Communicating With Intention: Therapist and Parent Perspectives on Family-Centered Care in Early Intervention

American Journal of Occupational Therapy, Journal Year: 2022, Volume and Issue: 76(5)

Published: July 21, 2022

Responsive communication is critical to ensuring family-centered care in early intervention (EI). The Intentional Relationship Model (IRM) offers a framework for examining therapist-parent and strategies supporting therapist responsiveness.To explore therapists' EI using the IRM.Prospective descriptive study.Illinois program.Convenience sample of 101 therapists 19 parents enrolled an program. Therapist disciplines included developmental (n = 24), occupational 32), physical 17), speech 28) therapy.Demographic questionnaire, Early Interventionist Self-Efficacy Scale, Intervention Parenting Measure Processes Care (MPOC)-Short Form, MPOC-Service Provider, Clinical Assessment Modes (CAM), Suboptimal Interaction-Short Form (CASI-SF).Therapists used practices specific relationship building more frequently than information sharing (especially general information). Therapists empathizing, encouraging, instructing modes most their interactions with families. Participants' scores on MPOC, CAM, CASI-SF were significantly correlated.Therapist-parent aligned care. Opportunities practitioners identified (1) (2) expanding use collaborating, problem-solving, advocating modes. What This Article Adds: In this study, we explored how IRM can inform through examination interpersonal competency therapeutic mode use.

Language: Английский

---

Exploring Therapeutic Relationships in Pediatric Occupational Therapy: A Meta-Ethnography

Canadian Journal of Occupational Therapy, Journal Year: 2023, Volume and Issue: 91(1), P. 78 - 87

Published: July 4, 2023

Background. Developing strong therapeutic relationships with families is a crucial aspect of pediatric occupational therapy. However, building such complex as they involve multiple directions interaction. Purpose. To provide thorough interpretation children's, caregivers’, and therapists’ experience the relationship. Method. A meta-ethnography was realized to synthesize qualitative studies. systematic search carried out using five databases from 2005 2022. The CAPS checklist used appraise included studies’ quality. analysis completed constant comparison findings. Findings. Three themes emerged 14 studies synthesized. first theme illustrates that relationship can have different meanings depending on perspective children, caregivers, or therapists. second explores components impacting These include power dynamics, communication, respect for diversity. Finally, third how empower positive change. Implications. Children, therapists each ought be heard. Occupational should actively ask children's caregivers’ perspectives encourage sharing effective communication. By doing so, strengthen relationship, which, in turn, promotes

Language: Английский

---

Occupational therapists' understanding of supporting physical activity participation when working with children and adolescents: A national survey

Australian Occupational Therapy Journal, Journal Year: 2022, Volume and Issue: 70(3), P. 303 - 313

Published: Dec. 20, 2022

Physical inactivity is a leading risk factor to disease and mortality. Despite the recognised benefits of physical activity, over half Australian population are not sufficiently active. For individuals with disability, rates further increased placing them at higher negative effects inactivity. Developing healthy lifestyle habits such as activity participation in early childhood has been found be supportive health behaviours being maintained into adulthood. an occupation said involve complex interaction between psychological, social, environmental, factors it within scope therapy. However, limited research available exploring what this role looks like practice.An online, anonymous survey was developed better understand how occupational therapists understood participation, well their current potential facilitating regular clients. All registered were eligible participate survey, which consisted both closed open answered questions.A total 43 practice Australia completed survey. participants viewed important for maintaining well-being Participants described holistic could play supporting outside motor skill development. Therapists identified several ways family-centred, occupation-based approach used support sustained engagement activity.The findings from study contribute our understanding therapy can children adolescents. This sparsely researched area requires more evaluation ensure intervention delivered way that most effective.

Language: Английский

---

Swedish parents' experiences of their role in treatment for children with congenital limb reduction deficiency: Decision‐making and treatment support

Child Care Health and Development, Journal Year: 2020, Volume and Issue: 46(6), P. 723 - 732

Published: Aug. 13, 2020

Parents of children with congenital limb reduction deficiency have an essential role in making treatment decisions during their child's first years life. Treatment options usually concern surgical and/or prosthetic treatment. To tailor to fit different family values and priorities, the family-centred approach indicates importance understanding parental partnership health care professionals. The aim this study was describe parents' experiences decision-making for deficiency.A descriptive design a qualitative used. Semi-structured interviews were conducted 17 parents (12 mothers 5 fathers) upper lower (mean age 5.9 years). interview data analysed using content analysis inductive approach.Two major themes emerged from data. theme, being decision maker someone else, described as ambivalent role, including collaboration within second becoming supporter everyday life, made up four categories: child activities, mentoring handle encounters others, coordinator information 'extended arm' provision child.This enhances our deficiency. results may contribute continued development service by providing guidelines programmes, goal improving support broadening these children.

Language: Английский

---

Co-constructing engagement in pediatric rehabilitation: a multiple case study approach

Disability and Rehabilitation, Journal Year: 2021, Volume and Issue: 44(16), P. 4429 - 4440

Published: April 18, 2021

Purpose To explore engagement principles and contextual conditions in high-engagement therapy sessions involving youth with disabilities service providers.Method From a larger project on engagement, dyadic case analysis was conducted three ages 8–15 their providers. Participants were interviewed about experiences after focusing speech articulation, transition goals, physical mobility. Data analyzed thematically, an emphasis illustrated by the cases.Results There four provider principles: (a) clients differ what engages them how they display (Individual Variation Principle), (b) there are multiple ways to engage (Personalizing (c) is cultivated through relationship (Relationship (d) it important monitor be attuned client's level of over session (Monitoring Principle). Service providers' use strategies varied due conditions, including type youths' interests preferences.Conclusions The findings indicate value awareness dynamics personalized clients, fundamental importance cultivating good monitoring client during therapy.IMPLICATIONS FOR REHABILITATIONService providers may benefit from being aware common underlying co-construction between clients.Service can variety heighten work cultivate positive relationship.It clients' non-verbal verbal signs respond disengagement therapy.Contextual affecting include nature provided preferences.

Language: Английский

---