Observational studyChild: care, health and development2026
Cross-Cultural Adaptation of the Measure of Processes of Care (MPOC-20) for Evaluating Family-Centred Services in Thailand.
Observational study in Child: care, health and development, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundFamily-centred services (FCS) are widely recognised as best practice in paediatric rehabilitation. The Measure of Processes of Care 20-item (MPOC-20) is commonly used to assess parents' perceptions of the extent to which services align with FCS principles. To date, no validated Thai version of the MPOC-20 has been available.
objectivesThis study aimed (1) to adapt the MPOC-20 into Thai and examine its reliability and validity and (2) to evaluate parents' perceptions of family-centred practices in paediatric rehabilitation services in Thailand.
methodsA cross-sectional observational study was conducted with 155 parents of children with disabilities receiving rehabilitation services in three settings in the Bangkok metropolitan area. The MPOC-20 was translated following CanChild Centre guidelines. Construct validity was examined using exploratory factor analysis (EFA) and correlational analyses. Internal consistency was assessed using Cronbach's alpha, and test-retest reliability was evaluated using intraclass correlation coefficients (ICC).
resultsEFA supported a four-factor structure that differed from the original MPOC-20, reflecting contextual and cultural influences. Cronbach's alpha ranged from 0.55 to 0.77, indicating poor to acceptable internal consistency. ICC values ranged from 0.66 to 0.95, demonstrating acceptable to excellent test-retest reliability. Parents rated Respectful and Coordinated Care and Enabling and Partnership as strengths, while Providing General Information and Providing Written Specific Information were rated lower.
conclusionThe Thai MPOC-20 demonstrates acceptable psychometric properties and provides a feasible tool for evaluating family-centred paediatric rehabilitation services in Thailand. Findings highlight the importance of relational aspects of care, consistent with perspectives reflected in the updated Measure of Processes of Care (MPOC 2.0), which emphasises two-way communication between providers and families.
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