Physical & Occupational Therapy in Pediatrics最新文献_第10页

Integrating Transcranial Direct Current Stimulation into an Existing Inpatient Physiotherapy Program to Enhance Motor Learning in an Adolescent with Traumatic Brain Injury: A Case Report. 将经颅直流电刺激整合到现有的住院物理治疗计划中，以提高青少年外伤性脑损伤的运动学习:一例报告。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2163214

Jennifer L Ryan, Deryk S Beal, Danielle E Levac, Darcy L Fehlings, F Virginia Wright

{"title":"Integrating Transcranial Direct Current Stimulation into an Existing Inpatient Physiotherapy Program to Enhance Motor Learning in an Adolescent with Traumatic Brain Injury: A Case Report.","authors":"Jennifer L Ryan, Deryk S Beal, Danielle E Levac, Darcy L Fehlings, F Virginia Wright","doi":"10.1080/01942638.2022.2163214","DOIUrl":"https://doi.org/10.1080/01942638.2022.2163214","url":null,"abstract":"Purpose: Describe how transcranial direct current stimulation (tDCS) was incorporated into an inpatient physiotherapy program for an adolescent with severe traumatic brain injury (TBI), detail the motor learning focus of the physiotherapy sessions, and summarize gross motor progress.Method: This case report describes an adolescent who received 20 minutes of anodal tDCS immediately prior to 16 physiotherapy sessions over four weeks. Potential side effects were tracked pre/post tDCS. Gross motor outcomes were measured pre-intervention, post-intervention, and three months post-intervention. Physiotherapy session content was analyzed using therapist documentation and the Motor Learning Strategies Rating Instrument.Results: The youth tolerated tDCS well. The primary side effect was itchiness under the electrodes during tDCS sessions. His mobility progressed from wheelchair use pre- 'tDCS + physiotherapy' to ambulation with a walker post-intervention. His Gross Motor Function Measure score increased 33.1% points pre/post intervention. Session tasks often had several foci (e.g., skill acquisition, strength, and balance) with task focus changing as the youth progressed. Various motor learning strategies were layered within tasks to support performance and learning.Conclusions: tDCS was successfully integrated into an existing inpatient physiotherapy program for an adolescent with TBI. This protocol provides a structure for implementing, monitoring, and measuring tDCS + physiotherapy in pediatric rehabilitation.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 4","pages":"463-481"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9687685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Strategies to Support Learning of Gross Motor Tasks in Children with Autism Spectrum Disorder: A Scoping Review. 支持自闭症谱系障碍儿童大肌肉运动任务学习的策略:范围综述。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2073800

Jamie M Holloway, Stephanie M Tomlinson, Dustin D Hardwick

{"title":"Strategies to Support Learning of Gross Motor Tasks in Children with Autism Spectrum Disorder: A Scoping Review.","authors":"Jamie M Holloway, Stephanie M Tomlinson, Dustin D Hardwick","doi":"10.1080/01942638.2022.2073800","DOIUrl":"https://doi.org/10.1080/01942638.2022.2073800","url":null,"abstract":"Aims: Children with autism spectrum disorder (ASD) display motor difficulties that may impact social and communication interactions and participation in everyday activities. These difficulties may be related to a difference in the way they learn new skills. Therefore, strategies to support motor learning to optimize skill acquisition and retention may be beneficial. This scoping review described current motor learning strategies used to optimize acquisition, retention, transfer, and generalizability of motor tasks in children with ASD.Methods: Three databases were searched from inception through 2021. Studies were included if they involved participants with ASD ≤ 18 years old, evaluated learning of a novel gross motor task, manipulated a motor learning variable, and were written in English.Results: Twenty-two articles met eligibility criteria. Most articles examined strategies that manipulated the instruction of task, with few articles examining feedback or practice. Skill acquisition was the most represented motor learning outcome, with fewer studies examining retention, transfer, or generalizability.Conclusions: Positive results in 95% of the articles suggest that the use of support strategies to optimize motor learning is feasible and beneficial for children with ASD, and that modifications to instruction, feedback, and practice schedules should be considered in motor interventions.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 1","pages":"17-33"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10339344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Pediatric Rehabilitation Therapy and Physiotherapy Education in China. 中国儿童康复治疗与物理治疗教育

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2099234

Lijiao Meng, Qingchuan Wei, Raymond C C Tsang, Panxing Peng, Xiaofan Pang, Lin Yang

{"title":"Pediatric Rehabilitation Therapy and Physiotherapy Education in China.","authors":"Lijiao Meng, Qingchuan Wei, Raymond C C Tsang, Panxing Peng, Xiaofan Pang, Lin Yang","doi":"10.1080/01942638.2022.2099234","DOIUrl":"https://doi.org/10.1080/01942638.2022.2099234","url":null,"abstract":"Aims: To explore the pediatric rehabilitation curriculum, clinical placement, faculty characteristics, facilitators and barriers to curriculum implementation, and satisfaction of graduates of entry-level programs of rehabilitation therapy and physiotherapy in China.Methods: Two online cross-sectional surveys were conducted. With stratified random sampling, faculty were contacted to provide information on pediatric rehabilitation education in Survey A. In Survey B, the satisfaction of 2019 graduates was collected. Fifty-three faculty members (response rate 96.4%) completed Survey A and 154 graduates (response rate 85.6%) completed Survey B.Results: There were variations in pediatric rehabilitation curriculum setting, clinical placement, and faculty characteristics. The key facilitator to implementation was a stand-alone pediatric course. The insufficient number of teachers was identified as the major barrier. The median satisfaction level of all 2019 graduates for curricular setting, faculty and placement was 4 (satisfied). The satisfaction level of 2019 graduates of programs accredited by the World Physiotherapy was statistically higher than that of graduates of non-accredited programs in curricular setting and faculty.Conclusions: The results support the need for faculty development and guidelines on minimum standards for entry-level pediatric rehabilitation education in China.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 1","pages":"93-108"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10341294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reliability, Construct Validity and Completeness of the "Winterthur Observation Protocol" Applied to Early Intervention in Pediatric Physiotherapy Using Coaching. “Winterthur观察方案”应用于儿童理疗指导早期干预的信度、结构效度和完整性。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2023.2181724

Schirin Akhbari Ziegler, Ximena Suárez

{"title":"Reliability, Construct Validity and Completeness of the \"Winterthur Observation Protocol\" Applied to Early Intervention in Pediatric Physiotherapy Using Coaching.","authors":"Schirin Akhbari Ziegler, Ximena Suárez","doi":"10.1080/01942638.2023.2181724","DOIUrl":"https://doi.org/10.1080/01942638.2023.2181724","url":null,"abstract":"Abstract Aim To assess intra- and inter-rater reliability, construct validity and completeness of the “Winterthur Observation Protocol” (WOP). Methods Intra-rater and inter-rater reliability were calculated with the interclass correlation coefficient (ICC) with 95% confidence intervals and Cohens’s kappa coefficient based on 18 5-min sequences from six video-recorded early intervention sessions rated by two assessors. Construct validity was based on an increase of coaching over time (three video-recorded sessions) in six therapists during a course on coaching techniques. WOP’s completeness – the capacity to cover at least 95% of the specific coaching strategies – was assessed based on 18 video-recorded sessions. Results Intra-rater reliability was excellent: ICCs of continuous variables varied from .87 to 1.0; the kappa-value of categorical variables was 0.90. Inter-rater reliability was sufficient to excellent: ICCs of continuous variables were .47–1.0; the kappa-value of categorical variables was .89, indicating excellent intra-rater reliability. Increasing application of coaching behavior during the course provided evidence of construct validity. More than 95% of the specific coaching strategies could be scored with the WOP. Conclusion The WOP is a promising instrument to quantify the contents of early intervention approaches in pediatric physical therapy using coaching. Results must be interpreted with caution due to limited generalizability.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 5","pages":"596-610"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Academic Challenges in Developmental Coordination Disorder: A Systematic Review and Meta-Analysis. 发展性协调障碍的学术挑战:系统回顾与元分析。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2073801

Eliane Dionne, Marie-Ève Bolduc, Annette Majnemer, Miriam H Beauchamp, Marie Brossard-Racine

{"title":"Academic Challenges in Developmental Coordination Disorder: A Systematic Review and Meta-Analysis.","authors":"Eliane Dionne, Marie-Ève Bolduc, Annette Majnemer, Miriam H Beauchamp, Marie Brossard-Racine","doi":"10.1080/01942638.2022.2073801","DOIUrl":"https://doi.org/10.1080/01942638.2022.2073801","url":null,"abstract":"Aims: Developmental Coordination Disorder (DCD) is a chronic condition affecting motor coordination in daily activities. While motor difficulties are well documented in this population, it is unclear how frequent and to what extent academic activities are affected. This systematic review aims to comprehensively summarize the knowledge regarding the prevalence and extent of academic difficulties in reading, writing and mathematics in school-aged children with DCD.Methods: Two independent reviewers analyzed original studies on academic difficulties in school-aged children with DCD. A binary random-effects model was used to calculate the pooled prevalence by academic difficulty. A random-effects model using standardized mean differences (g statistic) was calculated to estimate the extent of the academic difficulties.Results: Twenty-four studies were included. A pooled prevalence of 84% of handwriting difficulties and 89.5% of mathematical difficulties was reported. No pooled prevalence of difficulties could be calculated for the other academic outcomes. Children with DCD present with poorer performance in handwriting legibility (g = -1.312) and speed (g = -0.931), writing (g = -0.859), mathematics (g = -1.199) and reading (g = -1.193).Conclusions: This review highlights the high frequency and severity of academic difficulties in children with DCD, specifically in mathematics, which stresses the importance of evaluating academic performance to target interventions to support optimal functioning in daily life.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 1","pages":"34-57"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10339354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Effect of START-Play Intervention on Reaching-Related Exploratory Behaviors in Children with Neuromotor Delays: A Secondary Analysis of a Randomized Controlled Trial. 开始游戏干预对神经运动迟缓儿童伸手相关探索行为的影响:一项随机对照试验的二次分析。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2131501

Iryna Babik, Andrea B Cunha, Dongho Choi, Natalie A Koziol, Regina T Harbourne, Stacey C Dusing, Sarah W McCoy, James A Bovaird, Sandra L Willett, Michele A Lobo

{"title":"The Effect of START-Play Intervention on Reaching-Related Exploratory Behaviors in Children with Neuromotor Delays: A Secondary Analysis of a Randomized Controlled Trial.","authors":"Iryna Babik, Andrea B Cunha, Dongho Choi, Natalie A Koziol, Regina T Harbourne, Stacey C Dusing, Sarah W McCoy, James A Bovaird, Sandra L Willett, Michele A Lobo","doi":"10.1080/01942638.2022.2131501","DOIUrl":"https://doi.org/10.1080/01942638.2022.2131501","url":null,"abstract":"Aims: Children with neuromotor delays are at risk for reaching and object exploration impairments, which may negatively affect their cognitive development and daily activity performance. This study evaluated the effectiveness of the Sitting Together And Reaching To Play (START-Play) intervention on reaching-related exploratory behaviors in children with neuromotor delays.Methods: In this randomized controlled clinical trial, 112 children (Mean = 10.80, SD = 2.59 months old at baseline) with motor delays were randomly assigned to receive START-Play intervention or usual care-early intervention. Performance for ten reaching-related exploratory behaviors was assessed at baseline and 1.5, 3, 6, 12 months post-baseline. Piecewise linear mixed-effects modeling was used to evaluate short- and long-term effects of the intervention.Results: Benefits of START-Play were observed for children with significant motor delays, but not for those with mild delays. START-Play was especially beneficial for children with significant motor delays who demonstrated early mastery in the reaching assessment (i.e., object contact ≥65% of the time within 3 months after baseline); these children showed greater improvements in manual, visual, and multimodal exploration, as well as intensity of exploration across time.Conclusions: START-Play advanced the performance of reaching-related exploratory behaviors in children with significant motor delays.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 3","pages":"321-337"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9291285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Early Intervention Involving Specific Task-Environment-Participation (STEP) Protocol for Infants at Risk: A Feasibility Study. 涉及特定任务-环境-参与(STEP)方案的婴儿风险早期干预:可行性研究。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2142084

Camila Resende Gâmbaro Lima, Raissa Wanderley Ferraz de Abreu, Bruna Nayara Verdério, Beatriz Helena Brugnaro, Mariana Martins Dos Santos, Adriana Neves Dos Santos, Catherine Morgan, Nelci Adriana Cicuto Ferreira Rocha

{"title":"Early Intervention Involving Specific Task-Environment-Participation (STEP) Protocol for Infants at Risk: A Feasibility Study.","authors":"Camila Resende Gâmbaro Lima, Raissa Wanderley Ferraz de Abreu, Bruna Nayara Verdério, Beatriz Helena Brugnaro, Mariana Martins Dos Santos, Adriana Neves Dos Santos, Catherine Morgan, Nelci Adriana Cicuto Ferreira Rocha","doi":"10.1080/01942638.2022.2142084","DOIUrl":"https://doi.org/10.1080/01942638.2022.2142084","url":null,"abstract":"Aims: To verify the feasibility and preliminary effects of the STEP protocol, an intervention based on specific motor skills, environmental factors and participation, in infants at biological risk.Methods: Twenty-eight at-risk infants (STEP Protocol = 14; Standard Intervention = 14), aged 3-9 months and at risk for developmental delay. The following outcomes were assessed: motor skills (Alberta Infant Motor Scale-AIMS); frequency and involvement of participation (Young Children's Participation and Environment Measure-YC-PEM), and home environment opportunities (Affordances in the Home Environment for Motor Development-AHEMD-IS). For both groups, interventions were provided by parents. The intervention for group was based on the following principles: (1) standard intervention: stimulation of motor skills; (2) STEP: stimulation of motor skills, participation, mother-infant interaction, environmental enrichment. A mean comparison test was applied to verify difference between groups after the intervention.Results: The protocol showed good retention and recruitment rates. The STEP group had significantly higher outcomes after intervention on the AIMS (p = 0.014); frequency (p = 0.02) and engagement (p = 0.03) in participation, when compared to standard intervention.Conclusions: The results showed that the STEP protocol is feasible, and presents better results compared to the standard intervention, which reinforces the importance of promoting participation, specific motor skills and family involvement.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 3","pages":"303-320"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9296467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

"Sensory in-Service": An Exploratory Evaluation of a Group-Based, Caregiver Intervention for Children with Sensory Processing Difficulties. “在职感觉”:以群体为基础的照顾者干预对感觉加工困难儿童的探索性评价。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2104151

Keith Heyburn, Deb Shaw, Kayla Carbert, Sandy Thompson-Hodgetts

{"title":"\"Sensory in-Service\": An Exploratory Evaluation of a Group-Based, Caregiver Intervention for Children with Sensory Processing Difficulties.","authors":"Keith Heyburn, Deb Shaw, Kayla Carbert, Sandy Thompson-Hodgetts","doi":"10.1080/01942638.2022.2104151","DOIUrl":"https://doi.org/10.1080/01942638.2022.2104151","url":null,"abstract":"Aims: To describe and evaluate the effectiveness of a group-based, caregiver education intervention on: (1) functional concerns for children with identified sensory processing difficulties, (2) caregiver knowledge of sensory processing and strategies to support their child, and (3) resources required.Methods: Ninety-five caregivers of children referred to therapy because of sensory processing difficulties [72% male, mean age (SD) = 6.0 (2.3) years] participated in a structured, two-hour, group-based, caregiver education intervention, which included didactic information, group discussion, worksheets, and written resources. Canadian Occupational Performance Measure (COPM) performance and satisfaction scores evaluated changes in child function. A Caregiver Knowledge Questionnaire evaluated changes in caregivers' knowledge of sensory processing and strategies. Resources required were based on the total number of hours required for 1:1 versus group-based intervention.Results: Statistically significant and clinically meaningful improvements were found for COPM performance (W = 108, p < .001; EF = 0.95) and satisfaction scores (W = 119.5, p < .001; EF = 0.94) and caregiver knowledge (W = 0.00, p<.001; EF = 1.00). Group-based intervention used 62% less time than 1:1 intervention.Conclusions: Group-based, caregiver education can be an effective way for therapists to meet demand and improve caregiver self-efficacy related to sensory processing difficulties.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 2","pages":"228-242"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9117278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coaching in an Acute Pediatric Setting: A Qualitative Approach to Understanding the Perspectives of Occupational Therapists. 在急性儿科设置辅导:定性的方法来理解职业治疗师的观点。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2131500

Pei Xuan Lee, Tsz Ching Sabrina Wong, Pei Yun Beatrice Ng, Hau Ching Camilla Yuen, Isabelle Pontre, Joanna Craig, Susan Taylor, Megan Hatfield

{"title":"Coaching in an Acute Pediatric Setting: A Qualitative Approach to Understanding the Perspectives of Occupational Therapists.","authors":"Pei Xuan Lee, Tsz Ching Sabrina Wong, Pei Yun Beatrice Ng, Hau Ching Camilla Yuen, Isabelle Pontre, Joanna Craig, Susan Taylor, Megan Hatfield","doi":"10.1080/01942638.2022.2131500","DOIUrl":"https://doi.org/10.1080/01942638.2022.2131500","url":null,"abstract":"Aims: To identify barriers and enablers to implementing coaching in acute pediatric settings from the perspective of occupational therapists and develop an implementation plan to address the identified barriers at a large metropolitan hospital.Methods: Participatory Action Research was used, and two stages of focus groups were conducted with 17 occupational therapists working in an acute pediatric hospital. Reflexive thematic analysis was employed for data analysis.Results: Stage one themes; (1) Lack of clarity around coaching definition, (2) Acute setting barriers to coaching, (3) Family acceptance and appropriateness, and (4) Enablers for coaching. Stage two themes; (1) Addressing skepticism about coaching, (2) Logistics and approvals, and (3) Implementation strategies for coaching. In Stage Two, participants and researchers developed an implementation plan.Conclusion: Occupational therapists perceived coaching as hard to implement in acute pediatric settings due to acuity of caseloads and traditional medical models. The six-step implementation plan aims to enhance therapist knowledge and motivation as well as reduce environmental barriers, with the aim of embedding coaching into acute pediatric settings.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 2","pages":"212-227"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9115307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceive, Recall, Plan and Perform (PRPP)-Assessment Based on Parent-Provided Videos of Children with Mitochondrial Disorder: Action Design Research on Implementation Challenges. 感知、回忆、计划和执行(PRPP)——基于家长提供的线粒体疾病儿童视频的评估:实施挑战的行动设计研究。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2086024

Marieke Lindenschot, Imelda J M de Groot, Maria W G Nijhuis-van der Sanden, Esther M J Steultjens, Maud J L Graff, Saskia Koene

{"title":"Perceive, Recall, Plan and Perform (PRPP)-Assessment Based on Parent-Provided Videos of Children with Mitochondrial Disorder: Action Design Research on Implementation Challenges.","authors":"Marieke Lindenschot, Imelda J M de Groot, Maria W G Nijhuis-van der Sanden, Esther M J Steultjens, Maud J L Graff, Saskia Koene","doi":"10.1080/01942638.2022.2086024","DOIUrl":"https://doi.org/10.1080/01942638.2022.2086024","url":null,"abstract":"Aims: Performing the Perceive, Recall, Plan and Perform (PRPP)-Assessment, using video material of everyday life, seems sensible to lower the patient burden, enhance ecological validity, and provide care at a distance. However, receipt of adequate video material is not self-evident and assessing videos can be challenging. Therefore, this study aims to optimize the process of gaining video material and to optimize the PRPP-Assessment based on parent-provided videos.Methods: An action design research method was used, focusing on implementation of the PRPP-Assessment based on parent-provided videos within the care of children with a mitochondrial disorder or similar symptoms.Results: Five cycles were conducted. To receive input, the cycles used videos of nine children performing activities, written feedback, and semi-structured interviews and focus groups comprising parents (n = 13), a teacher (n = 1), occupational therapists (n = 16), and other professionals (n = 2) . This led to successful implementation of the PRPP-Assessment. General lessons were learned on (1) instructing parents; (2) handling video material; (3) PRPP-Assessment based on parent-provided videos; and (4) PRPP-Assessment of children (with limited functional abilities).Conclusions: Lessons learned should be implemented in practice and are incorporated into a manual to guide the implementation of video-based observations with PRPP-Assessment in practice.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 1","pages":"74-92"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10707249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3