Relationship of Therapists' Attitudes, Children's Motor Ability, and Parenting Stress to Mothers' Perceptions of Therapists' Behaviors During Early Intervention

• Published in: Physical therapy Vol. 81; no. 8; pp. 1412 - 1424
• Main Authors: O'Neil, M E, Palisano, R J, Westcott, S L
• Format: Journal Article
• Language: English
• Published: United States American Physical Therapy Association 01-08-2001; Oxford University Press
• Subjects: Adolescent; Adult; Analysis of Variance; Attitude of Health Personnel; Attitude to Health; Care and treatment; Child; Child, Preschool; Children; Communication; Developmental Disabilities - psychology; Developmental Disabilities - rehabilitation; Diseases; Early Intervention (Education) - standards; Female; Humans; Infant; Infant, Newborn; Male; Middle Aged; Models, Psychological; Mother-Child Relations; Mothers - education; Mothers - psychology; Motor Skills - physiology; Movement disorders; Movement disorders in children; Outcome and Process Assessment (Health Care); Parenting - psychology; Patient-Centered Care - standards; Pediatric diseases; Physical therapists; Physician and patient; Physician-patient relations; Practice; Professional-Family Relations; Regression Analysis; Stress, Psychological - diagnosis; Stress, Psychological - etiology; Stress, Psychological - psychology; Surveys and Questionnaires; United States
• ISSN: 0031-9023; 1538-6724
• DOI: 10.1093/ptj/81.8.1412

Federal law mandates family-centered care as the service delivery model in early intervention programs for children from birth to 36 months of age. This study investigated the relationship of therapists' attitudes, children's motor ability, and parenting stress to mothers' perceptions of physical therapists' family-centered behaviors during early intervention.
Twenty-five physical therapists and 75 mother-child dyads (3 from each therapist's caseload) participated. The mean chronological age for the children was 21.2 months (SD=7.3, range=6-35). Mothers participated in a structured interview using the Measures of Processes of Care (MPOC-56), and they completed the Parenting Stress Index-Short Form (PSI-SF) and a questionnaire. The Bayley-II Motor Scale was administered to the children. Therapists completed a modified version of the Measures of Processes of Care for Service Providers (MPOC-SP) and a questionnaire.
Scores for mothers on the MPOC-56 and for therapists on the MPOC-SP indicated strong positive perceptions and attitudes toward family-centered behaviors. Hierarchical multiple regression analyses indicated that parenting stress explained a considerable amount of the variance in mothers' perceptions of family-centered behaviors, whereas therapists' attitudes explained a considerable amount of the variance in mothers' perceptions of respectful and supportive care. Children's motor ability was inversely related to parenting stress.
Findings suggest that mothers perceive that physical therapists are using family-centered behaviors in early intervention. Findings from the questionnaires suggest that some early intervention policies may be barriers for therapists and prevent them from actualizing attitudes toward family-centered behaviors.