Adherence to occupational therapy (OT) is a critical factor in the successful rehabilitation of children with cerebral palsy (CP). A recent qualitative study titled Exploration of the Influential Factors on Adherence to Occupational Therapy in Parents of Children with Cerebral Palsy: A Qualitative Study sheds light on various factors that impact adherence. By understanding these factors, practitioners can implement strategies to improve therapy outcomes.
Key Findings from the Study
The study identified four main categories of factors influencing adherence:
- Child and Family-Related Factors
- Therapist-Related Factors
- Environmental Factors
- Therapy-Related Factors
Child and Family-Related Factors
These include the severity of the child's condition, behavioral status, socioeconomic class, family structure, emotional atmosphere, and previous experiences with treatment. For example, children with more severe disabilities may show less improvement, leading to parental disappointment and decreased adherence. Practitioners should consider using motivational interviewing techniques to enhance parental engagement and set realistic goals.
Therapist-Related Factors
Clinical competency, communication skills, and job satisfaction of the therapist play crucial roles. Therapists with up-to-date knowledge, empathy, and effective communication skills can significantly improve adherence. Continuous professional development and maintaining job satisfaction are essential for fostering these attributes.
Environmental Factors
Environmental barriers such as cultural views on disability, physician awareness about OT, physical environment of the clinic, access to therapy, and insurance coverage were identified. Addressing these barriers through community education, improving clinic environments, and advocating for better insurance coverage can enhance adherence.
Therapy-Related Factors
Factors such as the assessment tools used, type of interventions, and length of treatment impact adherence. Providing parents with clear information about the effectiveness of occupation-based interventions and utilizing comprehensive assessment tools can help in maintaining long-term adherence.
Implementing Research Findings in Practice
Practitioners can improve adherence by:
- Engaging in motivational interviewing to boost parental involvement.
- Continuously updating their clinical knowledge and communication skills.
- Creating a supportive and comfortable clinic environment.
- Advocating for better insurance coverage and community support.
By addressing these factors, practitioners can create a more effective and supportive therapy environment, leading to better outcomes for children with CP.
To read the original research paper, please follow this link: Exploration of the Influential Factors on Adherence to Occupational Therapy in Parents of Children with Cerebral Palsy: A Qualitative Study.
