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.
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.
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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