Process Evaluation of Home-based Bimanual Training in Children with Unilateral Cerebral Palsy (The COAD-study): A Mixed Methods Study.

To evaluate the processes and factors that influenced implementation and impact of a home-based bimanual training program in children with unilateral cerebral palsy aged 2 through 7 years. The program encompassed bimanual task-specific training (3.5 hours/week for 12 weeks) adopting either implicit...

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Publicado en:Developmental Neurorehabilitation Vol. 25; no. 4; pp. 246 - 263
Autores principales: Beckers, LWME, Smeets, RJEM, de Mooij, MAC, Piškur, B, van der Burg, JJW, Rameckers, EAA, Aarts, PBM, Author Group, COAD, Janssen-Potten, YJM
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2022
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      pub: Taylor & Francis Ltd
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        10.1080/17518423.2021.2011459
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        atl: Process Evaluation of Home-based Bimanual Training in Children with Unilateral Cerebral Palsy (The COAD-study): A Mixed Methods Study.
      aug:
        au:
          Beckers, LWME
          Smeets, RJEM
          de Mooij, MAC
          Piškur, B
          van der Burg, JJW
          Rameckers, EAA
          Aarts, PBM
          Author Group, COAD
          Janssen-Potten, YJM
        affil: Department of Rehabilitation Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University Maastricht, The Netherlands
      sug:
        subj:
          Cerebral Palsy Rehabilitation
          Motor Skills Education
          Upper Extremity Exercises Education
          Parents of Children with Disabilities Education
          Home Rehabilitation
          Process Assessment (Health Care)
          Program Evaluation
          Human
          Infant
          Child, Preschool
          Child
          Multimethod Studies
          Questionnaires
          Videorecording
          Interviews
          Focus Groups
          Task Performance and Analysis
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
      ab: To evaluate the processes and factors that influenced implementation and impact of a home-based bimanual training program in children with unilateral cerebral palsy aged 2 through 7 years. The program encompassed bimanual task-specific training (3.5 hours/week for 12 weeks) adopting either implicit or explicit motor learning. A therapist and remedial educationalist coached parents. This mixed methods study included course attendance monitoring, questionnaires, registration form, video analysis, interviews, focus group discussion, and drop-out monitoring. Fourteen families participated. The program was not fully implemented as intended. Parents positively experienced the training and were well able to provide it. The program was demanding for the children and time-consuming for parents. Several components positively contributed to the program: task-analysis, instructional videos, and coaching by a therapist and remedial educationalist. Several modifications to the program were proposed. Home-based bimanual training forms a demanding but promising therapeutic approach with potential for optimization.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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