Measure of Processes of Care (MPOC) applied to measure parent's perception of the habilitation process in Sweden

Abstract

Measure of Processes ofGeneral rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. AbstractAim To evaluate the instrument Measure of Processes of Care (MPOC) in a Swedish context. Methods The MPOC consists of 56 questions in the five scales: enabling and partnership; providing general information; providing specific information about the child; co-ordinated and comprehensive care; and respectful and supportive care. The questionnaire was translated into Swedish and distributed to 850 families, served by four habilitation centres. After two reminders, a response rate of 74.9% was obtained, and about 60% of the questionnaires qualified for further statistical analysis. Reliability, calculated as Cronbach's alpha, was high for four of the five scales and acceptable for the fifth (scale no. 3). Results Significant differences were shown between centres as well as between age groups. These differences were reasonable as judged through background knowledge, indicating that the instrument was able to discriminate between actual differences in services. Commenting on the practical use of the questionaire, staff, as well as responding parents, found the questionnaire rather long and some parents reported difficulties in giving answers as specific as the questionnaire asked them to. Conclusion The MPOC shows sufficient sensitivity to be used as an evaluation tool for services at a centre or program level, and can be recommended for research and practical use.

Social service utilisation patterns among children with mild intellectual disability – differences between children integrated into mainstream classes and children in self-contained classes

“…The child's age did not correlate with the probability of receiving services because of the child's disability. This differs from some studies regarding rehabilitation suggesting that younger children are more inclined to utilise services (Bjerre et al 2004;Chang et al 2014), but this difference is not unexpected. Parental responsibility to caring for a child is usually greatest in infancy and decreases as the child gets older and develops more skills.…”

Parent Perspectives on Rehabilitation Services for Their Children with Disabilities: A Mixed Methods Approach

“…Practitioners may consider the use of the MPOC-20 as one measure of the effectiveness of FCC. In addition, in this project the semi-structured interviews further illuminated parent perceptions about the processes of care and overall satisfaction with outpatient rehabilitation services identified by the results of the Similar to previous research, parents in our project were satisfied with services and rated respectful and supportive care highest of the five MPOC-20 domains (Bjerre et al, 2003;Dyke, Buttigieg, Blackmore, & Ghose, 2006;Raghavendra et al, 2007). During the interviews, most parents discussed the importance of developing and sustaining relationships with the child's therapists and that the therapist "gets the child" and is therefore effective at engaging and motivating him or her.…”

“…The measure includes three items addressing enabling and partnership, five items on providing general information, (King et al, 2004). The MPOC-20 has been shown to be discriminative and sensitive, and as such is an appropriate evaluation tool for services at a program level (Bjerre et al, 2003).…”

Parents' perceptions of the services provided to children with cerebral palsy in the transition from preschool rehabilitation to school‐based services

“…Parents thus are naturally more involved in the intervention process, and therefore know the therapists better, and maybe also receive more information than parents with children who are attending school (Bjerre et al . ). In a school setting, therapies are typically integrated in the school program, so parents are likely less often present during therapy time, or are not present at all.…”