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

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

Kaynakça

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