Barriers and Facilitators to Family-centred Paediatric Physiotherapy Practice in the Home setting: A Pilot Study

Saipriya Vajravelu, Patricia Solomon

Abstract


Purpose: Family-centred paediatric physiotherapy practice is a new and emerging concept in India.  This study aimed to understand paediatric physiotherapists’ perceptions of the barriers and facilitators to such practice in home settings in Salem city in southern India.

Methods: A phenomenological research design was employed in this study. Semi-structured telephone interviews were conducted with a convenience sample of 5 paediatric physiotherapists who offer treatment in the home setting. Open coding analysis revealed themes that were broadly categorised into barriers and facilitators to family-centred paediatric physiotherapy practice in these settings.

Results: Physiotherapists identified several barriers such as educational status, frustrated family members, protective family members, cultural beliefs and external influences. Active participation of family members was perceived as a facilitator to family-centred practice.

Limitations: This pilot study has a number of limitations. As the sample size was small and the participants were selected from a small city, the results may not be generalised to larger areas of India. Also, since the interviews were conducted in English, which was not the physiotherapists’ first language, some nuances of their perceptions may not have been reflected.

Implications: The study suggests that paediatric physiotherapists need to have better understanding of parental attitudes, and family culture and beliefs, in order to improve the physiotherapist-family relationship and maximise the outcome for children.

doi 105463/DCID.v24i4.220


Keywords


Family-centered practice; home setting; physiotherapy; paediatrics; qualitative research

Full Text:

PDF

References


Brogg MB, Sabatelli R (2010). Parental perceptions of the parent-therapist relationship: Effects on outcomes of early intervention. Physical & occupational therapy in paediatrics; 30 (3): 234-247.

Cherry DB (1989). Stress and coping in families with ill or disabled children: Application of a model to paediatric therapy. Physical & occupational therapy in paediatrics; 9 (2): 11-32.

Crais ER, Roy VP, Free K (2006). Parents' and professionals' perceptions of the implementation of family-centred practices in child assessments. American Journal of Speech-Language Pathology / American Speech-Language-Hearing Association; 15 (4): 365-377.

Fochsen G, Deshpande K, Thorson A (2006). Power imbalance and consumerism in the doctor-patient relationship: Healthcare providers' experiences of patient encounters in a rural district in India. Qualitative Health Research; 16 (9): 1236-1251. http://dx.doi.org/10.1177/1049732306293776. PMid:17038755

Gupta V, Mehrotra P, Mehrotra N (2012). Parental stress in raising a child with disabilities in India. Disability, CBR & Inclusive Development; 23 (2): 41-52.

Mason J (1996). (Ed) Qualitative Researching. Sage publication.

O'Neil ME, Palisano RJ, Westcott SL (2001). Relationship of therapists' attitudes, children's motor ability, and parenting stress to mothers' perceptions of therapists' behaviours during early intervention. Physical Therapy; 81 (8): 1412-1424. PMid:11509071

Pooni PA, Singh D, Bains HS, Misra BP, Soni RK (2013). Parental stress in a paediatric intensive care unit in Punjab, India. Journal of Paediatrics & Child Health; 49 (3): 204-209. http://dx.doi.org/10.1111/jpc.12127. PMid:23442179

Prakash B (2010). Patient satisfaction. Journal of Cutaneous and Aesthetic Surgery; 3 (3): 151-155. http://dx.doi.org/10.4103/0974-2077.74491. PMid:21430827. PMCid:PMC3047732.

Singhi PD (2004). Cerebral palsy-management. Indian Journal of Paediatrics; 71 (7): 635-639. http://dx.doi.org/10.1007/BF02724124. PMid:15280613

Singhi PD, Goyal L, Pershad D, Singhi S, Walia BN (1990). Psychosocial problems in families of disabled children. The British Journal of Medical Psychology; 63 (Pt 2): 173-182. http://dx.doi.org/10.1111/j.2044-8341.1990.tb01610.x. PMid:2142891

Verma RK, Kishore MT (2009). Needs of Indian parents having children with intellectual disability. International Journal of Rehabilitation Research; 32 (1): 71-76. http://dx.doi.org/10.1097/MRR.0b013e32830d36b6. PMid:19648804




DOI: http://dx.doi.org/10.5463/dcid.v24i4.220

Refbacks

  • There are currently no refbacks.




Copyright (c) 2015 Saipriya Vajravelu, Patricia Solomon

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Supported by:

netherlandsleprosyrelief_logo_rgb_-_new_logo_2014_120CBMlightfortheworld_logo_rgb_-_new_logo_2014_120

© Disability, CBR & Inclusive Development