Determinants of Parental Satisfaction with Rehabilitation Service Delivery to Children with Childhood-Onset Physical Disabilities: A Turkish Sample

Year 2024, Volume: 6 Issue: 3, 401 - 412, 24.09.2024

Hasan Bingöl , Nazım Tolgahan Yıldız , Hikmet Kocaman

https://doi.org/10.37990/medr.1506052

Abstract

Aim: Studies have demonstrated that family centeredness, or family involvement in decision-making and care provision, is crucial for achieving the best results in pediatric rehabilitation and is also directly associated to parental/caregiver satisfaction with rehabilitation services. This study aimed to explore the potential determinants of parents’/caregivers’ satisfaction with rehabilitation services based on the various elements of family centeredness.
Material and Method: Authors included the parents/caregivers of 120 children with physical disabilities aged 5-18 years (mean 10.14 years, SD 4.17). The Measure Process of Care-20 (MPOC-20) was used to assess parents'/caregivers' perceptions of the family centeredness in provision of rehabilitation services and therefore parental/caregiver satisfaction with rehabilitation service delivery to children.
Results: Service-related and child-related factors accounted for 78% and 67% of the variances in the parents’/caregivers’ satisfaction with being provided opportunities for them to make decisions about rehabilitation services (MPOC-20-Enabling and Partnership subscale), respectively. Parental/caregiver satisfaction with service delivery in the context of sharing information about child’s progress was correlated with service-related, child-related, and parent/caregiver-related factors (adjusted R2=0.75, 0.71, and 0.68, respectively). Satisfaction with service delivery regarding coordinated and comprehensive care was significantly influenced by the service provider and the parent/caregiver-related variables (R2=0.63 and R2=0.59, respectively). Finally, in the event of satisfaction with services in terms of respectful and supportive care, each factor accounted for a small and approximately equal amount of variance in the mean score of relevant MPOC-20 subdomain (range of adjusted R2=0.10–0.18).
Conclusion: Factors or determinants identified in the current study as having the potential to increase parents’/caregivers’ satisfaction with rehabilitation services should be considered when providing rehabilitation services.

Keywords

Childhood disability, rehabilitation service, family-centered service, children, physiotherapy

Ethical Statement

The study was carried out after approval from the Human Research Ethics Committee at Mus Alparslan University (no: 03.04.2022-45864)

Supporting Institution

Yok

Thanks

Authors are deeply grateful to the families, service providers and their organizations who participated in this study as the study would not have been completed without their dedication

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