Rehabilitation needs and healthcare utilization of adults with cerebral palsy: A mixed methods study.
Cristina A Sarmiento, Chloe Glaros, Jordan M Wyrwa and 6 others
PMID 41212583WHAT IT FOUND
Adults with cerebral palsy still seen in pediatric rehabilitation had shifting equipment, therapy, and specialist needs, but only 21 of 280 had documented transition efforts.
Key findings
01In the study sample of twenty interviews with 27 participants and 280 chart reviews, only 21 (7.7%) of the chart-reviewed adults had documented transition efforts.
02Of the 280 adults, 150 (53.8%) had at least one new durable medical equipment prescription and 79 (28.2%) had a new orthotic prescription.
03The chart-reviewed adults had an average of 14.0 medical history items and 2.7 unique non-PRM specialists, and active therapy was more common in adults younger than 22 years (110 of 157, 72.8%) than adults 22 years or older (53 of 123, 44.9%).
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study was done at one academic pediatric health system in the United States, so results may not apply to other settings. Most adults in the chart review were young adults, so it says little about older adults with cerebral palsy. Interview participants were mostly White, caregivers were mostly female and employed, and adults with cerebral palsy were mostly non-ambulatory, so other experiences may be missing. Interviews included only English-speaking participants. No adult with cerebral palsy chose or was able to participate in an interview alone, so caregiver views may dominate the qualitative themes. All participants received pediatric rehabilitation specialty care, so this may describe people with better access than adults who cannot get such care.
Declared interests
The work was supported by the Foundation for Physical Medicine and Rehabilitation and the Tai Foundation. The funders did not participate in study design, data collection or analysis, or manuscript preparation. NIH/NCATS Colorado CTSA grant support was disclosed for use of the REDCap database.
The easy way to misread this
Do not read these records as proof that a transition program would improve function or reduce care needs. The study described needs, utilization, and documentation. It did not test an intervention.
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