Parent compliance with physiotherapy home program for children with developmental disabilities

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Parent compliance with physiotherapy home program for children with developmental disabilities


Author: Yuen, Lily
Title: Parent compliance with physiotherapy home program for children with developmental disabilities
Degree: M.Sc.
Year: 1999
Subject: Developmentally disabled children -- Rehabilitation
Physical therapy for children
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Rehabilitation Sciences
Pages: xi, 118 leaves : ill. (some col.) ; 30 cm
Language: English
Abstract: "Parent compliance with physiotherapy home program for children with developmental disabilities" submitted by Lily Yuen for M Sc. in Health Care (Rehabilitation for people with developmental disabilities) at the Hong Kong Polytechnic University in December, 1998. The purpose of this study was to find out some personal and environmental factors of parents and preschool aged children with developmental disabilities that are related to parent compliance with physiotherapy home program. A cross-sectional analytical survey was conducted. A "Survey on Physiotherapy Home Program" was constructed. It contained questions about the variables selected for investigation in this study. 122 parents of children with developmental disabilities volunteered to participate in this study. The children were all receiving services from either early education and training centres or special child care centres in Hong Kong. The parents completed the self-administered "Survey on Physiotherapy Home Program" questionnaire and also reported their rate of compliance with physiotherapy home program prescribed by their children's physiotherapists in a telephone interview which was conducted by the author. The data was analyzed by using the SPSS version 7,5 software. One-way analysis of variance (one-way ANOVA) was used to assess the relation between parent compliance rate and each variable selected in this study. The results showed that the level of parent's belief in the effectiveness of physiotherapy home program, working status of mother, the amount of time spent in playing with the child by mother, parent's self-perceived adequacy of their patience in facilitating the child to finish home program, physiotherapist's method of teaching the parents how to carry out physiotherapy home program, and the availability of helpers for training the child, were found to be related significantly to the total compliance rate. The results of this study implied that provision of clear information and adequate consultation and support to parents was a necessity when physiotherapists communicate with parents. Physiotherapists might try to increase the rate of parent compliance by teaching parents the home training items under their guidance through the method of hands-on practice done by parents themselves. Physiotherapists should also pay more effort in convincing the parents of the benefits of physiotherapy home programs. Physiotherapists were also suggested to accept the time constraint of those working mothers. In order to improve the compliance rate, the amount of home training given should be adjusted according to parents' amount of time available for their children. Physiotherapists should also aware of the parents' patience in facilitating their children to finish the home program. They should designed home programs that were interesting and attractive to children in order to motivate them to comply. By doing that, parents could be more ready to stay patient to finish the prescribed program. As there should be many factors affecting parent's patience, further investigation of those was recommended by this study.

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