System Integration and Its Influence on the Quality of Life of Children with Complex Needs
Purpose. To explore the interactions between child and parents psychosocial factors and team integration variables that may explain improvements in physical dimensions of the PEDS QL quality of life of children with complex needs after 2 years. Methods. In this 2-year study, parents were identified...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2010/570209 |
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| _version_ | 1832556569546457088 |
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| author | Sandy Thurston Louise Paul Chenglin Ye Patricia Loney Dillon Browne Gina Browne Maria Wong Lehana Thabane Peter Rosenbaum |
| author_facet | Sandy Thurston Louise Paul Chenglin Ye Patricia Loney Dillon Browne Gina Browne Maria Wong Lehana Thabane Peter Rosenbaum |
| author_sort | Sandy Thurston |
| collection | DOAJ |
| description | Purpose. To explore the interactions between child and parents psychosocial factors and team integration variables that may explain improvements in physical dimensions of the PEDS QL quality of life of children with complex needs after 2 years. Methods. In this 2-year study, parents were identified by the Children's Treatment Network. Families were eligible if the child was aged 0–19 years, had physical limitations, resided in either Simcoe County or the Region of York, Ontario, and there were multiple other family needs. Regression analysis used to explore associations and interactions; n=110. Results. A child's physical quality of life was affected by interacting factors including child's behavior, parenting, and integrated care. Statistically significant interactions between team integration, processes of care, and child/parent variables highlight the complexity of the rehabilitation approach in real-life situations. Conclusions. Rehabilitation providers working with children with complex needs and their families should also address child and parent problematic behaviors. When this was the case in high integrated teams, the child's physical quality of life improved after two years. |
| format | Article |
| id | doaj-art-b1ee81fbbeb34262b28d72dcd967e1a7 |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-b1ee81fbbeb34262b28d72dcd967e1a72025-02-03T05:45:05ZengWileyInternational Journal of Pediatrics1687-97401687-97592010-01-01201010.1155/2010/570209570209System Integration and Its Influence on the Quality of Life of Children with Complex NeedsSandy Thurston0Louise Paul1Chenglin Ye2Patricia Loney3Dillon Browne4Gina Browne5Maria Wong6Lehana Thabane7Peter Rosenbaum8Children's Treatment Network, Simcoe/York, ON, L4M 2Y1, CanadaChildren's Treatment Network, Simcoe/York, ON, L4M 2Y1, CanadaResearch Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, McMaster Innovation Park, 175 Longwood Road. S., Suite 210A, Hamilton, ON, L8P 0A1, CanadaResearch Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, McMaster Innovation Park, 175 Longwood Road. S., Suite 210A, Hamilton, ON, L8P 0A1, CanadaResearch Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, McMaster Innovation Park, 175 Longwood Road. S., Suite 210A, Hamilton, ON, L8P 0A1, CanadaResearch Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, McMaster Innovation Park, 175 Longwood Road. S., Suite 210A, Hamilton, ON, L8P 0A1, CanadaResearch Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, McMaster Innovation Park, 175 Longwood Road. S., Suite 210A, Hamilton, ON, L8P 0A1, CanadaResearch Unit on Health and Social Service Utilization, Faculty of Health Sciences, McMaster University, McMaster Innovation Park, 175 Longwood Road. S., Suite 210A, Hamilton, ON, L8P 0A1, CanadaChildren's Health Research Institute, McMaster University, Hamilton, ON, L8N 3Z5, CanadaPurpose. To explore the interactions between child and parents psychosocial factors and team integration variables that may explain improvements in physical dimensions of the PEDS QL quality of life of children with complex needs after 2 years. Methods. In this 2-year study, parents were identified by the Children's Treatment Network. Families were eligible if the child was aged 0–19 years, had physical limitations, resided in either Simcoe County or the Region of York, Ontario, and there were multiple other family needs. Regression analysis used to explore associations and interactions; n=110. Results. A child's physical quality of life was affected by interacting factors including child's behavior, parenting, and integrated care. Statistically significant interactions between team integration, processes of care, and child/parent variables highlight the complexity of the rehabilitation approach in real-life situations. Conclusions. Rehabilitation providers working with children with complex needs and their families should also address child and parent problematic behaviors. When this was the case in high integrated teams, the child's physical quality of life improved after two years.http://dx.doi.org/10.1155/2010/570209 |
| spellingShingle | Sandy Thurston Louise Paul Chenglin Ye Patricia Loney Dillon Browne Gina Browne Maria Wong Lehana Thabane Peter Rosenbaum System Integration and Its Influence on the Quality of Life of Children with Complex Needs International Journal of Pediatrics |
| title | System Integration and Its Influence on the Quality of Life of Children with Complex Needs |
| title_full | System Integration and Its Influence on the Quality of Life of Children with Complex Needs |
| title_fullStr | System Integration and Its Influence on the Quality of Life of Children with Complex Needs |
| title_full_unstemmed | System Integration and Its Influence on the Quality of Life of Children with Complex Needs |
| title_short | System Integration and Its Influence on the Quality of Life of Children with Complex Needs |
| title_sort | system integration and its influence on the quality of life of children with complex needs |
| url | http://dx.doi.org/10.1155/2010/570209 |
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