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Context therapy: a new intervention approach for children with cerebral palsy
Author(s) -
DARRAH JOHANNA,
LAW MARY C,
POLLOCK NANCY,
WILSON BRENDA,
RUSSELL DIANNE J,
WALTER STEPHEN D,
ROSENBAUM PETER,
GALUPPI BARB
Publication year - 2011
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.2011.03959.x
Subject(s) - cerebral palsy , intervention (counseling) , context (archaeology) , task (project management) , protocol (science) , rehabilitation , psychology , randomized controlled trial , medicine , physical medicine and rehabilitation , psychotherapist , physical therapy , alternative medicine , psychiatry , paleontology , surgery , management , pathology , economics , biology
Aim To describe the development of context therapy, a new intervention approach designed for a randomized controlled trial. Method Therapists were trained to change task and environmental factors to achieve parent‐identified functional goals for children with cerebral palsy. Therapists did not provide any remediation strategies to change the abilities of the child. Theoretical constructs were developed using dynamic systems theory and the principles of family‐centered care. A primary therapist model was used. A three‐step intervention strategy was developed. Results Therapists adhered to the treatment protocol. Parents participated in the development of both functional goals and intervention strategies. Interpretation A therapy approach focusing on changing the task and the environment rather than children’s impairments can be a viable treatment strategy and merits further investigation. The detailed description of the context therapy approach allows replication by both researchers and clinicians. Such intervention descriptions are an important methodological consideration in rehabilitation research.