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新型儿科物理治疗项目中治疗师行为的变化:成功与挑战

Changes in Therapist Actions During a Novel Pediatric Physical Therapy Program: Successes and Challenges.

作者信息

Akhbari Ziegler Schirin, Dirks Tineke, Reinders-Messelink Heleen A, Meichtry André, Hadders-Algra Mijna

机构信息

Institute of Physical Therapy (Ms Akhbari Ziegler and Mr Meichtry), School of Health Professions, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland; Division of Developmental Neurology (Ms Dirks and Dr Hadders-Algra), Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; Rehabilitation Center "Revalidatie Friesland" (Dr Reinders-Messelink), Beetsterzwaag, the Netherlands; Department of Rehabilitation Medicine (Dr Reinders-Messelink), Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

出版信息

Pediatr Phys Ther. 2018 Jul;30(3):223-230. doi: 10.1097/PEP.0000000000000509.

DOI:10.1097/PEP.0000000000000509
PMID:29924074
Abstract

PURPOSE

To monitor changes in time spent on pediatric physical therapy actions during a COPing With and CAring for Infants With Special Needs (COPCA) course.

METHODS

Data were collected before (T0), during, and after (T3) the course, which was attended by 15 Swiss physical therapists. Four treatment sessions of each therapist were video recorded and analyzed with the Groningen Observation Protocol 2.0, allowing for quantification of relative duration of therapeutic actions.

RESULTS

Between T0 and T3, time spent on caregiver coaching and hands-off approaches significantly increased.

CONCLUSIONS

The shift from caregiver trainer to family coach and the increasing hands-off techniques represent successful changes in various domains of behavior. The moderate changes in hands-off approaches suggest that changing habits requires specific attention. The COPCA course will be adapted accordingly.

摘要

目的

监测在“应对和照顾有特殊需求的婴儿”(COPCA)课程期间,儿科物理治疗活动所花费时间的变化。

方法

在课程开始前(T0)、课程期间和课程结束后(T3)收集数据,15名瑞士物理治疗师参加了该课程。对每位治疗师的四个治疗环节进行视频录制,并使用格罗宁根观察协议2.0进行分析,以量化治疗活动的相对持续时间。

结果

在T0和T3之间,花在照顾者指导和放手式方法上的时间显著增加。

结论

从照顾者培训师到家庭教练的转变以及越来越多的放手式技术代表了行为各个领域的成功变化。放手式方法的适度变化表明改变习惯需要特别关注。COPCA课程将相应进行调整。

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引用本文的文献

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The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development in preterm infants.应对和照顾有特殊需求婴儿干预措施与早产儿运动发育改善相关。
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Coaching approaches in early intervention and paediatric rehabilitation.早期干预和儿科康复中的辅导方法。
Dev Med Child Neurol. 2020 May;62(5):569-574. doi: 10.1111/dmcn.14493. Epub 2020 Feb 17.
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Caregivers' experiences with the new family-centred paediatric physiotherapy programme COPCA: A qualitative study.
照顾者对新的以家庭为中心的儿科物理治疗计划 COPCA 的体验:一项定性研究。
Child Care Health Dev. 2020 Jan;46(1):28-36. doi: 10.1111/cch.12722. Epub 2019 Dec 19.