Factors influencing caregiver buy-in to early intervention physical therapy.

IF 0.8 Q4 PEDIATRICS Journal of pediatric rehabilitation medicine Pub Date : 2024-01-01 DOI:10.3233/PRM-230025
Andrea Fergus, Carlee Wyker, Nicole Heyl, Tayler Lewis, Katherine Hartsook
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Abstract

Objective: The family-centered care framework of Early Intervention (EI) has shifted the focus toward caregiver engagement, but the underlying processes that build this are unknown. The aims of this study were 1) to describe the process of caregiver engagement in therapy and (2) to identify factors perceived to influence caregiver buy-in, confidence, and engagement in EI.

Methods: This preliminary descriptive study utilized quantitative questionnaires and qualitative semi-structured interviews of EI participants (23 caregivers and four physical therapists). Interviews were transcribed and theme coded until saturation was achieved and a concept map was developed.

Results: All caregivers believed that their children benefited from EI, that they were empowered and confident in caring for their children, and their quality of life improved based on the quantitative data. The qualitative data revealed that building a rapport and therapeutic relationship is the foundation to developing buy-in. Reciprocal communication is critical to the relationship and the buy-in. Caregiver knowledge and awareness of progress foster caregiver buy-in and confidence once the relationship is established.

Conclusion: Improved understanding of the factors influencing the development of buy-in will provide a framework for the clinician to enhance caregiver buy-in. Enhanced buy-in may promote parental engagement and improved outcomes for the child and family.

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影响护理人员接受早期干预物理治疗的因素。
目的:早期干预(EI)中以家庭为中心的护理框架已将重点转向照顾者的参与,但建立这种参与的基本过程尚不清楚。本研究的目的是:1)描述照护者参与治疗的过程;2)确定影响照护者接受、信任和参与早期干预的因素:这项初步描述性研究采用定量问卷调查和半结构式定性访谈的方法,访谈对象包括 23 名护理人员和 4 名物理治疗师。对访谈内容进行转录和主题编码,直至达到饱和并绘制出概念图:结果:根据定量数据,所有护理人员都认为他们的孩子从教育智能中受益,他们在护理孩子时增强了能力和信心,他们的生活质量也得到了改善。定性数据显示,建立融洽的治疗关系是培养认同感的基础。相互沟通对于建立关系和获得认同至关重要。一旦关系建立起来,护理人员对进展的了解和认识会促进护理人员的认同和信心:进一步了解影响 "认同 "形成的因素,将为临床医生提供一个框架,以增强护理人员的 "认同"。增强认同感可促进家长的参与并改善儿童和家庭的结果。
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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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