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"Family-centered" Pediatric Rehabilitation Services in Children With Developmental Disabilities

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ClinicalTrials.gov Identifier: NCT02057809
Recruitment Status : Completed
First Posted : February 7, 2014
Last Update Posted : August 17, 2018
Sponsor:
Information provided by (Responsible Party):
Lin-Ju Kang, Chang Gung University

Study Description
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Brief Summary:

Developmental disability is a severe chronic disabled condition caused by mental or physical impairments. Children with developmental disabilities may face life-long difficulties in motor functioning, self-care, condition, communication, and independent living. They often receive rehabilitation services to promote daily functions and participation in home, school, and community lives.

"Family-centered" service has been considered as "best practice" in pediatric rehabilitation. Therapists encourage children with developmental disabilities and their parents to participate in decision making and implementing process of intervention, and provide intervention plan that best fit their family needs. Research shows that for children with developmental disabilities, family-centered services can enhance children's development, decrease parenting stress, promote emotional wellness, and increase parental satisfaction to services. Though the "family-centered" concept has been considered as relevant in pediatric rehabilitation, there are still difficulties, as well as a lack of evidence regarding its implementation in practice.

Reflecting the trend of family-centered medical care, the benefits of national health insurance in Taiwan for early intervention outpatient care will emphasize on family-centered intervention. The range of benefits may include communication with parents, parental education, consultation and instructions for home programs. Besides, outcomes of family-centered intervention will be treated as an important index for monitoring the quality of medical services.

Given that there is a lack of investigation regarding the family-centered pediatric rehabilitation, the purposes of this one-year research project are to investigate the implementation of family-centered pediatric rehabilitation for children with developmental disabilities and to identify related influencing factors. This study will provide empirical evidence for family-centered services in Taiwan.


Condition or disease
Developmental Disabilities Autistic Spectrum Disorder

Study Design
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Study Type : Observational
Actual Enrollment : 130 participants
Observational Model: Family-Based
Time Perspective: Cross-Sectional
Official Title: Investigation of "Family-centered" Pediatric Rehabilitation Services Received by Children With Developmental Disabilities
Study Start Date : January 2014
Actual Primary Completion Date : December 2014
Actual Study Completion Date : December 2014

Resource links provided by the National Library of Medicine


Groups and Cohorts
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Group/Cohort
Parent-child dyad
Children with Developmental Disabilities and their parents
Therapits
Therapists experienced in serving children with developmental disabilities


Outcome Measures
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Primary Outcome Measures :
  1. The Measure of Processes of Care-20 [ Time Frame: 1 year ]

Secondary Outcome Measures :
  1. Measure of Processes of Care- for Service Providers [ Time Frame: 1 year ]
  2. Children and Adolescent Factor Inventory [ Time Frame: 1 year ]
  3. Assessment of Preschool Children's Participation (APCP) [ Time Frame: 1 year ]
  4. Children's Assessment of Participation and Enjoyment (CAPE) [ Time Frame: 1 year ]

Eligibility Criteria
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Ages Eligible for Study:   2 Years to 12 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Children with developmental disabilities (DD) aged 2-12 years. Children with DD refer to a diverse group of severe, chronic disability that is attributed to mental and/or physical impairments, resulting in substantial functional limitations in major life activity.
Criteria

Inclusion Criteria:

  1. children aged 2 to 12 years.
  2. children with a primary diagnose or condition associated with developmental disabilities, including attention deficit hyperactivity disorder, autism, intellectual disability, Down syndrome, learning disorders, cerebral palsy, and other developmental delay.
  3. parents agree to participate in this study.

Exclusion Criteria:

  1. children with unstable physical conditions, such as cancer, having surgery within 3 months, infection, or other active medical conditions.
  2. children with progressive disease (e.g. neuromuscular disease) or degenerative disorders (e.g. degenerative seizures).
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02057809


Locations
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Taiwan
Chang Gung University
Taoyuan, Taiwan, 333
Sponsors and Collaborators
Chang Gung University
Investigators
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Principal Investigator: Lin-Ju Kang, PhD Chang Gung University
More Information
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Top of Page Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information
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Responsible Party: Lin-Ju Kang, Assistant Professor, Chang Gung University
ClinicalTrials.gov Identifier: NCT02057809    
Other Study ID Numbers: 102-3767B
First Posted: February 7, 2014    Key Record Dates
Last Update Posted: August 17, 2018
Last Verified: August 2018
Keywords provided by Lin-Ju Kang, Chang Gung University:
Developmental Disabilities
Family-centered services
Pediatric rehabilitation
Additional relevant MeSH terms:
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Developmental Disabilities
Autism Spectrum Disorder
Child Development Disorders, Pervasive
Neurodevelopmental Disorders
Mental Disorders