{"id":265,"date":"2012-12-18T15:00:33","date_gmt":"2012-12-18T15:00:33","guid":{"rendered":"http:\/\/veipd.org\/earlyintervention\/?p=265"},"modified":"2020-06-25T03:06:37","modified_gmt":"2020-06-25T03:06:37","slug":"promoting-family-centered-practice-through-the-use-of-the-life-participation-for-parents-lpp-questionnaire","status":"publish","type":"post","link":"https:\/\/www.veipd.org\/earlyintervention\/2012\/12\/18\/promoting-family-centered-practice-through-the-use-of-the-life-participation-for-parents-lpp-questionnaire\/","title":{"rendered":"Promoting Family-Centered Practice Through the Use of the Life Participation for Parents (LPP) Questionnaire"},"content":{"rendered":"<p>I typically start my early intervention sessions by asking the family to \u201cbrag\u201d about what is new and exciting in their child\u2019s life.\u00a0 Usually, the family will also bring up what activities are challenging for them.\u00a0 If not, I will ask the family what are their concerns?\u00a0 Admittedly, these concerns are more child-focused and less family-centered concerns, although there are times when family concerns are expressed and I help the family connect with the right resource.<\/p>\n<h2><strong>Life Participation for Parents Questionnaire<\/strong><\/h2>\n<p>I recently used the Life Participation for Parents (LPP) questionnaire with an early intervention family as part of an assignment for a class in my clinical doctorate program.\u00a0 The LPP was developed by Patricia E. Fingerhut, OTR, PhD in 2005 and indicates individual obstacles to life participation for the child, parents, and other family members.<sup>1-3\u00a0<\/sup>\u00a0The LPP consists of 23 questions associated with activities the primary caregiver is involved in that may be affected by bringing up a child with special needs. \u00a0\u00a0The LPP uses a 5-point Likert scale and there is opportunity for the caregiver to offer qualitative comments to provide the therapist with more information and focused follow-up.\u00a0 The LPP takes about 10 minutes for the family to complete and less than 10 minutes for the early interventionist to score.<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-275\" src=\"http:\/\/veipd.org\/earlyintervention\/wp-content\/uploads\/2012\/12\/MC910221022-300x199.jpg\" alt=\"Paper Dolls Holding Paper Puzzle Pieces\" width=\"168\" height=\"148\" \/><\/p>\n<h2><strong>Learning New Things from the LPP<\/strong><\/h2>\n<p>The use of the LPP afforded me the opportunity to learn things that surprised me, things that pleased me, and things that I had not considered before with my early intervention families.\u00a0 In reviewing the LPP, I was surprised that despite this Mom\u2019s excitement over her child learning to use a walker, she did not view her child as an \u201cindependent\u201d walker.\u00a0 Through follow-up conversations, I learned that the walker creates stress for this Mom during public outings due to the unwanted attention the device brings to the family.\u00a0 I was pleased to read that the Mom felt that \u201cthe exercises and tasks the therapist suggests are easily worked into our normal daily activities.\u201d<\/p>\n<p>One of the concerns that arose from the LPP was that this Mom did not know she could catheterize her child \u201con the go\u201d and it limited where the family went and how long they could go on outings.\u00a0 This subject had not come up in previous treatment sessions and allowed me to encourage the family to problem solve how to use their vehicle as a place to catheterize while on outings.<\/p>\n<p>I think the LPP is a useful vehicle to assist early interventionists in starting a dialogue with families in asking questions that might not normally be discussed during their typical session and determining how to better assist the family with their concerns.\u00a0 I will be using the LPP to adjunct my services to early intervention families and assist in developing family-centered interventions.\u00a0 Is the LPP something you see yourself using?\u00a0 How will you incorporate the use of LPP in your early intervention practice?<\/p>\n<p>Click here for a pdf copy and description of the questionnaire: <a href=\"https:\/\/www.veipd.org\/earlyintervention\/wp-content\/uploads\/2012\/12\/Life-Participation-for-Parents-and-description.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Life Participation for Parents Questionnaire<\/a> (PDF, New Window).<\/p>\n<p>If you want to learn more, check out Dr. Fingerhut&#8217;s recent article on the LPP:<\/p>\n<p>Fingerhut, P. E. (2013). Life participation for parents: A tool for family-centered occupational therapy. <em>The American Journal of Occupational Therapy, 67<\/em>(1), 37-44.<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Hinojosa J, Sproat C, Mankhetwit S, Anderson J.\u00a0 Shifts in parent-therapist partnerships: Twelve years of change.\u00a0 <em>Amer J of Occup Ther.\u00a0 <\/em>2002.\u00a0 56(5):556-563.<\/li>\n<li>Roberts K, Lawton D.\u00a0 Acknowledging the extra care parents give their disabled children.\u00a0 <em>Child Care, Health &amp; Develop.\u00a0 <\/em>2001.\u00a0 27(4):307-319.<\/li>\n<li>Rosenbaum P, King S, Law M, King G, Evans J.\u00a0 Family-centered service: A conceptual framework and research review.\u00a0 <em>Phys and Occup Ther in Peds.\u00a0 <\/em>1998.\u00a0 18(1):1-20.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>I typically start my early intervention sessions by asking the family to \u201cbrag\u201d about what is new and exciting in their child\u2019s life.\u00a0 Usually, the family will also bring up what activities are challenging for them.\u00a0 If not, I will ask the family what are their concerns?\u00a0 Admittedly, these concerns are more child-focused and less [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_s2mail":"yes","footnotes":""},"categories":[139,10,12,14],"tags":[37,46,50,54,55,59,62,67,68,79,86,96,100,112,115,125],"class_list":["post-265","post","type-post","status-publish","format-standard","hentry","category-all","category-engaging-collaborating-with-families","category-intervention-visits","category-practical-strategies-for-intervention","tag-collaboration","tag-development","tag-early-intervention","tag-embedding","tag-engagement","tag-family-centered-practices","tag-home-visits","tag-implementation","tag-infants","tag-natural-environment","tag-parent-professional-partnership","tag-research-to-practice","tag-routines-based","tag-strategies","tag-teamwork","tag-toddlers","clearfix"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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