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Research Article  |   September 2006
Integration and Application of a Home Treatment Program: A Study of Parents and Occupational Therapists
Author Affiliations
  • Ruth Segal, PhD, OTR, is Chair, Seton Hall University, School of Graduate Medical Education, Department of Occupational Therapy, McQuaid Hall, Room 206, 400 South Orange Avenue, South Orange, New Jersey 07079; segalrut@shu.edu
  • Claudia Beyer, MA, OTR, is Staff Occupational Therapist, New York Foundling Hospital Medical Center for Pediatrics and Rehabilitation, Rehabilitation Department, 590 Avenue of the Americas, New York, New York 10011
Article Information
Infants and Children
Research Article   |   September 2006
Integration and Application of a Home Treatment Program: A Study of Parents and Occupational Therapists
American Journal of Occupational Therapy, September/October 2006, Vol. 60, 500-510. doi:10.5014/ajot.60.5.500
American Journal of Occupational Therapy, September/October 2006, Vol. 60, 500-510. doi:10.5014/ajot.60.5.500
Abstract

The purpose of this article is to describe parental adherence to home treatment programs. A qualitative exploratory study with six parents and eight occupational therapists who used the brushing and compression technique (Wilbarger Protocol) was conducted. Participants were interviewed one or two times, exploring their experiences in adhering to the protocol. Data analysis focused on facilitators and hindrances to parental adherence and on occupational therapists’ strategies used to encourage it. Parents identified their children’s responses to brushing, its perceived efficacy, and interaction of the protocol with family daily schedules, as factors influencing their adherence. Occupational therapists identified only family daily schedules as influencing parental adherence. The findings are discussed in the context of the ecocultural theory of family accommodations.