| Goal setting in Dutch paediatric rehabilitation. Are the needs and principal problems of children with cerebral palsy integrated into their rehabilitation goals? | |
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MedLine Citation:
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PMID: 18390978 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate whether the needs and principal problems of children with cerebral palsy (CP) as formulated in their interdisciplinary rehabilitation reports are integrated into the goal descriptions and whether this depends on the nature of the needs and problems. DESIGN: Descriptive multiple-case study. SETTING: Five Dutch paediatric rehabilitation facilities. SUBJECTS: The rehabilitation profiles of 41 children with cerebral palsy aged between 4 and 8 years. METHODS: The raw text data were extracted and organized, after which two raters independently linked the extracted content to the categories of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). Matches between needs, problems and goals were identified by ICF-CY code comparisons. RESULTS: The Cohen's kappas for ICF-CY encoding were all in the range of "fair to good" (0.52-0.78). For five children (12%) no needs had been formulated and the reports of 10 (24%) were excluded from further analyses as they lacked a principal goal. In the 31 reports analysed, 29 (23%) need constructs and 46 (46%) problem constructs were incorporated into the goals. Of the total of 95 goal constructs 49 (52%) were not related to either a need or a problem construct. No clear relationship could be established between the type of needs and problems and their inclusion or exclusion in the principal goals. CONCLUSION: Overall, the integration of the needs and principal problems of children with their rehabilitation goals was not optimal. However, integration was difficult to objectify because needs, problems and goals were poorly documented. |
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Authors:
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Bianca J G Nijhuis; Heleen A Reinders-Messelink; Alida C E de Blécourt; Anne M Boonstra; Esther H M Calamé; Johan W Groothoff; Han Nakken; Klaas Postema |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Clinical rehabilitation Volume: 22 ISSN: 0269-2155 ISO Abbreviation: Clin Rehabil Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-08 Completed Date: 2008-08-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8802181 Medline TA: Clin Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 348-63 Citation Subset: IM |
Affiliation:
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Center for Rehabilitation and Graduate School for Health Research SHARE, University Medical Center Groningen, University of Groningen, The Netherlands. B.Nijhuis@uu.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerebral Palsy / rehabilitation* Child Child Health Services / organization & administration*, standards Child, Preschool Delivery of Health Care, Integrated Female Humans Male Middle Aged Netherlands Organizational Case Studies Patient Care Team / organization & administration, standards Professional-Family Relations Rehabilitation Centers / organization & administration*, standards |
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