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Hamid Dalvand, Mehdi Rassafiani, Seyed Ali Hosseini, Seyyed Ali Samadi, Hamid Reza Khankeh,
Volume 18, Issue 12 (3-2016)
Abstract

Background: Mothering handling plays an important role in the daily life of children with cerebral palsy (CP) and their mothers, so that the greatest amount of handling of children with CP is done by the mothers at home. The study aimed to explore the process of mothering handling in the children with CP at home.

Materials and Methods: This qualitative study was conducted using grounded theory methodology in Tehran. The purposeful sampling followed by theoretical sampling. Selecting participants continued to achieve theoretical saturation. The number of participants was 26 including 15 caregivers, 3 children with cerebral palsy, 5 occupational therapists, 1 physiotherapist, and 3 rehabilitation manegers. The main source for gathering data was in-depth, semi-structured interviews. Data were analyzed by Corbin & Straus method (2008).

Results: Six categories/themes emerged from the data, including: motherly care, confronting with unusual co-occupation, confusion in roles, effort to special care, dynamic management of handling, and continuing care. The central category, confrontation with unusual co-occupation, represented the main theme of the research, and all major categories had been related to it.

Conclusion: The results of this research could provide broad perspective to rehabilitation therapists, managers and policy makers for understanding the needs, meeting challenges and concerns of caregivers and children with CP and designing a comprehensive plan for handling process of children with CP and helping them to be empowered for achieving the proper management and effective handling.


Azade Riyahi, Mehdi Rassafiani, Samira Yazdani, Rahmatollah Moradzadeh,
Volume 20, Issue 11 (2-2018)
Abstract

Abstract
Background: Human need for food is one of the inherent or physiological needs that, along with the ability to eat and drink, is the most important factor of health, survival and longevity. Children with cerebral palsy suffer from severe maladjustment in the nutritional mechanism and the creation of unsafe, even risky, conditions for life, due to deficiencies in the disease. Because of the importance of Eating and Drinking Ability Classification System (EDACS) in the research and treatment of children with cerebral palsy, the purpose of this study was to determine the psychometric properties of the Persian version of this system.
Materials and Methods: After the forward and backward translation procedures and investigation of face and content validity, test–retest reliability was assessed between parents and therapists using the intra-class correlation coefficient (ICC). 130 Children (3 to 20 years, mean age 52.35 months and standard deviation 33.96; 73 boys, 57 girls) with various types of CP were classified according to EDACS by both parents and therapists.
Results: The test–retest reliability was high and significant; the ICC related to parents and occupational therapists was 0.98, and the ICC related to speech therapists (0.99) was higher than 0.90 that both of them showed high correlation.
Conclusion: The Persian version of the EDACS is found to be valid and reliable, and is suggested to be appropriate for the assessment of eating and drinking ability in children with cerebral palsy.

 


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