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"Family-centered" Pediatric Rehabilitation Services in Children With Developmental Disabilities

This study has been completed.
Information provided by (Responsible Party):
Lin-Ju Kang, Chang Gung University Identifier:
First received: December 22, 2013
Last updated: February 8, 2015
Last verified: February 2015

Developmental disability is a severe chronic disabled condition caused by mental or physical impairments. Children with developmental disabilities may face life-long difficulties in motor functioning, self-care, condition, communication, and independent living. They often receive rehabilitation services to promote daily functions and participation in home, school, and community lives.

"Family-centered" service has been considered as "best practice" in pediatric rehabilitation. Therapists encourage children with developmental disabilities and their parents to participate in decision making and implementing process of intervention, and provide intervention plan that best fit their family needs. Research shows that for children with developmental disabilities, family-centered services can enhance children's development, decrease parenting stress, promote emotional wellness, and increase parental satisfaction to services. Though the "family-centered" concept has been considered as relevant in pediatric rehabilitation, there are still difficulties, as well as a lack of evidence regarding its implementation in practice.

Reflecting the trend of family-centered medical care, the benefits of national health insurance in Taiwan for early intervention outpatient care will emphasize on family-centered intervention. The range of benefits may include communication with parents, parental education, consultation and instructions for home programs. Besides, outcomes of family-centered intervention will be treated as an important index for monitoring the quality of medical services.

Given that there is a lack of investigation regarding the family-centered pediatric rehabilitation, the purposes of this one-year research project are to investigate the implementation of family-centered pediatric rehabilitation for children with developmental disabilities and to identify related influencing factors. This study will provide empirical evidence for family-centered services in Taiwan.

Developmental Disabilities Autistic Spectrum Disorder

Study Type: Observational
Study Design: Observational Model: Family-Based
Time Perspective: Cross-Sectional
Official Title: Investigation of "Family-centered" Pediatric Rehabilitation Services Received by Children With Developmental Disabilities

Resource links provided by NLM:

Further study details as provided by Lin-Ju Kang, Chang Gung University:

Primary Outcome Measures:
  • The Measure of Processes of Care-20 [ Time Frame: 1 year ]

Secondary Outcome Measures:
  • Measure of Processes of Care- for Service Providers [ Time Frame: 1 year ]
  • Children and Adolescent Factor Inventory [ Time Frame: 1 year ]
  • Assessment of Preschool Children's Participation (APCP) [ Time Frame: 1 year ]
  • Children's Assessment of Participation and Enjoyment (CAPE) [ Time Frame: 1 year ]

Enrollment: 130
Study Start Date: January 2014
Study Completion Date: December 2014
Primary Completion Date: December 2014 (Final data collection date for primary outcome measure)
Parent-child dyad
Children with Developmental Disabilities and their parents
Therapists experienced in serving children with developmental disabilities


Ages Eligible for Study:   2 Years to 12 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Children with developmental disabilities (DD) aged 2-12 years. Children with DD refer to a diverse group of severe, chronic disability that is attributed to mental and/or physical impairments, resulting in substantial functional limitations in major life activity.

Inclusion Criteria:

  1. children aged 2 to 12 years.
  2. children with a primary diagnose or condition associated with developmental disabilities, including attention deficit hyperactivity disorder, autism, intellectual disability, Down syndrome, learning disorders, cerebral palsy, and other developmental delay.
  3. parents agree to participate in this study.

Exclusion Criteria:

  1. children with unstable physical conditions, such as cancer, having surgery within 3 months, infection, or other active medical conditions.
  2. children with progressive disease (e.g. neuromuscular disease) or degenerative disorders (e.g. degenerative seizures).
  Contacts and Locations
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Please refer to this study by its identifier: NCT02057809

Chang Gung University
Kwei-Shan, Tao-Yuan, Taiwan, 333
Sponsors and Collaborators
Chang Gung University
Principal Investigator: Lin-Ju Kang, PhD Chang Gung University
  More Information

Responsible Party: Lin-Ju Kang, Assistant Professor, Chang Gung University Identifier: NCT02057809     History of Changes
Other Study ID Numbers: 102-3767B
Study First Received: December 22, 2013
Last Updated: February 8, 2015

Keywords provided by Lin-Ju Kang, Chang Gung University:
Developmental Disabilities
Family-centered services
Pediatric rehabilitation

Additional relevant MeSH terms:
Developmental Disabilities
Autism Spectrum Disorder
Child Development Disorders, Pervasive
Neurodevelopmental Disorders
Mental Disorders processed this record on September 19, 2017