患者及照料者确定的偏好：发育治疗目标的变化维度
Patient- and caregiver-identified preferences: Dimensions of change in developmental therapy treatment goals.
作者信息
Angeli Jennifer M, Harpster Karen L, Hanson Elizabeth, Sheehan Amber, Schwab Sarah M
机构信息
a Division of Occupational Therapy and Physical Therapy, Cincinnati Children's Hospital Medical Center , Cincinnati , OH , USA.
b Department of Rehabilitation Sciences , University of Cincinnati , Cincinnati , OH , USA.
出版信息
Dev Neurorehabil. 2019 Jan;22(1):39-46. doi: 10.1080/17518423.2018.1425754. Epub 2018 Jan 25.
OBJECTIVE
To describe patterns in preferred dimensions of change in therapy goals identified by individuals with developmental disability and their caregivers.
METHODS
A retrospective chart review of Goal Attainment Scaling (GAS) goals for patients aged 2-32 years (n = 124) participating in a program of episodic care was conducted. Dimensions of change were analyzed through a mixed-methods study design. Co-occurrence rates and descriptor-to-code comparisons were computed in order to relate the dimension of change to diagnosis, International Classification of Functioning, Disability, and Health (ICF) goal domain, gender, age, and goal setter.
RESULTS
Decreased level of assistance was the most commonly identified preferred dimension of change, cited in 31.0% of goals. Decreased level of assistance remained the most frequently reported dimension of change in multiple subgroup analyses.
CONCLUSION
Independence is highly valued by parents and individuals with developmental disability. This finding should help guide therapy plans or program development addressing task performance.
目的
描述发育障碍患者及其照料者所确定的治疗目标中偏好的变化维度模式。
方法
对参与阶段性护理项目的2至32岁患者（n = 124）的目标达成量表（GAS）目标进行回顾性病历审查。通过混合方法研究设计分析变化维度。计算共现率和描述符与代码的比较，以便将变化维度与诊断、国际功能、残疾和健康分类（ICF）目标领域、性别、年龄和目标设定者相关联。
结果
在31.0%的目标中，援助水平降低是最常被确定的偏好变化维度。在多个亚组分析中，援助水平降低仍然是最常报告的变化维度。
结论
独立性受到父母和发育障碍患者的高度重视。这一发现应有助于指导针对任务表现的治疗计划或项目开发。
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