McAnuff, Jennifer
(Children's Occupational Therapy Service, Leeds Community Healthcare NHS Trust, Leeds, UK)
,
Boyes, Chris
(Faculty of Health and Life Sciences, York St. John University, York, UK)
,
Kolehmainen, Niina
(Institute of Health and Society, Newcastle University, Newcastle, UK)
AbstractBackgroundEffective family–clinician interactions are important for good health outcomes. Two types of interactions are consistently recommended: relational (e.g. listening, empathy, and respect) and participatory (e.g. shared decision‐making, planning and problem‐solving),...
AbstractBackgroundEffective family–clinician interactions are important for good health outcomes. Two types of interactions are consistently recommended: relational (e.g. listening, empathy, and respect) and participatory (e.g. shared decision‐making, planning and problem‐solving), but there is little specific guidance on how to implement these interactions in practice.ObjectiveTo identify specific, practice‐based examples of relational and participatory family–clinician interactions in children's occupational therapy.DesignA qualitative secondary analysis was used. The data consisted of a list of occupational therapists' self‐reported practice actions (n = 217) and direct quotes describing their content and context. The practice actions were categorized into a range of relational and participatory family‐centred interactions using a modified framework analysis.ResultsOf the 217 practice actions, the majority [121 (55.76%)] did not describe examples of therapists implementing family–clinician interactions. Of the remaining practice actions, 19 (8.76%) described ‘relational’ interactions (e.g. ‘Listen to carer’, ‘Gather perspectives from others’); 47 (21.66%) described ‘participatory’ interactions (e.g. ‘Identify the family's goals and priorities’, ‘Allow the family to choose’); 2 (0.92%) described both (‘Take guidance from carers’); and 28 (12.9%) were excluded from the analysis.Discussion and conclusionsA range of relational and participatory interactions were identified. Descriptions of participatory interactions were more frequent than descriptions of relational interactions, and overall the therapists described their family–clinician interactions less frequently than their other practice actions. The specific, real‐life examples of different types of interactions identified in the study can be used as a basis for reflection on practice and developing more specific guidance.
AbstractBackgroundEffective family–clinician interactions are important for good health outcomes. Two types of interactions are consistently recommended: relational (e.g. listening, empathy, and respect) and participatory (e.g. shared decision‐making, planning and problem‐solving), but there is little specific guidance on how to implement these interactions in practice.ObjectiveTo identify specific, practice‐based examples of relational and participatory family–clinician interactions in children's occupational therapy.DesignA qualitative secondary analysis was used. The data consisted of a list of occupational therapists' self‐reported practice actions (n = 217) and direct quotes describing their content and context. The practice actions were categorized into a range of relational and participatory family‐centred interactions using a modified framework analysis.ResultsOf the 217 practice actions, the majority [121 (55.76%)] did not describe examples of therapists implementing family–clinician interactions. Of the remaining practice actions, 19 (8.76%) described ‘relational’ interactions (e.g. ‘Listen to carer’, ‘Gather perspectives from others’); 47 (21.66%) described ‘participatory’ interactions (e.g. ‘Identify the family's goals and priorities’, ‘Allow the family to choose’); 2 (0.92%) described both (‘Take guidance from carers’); and 28 (12.9%) were excluded from the analysis.Discussion and conclusionsA range of relational and participatory interactions were identified. Descriptions of participatory interactions were more frequent than descriptions of relational interactions, and overall the therapists described their family–clinician interactions less frequently than their other practice actions. The specific, real‐life examples of different types of interactions identified in the study can be used as a basis for reflection on practice and developing more specific guidance.
Trivette CM , Dunst CJ . Capacity‐building family‐centred helpgiving practices . Winterberry Research Reports , 2007 ; 1 : 1 – 10 .
Entwistle V , Prior M , Skea ZC , Francis JJ . Involvement in treatment decision‐making: its meaning to people with diabetes and implications for conceptualisation . Social Science and Medicine , 2008 ; 1 : 362 – 375 .
Maripuu M , Danzon M . The Tallinn Charter: Health Systems for Health and Wealth . Tallinn, Estonia : World Health Organization European Ministerial Conference on Health Systems , 25 – 27 June 2008.
Fischer M , Ereaut G . Can changing clinician‐patient interactions improve healthcare quality? Health Foundation , 2011 : 1 – 60 .
Ley P . Satisfaction, compliance and communication . British Journal of Clinical Psychology , 1982 ; 21 : 241 – 254 .
King G , King S , Rosenbaum P , Goffin R . Family‐centered caregiving and well‐being of parents of children with disabilities: linking process with outcome . Journal of Pediatric Psychology , 1999 ; 24 : 41 – 53 .
Michie S , Miles J , Weinman J . Patient‐centredness in chronic illness: what is it and does it matter? Patient Education and Counseling , 2003 ; 51 : 197 – 206 .
Joosten EAG , DeFuentes‐Merillas L , de Weert GH , Sensky T , van der Staak CPF , de Jong CAJ . Systematic review of the effects of shared decision‐making on patient satisfaction, treatment adherence and health status . Psychotherapy and Psychosomatics , 2008 ; 77 : 219 – 226 .
Christian S , Anderson S . Review of research needs and priorities . National Institute for Health Research , 2007 .
Van Cleave J , Gortmaker SL , Perrin JM . Dynamics of obesity and chronic health conditions among children and youth . Journal of the American Medical Association , 2010 ; 303 : 623 – 630 .
Seid M , Varni JW , Cummings L , Schonlau M . Journal of Pediatrics , 2006 ; 149 : 354 – 361 .
Feldman Ehrmann D , Swaine B , Gosselin J , Meshefedjian G , Grilli L . Is waiting for rehabilitation services associated with changes in function and quality of life in children with physical disabilities? Physical and Occupational Therapy in Pediatrics , 2008 ; 28 : 291 – 304 .
Raina P , O'Donnell M , Rosenbaum P et？al . The health and well‐being of caregivers of children with cerebral palsy . Pediatrics , 2005 ; 115 : e626 – e636 .
Dunst CJ , Trivette CM . Measuring and evaluating family support program quality . Winterberry Research Reports 2005 : 75 .
Siebes RC , Ketelaar M , Gorter JW et？al . Transparency and tuning of rehabilitation care for children with cerebral palsy: a multiple case study in five children with complex needs . Developmental Neurorehabilitation , 2007 ; 10 : 193 – 204 .
Dodd J , Saggers S , Wildy H . Constructing the ‘ideal’ family for family‐centred practice: challenges for delivery . Disability & Society , 2009 ; 24 : 173 – 186 .
Darrah J , Wiart L , Magill‐Evans J , Ray L , Andersen J . Are family‐centred principles, functional goal setting and transition planning evident in therapy services for children with cerebral palsy? Child: Care, Health and Development , 2012 ; 38 : 41 – 47 .
Kuo DK , Houtrow AJ , Arango P , Kuhlthau KA , Simmons JM , Neff JM . Family‐centred care: current applications and future directions in pediatric health care . Maternal and Child Health Journal , 2012 ; 16 : 297 – 305 .
Di Rezze B , Law M , Eva K , Pollock N , Gorter JW . Therapy behaviours in paediatric rehabilitation: essential attributes for intervention with children with physical disabilities . Disability and Rehabilitation , 2014 ; 36 : 16 – 22 .
Craig P , Dieppe P , Macintyre S , Michie S , Nazareth I , Petticrew M . Developing and evaluating complex interventions: new guidance . Medical Research Council , 2008 .
Rosenbaum P , King S , Law M , King G , Evans J . Family‐centred service . Physical and Occupational Therapy in Pediatrics , 1998 ; 18 : 1 – 20 .
Entwistle VA , Watt IS . Patient involvement in treatment decision‐making: the case for a broader conceptual framework . Health Expectations , 2006 ; 63 : 268 – 278 .
Makoul G , Clayman ML . An integrative model of shared decision making in medical encounters . Patient Education and Counseling , 2006 ; 60 : 301 – 312 .
Street RL , Makoul G , Arora NK , Epstein RM . How does communication heal? Pathways linking clinician‐patient communication to health outcomes . Patient Education and Counseling , 2009 ; 74 : 295 – 301 .
Department of Health . National Service Framework for Children, Young People and Maternity Services. Standard 8: Disabled children and young people and those with complex health needs . Crown Copyright, 2004 .
Rodger S , Keen D . Child‐ and family‐centred service provision . In: Rodger S (ed.) Occupation‐Centred Practice with Children: A Practical Guide for Occupational Therapists . Oxford : Wiley‐Blackwell , 2010 : 45 – 74 .
Case‐Smith J , O'Brien JC (eds). Occupational Therapy for Children , 6th edn . Maryland Heights, MO, USA : Elsevier , 2010 .
Department of Health . Research governance framework for health and social care . 2005 .
Kolehmainen N , Francis JJ , McKee L , Duncan EAS . Beliefs about responsibilities, the aims of therapy and the structure of the therapy process: a qualitative study of caseload management issues in child health occupational therapy . Child: Care, Health and Development , 2012 ; 38 : 108 – 116 .
Kolehmainen N , Duncan EAS , Francis JJ . Clinicians' actions associated with the successful patient care process: a content analysis of interviews with paediatric occupational therapists . Disability Rehabilitation , 2013 ; 35 : 388 – 396 .
Heaton J . Reworking Qualitative Data . UK : Sage Publications Ltd. , 2004 .
Lincoln Y , Guba E . Naturalistic Inquiry . Newbury Park, CA, USA : Sage , 1985 .
Krippendorff K . Content Analysis: An Introduction to its Methodology , 2nd edn . Thousand Oaks, CA, USA : Sage Publications Incorporated , 2004 .
Ritchie J , Spencer L . Qualitative data analysis for applied policy research . In: Bryman A , Burgess RG . (eds) Analyzing Qualitative Data . London : Routledge , 1994 : 173 – 194 .
King S , Rosenbaum P , King G . The measure of processes of care: a means to assess family‐centred behaviours of health care providers . 1995 .
Dunst CJ , Boyd K , Trivette CM , Hamby DW . Family‐oriented program models and professional helpgiving practices . Family Relations , 2002 ; 51 : 221 – 229 .
Greenhalgh T . How to Read a Paper: The Basics of Evidence‐Based Medicine , 3rd edn . London, UK : John Wiley & Sons Ltd , 2006 .
MacKean GL , Thurston WE , Scott CM . Bridging the divide between families and health professionals' perspectives on family‐centred care . Health Expectations , 2005 ; 8 : 74 – 85 .
Breen LJ . Early childhood service delivery for families living with disability: disabling families through problematic implicit ideology . Australasian Journal of Early Childhood , 2009 ; 34 : 14 – 21 .
Entwistle VA . Enabling consultations: the facilitative significance of relational aspects of interpersonal communication . Health Expectations , 2010 ; 13 : 1 – 3 .
Kolehmainen N , MacLennan G , Ternent L et？al . Using shared goal setting to improve access and equity: a mixed methods study of the Good Goals intervention in children's occupational therapy . Implementation Science , 2012 ; 7 : 76 .
MacKay MA , Murphy J . Talking Mats ® and the World Health Organisation International Classification of Functioning, Disability and Health – Children and Youth . A framework for helping adolescents set IEP targets. 2012 . Available at: http://www.talkingmats.com/wp-content/uploads/2013/09/Talking-Mats-and-ICF-CY-Final-Report-Sep-2012.pdf, accessed 31 January 2014.
King G , Law M , King S et？al . The Children's Assessment of Participation and Enjoyment (CAPE) and the Preferences for Activities of Children (PAC) . San Antonio, TX, USA : Harcourt Assessment, Inc. , 2005 .
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