School of Rehabilitation Science, McMaster University , Hamilton, ON , Canada .
Disabil Rehabil. 2014;36(1):16-22. doi: 10.3109/09638288.2013.775358. Epub 2013 Apr 17.
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.
To generate a list of observable general therapy attributes essential to FCS interventions for children with physical disabilities.
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.
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.
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.
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.
儿科康复涉及治疗师提供干预特定和非特定行为。非特定（或一般治疗）特征是以家庭为中心的服务（FCS）的关键部分；然而，很少有研究确定可观察的行为来检查干预对 FCS 原则的保真度及其对结果的影响。
为有身体残疾的儿童制定以家庭为中心的服务（FCS）干预措施生成一份可观察的一般治疗属性列表。
一般治疗行为的属性是根据多学科研究人员的德尔菲法过程得出的。另一种方法通过对职业治疗师和物理治疗师进行半结构化访谈的内容分析来确定属性。三角分析程序确定了 FCS 的一般治疗行为。
八位研究人员参与了德尔菲法过程。17 位治疗师参加了半结构化访谈。德尔菲法过程生成了 35 种行为属性，分为三类：治疗师行为（21）、客户行为（9）和客户-治疗师行为（5）。在治疗师访谈中生成的 19 个属性中，有 17 个与德尔菲过程中确定的属性相匹配。一般治疗属性涉及一系列行为，包括干预程序和治疗过程的特征。
这项工作提供了对从业者如何理解以家庭为中心的服务中基本和可观察的行为的更好理解，这将使未来的研究人员能够确定这些行为在干预过程中的存在。
本文拓宽了对儿科康复的保真度测量的重点，包括与以家庭为中心的服务相关的可观察行为。确定了以家庭为中心的服务中治疗师实践行为的属性。生成了涉及儿童对干预的反应、父母参与以及儿童和治疗师互动的儿科康复属性。
