A Family-centered Teaching Model in Pediatric Occupational Therapy Internship

Most of the occupational therapy students received the knowledge of family-centered services when they studies in universities, however, the experience of family-centered practice during internships is limited. The purpose is to design a family-centered teaching model and to examine the effects of the teaching model. The positive results showed on students' perceptions and children's occupational performance.

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Key information

Conditions

Internship and Residency

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan

About this study

The study examined the differences of interns' perceptions of services toward family-centeredness and children' occupational performance between a family-centered teaching (FACT) model and a conventional family approach incorporated in internships. A two-group quasi-experimental design was employed. Participants included 49 interns, 44 caregivers, and 45 children with disabilities under six-year-old. The perceptions of interns toward FCS in both groups were measured using the Chinese version of the "Measure of Processes of Care-Service Provider" (C-MPOC-SP) at the pre- and post- tests. Children' occupational performance in both groups was rated using the "Canadian Occupational Performance Measure" (COPM) for the pre- and post-tests. Interns in the experimental group demonstrated a significant increase in two of the four C-MPOC-SP subscales compared to their counterparts. Children' scores improved significantly in COPM performance subtest for experimental group, but not on the COPM satisfaction subscale.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Children with developmental delays/disabilities and their caregivers
Children with developmental delays/disabilities under six years old
The caregivers of the children with disabilities are aged 20 years old or older
The caregivers of the children with disabilities or delays can follow the instruction to administer the assessment
Students are participating in internships of the pediatric occupational therapy clinical unit at the hospitals.

Exclusion criteria

Caregiver suffered from mental illness and had difficulty to complet the study.

Treatment and study plan

Family-centered teaching model

Behavioral

The program comprised two parts: (1) Didactic lessons: and (2) Hands-on practice. The didactic lessons were designed to prepare interns' knowledge and skills. The hands-on practice were designed to provide opportunities of family-centered experience to work with caregivers and children.

Primary outcomes

The 49 interns' family-centered behaviors including four types of behaviors were measured by the self-reported questionnaire of "Measure of Processes of Care for Service Providers"

Time frame: at the beginning and the end of the internship; an average of 12 weeks

The "Measure of Processess of Care-Service Provider" can measure four types of famly-centered behaviors such as (1) Showing Interpersonal Sensitivity; (2) Providing General Information; (3) Communicating Specific Information; (4) Treating People Respectfully. The questionnire is a reliable and valid self-reported questionnaire The questionnaire comprises 27 items in which each item has a 7-point Likert scale from 1 (not at all) to 7 (to a very great extent).
The performance and satisfaction scales of occupational performance for 45 children in both groups were assessed by a semi-structured interview questionnaire of "Canadian Occupational Performance Measure" reported by their caregivers.

Time frame: at the beginning and the end of the internship; an average of 12 weeks

The occupational performance assessed by the "Canadian Occupational Performance Measure" includes the performance on the self-care, productivity, and leisure activities. The caregiver is asked to identify the activities that is needed and difficult to be completed by their children. The importance of the five most necessary and difficult activities are scored by each caregiver on a ten-point scoring scale. The performance and satisfaction of the five most necessary, difficult and important activities are scored by each client and caregiver on a 10-point scale. The scores of performance or satisfaction scale were aggregated on the five most necessary, difficult and important activities.

Sponsors and collaborators

Lead sponsor

Jung-Jiun Shie

Other

Registry information

Official study title

Effects of a Family-centered Teaching Model on Intern's Perceptions and Children's Occupational Performance

Acronym: FACTmodel

Important dates

Study start: 2018
Primary completion: 2021
Study completion: 2021
First posted: Jul 25, 2024
Registry last updated: Jul 25, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed