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Physical and Occupational Therapy in Pediatrics [journal]
- Addressing the Challenges of Collaborative Goal Setting with Children and Their Families. [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 May 15.
ABSTRACTCollaborative goal setting between clinicians and clients/families is considered a fundamental component of the pediatric rehabilitation process. However, truly client-centered goal setting is not without its challenges. The purpose of this paper is to highlight theoretical concepts relevant to rehabilitation goal setting, review clinical studies directly evaluating relationships between goal setting and pediatric rehabilitation outcomes, and provide recommendations to facilitate collaborative goal processes. Four theoretical frameworks were identified that may lie behind and help explain the effectiveness of collaborative goal setting. The four relevant outcome studies found in the review revealed that individualized goal setting is an important component of the intervention, engages families more actively in therapy, and is associated to some extent with positive outcomes. The evidence suggests that the impact of fully collaborative goal setting is sufficiently positive to support investment of organizational and individual time, energy, and resources to make it an integral part of the rehabilitation process.
- "It's the Participation that Motivates Him": Physical Activity Experiences of Youth with Cerebral Palsy and Their Parents. [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 May 13.
ABSTRACTYouth with cerebral palsy (CP) face significant barriers to participation in physical activity (PA). There is little information available about the nature of these barriers. Seventeen (17) youth and/or their parents participated in focus groups and individual interviews to identify factors that make it easy or hard to be physically active. Four themes emerged across functional levels: environmental and personal factors, limitations related to impairment in body structure and function, the perception that health benefits alone do not motivate youth to be physically active, and variable preferences for activity delivery. Dialogue with participants revealed that interventions to promote PA in youth should mitigate the interactions between personal and environmental factors that act as barriers to PA, and enhance the interactions that facilitate PA. Partnerships between researchers, policy makers, service providers, and families must be developed to address system barriers and build capacity in youth with CP and their communities.
- A Comparison of the Sensory Profile and Sensory Processing Measure Home Form for Children with Fetal Alcohol Spectrum Disorders. [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 May 13.
ABSTRACTThis exploratory study compared the performance of children with fetal alcohol spectrum disorders (FASD; n = 11) and children with typical development (TD) without alcohol exposure (n = 12) on the Short Sensory Profile (SSP) and Sensory Processing Measure (SPM) Home Form. The child's primary caregiver completed both measures. For children with FASD, 90.9% had probable or definite differences on the SSP and 81.8% had some problems or definite dysfunction on the SPM Home Form. All children with TD (100%) scored in the typical range on total scores for both measures. For the children with FASD, the percent agreement between the two measures was 36.6% for the three classification categories (typical, probable/some, and definite) and 81.8% when classification was collapsed into two categories (typical and probable/definite difference). Both measures detected sensory processing differences for children with FASD, however, categorization of clinical severity varied based on the cutoffs used.
- Changes in Parents' Time Use and Its Relationship to Child Obesity. [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 May 10.
Objective:The aim was to explore any change in parents' time use together with their children, changes in their perceived occupational value, and its relationship to children's body mass index (BMI) over the course of a one-year occupation-focused family intervention. Method: The study sample consisted of participants in one arm of a randomized controlled trial, involving mothers and fathers (n = 30) of 17 children aged 4-6 years who were considered obese. Data were collected by time-geographical diaries during the intervention and by measuring the parents' occupational value and the children's BMI before and after the intervention.
Results:At the end of the intervention, an increase was shown in the amount of time parents spent together with their children during weekdays (p = .042) and the parents perceived occupational value (p = .013). Children's BMI z-score changed with -0.11 units.
Conclusion:Collaboration with parents may be useful in interventions aiming at facilitating a normal weight development among children.
- How Does the Functional Mobility Scale Relate to Capacity-Based Measures of Walking Ability in Children and Youth with Cerebral Palsy? [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 May 8.
ABSTRACTThis study examined the relationship between walking performance rated on the Functional Mobility Scale (FMS) and measures of walking capacity in children with cerebral palsy (CP). A total of 143 participants with spastic CP (GMFCS levels I to III) were rated on the FMS and had assessment of self-selected walking speed (WS), fast 1 minute walk test (1MWT) and six minute walk test (6MWT). For each FMS distance, children rated 6 had significantly better 6MWT than children scored 5; children rated FMS 2, 3, or 4 had lower walking capacity measures but were not clearly distinguishable from each other. The 6MWT was an independent predictor of variation in FMS score, accounting for 20% to 27% of the variance across the three FMS distances. While walking capacity impacts on community mobility in children with CP much of the variance remains unexplained, suggesting that other factors play an important role.
- An Examination of Adolescent Bone Tumor Patient Responses on the Activities Scale for Kids (ASK). [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 Apr 25.
ABSTRACTThis study provides an examination of responses on the Activities Scale for Kids, performance version (ASKp), for evaluating physical function in adolescents with malignant lower extremity bone tumors. Twenty-one participants (ages 10.4 to 17.9 years), who had tumor resection surgery, completed the ASKp on two occasions. ASKp data were examined for ceiling and/or floor effects, item distributions, and Not Applicable (NA) responses, as well as textual comments. Ceiling effects were 12.5% and 19%, and 0% demonstrated floor effects. The extreme response options were chosen most frequently, and approximately one third of respondents used NA more than 10% of the time. Overall, this population demonstrated moderately high NA rates and higher than anticipated ceiling effects on the ASKp. These data suggest that caution should be taken when interpreting item-level data in this population and further studies guiding the scoring and interpretation of NA responses are recommended.
- Solution-Focused Coaching in Pediatric Rehabilitation: An Integrated Model for Practice. [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 Apr 24.
ABSTRACTThis article describes the conceptual basis and key elements of a transdisciplinary model for solution-focused coaching in pediatric rehabilitation (SFC-peds). The model exemplifies a strengths-based, relational, and goal-oriented approach to clinical practice. It provides a distinct shift from a problem-oriented, therapist-directed approach to a possibilities-oriented approach where client empowerment takes precedence. The model facilitates client change through a method of working with client strengths and resources that involves the use of strategic questions to co-construct therapy intervention. Through client-therapist collaboration, therapy goals and plans are developed that align with client hopes, priorities, and readiness for change. SFC supports client self-determination and capacity for change through customized therapy goals and plans that are meaningful for the child and family. Implications for therapists include the need for relational expertise, practical coaching skills, and expertise in facilitating change. The need for research on the effectiveness of this approach in pediatric rehabilitation is discussed.
- Effectiveness of a Co-Taught Handwriting Program For First Grade Students. [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 Apr 23.
ABSTRACTOur study examined the effects of Write Start, a classroom-embedded handwriting/writing program on handwriting and writing fluency for first grade students, co-taught by occupational therapists and teachers. Two first grade classrooms received the Write Start and two received standard handwriting instruction. This co-taught program included specific feedback during handwriting practice, small group activities, student self-evaluation, and peer supports. The students were evaluated on handwriting legibility, fluency, and written expression at baseline, immediately after the program, and 6 months later. When performance was compared between the two groups, the students in the Write Start program improved significantly more in legibility (d = .57) and fluency (d = .75) than students who received standard instruction. Gains in handwriting speed (d = .18), average legibility (d = .26), and written expression (d = .25) did not differ significantly between the two groups. A co-taught, inclusive handwriting/writing program can promote first grade students' achievement of lower case legibility and writing fluency.
- Evidence to Practice Commentary New Evidence in Developmental Coordination Disorder (DCD). [Journal Article]
- Phys Occup Ther Pediatr 2013 May; 33(2):170-3.
- A Systematic Review of Clinimetric Properties of Measurements of Motivation for Children Aged 5-16 Years with a Physical Disability or Motor Delay. [JOURNAL ARTICLE]
- Phys Occup Ther Pediatr 2013 Mar 11.