero-Galisteo; Noelia Moreno-Morales. 2020. "Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study." International Journal of Environmental Research and Public Health 17, no. 19: 7234.
To perform a cross-cultural adaptation and validation of the Johns Hopkins Fall Risk Assessment Tool to develop its Spanish version (JHFRAT-Sp). Two hundred eleven participants aged 60 years or older participated in this observational study. After translation and transcultural adaptation of the JHFRAT-Sp, the internal consistency, criterion validity and construct validity were calculated using the Falls Efficacy Scale International, Foot Health Status Questionnaire (FHSQ), Health Questionnaire EuroQol (5Dimensions and VAS), Short Form-12v2 and Health Assessment Questionnaire. The internal consistency was 0.986. The test-retest analysis ranged from 0.971 to 0.983. The error measures presented values in MDC90 and SEM of 0.602 and 1.404%, respectively. The chi-Square value was 120.662 (p < 0.001). The extraction method by principal components showed a solution of four factors. Regarding the criterion validity, the correlation value ranged from r = 0.200 (FHSQ-Vigour) to r = 0.891 (EuroQol-VAS). The JHFRAT was translated and adapted culturally from the original version to Spanish. The psychometric analysis carried out in the JHFRAT-Sp showed excellent reliability, as well as satisfactory results both in the measurement error analysis and in the construct and criterion validities. Spanish researchers and clinicians may use this tool to analyse the risk of falling. A transcultural translation and adaptation of the JHFRAT questionnaire into Spanish (JHFRAT-Sp) has been carried out. The JHFRAT-Sp questionnaire is shown as a tool with very satisfactory psychometric characteristics, which would allow its use by both researchers and clinicians for the evaluation and monitoring of patients at risk of falls. The results that can be extracted from the use of JHFRAT-Sp, can be compared with the same type of patients who have used the same questionnaire but in other clinical or research environments that have the validated version of JHFRAT in their native language, such as English, Chinese or Portuguese (Brazilian).
Francisco José Ariza-Zafra; Rita P. Romero-Galisteo; María Ruiz-Muñoz; Antonio I. Cuesta-Vargas; Manuel González-Sánchez. Cross-cultural adaptation and validation of the Spanish version of the Johns Hopkins Fall Risk Assessment Tool. Disability and Rehabilitation 2020, 1 -8.
AMA StyleFrancisco José Ariza-Zafra, Rita P. Romero-Galisteo, María Ruiz-Muñoz, Antonio I. Cuesta-Vargas, Manuel González-Sánchez. Cross-cultural adaptation and validation of the Spanish version of the Johns Hopkins Fall Risk Assessment Tool. Disability and Rehabilitation. 2020; ():1-8.
Chicago/Turabian StyleFrancisco José Ariza-Zafra; Rita P. Romero-Galisteo; María Ruiz-Muñoz; Antonio I. Cuesta-Vargas; Manuel González-Sánchez. 2020. "Cross-cultural adaptation and validation of the Spanish version of the Johns Hopkins Fall Risk Assessment Tool." Disability and Rehabilitation , no. : 1-8.
Objective: To assess the functionality of the affected upper limb in children diagnosed with hemiplegia aged between 4 and 8 years after applying low-intensity modified Constraint-Induced Movement Therapy (mCIMT). Methods: Prospective case series study. A mCIMT protocol was applied for five weeks, with two hours of containment per day. The study variables were quality of movement of the upper limb, spontaneous use, participation of the affected upper limb in activities of daily living, dynamic joint position, grasp–release action, grasp strength, supination and extension elbow movements. Four measurements were performed, using the quality of upper extremity test (QUEST) scale, the Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) Evaluation, a hand dynamometer and a goniometer. Results: The sample was composed of eight children with moderate manual ability. Statistically significant differences were detected in all the studied variables (p < 0.05) between the pre-treatment and post–treatment results (Week 0–Week 5), except for upper limb dressing, putting on splints and buttoning up. In the first week, the changes were statistically significant, except for protective extension, grasp strength, grasp–release and all functional variables (level of functionality and participation of the patient’s upper limbs) in the SHUEE Evaluation (p > 0.05). The greatest increase occurred in spontaneous use from Assessment 1 to Assessment 4 (p = 0.01), reaching 88.87% active participation in bimanual tasks. The quality of movement of the upper limb exhibited a significant value due to the increase in dissociated movements and grasp (p = 0.01). Conclusion: A low dose (50 h) of mCIMT increased the functionality of children diagnosed with congenital hemiplegia between 4 and 8 years of age with moderate manual ability.
Rocío Palomo-Carrión; Rita-Pilar Romero-Galisteo; Elena Pinero-Pinto; Purificación López-Muñoz; Helena Romay-Barrero; Francisco José. Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affected Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability: Case Series. Children 2020, 7, 127 .
AMA StyleRocío Palomo-Carrión, Rita-Pilar Romero-Galisteo, Elena Pinero-Pinto, Purificación López-Muñoz, Helena Romay-Barrero, Francisco José. Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affected Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability: Case Series. Children. 2020; 7 (9):127.
Chicago/Turabian StyleRocío Palomo-Carrión; Rita-Pilar Romero-Galisteo; Elena Pinero-Pinto; Purificación López-Muñoz; Helena Romay-Barrero; Francisco José. 2020. "Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affected Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability: Case Series." Children 7, no. 9: 127.
Objective: To assess the functionality of the affected upper limb in children diagnosed with hemiplegia aged between 4 and 8 years after applying low-intensity modified constraint-induced movement therapy(mCIMT). Methods: Prospective case series study. A mCIMT protocol was applied for five weeks, with two hours of containment per day. The study variables were: quality of movement of the upper limb, spontaneous use, participation of the affected upper limb in activities of daily living, dynamic joint position, grasp-release action, grasp strength, supination and extension elbow movements. Four measurements were performed, using the QUEST scale, the SHUEE Evaluation, a hand dynamometer and a goniometer. Results: The sample was composed of 8 children with moderate manual ability. Statistically significant differences were detected in all the studied variables (p<0.05). The greatest increase occurred in spontaneous use from assessment 1-4 (p = 0.01), reaching 88.87% active participation in bimanual tasks. The quality of movement of the upper limb obtained a significant value due to the increase in dissociated movements and grasp (p = 0.01). Conclusion: A low dose (50 hours) of mCIMT increased the functionality of children diagnosed with congenital hemiplegia between 4 and 8 years of age with moderate manual ability.
Rocío Palomo-Carrión; Rita-Pilar Romero-Galisteo; Elena Piñero-Pinto; Purificación López-Muñoz; Helena Romay-Barrero; Francisco García-Muro. Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affecter Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability. Case Series. 2020, 1 .
AMA StyleRocío Palomo-Carrión, Rita-Pilar Romero-Galisteo, Elena Piñero-Pinto, Purificación López-Muñoz, Helena Romay-Barrero, Francisco García-Muro. Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affecter Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability. Case Series. . 2020; ():1.
Chicago/Turabian StyleRocío Palomo-Carrión; Rita-Pilar Romero-Galisteo; Elena Piñero-Pinto; Purificación López-Muñoz; Helena Romay-Barrero; Francisco García-Muro. 2020. "Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affecter Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability. Case Series." , no. : 1.
Advances achieved in diagnosis and improvements in treatment for breast cancer have resulted in a favourable survival rate. Therapeutic physical exercise (TPE) is presented as an intervention strategy that seeks to improve the functional capabilities of the subject. To analyse if clinical practice guidelines recommend therapeutic physical exercise to reduce the adverse effects of treatment in breast cancer survivors, and on what level of scientific evidence are these recommendations based. This systematic review was prepared by searching nine electronic databases to identify eligible studies. Thirteen met the criteria for inclusion. The Appraisal of Guidelines for Research and Evaluation (AGREE II) scale was used to analyse the quality of Clinical Practice Guideline (CPGs). The percentages obtained ranged between 30.07% and 75.70%. Specifically, the highest degree of evidence could be found in the application of TPE to offset adverse effects leading to effects such as: an increase in the quality of life, fatigue reduction, and reduction in body weight alterations. TPE is presented as an optimal intervention strategy to alleviate the negative effects that patients with breast cancer suffer as a result of the treatments received. The level of evidence that supports this claim is very strong for the majority of the side effects analysed. However, this evidence is not always included in the clinical practice guidelines.
Alicia Del-Rosal-Jurado; Rita Romero-Galisteo; Manuel Trinidad-Fernández; Manuel González-Sánchez; Antonio Cuesta-Vargas; Maria Ruiz-Muñoz. Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines. Journal of Clinical Medicine 2020, 9, 1239 .
AMA StyleAlicia Del-Rosal-Jurado, Rita Romero-Galisteo, Manuel Trinidad-Fernández, Manuel González-Sánchez, Antonio Cuesta-Vargas, Maria Ruiz-Muñoz. Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines. Journal of Clinical Medicine. 2020; 9 (4):1239.
Chicago/Turabian StyleAlicia Del-Rosal-Jurado; Rita Romero-Galisteo; Manuel Trinidad-Fernández; Manuel González-Sánchez; Antonio Cuesta-Vargas; Maria Ruiz-Muñoz. 2020. "Therapeutic Physical Exercise Post-Treatment in Breast Cancer: A Systematic Review of Clinical Practice Guidelines." Journal of Clinical Medicine 9, no. 4: 1239.
Evaluating the service quality in early intervention (EI) from the perspective of professionals with knowledge in this area is essential for the improvement of EI centres. In this study, we aimed to test the reliability and validity of the adapted Inventory of Quality in Early Intervention Centres-P (IQEIC-P) in a sample of professionals who worked in EI centres. Three hundred and twenty-four professionals of 85 EI Spanish centres were recruited for this research. Various psychometric analyses were used to evaluate the factorial structure, the internal consistency, factorial validity and construct validity. A 5-dimension structure was obtained in the exploratory factor analysis (EFA). The results showed an adequate internal consistency (Cronbach’s alpha values between 0.71 and 0.83, and composite reliability (CR) values higher than 0.70), as well as satisfactory convergent and discriminant validity (average variance extracted (AVE) values above 0.50). In the confirmatory factor analysis, good model fit indicators were observed. The IQEIC-P showed adequate psychometric properties, demonstrating to be a valid instrument for the evaluation of service quality in EI centres from the perspective of professionals. The benefits will influence the professionals themselves, and they will have a positive and direct impact on the families that are attended to in these centres.
Inmaculada-Concepción Jemes-Campaña; Rita-Pilar Romero-Galisteo; María-Teresa Labajos-Manzanares; Pablo Gálvez-Ruiz; Noelia Moreno-Morales. The Inventory of Quality in Early Intervention Centres for Service Providers: Preliminary Validating Study in a Spanish Sample. International Journal of Environmental Research and Public Health 2020, 17, 2581 .
AMA StyleInmaculada-Concepción Jemes-Campaña, Rita-Pilar Romero-Galisteo, María-Teresa Labajos-Manzanares, Pablo Gálvez-Ruiz, Noelia Moreno-Morales. The Inventory of Quality in Early Intervention Centres for Service Providers: Preliminary Validating Study in a Spanish Sample. International Journal of Environmental Research and Public Health. 2020; 17 (7):2581.
Chicago/Turabian StyleInmaculada-Concepción Jemes-Campaña; Rita-Pilar Romero-Galisteo; María-Teresa Labajos-Manzanares; Pablo Gálvez-Ruiz; Noelia Moreno-Morales. 2020. "The Inventory of Quality in Early Intervention Centres for Service Providers: Preliminary Validating Study in a Spanish Sample." International Journal of Environmental Research and Public Health 17, no. 7: 2581.
Despite its importance, there is no consensus among authors on the measurement of service quality in EI. It is often the family of the children attended in EI that are considered the target to study, although the opinion of professionals carries more weight and completes the information.
Inmaculada Concepción Jemes Campaña; Rita Pilar Romero-Galisteo; María Teresa Labajos Manzanares; Noelia Moreno Morales. Evaluación de la calidad de servicio en Atención Temprana: revisión sistemática. Anales de Pediatría 2019, 90, 301 -309.
AMA StyleInmaculada Concepción Jemes Campaña, Rita Pilar Romero-Galisteo, María Teresa Labajos Manzanares, Noelia Moreno Morales. Evaluación de la calidad de servicio en Atención Temprana: revisión sistemática. Anales de Pediatría. 2019; 90 (5):301-309.
Chicago/Turabian StyleInmaculada Concepción Jemes Campaña; Rita Pilar Romero-Galisteo; María Teresa Labajos Manzanares; Noelia Moreno Morales. 2019. "Evaluación de la calidad de servicio en Atención Temprana: revisión sistemática." Anales de Pediatría 90, no. 5: 301-309.
The current perspective on early intervention revolves around consideration of the family as a cornerstone, its opinion being essential in providing a quality service. Early intervention centers require an evaluation of the services they perform. The aim of this study was to examine the psychometric properties of the short version of the Inventory of Quality for Early Intervention Centers (IQEIC) and to obtain evidence of its validity and reliability. The sample consisted of 887 families from 21 early intervention centers in Spain, which were randomly divided into 2 groups to conduct a cross-validity analysis: exploratory factor analysis with the first group (n1 = 440), and confirmatory factor analysis with the second group (n2 = 447). A 8 factor structure was obtained in the confirmatory factor analysis that showed a good fit. Both the internal consistency (composite reliability ranging from 0.84 to 0.90) and the convergent (AVE values ranged from 0.12 to 0.50) and discriminant validity were adequate. Lastly, a multigroup analysis (n1 and n2) showed the invariance factorial through the difference in the CFI index. The IQEIC showed satisfactory reliability and validity in this study confirming the proposed model is a valid tool to assess the quality of the service provided in early intervention centers, therefore recommending its application for both research and management.
Rita Pilar Romero-Galisteo; Ángel Blanco-Villaseñor; Noelia Moreno-Morales; Pablo Gálvez-Ruiz. Early intervention and perceived quality. Medicine 2019, 98, e15173 .
AMA StyleRita Pilar Romero-Galisteo, Ángel Blanco-Villaseñor, Noelia Moreno-Morales, Pablo Gálvez-Ruiz. Early intervention and perceived quality. Medicine. 2019; 98 (15):e15173.
Chicago/Turabian StyleRita Pilar Romero-Galisteo; Ángel Blanco-Villaseñor; Noelia Moreno-Morales; Pablo Gálvez-Ruiz. 2019. "Early intervention and perceived quality." Medicine 98, no. 15: e15173.
Early Intervention (EI), as a paediatric service, has the duty of quantifying the results and the quality of its services provided. The accessibility of valid and reliable tools allows professionals to evaluate the quality of these services. The aim of this study is to review the scientific literature on tools used to measure the methodological and service quality in EI. A search was made in different databases: Medline (from PubMed), Web of Science, PsycINFO, Cochrane, Scopus, ERIC and Scielo. The methodological quality of the studies was tested using the COSMIN scale. A total of 13 manuscripts met the criteria to be included in this review. Ten of them received a “good” or “reasonable” score based on the COSMIN scale. Despite its importance, there is no consensus among authors on the measurement of service quality in EI. It is often the family of the children attended in EI that are considered the target to study, although the opinion of professionals carries more weight and completes the information. La Atención Temprana (AT), como servicio pediátrico, obliga a cuantificar resultados de intervención y calidad de servicio ofrecido. La disposición de instrumentos de medida válidos y fiables permitirá a los profesionales evaluar la calidad de estos servicios. Revisar la literatura científica, analizar la calidad metodológica de las herramientas utilizadas en AT para la medición de la calidad de servicio. Se realizó una búsqueda en diferentes bases de datos: Medline (a través de Pubmed), Web of Science, PsycINFO, Cochrane, Scopus, ERIC y Scielo. La calidad metodológica de los estudios identificados se evaluó a través de la escala Consensus-based Standards for the Selection of Health Measurement (COSMIN). Se seleccionaron 13 artículos que cumplieron los criterios de inclusión, de los cuales 10 obtuvieron una puntuación «buena» o «razonable» según la escala COSMIN. Pese a su importancia, aún no existe consenso entre los autores sobre la medición de la calidad de servicio en AT. Habitualmente, es la familia de los niños atendidos en AT la población sobre la que se realizan los estudios, aunque la perspectiva de los profesionales toma auge y completa la información.
Inmaculada Concepción Jemes Campaña; Rita Pilar Romero-Galisteo; María Teresa Labajos Manzanares; Noelia Moreno Morales. Evaluation of quality of service in Early Intervention: A systematic review. Anales de Pediatría (English Edition) 2019, 90, 301 -309.
AMA StyleInmaculada Concepción Jemes Campaña, Rita Pilar Romero-Galisteo, María Teresa Labajos Manzanares, Noelia Moreno Morales. Evaluation of quality of service in Early Intervention: A systematic review. Anales de Pediatría (English Edition). 2019; 90 (5):301-309.
Chicago/Turabian StyleInmaculada Concepción Jemes Campaña; Rita Pilar Romero-Galisteo; María Teresa Labajos Manzanares; Noelia Moreno Morales. 2019. "Evaluation of quality of service in Early Intervention: A systematic review." Anales de Pediatría (English Edition) 90, no. 5: 301-309.
Analizar la literatura científica actual disponible sobre la terapia de movimiento inducido por restricción en niños con hemiplejía y determinar la calidad metodológica de los estudios incluidos en esta revisión. Revisión sistemática de la literatura científica publicada en los últimos 5 años en las bases de datos Medline (a través de Pubmed), la Biblioteca Cochrane y PEDro entre los meses de febrero y marzo de 2018. Se utilizó la escala PEDro para valorar la calidad metodológica de los ensayos clínicos y la escala AMSTAR para valorar las revisiones. La mayoría de los estudios incluían diferentes variables de resultado empleadas para medir la efectividad de esta terapia, siendo el incremento de la funcionalidad del miembro superior el objetivo general de todos ellos. Se seleccionaron 14 estudios: 7 ensayos clínicos aleatorizados, una revisión sistemática, 4 estudios piloto, un estudio exploratorio de diseño aleatorizado y un ensayo clínico no controlado que cumplían con los criterios de inclusión. La puntuación media obtenida según la escala PEDro para valorar la calidad metodológica de los ensayos clínicos y estudios piloto fue 5/10. La revisión presentó una calidad de 7/11 según la escala AMSTAR. La efectividad de la terapia de movimiento inducido por restricción parece tener su base en la alta intensidad de esta, y no en la aplicación de un método restrictivo en el MS menos afecto del niño con hemiplejía. Sería conveniente crear un híbrido entre la terapia de movimiento inducido por restricción y la terapia bimanual para obtener mejores resultados. To analyse the currently available scientific literature on constraint-induced movement therapy in children with hemiplegia, and to determine the methodological quality of the studies included in this review. Systematic Review of the scientific literature published during the past 5 years in the Medline databases (through PubMed), the Cochrane Library, and PEDro between the months of February and March 2018. The PEDro scale was used to assess the methodological quality of the clinical trials, and the AMSTAR (A Measurement Tool to Assess Systematic Reviews) scale to assess the reviews. Most studies included different variables used to measure the effectivity of this therapy, with improving the functionality of the upper limb being the main aim in all of them. Of the 14 studies selected, 7 were randomised clinical trials, 1 systematic review, 4 pilot studies, 1 randomised design exploratory study, and 1 uncontrolled clinical trial that met the inclusion criteria. The mean score obtained according to the PEDro scale to assess the methodological quality of the clinical trials and pilot studies was 5/10. The review had a quality of 7/11 according to the AMSTAR scale. The effectiveness of constraint-induced movement therapy seems to be based on the high intensity of its use, and not on the application of a constraint method in the less affected upper limb of the...
L. Merchán Van Hilten; R.P. Romero-Galisteo; L. Merchán Van Hitlen. Terapia de movimiento inducido por restricción en hemiplejía infantil. Revisión sistemática de la literatura. Fisioterapia 2018, 41, 28 -36.
AMA StyleL. Merchán Van Hilten, R.P. Romero-Galisteo, L. Merchán Van Hitlen. Terapia de movimiento inducido por restricción en hemiplejía infantil. Revisión sistemática de la literatura. Fisioterapia. 2018; 41 (1):28-36.
Chicago/Turabian StyleL. Merchán Van Hilten; R.P. Romero-Galisteo; L. Merchán Van Hitlen. 2018. "Terapia de movimiento inducido por restricción en hemiplejía infantil. Revisión sistemática de la literatura." Fisioterapia 41, no. 1: 28-36.
The Questionnaire of Evaluation of the Quality Perceived in Sports Services is a quantitative tool that has mainly been developed in users of public sports services. The aim of this study was to adapt the tool and determine the psychometric properties and the degree of factorial equivalence in three different countries (Spain, Ecuador and Colombia). Using a convenience sampling strategy, three samples with a total of 927 participants were analyzed, of which 330 were spanish, 363 ecuadorians and 234 colombians. The CFA ratified the original structure of 25 items and showed a good fit to the data in the Spanish, Colombian and Ecuadorian sample. All constructs presented good internal consistency, convergent and discriminant validity. Lastly, a multi-group analysis showed the invariance factorial through the difference in the RMSEA, CFI and NNFI indices. The findings of the present study demonstrated evidence for the instrument validity and reliability. In conclusion, the adapted version of the tool provide insightful implications for sport management professionals for the evaluation of the quality of sport services in different countries who have the Spanish language as their mother tongue.
Pablo Gálvez-Ruiz; Elena Conde-Pascual; Alexandra Estrella-Andrade; Jerónimo García-Fernández; Rita Pilar Romero Galisteo; Luisa Vélez-Colón; Brenda Pitts. Testing factorial invariance of the questionnaire of evaluation of the quality perceived in sports services in Spanish, Ecuadorian and Colombian users. Current Psychology 2018, 40, 1249 -1256.
AMA StylePablo Gálvez-Ruiz, Elena Conde-Pascual, Alexandra Estrella-Andrade, Jerónimo García-Fernández, Rita Pilar Romero Galisteo, Luisa Vélez-Colón, Brenda Pitts. Testing factorial invariance of the questionnaire of evaluation of the quality perceived in sports services in Spanish, Ecuadorian and Colombian users. Current Psychology. 2018; 40 (3):1249-1256.
Chicago/Turabian StylePablo Gálvez-Ruiz; Elena Conde-Pascual; Alexandra Estrella-Andrade; Jerónimo García-Fernández; Rita Pilar Romero Galisteo; Luisa Vélez-Colón; Brenda Pitts. 2018. "Testing factorial invariance of the questionnaire of evaluation of the quality perceived in sports services in Spanish, Ecuadorian and Colombian users." Current Psychology 40, no. 3: 1249-1256.
Resumen Resumen El propósito de este trabajo fue optimizar una nueva herramienta de evaluación de la calidad percibida en los Centros de Atención Temprana, desarrollada ad hoc, que permitirá analizar distintas dimensiones de la calidad de servicio en estos centros desde la perspectiva de la Teoría de la Generalizabilidad. El objetivo fue desglosar la variabilidad real de la variabilidad del error. Se estimaron los componentes de varianza de las facetas centros, usuarios, ítems y escalas. Se utilizó una estructura de diseño multifaceta parcialmente anidado, analizando distintas categorías independientemente y en interacción, obteniendo excelentes resultados tanto de los índices de fiabilidad como de generalizabilidad. Se realizó una optimización del diseño de medida para optimizar los tamaños muestrales, pudiendo ser considerado un análisis coste-beneficio. Abstract The purpose of this work was to optimize a new tool for evaluation of quality perceived in the Early Intervention Centers, developed ad hoc, allowing to analyze different dimensions of quality service in these kind of centres from the perspective of the Generalizability Theory. The aim was to break down the actual variability of the variability of the error. The variance of the facets centers, users, items and scales components were estimated. We used a structure of multifaceted partially nested design, analyzing different categories independently and in interaction, obtaining excellent results both indexes of reliability and generalizability. Measure design optimization to optimize sample sizes, and can be considered a cost-benefit analysis was conducted. Key words authors: Early Intervention, Generalizability Analysis, Quality Assessment, Perceived Quality
Rita Pilar Romero Galisteo; Verónica Odilia Morales Sánchez; Antonio Hernández-Mendo. GENERALIZABILIDAD Y OPTIMIZACIÓN EN LA EVALUACIÓN DE LA CALIDAD DE LOS CENTROS DE ATENCIÓN INFANTIL TEMPRANA (CAIT). Universitas Psychologica 2015, 14, 1 .
AMA StyleRita Pilar Romero Galisteo, Verónica Odilia Morales Sánchez, Antonio Hernández-Mendo. GENERALIZABILIDAD Y OPTIMIZACIÓN EN LA EVALUACIÓN DE LA CALIDAD DE LOS CENTROS DE ATENCIÓN INFANTIL TEMPRANA (CAIT). Universitas Psychologica. 2015; 14 (3):1.
Chicago/Turabian StyleRita Pilar Romero Galisteo; Verónica Odilia Morales Sánchez; Antonio Hernández-Mendo. 2015. "GENERALIZABILIDAD Y OPTIMIZACIÓN EN LA EVALUACIÓN DE LA CALIDAD DE LOS CENTROS DE ATENCIÓN INFANTIL TEMPRANA (CAIT)." Universitas Psychologica 14, no. 3: 1.