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Rehabilitation Practice and Science

Translated Title

家長於兒童復健服務過程中以家庭為中心感受之初探

Abstract

Background and purposes: Family-centered service (FCS) has been considered as relevant in pediatric rehabilitation to children with developmental disabilities. Given that there are many challenges in practice and a lack of evidence regarding its implementation in Taiwan, the study aimed to investigate that to what extent FCS was being practiced from parents' perceptions. Methods: This study includes a total of 100 parents/caregivers whose child had a primary condition associated with developmental disabilities and aged from 2 to 12 years (Mean age=4.6 years, SD=1.8 years). Children received rehabilitation services in clinic settings. The Measure of Processes of Care-20 (MPOC-20) was used to evaluate parental perception in the rehabilitation process. Each item is rated on a 7-point Likert rating scale (1 = not at all, 7 = to a very great extent) to indicate the extent to which FCS were being perceived. Parents completed the MPOC-20 through structured interview. Descriptive statistics were used to present scores for the MPOC-20. ANOVAs were used to compare differences in scores for the MPOC-20 by age group, type of disability and level of disability severity. Results: Scores for MPOC-20 ranged from 3.73 to 5.13, indicating FCS being perceived from a small to a fairly great extent. Parents' perceptions of FCS provision were the highest for the 'Respectful and Supportive Care' domain (Mean=5.13) and the lowest for 'Providing General Information' domain (Mean=3.73). No significant differences in the MPOC-20 scores were identified based on child's age, disability type and level of severity (p＞.01). Conclusion: Our results indicatedpositive perceptions for the FCS by parents and therapists, and parents' perceptions were not related to child's age and disability. Parents were most satisfied with being respected and supported, and considered providing general information as an area of improvement. There is a need to further address the demand for providing information about childhood disability and community resources that meets family needs for their children.

Language

Traditional Chinese

First Page

179

Last Page

186

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