A family-specific use of the Measure of Processes of Care for Service Providers (MPOC-SP)

Abstract

Objective: To examine the validity and utility of the Dutch Measure of Processes of Care for Service Providers (MPOC-SP) as a family-specific measure.

Design: A validation study.

Setting: Five paediatric rehabilitation settings in the Netherlands.

Main measures: The MPOC-SP was utilized in a general (reflecting on services provided for all clients and clients' families) and family-specific way (filled out in reference to a particular child and his or her family).

Subjects: Professionals providing rehabilitation and educational services to children with cerebral palsy.

Methods: For construct validity, Pearson's product-moment correlation coefficients (r ) between the scales were calculated. The ability of service providers to discriminate between general and family-specific ratings was examined by exploration of absolute difference scores.

Results: One hundred and sixteen service professionals filled out 240 family-specific MPOC-SPs. In addition, a subgroup of 81 professionals filled out a general MPOC-SP. For each professional, family-specific and general scores were paired, resulting in 151 general—family-specific MPOC-SP pairs. The construct validity analyses confirmed the scale structure: 21 items (77.8%) loaded highest in the original MPOC-SP factors, and all items correlated best and significantly with their own scale score (r 0.565 to 0.897; P<0.001). Intercorrelations between the scales ranged from r = 0.159 to r = 0.522. In total, 94.4% of the mean absolute difference scores between general and family-specific scale scores were larger than the expected difference.

Conclusion: Service providers were able to discriminate between general and family-specific MPOC-SP item ratings. The family-specific MPOC-SP is a valid measure that can be used for individual evaluation of family-centred services and can be the impetus for family-related quality improvement.

Get full access to this article

View all access options for this article.

References

Dunst C. , Trivette C. , Cornwell J. , Davis M. Enabling and empowering families of children with health impairments . Children's Health Care 1988; 17: 71—81.

King S. , Teplicky R. , King G. , Rosenbaum P. Family-centered service for children with cerebral palsy and their families: a review of the literature . Semin Pediatr Neurol 2004; 11: 78—86.

MacKean GL , Thurston WE , Scott CM Bridging the divide between families and health professionals' perspectives on family-centred care . Health Expectations 2005; 8: 74—85.

King G. , King S. , Rosenbaum P. , Goffin R. Family-centered caregiving and well-being of parents of children with disabilities: linking process with outcome . J Pediatr Psychol 1999; 24: 41—53.

King G. , Rosenbaum P. , King S. Parents' perceptions of caregiving: development and validation of a measure of processes . Dev Med Child Neurol 1996; 38: 757—72.

Rosenbaum P. , King S. , Law M. , King G. , Evans J. Family-centred service: A conceptual framework and research overview . Phys Occup Ther Pediatr 1998; 18: 1—20.

Raina P. , O'Donnell M. , Rosenbaum P. et al. The health and well-being of caregivers of children with cerebral palsy . Pediatrics 2005; 115: e626—e36.

King GA , Law M. , King SM , Rosenbaum PL Parents' and service providers' perceptions of the family-centredness of children's rehabilitation services . Phys Occup Ther Pediatr 1998; 18: 21—40.

Lewis MA , Salas I. , de la Sota A. , Chiofalo N. , Leake B. Randomized trial of a program to enhance the competencies of children with epilepsy . Epilepsia 1990; 31: 101—109.

10.

Stein RE , Jessop DJ Does pediatric home care make a difference for children with chronic illness? Findings from the Pediatric Ambulatory Care Treatment Study . Pediatrics 1984; 73: 845—53.

11.

Stein RE , Jessop DJ Long-term mental health effects of a pediatric home care program . Pediatrics 1991; 88: 490—96.

12.

Law M. , Darrah J. , Pollock N. et al. Family-centred functional therapy for children with cerebral palsy: an emerging practice model . Phys Occup Ther Pediatr 1998; 18: 83—102.

13.

Caro P. , Derevensky JL Family-focused intervention model: Implementation and research findings . Top Early Childh Spec Educ 1991; 11: 66—80.

14.

Moxley-Haegert L. , Serbin LA Developmental education for parents of delayed infants: effects on parental motivation and children's development . Child Dev 1983; 54: 1324—31.

15.

Woodside JM , Rosenbaum PL , King SM , King GA Family-centered service: developing and validating a self-assessment tool for paediatric service providers . Children's Health Care 2001; 30: 237—52.

16.

Dyke P. , Buttigieg P. , Blackmore AM , Ghose A. Use of the Measure of Process of Care for families (MPOC-56) and service providers (MPOC-SP) to evaluate family-centred services in a paediatric disability setting . Child Care Health Devel 2006; 32: 167—76.

17.

Siebes RC , Ketelaar M. , Wijnroks L. , van Schie PEM , Nijhuis BJG , Vermeer A. , Gorter JW Family-centred services in the Netherlands: validating a self-report measure for paediatric service providers . Clin Rehabil 2006; 20: 502—12.

18.

Nunnally JC , Wilson WH Method and theory for developing measures in evaluation research. In Struening EL , Guttentag M eds. Method and theory for developing measures in evaluation research. Sage , 1975: 227—88.

19.

Norman GR , Streiner DL PDQ Statistics . BC Becker, 1986.

20.

Stevens J. Applied multivariate statistics for the social sciences. Lawrence Erlbaum Associates , 1986.

21.

Streiner DL , Norman GR Health measurement scales: a practical guide to their development and use . Oxford University Press , 1995 .

22.

Thomas JR , Nelson JK Research methods in physical activity. Human Kinetics , 2001.

23.

Siebes RC , Maassen GH , Wijnroks L. et al. Quality of paediatric care from the parent perspective: validation of the short Measure of Processes of Care (MPOC-20) in the Netherlands . Clin Rehabil 2007; 21: 62—72.

24.

Nijhuis BJG , Reinders-Messelink HA , de Blecourt ACE et al. Family-centred care in family-specific teams . Clin Rehabil 2007; 21: 660—71.