Volume 22, Issue 4 (Pajouhan Scientific Journal, Autumn 2024)                   Pajouhan Sci J 2024, 22(4): 279-288 | Back to browse issues page


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Ali Hosseini S, Mohammadi F, Khazaei S, Hassan Tehrani T, Effatpanah M. Effectiveness of Painting Based Game on Self-esteem and Quality of Life in Children with Hearing Impairment. Pajouhan Sci J 2024; 22 (4) :279-288
URL: http://psj.umsha.ac.ir/article-1-1120-en.html
1- Department of Pediatric Nursing, Student Research Center, Hamedan School of Nursing, Hamedan University of Medical Sciences, Hamedan, Iran
2- Department of Pediatric Nursing, Hamedan University of Medical Sciences, Hamedan, Iran , mohammadifateme47@yahoo.com
3- Department of Epidemiology, Health Sciences Research Center, Health Sciences and Technology Research Institute, Hamedan University of Medical Sciences, Hamedan, Iran
4- Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Mother and Child Care Research Center, Research School of Health Sciences and Technology, Hamedan University of Medical Sciences, Hamedan, Iran
5- Department of Psychiatry, Faculty of Medicine, Sina Medical Education Center (Farshchian), Hamedan University of Medical Sciences, Hamedan, Iran
Abstract:   (836 Views)
Background and Objectives: Children with hearing impairments often face challenges in developing self-esteem and maintaining quality of life due to communication barriers and interactive limitations. Group play activities, by providing opportunities for interaction and collaboration, can serve as an effective tool to address these challenges. Therefore, the present study aimed to determine the impact of painting based game on self-esteem and quality of life of children with hearing impairments.
Materials and Methods: The present study was a randomized controlled trial, and a total of 62 deaf children from a welfare center affiliated with the Hamadan University of Medical Sciences, Iran, were selected. They were then randomly assigned to either the play therapy group or the control group. The experimental group participated in group play sessions for 90 minutes every week over six sessions. In addition, the Coopersmith Self-Esteem Inventory and the Quality of Life Children's questionnaire were completed as self-reports.
Results: The results indicated a statistically significant increase in the average scores of self-esteem and quality of life and their dimensions in the experimental group compared to the control group immediately and one month after the intervention (P<0.05).
Conclusion: Painting-based games can have positive and lasting effects on the self-esteem and quality of life of children with hearing impairments. It seems necessary to create the conditions for conducting group painting based game in centers specialized for children with hearing impairments.
Full-Text [PDF 971 kb]   (134 Downloads)    
Type of Study: Research Article | Subject: Medicine & Clinical Sciences
Received: 2024/10/9 | Accepted: 2024/11/10 | Published: 2025/04/6

References
1. Wilson D, Rodgers CC. Wong's essentials of pediatric nursing. 6th ed. Elsevier Health Sciences; 2016.
2. Radmehr P, Polark F, Ferdows M, Khosropanah S. Investigating the health status and quality of life of children with hearing disabilities and their relationship with children's individual characteristics. Journal of Pediatric and Infant Nursing. 2021;7(3):21-28.
3. Brown TH. Childhood hearing impairment. Paediatrics and Child Health. 2020;30(1):6-13. [DOI:10.1016/j.paed.2019.10.002]
4. Cui S, Cheng F, Zhang L, Zhang C, Yuan Q, Huang C, et al. Self-esteem, social support and coping strategies of left-behind children in rural China, and the intermediary role of subjective support: a cross-sectional survey. BMC Psychiatry. 2021;21(1):1-9. [DOI:10.1186/s12888-021-03160-y] [PMID] []
5. Patel SR, Bouldin E, Tey CS, Govil N, Alfonso KP. Social isolation and loneliness in the hearing-impaired pediatric population: a scoping review. The Laryngoscope. 2021;131(8):1869-75. [DOI:10.1002/lary.29312] [PMID]
6. Lieu JE, Kenna M, Anne S, Davidson L. Hearing loss in children: a review. JAMA. 2020;324(21):2195-2205. [DOI:10.1001/jama.2020.17647] [PMID]
7. Miller I. Self-esteem: an American history. John Wiley & Sons; 2024.
8. Aggarwal K, Ravi R, Yerraguntla K. Self-esteem among individuals with hearing loss: a systematic review. Indian Journal of Otolaryngology and Head & Neck Surgery. 2024;76(1):314-321. [DOI:10.1007/s12070-023-04153-x] [PMID] []
9. Göncü A. Self-esteem in time and place: how American families imagine, enact, and personalize a cultural ideal. New York: Oxford University Press; 2018. 290 pp. $58.00 (hardback), ISBN 9780199959723.
10. van der Straaten TF, Rieffe C, Soede W, Netten AP, Dirks E, Oudesluys-Murphy AM, et al. Quality of life of children with hearing loss in special and mainstream education: a longitudinal study. International Journal of Pediatric Otorhinolaryngology. 2020;128:109701. [DOI:10.1016/j.ijporl.2019.109701] [PMID]
11. Rezainejad M, Qiljah R, al-Dini J, Great A, Navidian A. The effect of self-care program training on the quality of life of school-age children with nephrotic syndrome: a quasi-experimental study. Journal of Pediatric and Infant Nursing. 2021;7(4):84-93.
12. Crowson MG, Semenov YR, Tucci DL, Niparko JK. Quality of life and cost-effectiveness of cochlear implants: a narrative review. Audiology and Neurotology. 2017;22(4-5):236-258. [DOI:10.1159/000481767] [PMID]
13. Hitchins AR, Hogan SC. Outcomes of early intervention for deaf children with additional needs following an auditory verbal approach to communication. International Journal of Pediatric Otorhinolaryngology. 2018;115:125-132. [DOI:10.1016/j.ijporl.2018.09.025] [PMID]
14. Cohen E, Gadassi R. The function of play for coping and therapy with children exposed to disasters and political violence. Current Psychiatry Reports. 2018;20(5):1-7. [DOI:10.1007/s11920-018-0895-x] [PMID]
15. Haas SC, Ray DC. Child-centered play therapy with children affected by adverse childhood experiences: a single-case design. International Journal of Play Therapy. 2020;29(4):223. [DOI:10.1037/pla0000135]
16. Nursanaa WO, Ady INC, editors. Play therapy for children with anxiety disorders. In: Proceedings of the 5th ASEAN Conference on Psychology, Counselling, and Humanities (ACPCH 2019); 2020. Atlantis Press. [DOI:10.2991/assehr.k.200120.018]
17. Patterson L, Stutey DM, Dorsey B. Play therapy with African American children exposed to adverse childhood experiences. International Journal of Play Therapy. 2018;27(4):215. [DOI:10.1037/pla0000080]
18. da Silva LG, de Oliveira CJ, de Oliveira JD, Bandeira PFR, de Matos JHF, Gomes EB, et al. Use of therapeutic play in nursing care for school-age children: a scoping review. medRxiv. 2022. [DOI:10.1101/2022.03.18.22272614]
19. Alaifard N, Ahadi H, Hassan M, Mehrovarz R, Jamhari A, Dolatabadi S. Comparing the effectiveness of play therapy and story therapy on depression and separation anxiety in children with leukemia. Journal of the Faculty of Medicine, Mashhad University of Medical Sciences. 2021;64(4).
20. Mahmoodi A, Mashayekh M, Zam F, Shahnazari M, Peymani J. The effectiveness of group play therapy with cognitive-behavioral approach on anxiety and self-esteem of deaf students. Journal of Sabzevar University of Medical Sciences. 2022;29(1):115-130. [DOI:10.61186/aums.12.1.23]
21. Coopersmith S. The antecedents of self-esteem. San Francisco: W. H. Freeman and Company; 1967.
22. Edmondson J, Grote L, Haskell L, Matthews A, White M. Adolescent self-esteem: is there a correlation with maternal self-esteem? Nursing Research Course. 2006;1(8).
23. Ahmadi P, Zarean Z, Ebrahimpor M. The effect of the flipped learning method on the self-esteem of elementary school students. Quarterly Journal of Education Studies. 2023;9(34):35-48.
24. Shah R, Kulhara P, Grover S, Kumar S, Malhotra R, Tyagi S. Contribution of spirituality to quality of life in patients with residual schizophrenia. Psychiatry Research. 2011;190(2-3):200-205. [DOI:10.1016/j.psychres.2011.07.034] [PMID]
25. Mohammadian A, Akbari F, Ghilaseh H, Qarlipur R, Allah Z, Godarzi S, et al. Validation of quality of life questionnaire for children (PedsQL) in Kashan city. Scientific Research Journal of Ilam University of Medical Sciences. 2014;22(3):10-18.
26. Varni JW, Seid M, Kurtin PS. PedsQL™ 4.0: reliability and validity of the Pediatric Quality of Life Inventory™ Version 4.0 Generic Core Scales in healthy and patient populations. Medical Care. 2001;39(8):800-812. [DOI:10.1097/00005650-200108000-00006] [PMID]
27. Pahlavi M, Ashori M. Comparing the effect of gestalt play therapy and LEGO therapy on the social-emotional competence in deaf children. Journal of Exceptional Children. 2021;21(4):7-20.
28. Ray DC. Culturally and linguistically responsive play therapy: adapting child-centered play therapy for deaf children. International Journal of Play Therapy. 2019;28(2):79-89. [DOI:10.1037/pla0000091]
29. Zeinali Dehrajabi Z, Ashori M. The effect of play therapy based on Axline approach on the social-emotional assets and resilience of preschool children with hearing loss. Positive Psychology Research. 2021;7(4):13-24.
30. Barimani S, Asadi J, Khajevand A. The effectiveness of play therapy on deaf children's social adaptation and communication skills. Archives of Rehabilitation. 2018;19(3):250-261. [DOI:10.32598/rj.19.3.250]
31. Aldmour HA. The impact of a play-based training program on reducing the negative effects of student abuse and improving their self-esteem. International Education Studies. 2019;12(8):94-105. [DOI:10.5539/ies.v12n8p94]
32. Ashori M, Yazdanipour M. Investigation of the effectiveness of group play therapy training with cognitive-behavioral approach on the social skills of students with intellectual disability. Archives of Rehabilitation. 2018;19(3):262-275. [DOI:10.32598/rj.19.3.262]
33. Tonsuwan P. Effects of group play therapy on social skills in elementary school students. Thailand: Chulalongkorn University; 2019.
34. Hosseini M, Ashori M. Effectiveness of relationship-based play therapy on behavioral problems of children with hearing impairment and their mothers' resilience. Research in Cognitive and Behavioral Sciences. 2022;12(2):91-108.
35. Mahmoudi A, Ahmad A, Elders F, Zam M, Nazari S, Treaty A, et al. The effectiveness of group play therapy with a cognitive-behavioral approach on the anxiety and self-esteem of deaf students. Scientific Research Journal of Sabzevar University of Medical Sciences. 2022;29(1):115-130. [DOI:10.61186/aums.12.1.23]
36. Yazdanipour M, Ashori M, Abedi A. Impact of group theraplay on the social-emotional assets and resilience in children with hearing loss. International Journal of Play Therapy. 2022;31(2):107-117. [DOI:10.1037/pla0000175]
37. Ioannou A, Andreva A, editors. Play and learn with an intelligent robot: enhancing the therapy of hearing-impaired children. In: Human-Computer Interaction - INTERACT 2019: 17th IFIP TC 13 International Conference, Paphos, Cyprus, September 2-6, 2019, Proceedings, Part II. 2019. Springer.
38. Alotibi A, Algahtani F. The impact of play on life quality of children with intellectual disability. International Journal of Recent Research in Social Sciences and Humanities. 2019;6(4):84-91.
39. Witt S, Quitmann J, Höglund AT, Russ S, Kaman A, Escherich G, et al. Effects of a pretend play intervention on health-related quality of life in children with cancer: a Swedish-German study. Journal of Pediatric Hematology/Oncology Nursing. 2023;40(3):158-169. [DOI:10.1177/27527530221121726] [PMID]

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