Process Evaluation of Home-based Bimanual Training in Children with Unilateral Cerebral Palsy (The COAD-study): A Mixed Methods Study.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Developmental Neurorehabilitation Pub Date : 2022-05-01 Epub Date: 2021-12-26 DOI:10.1080/17518423.2021.2011459

Lwme Beckers, Rjem Smeets, Mac de Mooij, B Piškur, Jjw van der Burg, Eaa Rameckers, Pbm Aarts, Coad Author Group, Yjm Janssen-Potten

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引用次数: 3

Abstract

Purpose: To evaluate the processes and factors that influenced implementation and impact of a home-based bimanual training program in children with unilateral cerebral palsy aged 2 through 7 years.

Methods: The program encompassed bimanual task-specific training (3.5 hours/week for 12 weeks) adopting either implicit or explicit motor learning. A therapist and remedial educationalist coached parents. This mixed methods study included course attendance monitoring, questionnaires, registration form, video analysis, interviews, focus group discussion, and drop-out monitoring.

Results: Fourteen families participated. The program was not fully implemented as intended. Parents positively experienced the training and were well able to provide it. The program was demanding for the children and time-consuming for parents. Several components positively contributed to the program: task-analysis, instructional videos, and coaching by a therapist and remedial educationalist. Several modifications to the program were proposed.

Conclusion: Home-based bimanual training forms a demanding but promising therapeutic approach with potential for optimization.

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单侧脑瘫儿童家庭双手训练的过程评价(coad研究):一项混合方法研究。

目的:评价影响2 ~ 7岁单侧脑瘫儿童家庭双手训练方案实施的过程和因素。方法:采用内隐或外显运动学习两种方法，进行为期12周的双手特定任务训练(每周3.5小时)。一位治疗师和补救教育学家指导家长。这项混合方法研究包括课程出勤监测、问卷调查、登记表、视频分析、访谈、焦点小组讨论和退学监测。结果:14个家庭参与。该计划没有按照预期完全实施。家长们积极地体验了培训，并很好地提供了培训。这个项目对孩子要求很高，对家长也很耗时。有几个组成部分对这个项目做出了积极的贡献:任务分析、教学视频、治疗师和补救教育学家的指导。对该计划提出了几项修改意见。结论:以家庭为基础的双手训练是一种要求苛刻但有潜力的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.

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