title: Diverging perspectives on children's rehabilitation services: a mixed-methods study.
abstract: BACKGROUND
  Family-centred ideology is increasingly regarded as a conceptual foundation in services to children with disabilities.
  
  
  OBJECTIVE
  First, to examine the extent to which parents and therapists perceive the service as family-centred; second, to explore factors affecting parents' perceptions of the service; and third, to explore how parents understood service aspects typically characterising family-centred services (FCS), such as the goal-setting process.
  
  
  METHODS
  Parents of 236 children and 25 therapists completed questionnaires (MPOC-32; MPOC-SP). Five parents shared their experiences in an open interview.
  
  
  RESULTS
  On average parents and professionals consider the service to be family-centred from a 'fairly great' extent (Respectful and Supportive Care/Treating People Respectfully) to a 'small' extent (Providing General Information). Parents' experiences were influenced by their child's age, functional performance, and type of disability. Analysis of interview data revealed three categories: Experiencing trust and respect, Collaborating or just following instructions?, and Balancing therapy with daily activities.
  
  
  CONCLUSIONS
  Parents praise interpersonal relations but lack of information limits their possibilities to make informed choices about services. In order to translate better into the daily life of the family the intervention should focus more on their activities, routines and participation within the communities they live in.
authors.affiliation: a Faculty of Occupational Therapy , University of Akureyri , Iceland ;
authors.forename: Sara
authors.initials: S
authors.lastname: Stefánsdóttir
authors.affiliation: b Faculty of Social and Human Sciences , University of Iceland , Iceland.
authors.forename: Snæfrídur
authors.initials: S
authors.lastname: Thóra Egilson
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D003299:Cooperative Behavior; D002658:Developmental Disabilities / Q000534:rehabilitation*; D019988:Children with Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D000072087:Occupational Therapists / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D010347:Patient Care Planning; D017060:Patient Satisfaction; D010465:Perception; D059825:Physical Therapists / Q000523:psychology*; D011368:Professional-Family Relations; D012046:Rehabilitation / Q000592:standards; D011795:Surveys and Questionnaires; D035502:Trust; D055815:Young Adult
keywords: Childhood disability; Measure of Processes of Care; Measure of Processes of Care – SP; activities; body functions; collaboration; family-centred services; information; participation; pediatric rehabilitation