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[{"key": "dc.contributor.advisor", "value": "Piirainen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Onkalo-Okkonen, Riitta", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-10-22T15:53:25Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-10-22T15:53:25Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2017", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1726690", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/55665", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksessa selvitettiin toimintaterapeuttien ja vanhempien v\u00e4list\u00e4 yhteisty\u00f6t\u00e4 Kelan j\u00e4rjest\u00e4m\u00e4ss\u00e4 vaikeavammaisten kuntoutuksessa lapsille, joilla oli CP-oireisto. Tutkimuksessa k\u00e4ytettiin aineistoa, joka oli ker\u00e4tty Kelan kuntoutuksen avopalveluja tuottaneilta toimintaterapeuteilta vuosina 2008\u20132009. Aineisto ker\u00e4ttiin The Measure of Processes of Care for Service Providers -itsearviointimittarilla (MPOC-SP), jolla kysyttiin palveluntuottajilta, kuinka paljon he olivat toteuttaneet asiakasl\u00e4ht\u00f6isi\u00e4 toimintatapoja yhteisty\u00f6ss\u00e4\u00e4n lasten vanhempien kanssa. T\u00e4m\u00e4n tutkimuksen aineisto analysoitiin SPSS-ohjelmalla. \r\nTutkimuksen tuloksina oli, ett\u00e4 lasta kuntouttavista toimintaterapeuteista 92 % pyrki hyv\u00e4\u00e4n yhteisty\u00f6suhteeseen lasten vanhempien kanssa ja 87 % arvosti vanhempien asiantuntemusta ja kysyi vanhemmilta heid\u00e4n n\u00e4kemyksi\u00e4 lapsensa toimintaterapian tarpeesta ja tavoitteista. Puolet toimintaterapeuteista (54 %) tarjosi tietoa vanhempien huolenaiheisiin ilman, ett\u00e4 vanhemmat olivat sit\u00e4 erikseen pyyt\u00e4neet, ja vajaa nelj\u00e4nnes (22 %) huolehti koko perheen tiedontarpeista. Lis\u00e4ksi 48 % toimintaterapeuteista ehdotti perheen tarpeisiin ja el\u00e4m\u00e4ntapaan sopivia interventioita ja 20 % ohjasi lasten vanhempia vertaistuen piiriin. \r\nTulosten perusteella asiakasl\u00e4ht\u00f6isyys toteutui siten, ett\u00e4 toimintaterapeutit arvostivat lasten vanhempien asiantuntemusta ja ett\u00e4 vanhempien n\u00e4kemykset otettiin huomioon terapian tarpeen arvioinnissa ja tavoitteiden asettamisessa. Asiakasl\u00e4ht\u00f6isyydess\u00e4 oli puutteita vanhempien huolenaiheiden ja tiedon tarpeiden tunnistamisessa, niihin vastaamisessa ja vanhempien ohjaamisessa vertaistuen piiriin. \r\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 oli, ett\u00e4 toimintaterapiassa on tarpeen kehitt\u00e4\u00e4 asiakasl\u00e4ht\u00f6isyytt\u00e4 ja ammatillista vuorovaikutusta tilanteisiin, joissa asiakas ilmaisee huoliaan tai toimintakyvyn ongelmiaan muilla tavoin kuin suorilla kysymyksill\u00e4. Lasten vanhempien huolenaiheita ja tiedontarpeita voidaan tunnistaa vahvistamalla terapeutin ja vanhempien v\u00e4list\u00e4 keskusteluyhteytt\u00e4 ja yhteisty\u00f6t\u00e4. Siksi lasten kuntoutuksessa on tarpeen huolehtia siit\u00e4, ett\u00e4 vanhemmat voivat s\u00e4\u00e4nn\u00f6llisesti tavata lapsensa terapeuttia ja ett\u00e4 vanhemmille tarjotaan mahdollisuuksia osallistua lapsensa toimintakyvyn arviointiin, terapian suunnitteluun ja toteutukseen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The Collaboration and Client-centeredness in the Relationship with the Occupational Therapist and the Parents of Children with Cerebral Palsy. \r\nClient-centered practice is a central concept in occupational therapy. The aim of this descriptive study was to explore occupational therapists\u00b4 (n = 73) perceptions of client centeredness in their practice as they work as rehabilitation service providers for children and youth with cerebral palsy. The study focused on occupational therapists\u00b4 behaviors in working collaboratively with the parents of these children. The response rate was 97 % (n = 71).\r\nThe results of the study were that 92 % of the occupational therapists collaborated with the parents of those children and 87 % of the occupational therapists considered the parents\u00b4 role and knowledge to be central to the goal setting in the child\u00b4s therapy. Also 86 % of occupational therapists positively regarded the parents. \r\nHowever, the following areas of client-centeredness was in need of improvement since 46 % of the occupational therapists were not active enough in in helping parents to share their worries and apprehensions and their needs for knowledge when parents themselves were not actively bringing them up into the discussions with the therapist. In line with this 52 % of the occupational therapists were not active enough in suggesting interventions activities that might fit with each family\u2019s needs and lifestyle.\r\nThe study concludes with clinical strategies and tools for occupational therapists for them to encourage parents to explore their yet implicit worries and to find words and solutions to what worries them. This is an essential component of the practice of being client-centered and of being able to facilitate parents in becoming empowered.\r\nKey words: Occupational therapy, Client-centered practice, Family Centered Service, Cerebral Palsy", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Riitta Onkalo-Okkonen (rikaonka) on 2017-10-22 15:53:24.341916. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija.group@korppi.jyu.fi) on 2017-10-22T15:53:25Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201710224040.pdf: 554355 bytes, checksum: 9035836aa458b4bb25bc3a296d53bc2f (MD5)\r\nlicense.html: 4869 bytes, checksum: a0698ebb3232ff1204da306b5c4a6640 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2017-10-22T15:53:25Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201710224040.pdf: 554355 bytes, checksum: 9035836aa458b4bb25bc3a296d53bc2f (MD5)\r\nlicense.html: 4869 bytes, checksum: a0698ebb3232ff1204da306b5c4a6640 (MD5)\r\n Previous issue date: 2017", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (66 sivua)", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "Occupational therapy", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Client-centered practice", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Family centered service", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Cerebral palsy", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Toimintaterapeuttien ja vanhempien yhteisty\u00f6 toimintaterapiassa lapsille, joilla on CP-oireisto", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201710224040", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2017-10-22T15:53:25Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toimintaterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "sosiaalinen kuntoutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveysneuvonta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "CP-oireyhtym\u00e4", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "lapset (ik\u00e4ryhm\u00e4t)", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": 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