Article

Paediatric rehabilitation involves the therapist delivering
intervention-specific and non-specific behaviours. Non-specific (or general
therapy) characteristics are a key part of family-centred service (FCS); however,
little research identifies observable behaviours to examine intervention fidelity
to FCS principles and their impact on outcomes. PURPOSE: To generate a list of
observable general therapy attributes essential to FCS interventions for children
with physical disabilities. METHODS: Attributes of general therapy behaviours
were derived based on a Delphi Process with multidisciplinary researchers. A
separate method identified attributes through the content analysis of
semi-structured interviews with occupational therapists and physiotherapists. A
triangulation procedure identified general therapy behaviours for FCS. RESULTS:
Eight researchers participated in the Delphi Process. Seventeen therapists
participated in semi-structured interviews. The Delphi Process generated 35
behavioural attributes divided into three categories: therapist behaviours (21),
client behaviours (9) and client-therapist behaviours (5). Of the 19 attributes
generated from the therapist interviews, 17 mapped onto those identified in the
Delphi Process. General therapy attributes addressed a range of behaviours
including characteristics of the intervention procedure and the therapeutic
process. CONCLUSIONS: This work provides an improved understanding of how
practitioners conceive essential and observable behaviours of FCS that will
enable future researchers to identify their presence within an intervention
session. IMPLICATIONS FOR REHABILITATION: This article broadens the focus of
fidelity measurement of paediatric rehabilitation to include observable
behaviours relevant to family-centred service. Attributes of the therapist's
practice behaviour in family-centred service were identified. Attributes of
paediatric rehabilitation involving the child's response to intervention, parent
participation and child and therapist interaction were generated.

Langue : ANGLAIS