Evidence map›Paper›PMID 38865337›Full record

SynthesisPloS one2024

The psychosocial determinants of adherence to home-based rehabilitation strategies in parents of children with cerebral palsy: A systematic review.

Japhet Niyonsenga, Liliane Uwingeneye, Inès Musabyemariya, Jean Baptiste Sagahutu, Francesca Cavallini, Luca Caricati, Rutembesa Eugene, Jean Mutabaruka, Stefan Jansen, Nadia Monacelli

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Japhet NiyonsengaDepartment of Clinical Psychology, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.ORCID 0000-0002-2429-2330
Liliane UwingeneyeDepartment of Business Administration, College of Business and Economics, University of Rwanda, Kigali, Rwanda.
Inès MusabyemariyaDepartment of Physiotherapy, International Committee of the Red Cross-ICRC, Tinduf, Algeria.ORCID 0000-0003-1001-1443
Jean Baptiste SagahutuDepartment of Physiotherapy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.ORCID 0000-0002-1626-1497
Francesca CavalliniDepartment of Social Sciences and Humanities, University of Parma, Parma, Italy.
Luca CaricatiDepartment of Social Sciences and Humanities, University of Parma, Parma, Italy.
Rutembesa EugeneDepartment of Clinical Psychology, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Jean MutabarukaDepartment of Clinical Psychology, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Stefan JansenDepartment of Clinical Psychology, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.ORCID 0000-0001-5293-1673
Nadia MonacelliDepartment of Economy, University of Parma, Parma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInvolving parents of children with cerebral palsy (C-CP) in home exercise programmes (HEP) is globally practiced strategy closely linked to improved physical performance and functional outcomes for the child. Nevertheless, non-adherence to HEP is increasing at an alarming rate, and little is known about the factors influencing adherence to HEP (AHEP) especially in parents of C-CP. This systematic review aimed to identify the factors enhancing AHEP among parents of C-CP to reinforce the efficacy of rehabilitation practices proposed by health professionals, researchers, and educators. MATERIALS AND

methodsWe conducted searches in PubMed, Scopus, CINHAL, PsycINFO, and Embase for articles published up to March 2023, that investigated the factors influencing AHEP among parents of C-CP. A narrative synthesis was conducted using the search results and pertinent material from other sources.

resultsOverall, non-adherence rates to HEP were moderate to high, ranging from 34% to 79.2%. Strong evidence suggests that factors enhancing AHEP fall into three categories: child-related (such as younger age and better gross motor function [GMF]), the caregiver-related (including high self-efficacy and knowledge, strong social support, low levels of depression, anxiety and stress symptoms, and a low perception of barriers), and the physiotherapist-related. For the latter category, the parent's perception of a supportive and collaborative relationship with the therapist is one of the conditions most favourably influences AHEP.

conclusionOur findings highlight that factors influencing AHEP are multifactorial. Some, such as GMF or the economic and social conditions of the family, are challenging to change. However, the relationship between therapist and parent is an aspect that can be strengthened. These results underscore the importance of substantial training and psychosocial support for therapists to enhance their awareness and competence in building supportive relationship with parents.

Indexed as

Cerebral PalsyParentsCaregiversChildExercise TherapyHome Care ServicesHumansPatient ComplianceSocial Support

Identifiers

PMID38865337
PMCPMC11168686

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.