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Published on: January 7, 2020
Short-term, intensive neurodevelopmental treatment program experiences of parents and their children with
Debbie L Evans-Rogers1, Jane K Sweeney, Patricia Holden-Huchton
1Doctoral Programs in Pediatric Science (Drs Evans-Rogers, Sweeney, and Mullens), Rocky Mountain University of Health Professions, Provo, Utah; College of Nursing (Dr Holden-Huchton), Texas Women's University, Denton, Texas.
Insights
Parents found intensive neurodevelopmental treatment (NDT) beneficial for children with neuromotor conditions, noting significant functional improvements. The program was valued for its expert therapists and individualized approach, despite some challenges.
Area of Science:
- Pediatric therapy
- Neuromotor rehabilitation
- Child development
Background:
- Neurodevelopmental Treatment (NDT) is a common approach for children with neuromotor conditions.
- Short-term, intensive programs are increasingly explored for pediatric interventions.
- Understanding parent perspectives is crucial for evaluating treatment effectiveness.
Purpose of the Study:
- To investigate parents' perspectives on an intensive Neurodevelopmental Treatment (NDT) program.
- To assess functional changes in children following a short-term, intensive NDT program.
- To identify key factors contributing to or hindering the treatment's success.
Main Methods:
- A mixed-method design combining qualitative interviews and quasi-experimental pre/posttest measures.
- Inclusion of 13 parents and their children (aged 1-17 years) with neuromotor conditions.
- Utilized Goal Attainment Scaling (GAS) and Canadian Occupational Performance Measure (COPM) for functional assessment.
Main Results:
- Parents reported positive experiences and perceived the intensive NDT program as beneficial.
- Children showed statistically significant improvements in both GAS and COPM scores post-intervention (P < .001).
- Key valued aspects included expert therapists, collaboration, goal setting, home programming, and individualized care.
Conclusions:
- A short-term, intensive NDT program can lead to perceived benefits and functional improvements in children with neuromotor conditions.
- Parental satisfaction is linked to therapist expertise, collaborative goal-setting, and tailored interventions.
- Challenges such as scheduling, financial constraints, and child fatigue need consideration for program optimization.
Purpose:
Parents' perspectives on intervention and functional changes in children were investigated following an intensive neurodevelopmental treatment (NDT) program of 1 to 2 weeks (5 consecutive days per week; 2-4 h/d).
Methods:
Thirteen parents and their children (aged 1-17 years) with neuromotor conditions participated in a short-term, intensive program conducted by NDT certified pediatric therapists. A mixed-method design was used: a qualitative phenomenological approach of inquiry for parent perspectives and a pre/posttest quasi-experimental design for weekly intervention changes using Goal Attainment Scaling and the Canadian Occupational Performance Measure.
Results:
Through interviews, parents reported positive experiences with the intensive NDT program. Child participants demonstrated significant improvements in Goal Attainment Scaling (P < .001) and Canadian Occupational Performance Measure (P < .001) scores pre- to postintervention.
Conclusions:
A short-term, intensive NDT program was perceived by parents as beneficial and supported functional improvements. Valued were expert, compassionate therapists; collaboration; objective goals; home programming; and individualized intervention. Scheduling, financial support, and fatigue were difficulties.
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