Child-Focused and Context-Focused Behaviors of Physical and Occupational Therapists during Treatment of Young Children with Cerebral Palsy

Anne J A Kruijsen-Terpstra; Mariëlle Ellens; Marjolijn Ketelaar; Olaf Verschuren; Briano Di Rezze; Jan Willem Gorter; Anne M A Visser-Meily; Marian J Jongmans

doi:10.1080/01942638.2016.1202877

Child-Focused and Context-Focused Behaviors of Physical and Occupational Therapists during Treatment of Young Children with Cerebral Palsy

Anne J A Kruijsen-Terpstra, Mariëlle Ellens, Marjolijn Ketelaar, Olaf Verschuren, Briano Di Rezze, Jan Willem Gorter, Anne M A Visser-Meily, Marian J Jongmans

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

AIMS: To (1) describe the child- and context-focused behaviors of physical and occupational therapists, and (2) compare the behaviors of therapists in a standard therapy session with those of therapists trained to deliver child- and context-focused services.

METHOD: Videos of 49 therapy sessions provided by 36 therapists were analyzed using the intervention domains of the Paediatric Rehabilitation Observational measure of Fidelity (PROF) to examine the therapeutic behaviors of physical and occupational therapists with young children with cerebral palsy (CP) (24 to 48 months) in a Dutch rehabilitation setting. The PROF ratings of 18 standard therapy sessions were compared with the ratings of 16 child- and 15 context-focused therapy sessions.

RESULTS: Therapists who provided standard therapy demonstrated a mix of child- and context-focused behaviors. PROF ratings indicated fewer child- and context-focused behaviors during standard therapy sessions compared with sessions where therapists were instructed to use either child- or context-focused behaviors.

CONCLUSIONS: A sample of Dutch physical and occupational therapists of young children with CP demonstrated a mix of child- and context-focused therapy behaviors during standard therapy. Further research is recommended on clinical reasoning and the effect of setting to better understand therapists' use of child- and context-focused behaviors during therapy sessions.

Original language	English
Pages (from-to)	363-375
Number of pages	13
Journal	Physical and Occupational Therapy in Pediatrics
Volume	36
Issue number	4
DOIs	https://doi.org/10.1080/01942638.2016.1202877
Publication status	Published - Nov 2016

Keywords

Active ingredients
children
cerebral palsy
occupational therapy
physical therapy
therapist behaviors

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Kruijsen-Terpstra, A. J. A., Ellens, M., Ketelaar, M., Verschuren, O., Di Rezze, B., Gorter, J. W., Visser-Meily, A. M. A., & Jongmans, M. J. (2016). Child-Focused and Context-Focused Behaviors of Physical and Occupational Therapists during Treatment of Young Children with Cerebral Palsy. Physical and Occupational Therapy in Pediatrics, 36(4), 363-375. https://doi.org/10.1080/01942638.2016.1202877

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title = "Child-Focused and Context-Focused Behaviors of Physical and Occupational Therapists during Treatment of Young Children with Cerebral Palsy",

abstract = "AIMS: To (1) describe the child- and context-focused behaviors of physical and occupational therapists, and (2) compare the behaviors of therapists in a standard therapy session with those of therapists trained to deliver child- and context-focused services.METHOD: Videos of 49 therapy sessions provided by 36 therapists were analyzed using the intervention domains of the Paediatric Rehabilitation Observational measure of Fidelity (PROF) to examine the therapeutic behaviors of physical and occupational therapists with young children with cerebral palsy (CP) (24 to 48 months) in a Dutch rehabilitation setting. The PROF ratings of 18 standard therapy sessions were compared with the ratings of 16 child- and 15 context-focused therapy sessions.RESULTS: Therapists who provided standard therapy demonstrated a mix of child- and context-focused behaviors. PROF ratings indicated fewer child- and context-focused behaviors during standard therapy sessions compared with sessions where therapists were instructed to use either child- or context-focused behaviors.CONCLUSIONS: A sample of Dutch physical and occupational therapists of young children with CP demonstrated a mix of child- and context-focused therapy behaviors during standard therapy. Further research is recommended on clinical reasoning and the effect of setting to better understand therapists' use of child- and context-focused behaviors during therapy sessions.",

keywords = "Active ingredients, children, cerebral palsy, occupational therapy, physical therapy, therapist behaviors",

author = "Kruijsen-Terpstra, {Anne J A} and Mari{\"e}lle Ellens and Marjolijn Ketelaar and Olaf Verschuren and {Di Rezze}, Briano and Gorter, {Jan Willem} and Visser-Meily, {Anne M A} and Jongmans, {Marian J}",

year = "2016",

month = nov,

doi = "10.1080/01942638.2016.1202877",

language = "English",

volume = "36",

pages = "363--375",

journal = "Physical and Occupational Therapy in Pediatrics",

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Kruijsen-Terpstra, AJA, Ellens, M, Ketelaar, M , Verschuren, O, Di Rezze, B, Gorter, JW, Visser-Meily, AMA & Jongmans, MJ 2016, 'Child-Focused and Context-Focused Behaviors of Physical and Occupational Therapists during Treatment of Young Children with Cerebral Palsy', Physical and Occupational Therapy in Pediatrics, vol. 36, no. 4, pp. 363-375. https://doi.org/10.1080/01942638.2016.1202877

Child-Focused and Context-Focused Behaviors of Physical and Occupational Therapists during Treatment of Young Children with Cerebral Palsy. / Kruijsen-Terpstra, Anne J A; Ellens, Mariëlle; Ketelaar, Marjolijn et al.
In: Physical and Occupational Therapy in Pediatrics, Vol. 36, No. 4, 11.2016, p. 363-375.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Child-Focused and Context-Focused Behaviors of Physical and Occupational Therapists during Treatment of Young Children with Cerebral Palsy

AU - Kruijsen-Terpstra, Anne J A

AU - Ellens, Mariëlle

AU - Ketelaar, Marjolijn

AU - Verschuren, Olaf

AU - Di Rezze, Briano

AU - Gorter, Jan Willem

AU - Visser-Meily, Anne M A

AU - Jongmans, Marian J

PY - 2016/11

Y1 - 2016/11

N2 - AIMS: To (1) describe the child- and context-focused behaviors of physical and occupational therapists, and (2) compare the behaviors of therapists in a standard therapy session with those of therapists trained to deliver child- and context-focused services.METHOD: Videos of 49 therapy sessions provided by 36 therapists were analyzed using the intervention domains of the Paediatric Rehabilitation Observational measure of Fidelity (PROF) to examine the therapeutic behaviors of physical and occupational therapists with young children with cerebral palsy (CP) (24 to 48 months) in a Dutch rehabilitation setting. The PROF ratings of 18 standard therapy sessions were compared with the ratings of 16 child- and 15 context-focused therapy sessions.RESULTS: Therapists who provided standard therapy demonstrated a mix of child- and context-focused behaviors. PROF ratings indicated fewer child- and context-focused behaviors during standard therapy sessions compared with sessions where therapists were instructed to use either child- or context-focused behaviors.CONCLUSIONS: A sample of Dutch physical and occupational therapists of young children with CP demonstrated a mix of child- and context-focused therapy behaviors during standard therapy. Further research is recommended on clinical reasoning and the effect of setting to better understand therapists' use of child- and context-focused behaviors during therapy sessions.

AB - AIMS: To (1) describe the child- and context-focused behaviors of physical and occupational therapists, and (2) compare the behaviors of therapists in a standard therapy session with those of therapists trained to deliver child- and context-focused services.METHOD: Videos of 49 therapy sessions provided by 36 therapists were analyzed using the intervention domains of the Paediatric Rehabilitation Observational measure of Fidelity (PROF) to examine the therapeutic behaviors of physical and occupational therapists with young children with cerebral palsy (CP) (24 to 48 months) in a Dutch rehabilitation setting. The PROF ratings of 18 standard therapy sessions were compared with the ratings of 16 child- and 15 context-focused therapy sessions.RESULTS: Therapists who provided standard therapy demonstrated a mix of child- and context-focused behaviors. PROF ratings indicated fewer child- and context-focused behaviors during standard therapy sessions compared with sessions where therapists were instructed to use either child- or context-focused behaviors.CONCLUSIONS: A sample of Dutch physical and occupational therapists of young children with CP demonstrated a mix of child- and context-focused therapy behaviors during standard therapy. Further research is recommended on clinical reasoning and the effect of setting to better understand therapists' use of child- and context-focused behaviors during therapy sessions.

KW - Active ingredients

KW - children

KW - cerebral palsy

KW - occupational therapy

KW - physical therapy

KW - therapist behaviors

U2 - 10.1080/01942638.2016.1202877

DO - 10.1080/01942638.2016.1202877

M3 - Article

C2 - 27593569

SN - 0194-2638

VL - 36

SP - 363

EP - 375

JO - Physical and Occupational Therapy in Pediatrics

JF - Physical and Occupational Therapy in Pediatrics

IS - 4

ER -

Child-Focused and Context-Focused Behaviors of Physical and Occupational Therapists during Treatment of Young Children with Cerebral Palsy

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Keywords

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