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Effects of a Collaborative Intervention Process on Parent-Therapist Interaction: A Randomized Controlled Trial.

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A collaborative intervention process significantly enhanced parent-therapist interactions in pediatric physical therapy. This approach increased parent participation, shifting focus from solely child-centered care to a more engaged family-therapist partnership.

Keywords:
Family-centered servicefamily–professional collaborationgoal settingparent involvementpediatric rehabilitationphysical therapy

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Area of Science:

  • Pediatric Physical Therapy
  • Rehabilitation Medicine
  • Family-Centered Care

Background:

  • Parental involvement is crucial in pediatric physical therapy interventions.
  • Effective parent-therapist collaboration can enhance intervention outcomes.
  • Challenges exist in maximizing parental participation in therapy sessions.

Purpose of the Study:

  • To evaluate if a collaborative intervention process improves parent-therapist interactions.
  • To assess the impact of specific collaborative strategies on communication and engagement.
  • To determine if enhanced interaction increases parental involvement in goal setting and intervention implementation.

Main Methods:

  • 18 children with physical disabilities, their mothers, and 16 physical therapists participated.
  • Therapists received training in collaborative strategies for goal setting, planning, and implementation.
  • Family-therapist interactions were videotaped and analyzed using the Response Class Matrix, with statistical comparisons between groups.

Main Results:

  • Experimental therapists showed increased "seeking information," "giving information," and "positive behavior," with decreased "child-related behavior."
  • Parents in the experimental group exhibited higher "giving information" frequencies during goal-setting and implementation.
  • The collaborative approach fostered greater interaction between parents and therapists compared to the control group.

Conclusions:

  • Collaborative strategies enhance parent-therapist interactions and increase parental participation in pediatric physical therapy.
  • This approach shifts the focus from child-only to a more interactive family-therapist dynamic.
  • The findings suggest a viable method to address challenges in parental engagement within therapy settings.