A Collaborative Approach to Decision Making Through Developmental Monitoring to Provide Individualized Services for Children With Cerebral Palsy

In this Perspective, we suggest a process to improve physical and occupational therapists' and families' collaboration to provide appropriate, efficient, and effective evidence-based services to improve motor function, self-care performance, and participation in family and recreation activ...

Full description

Saved in:
Bibliographic Details
Published in:Physical therapy 2018-10, Vol.98 (10), p.865-875
Main Authors: Bartlett, Doreen J, McCoy, Sarah W, Chiarello, Lisa A, Avery, Lisa, Galuppi, Barbara
Format: Article
Language:English
Subjects:
Care and treatment
Cerebral palsy
Cerebral Palsy - rehabilitation
Child
Clinical Decision-Making
Development and progression
Disabled Children - rehabilitation
Evidence-based medicine
Female
Humans
Interdisciplinary Communication
Male
Methods
Patient Care Team - organization & administration
Patient outcomes
Physical therapy
Physical Therapy Modalities - organization & administration
Precision Medicine - methods
Therapeutics, Physiological
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In this Perspective, we suggest a process to improve physical and occupational therapists' and families' collaboration to provide appropriate, efficient, and effective evidence-based services to improve motor function, self-care performance, and participation in family and recreation activities for children with cerebral palsy (CP). This process is informed by 2 multisite prospective cohort studies (Move & PLAY and On Track). The heterogeneity of children with CP is described, limiting the utility of evidence from randomized controlled trials and systematic reviews to inform service planning for children with CP. An evidence-based alternative using prospective cohort studies that produce knowledge of determinants of outcomes important to children and families and methods for developmental monitoring using longitudinal developmental and reference percentile curves to inform individualized care is suggested. Guiding questions are provided to explore how knowledge of determinants and developmental monitoring can inform family-centered, collaborative, strengths-based, and focused service programs to support early development and function. Although this perspective paper is focused on children with CP, the research approach described for collection of useful information and the clinical method of data use may be helpful for people with other heterogeneous chronic health conditions in which physical and occupational therapists face similar challenges.
ISSN:0031-9023
1538-6724
DOI:10.1093/ptj/pzy081