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TSAD KADIMA AS ATSAD KADIMA AS A
FAMILY CENTEREDFAMILY CENTEREDSERVICESERVICE--
PARENTSPARENTSPERCEPTIONSPERCEPTIONS
Davidovich OritDavidovich Orit
Dr. Schenker RonyDr. Schenker Rony
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Family Centered ServiceFamily Centered Service--
FCSFCS FcsFcs isis anan approachapproach andand philosophyphilosophy toto
providingproviding servicesservices toto childrenchildren withwith specialspecial
needsneeds andand theirtheir familiesfamilies.. TheThe familyfamily isisseenseen asas aa vitalvital andand naturalnatural partnerpartner
throughoutthroughout thethe coursecourse ofof thethe childchild
developmentdevelopment
CanChildCanChild CenterCenter forfor ChildhoodChildhood DisabilityDisability research,research, 20042004
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Premises of FCSPremises of FCS
ParentsParents knowknow theirtheir childrenchildren bestbest andandwantwant thethe bestbest forfor theirtheir childrenchildren
EachEach familyfamily isis uniqueunique OptimalOptimal childchild functioningfunctioning occursoccurs withinwithin aa
supportivesupportive familyfamily && communitycommunity contextcontext
CanChildCanChild CenterCenter forfor ChildhoodChildhood DisabilityDisability research,research, 20042004
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Advantages of FCSAdvantages of FCS
AdvantagesAdvantages onon thethe familyfamily levellevel
IncreasingIncreasing thethe qualityquality ofof lifelife forfor allall familyfamily membersmembers
(Raina(Raina etet al,al, 20062006))
BetterBetter psychologicalpsychological wellwell-- beingbeing
(Ireys(Ireys etet al,al, 20012001,, inin:: LawLaw etet al,al, 20032003))
AdvantagesAdvantages onon thethe childchild levellevel
DevelopmentalDevelopmental gainsgains and/and/ oror skillskill developmentdevelopment
(Lammi(Lammi && Law,Law, 20032003))BetterBetter psychologicalpsychological adjustmentadjustment
(Pless(Pless etet al,al, 19941994 inin:: KingKing etet al,al, 20042004))
AdvantagesAdvantages onon thethe systemsystem levellevel
SatisfactionSatisfaction withwith carecare (Cohen,(Cohen, 19991999))
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Tsad KadimaTsad KadimaTsadTsad KadimaKadima (A(A stepstep forward)forward) isis anan IsraeliIsraeli organizationorganization
whichwhich worksworks forfor thethe advancementadvancement andand educationeducation ofofchildrenchildren andand adultsadults withwith motormotor disabilities,disabilities, accordingaccording totothethe ConductiveConductive EducationEducation approachapproach..
TsadTsad KadimaKadima waswas establishedestablished byby parentsparents andand isis ananorganizationorganization withwith anan FCSFCS orientationorientation.. TheThe familyfamilycentralitycentrality isis aa guidingguiding principleprinciple inin thethe philosophyphilosophy ofofTsadTsad KadimaKadima.. TheThe familyfamily isis perceivedperceived asas anan essentialessentialcomponentcomponent inin thethe educationaleducational-- rehabilitativerehabilitative
environmentenvironment inin whichwhich thethe childchild functionsfunctions..
Schenker,Schenker, 20052005
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Aims of the studyAims of the study
11.. ToTo measuremeasure parentsparents perceptionsperceptions ofof thethecarecare theythey andand theirtheir childrenchildren receivereceive atat
TsadTsad KadimaKadima22.. ToTo identifyidentify strengthsstrengths andand weaknessesweaknesses ofofTsadTsad KadimaKadima inin deliveringdelivering FCSFCS
33.. ToTo measuremeasure thethe correlationcorrelation betweenbetween
parentsparents perceptionperception ofof thethe carecare theythey andandtheirtheir childchild receivereceive andand variablesvariables suchsuch asastypetype ofof cp,cp, GMFCSGMFCS level,level, sociosocio--economiceconomic statusstatus etcetc..
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Research methodsResearch methods
SubjectsSubjects:: 2929 familiesfamilies toto childrenchildren agesages 11--88whowho receivereceive formalformal servicesservices inin thetheeducationaleducational-- rehabilitativerehabilitative frameworksframeworks ofof
TsadTsad KadimaKadima MethodologyMethodology:: Anonymous Anonymous questionnairesquestionnaires
werewere sentsent toto allall parentsparents ((7474)) duringduring MayMay--JuneJune 20062006.. 3131 questionnairesquestionnaires werewere handedhanded
in,in, butbut 22 ofof themthem werewere notnot filledfilled inin properlyproperlysoso thethe researchresearch populationpopulation includedincluded 2929childrenchildren whichwhich makemake upup onlyonly 3939%% ofof TsadTsadKadimaKadima populationpopulation
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Research instrumentResearch instrument
InstrumentInstrument:: TheThe MeasureMeasure ofofProcessesProcesses ofof CareCare(MPOC(MPOC-- 5656),), whowho waswas developeddeveloped byby King,King, SS..,,Rosenbaum,Rosenbaum, PP..,, King,King, GG..((19951995))..
TheThe MPOCMPOC isis aa 77 pointpoint scalescale reliablereliable andand validvalidmeasuremeasure ofof parentsparents perceptionsperceptions ofof thethe familyfamily--centeredcentered behaviorbehavior ofof serviceservice providersproviders
TheThe measuremeasure consistsconsists ofof fivefive scalesscales::
EnablingEnabling && partnership,partnership, providingproviding generalgeneralinformation,information, providingproviding specificspecific information,information,coordinatedcoordinated && comprehensivecomprehensive care,care, respectfulrespectful&& supportivesupportive carecare..
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ResultsResults
MPOC scales averagesMPOC scales averages
0
1
2
3
4
5
6
7
Enabl
ing&
partne
rship
Provid
inggener
alinfo
rmati
o
Provid
ingspeci
ficinf
ormatio
C
oordin
ated&
comp
rehens
iveca
Respe
ctful&
suppo
rtivec
ar
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MPOC averages accordingMPOC averages according
to age groupsto age groups
1
2
3
45
6
7
Enabling
&partn
ership
Providin
ggenera
linformation
Providin
gspecifi
cinformation
Coordin
ated&c
omprehe
nsivecare
Support
ing&resp
ectfulcare
Nur r
K r r
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ConclusionsConclusions TsadTsad KadimaKadima providesprovides anan FCSFCS toto aa greatgreat extentextent
inin 44 outout ofof 55 scalesscales accordingaccording toto parentsparentsperceptionsperceptions
InIn providingproviding generalgeneral informationinformation scalescale parentsparents
needsneeds areare notnot perfectlyperfectly metmet
NoNo correlationcorrelation waswas foundfound betweenbetween parentsparentsperceptionperception andand variablesvariables ofof typetype ofof cp,cp, GMFCSGMFCSlevel,level, sociosocio-- economiceconomic statusstatus etcetc..
MPOCMPOC analyzeanalyze accordingaccording toto ageage groupgroup indicatesindicatesthatthat inin thethe kindergartenkindergarten groupsgroups parentsparents perceivedperceivedthethe serviceservice asas lessless satisfactorysatisfactory thanthan dodo parentsparents ofofchildrenchildren inin nurserynursery andand schoolschool groupsgroups
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Study's limitations &Study's limitations &
future directionsfuture directions SmallSmall samplesample
ConvenienceConvenience samplesample
ConductedConducted onlyonly inin thethe HebrewHebrew languagelanguage
FutureFuture directionsdirections
MeasuringMeasuring serviceservice providersproviders perceptionperception ofof thethecarecare theythey provideprovide atat TsadTsad KadimaKadima
IdentifyingIdentifying thethe specialspecial needsneeds ofof parentsparents totochildrenchildren inin kindergartenkindergarten ageage
ComparingComparing thethe resultsresults withwith otherother treatmenttreatmentcenterscenters