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Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure

The Canadian Occupational Performance Measure (COPM) is a client-centered outcome measure that facilitates the prioritization of individualized interventions. Given the rising emphasis on individualized intervention in pediatric intensive care units (PICUs), this cross-sectional study aimed to explo...

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Autores principales: Hwang, Youngsub, Kwon, Jeong-Yi, Cho, Joongbum, Choi, Jaeyoung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297534/
https://www.ncbi.nlm.nih.gov/pubmed/37371217
http://dx.doi.org/10.3390/children10060985
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author Hwang, Youngsub
Kwon, Jeong-Yi
Cho, Joongbum
Choi, Jaeyoung
author_facet Hwang, Youngsub
Kwon, Jeong-Yi
Cho, Joongbum
Choi, Jaeyoung
author_sort Hwang, Youngsub
collection PubMed
description The Canadian Occupational Performance Measure (COPM) is a client-centered outcome measure that facilitates the prioritization of individualized interventions. Given the rising emphasis on individualized intervention in pediatric intensive care units (PICUs), this cross-sectional study aimed to explore caregivers’ perspectives on their children’s functional goals within PICUs. From 1 September 2020 to 26 June 2022, caregivers of 41 children aged 1–18 years completed the COPM within 48 h of PICU admission. The study also explored the clinical variables predicting a high number of occupational performance goals (≥4/5). Out of 190 goals proposed by caregivers, 87 (45.8%) pertained to occupational performance, while 103 (54.2%) were related to personal factors. Among the occupational performance goals, the majority were associated with functional mobility (55; 28.9%), followed by personal care (29; 15.2%) and quiet recreation (3; 1.6%). Among personal goals, physiological factors (68; 35.8%) were most common, followed by physical factors (35; 18.4%). We found caregiver anxiety, measured by the State-Trait Anxiety Inventory-State, to be a significant predictor of the number of occupational performance goals. These findings underscore the importance of caregiver psychological assessment in the PICU to facilitate personalized goal setting and improve rehabilitation outcomes.
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spelling pubmed-102975342023-06-28 Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure Hwang, Youngsub Kwon, Jeong-Yi Cho, Joongbum Choi, Jaeyoung Children (Basel) Article The Canadian Occupational Performance Measure (COPM) is a client-centered outcome measure that facilitates the prioritization of individualized interventions. Given the rising emphasis on individualized intervention in pediatric intensive care units (PICUs), this cross-sectional study aimed to explore caregivers’ perspectives on their children’s functional goals within PICUs. From 1 September 2020 to 26 June 2022, caregivers of 41 children aged 1–18 years completed the COPM within 48 h of PICU admission. The study also explored the clinical variables predicting a high number of occupational performance goals (≥4/5). Out of 190 goals proposed by caregivers, 87 (45.8%) pertained to occupational performance, while 103 (54.2%) were related to personal factors. Among the occupational performance goals, the majority were associated with functional mobility (55; 28.9%), followed by personal care (29; 15.2%) and quiet recreation (3; 1.6%). Among personal goals, physiological factors (68; 35.8%) were most common, followed by physical factors (35; 18.4%). We found caregiver anxiety, measured by the State-Trait Anxiety Inventory-State, to be a significant predictor of the number of occupational performance goals. These findings underscore the importance of caregiver psychological assessment in the PICU to facilitate personalized goal setting and improve rehabilitation outcomes. MDPI 2023-05-31 /pmc/articles/PMC10297534/ /pubmed/37371217 http://dx.doi.org/10.3390/children10060985 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hwang, Youngsub
Kwon, Jeong-Yi
Cho, Joongbum
Choi, Jaeyoung
Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure
title Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure
title_full Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure
title_fullStr Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure
title_full_unstemmed Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure
title_short Individualized Goal Setting for Pediatric Intensive Care Unit-Based Rehabilitation Using the Canadian Occupational Performance Measure
title_sort individualized goal setting for pediatric intensive care unit-based rehabilitation using the canadian occupational performance measure
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297534/
https://www.ncbi.nlm.nih.gov/pubmed/37371217
http://dx.doi.org/10.3390/children10060985
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