Outpatient Pediatric Neuropsychology Assessment Recommendations: Adherence, Barriers to Implementation, and the Relationship Between Recommendation Adherence and Outcome
Başlık:
Outpatient Pediatric Neuropsychology Assessment Recommendations: Adherence, Barriers to Implementation, and the Relationship Between Recommendation Adherence and Outcome
Yazar:
Blechschmidt, Allison, author.
ISBN:
9780355987867
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (77 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Mary Lazar Committee members: Virginia Brabender; Wendy Sarkisian.
Özet:
Outpatient pediatric neuropsychological assessment (PNA) is a time consuming undertaking and can require significant financial commitment from parents. What happens after the family leaves the assessment feedback session is largely unknown. Clinicians often assume that parents understand and enact the recommendations as directed and that ultimately the child's difficulties improve. In addition, PNA is often the last resort for frustrated parents whose child continues to struggle even though they have had various assessments and tried various interventions. The efficacy of recommendations that are made, including evidence based interventions, in these often complex cases has not been explored. This exploratory study investigated parental perceptions of the types of recommendations they were given after a PNA at a university-based outpatient neuropsychology clinic, the barriers to implementation of these recommendations, and the relationship between adherence and outcome. Parents whose children were evaluated in the past two years at this clinic were asked to complete an online survey. Only parents whose children were under 14 years of age at the time of assessment were included in this study. Twenty-six parents completed the survey. Findings indicated high overall recommendation adherence, with 92 percent indicating that they at least partially followed the given recommendations. Partial or greater adherence rates were high across recommendation types including recommendations to use a tutor (100%), pursue non-medical assessments (92%), make home changes (94%), participate in family therapy (100%), and use study or other learning resources (100%). Recommendations concerning school accommodations or changes, and medical referrals had more partial adherence and non-adherence than other types of recommendations. Only one quarter of respondents reported full adherence to school recommendation while two thirds said such recommendations were only partially followed. Referrals for addition medical assessments had the highest non-compliance rate (27%) and equal full and partial compliance rates (both 36%). The types of barriers to adherence that parents encountered varied across recommendation types. Overall, across recommendation categories, the barriers most frequently endorsed were disagreement with the recommendation (both parents and school disagreement -- 27%) and that the recommendation was too expensive or not covered by insurance (27%). A positive, significant relationship between recommendation adherence and outcome (increase in functioning) was found. A large number of respondents endorsed increased functioning after the assessment with 42 percent indicating their children were better and 31 percent much better.
Notlar:
School code: 1063
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
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XX(677861.1) | 677861-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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