Challenges Faced by Therapists Providing Services for Infants With or at Risk for Cerebral Palsy

被引:9
作者
Gmmash, Afnan S. [1 ]
Effgen, Susan K. [1 ]
Goldey, Katie [1 ]
机构
[1] Univ Kentucky, Dept Rehabil Sci, Lexington, KY 40506 USA
关键词
cerebral palsy; challenges; infants; occupational therapy; physical therapy; qualitative; toddlers; FAMILY-CENTERED CARE; EARLY INTERVENTION; INTERCODER RELIABILITY; OCCUPATIONAL-THERAPY; YOUNG-CHILDREN; PERCEPTIONS; PARENTS; PHYSIOTHERAPISTS; PARTICIPATION; PERSPECTIVES;
D O I
10.1097/PEP.0000000000000686
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: The purpose of this study was to identify the challenges physical therapists (PTs) and occupational therapists (OTs) have in providing early intervention (EI) for infants with or at risk for cerebral palsy. Methods: Therapists' responses to an open-ended question were collected via survey that was distributed to EI providers and analyzed using content analysis. Results: The primary self-reported barriers to PT/OT EI services had 5 themes: (1) inadequate communication and collaboration, (2) challenges in coordination with family, (3) policy limitations, (4) meeting the child's individual medical needs, and (5) unequal access to resources. Conclusion: Respondents reported that barriers are complex and exist at the individual, family, team, and societal levels. Further research is needed to explore barriers and solutions at each of these levels, from meeting a child's individual medical needs to improving interprofessional communication to increasing equitable access to resources.
引用
收藏
页码:88 / 96
页数:9
相关论文
共 40 条
[1]   Relationships Among Family Participation, Team Support, and Intensity of Early Intervention Services [J].
Aaron, Carolanne ;
Chiarello, Lisa A. ;
Palisano, Robert J. ;
Gracely, Edward ;
O'Neil, Margaret ;
Kolobe, Thubi .
PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS, 2014, 34 (04) :343-355
[2]   Parents' Perception of Receiving Family-Centered Care for Their Children with Physical Disabilities: A Meta-Analysis [J].
Almasri, Nihad A. ;
An, Mihee ;
Palisano, Robert J. .
PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS, 2018, 38 (04) :427-443
[3]   Effects of a Collaborative Intervention Process on Parent-Therapist Interaction: A Randomized Controlled Trial [J].
An, Mihee ;
Palisano, Robert J. ;
Yi, Chung-hwi ;
Chiarello, Lisa A. ;
Dunst, Carl J. ;
Gracely, Edward J. .
PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS, 2019, 39 (03) :259-275
[4]  
[Anonymous], 39 US DEP ED OFF SPE
[5]  
Bowyer P, 2017, J OCC THER SCH EARLY, V10, P18, DOI 10.1080/19411243.2016.1257966
[6]   Personnel preparation in recommended early intervention practices: Degree of emphasis across disciplines [J].
Bruder, MB ;
Dunst, CJ .
TOPICS IN EARLY CHILDHOOD SPECIAL EDUCATION, 2005, 25 (01) :25-33
[7]   From text to codings - Intercoder reliability assessment in qualitative content analysis [J].
Burla, Laila ;
Knierim, Birte ;
Barth, Juergen ;
Liewald, Katharina ;
Duetz, Margreet ;
Abel, Thomas .
NURSING RESEARCH, 2008, 57 (02) :113-117
[8]   Supporting learning opportunities in natural settings through participation-based services [J].
Campbell, Philippa H. ;
Sawyer, L. Brook .
JOURNAL OF EARLY INTERVENTION, 2007, 29 (04) :287-305
[9]   Preparing Therapists as Effective Practitioners in Early Intervention [J].
Campbell, Philippa H. ;
Chiarello, Lisa ;
Wilcox, M. Jeanne ;
Milbourne, Suzanne .
INFANTS & YOUNG CHILDREN, 2009, 22 (01) :21-31
[10]  
Cavanagh S, 1997, Nurse Res, V4, P5, DOI 10.7748/nr.4.3.5.s2