"Family-centered" Pediatric Rehabilitation Services in Children With Developmental Disabilities

NCT02057809 | Completed DMC

• 1 other identifier: 102-3767B
• Study Type: observational
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

Developmental disability is a severe chronic disabled condition caused by mental or physical impairments. Children with developmental disabilities may face life-long difficulties in motor functioning, self-care, condition, communication, and independent living. They often receive rehabilitation services to promote daily functions and participation in home, school, and community lives. "Family-centered" service has been considered as "best practice" in pediatric rehabilitation. Therapists encourage children with developmental disabilities and their parents to participate in decision making and implementing process of intervention, and provide intervention plan that best fit their family needs. Research shows that for children with developmental disabilities, family-centered services can enhance children's development, decrease parenting stress, promote emotional wellness, and increase parental satisfaction to services. Though the "family-centered" concept has been considered as relevant in pediatric rehabilitation, there are still difficulties, as well as a lack of evidence regarding its implementation in practice. Reflecting the trend of family-centered medical care, the benefits of national health insurance in Taiwan for early intervention outpatient care will emphasize on family-centered intervention. The range of benefits may include communication with parents, parental education, consultation and instructions for home programs. Besides, outcomes of family-centered intervention will be treated as an important index for monitoring the quality of medical services. Given that there is a lack of investigation regarding the family-centered pediatric rehabilitation, the purposes of this one-year research project are to investigate the implementation of family-centered pediatric rehabilitation for children with developmental disabilities and to identify related influencing factors. This study will provide empirical evidence for family-centered services in Taiwan.

Conditions

Developmental Disabilities; Autistic Spectrum Disorder

Keywords

Developmental Disabilities; Family-centered services; Pediatric rehabilitation

Outcome Measures

Primary Outcomes (1)

• The Measure of Processes of Care-20

  1 year

Secondary Outcomes (4)

• Measure of Processes of Care- for Service Providers

  1 year

• Children and Adolescent Factor Inventory

  1 year

• Assessment of Preschool Children's Participation (APCP)

  1 year

• Children's Assessment of Participation and Enjoyment (CAPE)

  1 year

Study Arms (2)

Parent-child dyad

Children with Developmental Disabilities and their parents

Therapits

Therapists experienced in serving children with developmental disabilities

Eligibility Criteria

• Age: 2 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Children with developmental disabilities (DD) aged 2-12 years. Children with DD refer to a diverse group of severe, chronic disability that is attributed to mental and/or physical impairments, resulting in substantial functional limitations in major life activity.

You may qualify if:

• children aged 2 to 12 years.
• children with a primary diagnose or condition associated with developmental disabilities, including attention deficit hyperactivity disorder, autism, intellectual disability, Down syndrome, learning disorders, cerebral palsy, and other developmental delay.
• parents agree to participate in this study.

You may not qualify if:

• children with unstable physical conditions, such as cancer, having surgery within 3 months, infection, or other active medical conditions.
• children with progressive disease (e.g. neuromuscular disease) or degenerative disorders (e.g. degenerative seizures).

Sponsors & Collaborators

• Chang Gung University: lead

Study Sites (1)

Chang Gung University

Taoyuan District, 333, Taiwan

Location

MeSH Terms

Conditions

Developmental Disabilities; Autism Spectrum Disorder

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders; Child Development Disorders, Pervasive

Study Officials

• Lin-Ju Kang, PhD

  Chang Gung University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: FAMILY BASED
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: December 22, 2013
• First Posted: February 7, 2014
• Study Start: January 1, 2014
• Primary Completion: December 1, 2014
• Study Completion: December 1, 2014
• Last Updated: August 17, 2018

Record last verified: 2018-08

Locations

TW (1)