Motivate-to-move: development of an intervention promoting parental adherence to early power mobility programs

Parental/caregiver adherence has been identified as a barrier to implementation of early power mobility programs. Motivational interviewing (MI) may help in addressing this barrier. Two scoping reviews were conducted to gather concepts pertaining to parent-based or rehabilitation-based MI interventions and to develop a parent-based MI intervention to address parental/caregiver adherence to home-based early power mobility interventions for infants and young children. Separate literature searches for parent-based MI and rehabilitation-based MI were conducted in PubMed, CINAHL Complete, PsycInfo, and Web of Science Core Collection. Inclusion criteria were [1]: focussed on/use of either a parent-based or a rehabilitation-based MI intervention and [2] MI interventions described in sufficient detail to be reproduced. Articles focussed on vaccinations, child abuse and neglect, mental health, or technology-based MI were excluded. Data regarding MI interventions and strategies were extracted from included articles. A total of 1130 unique titles were screened and 150 full-text articles were assessed for inclusion. Nineteen articles met the inclusion/exclusion criteria. Using a collaborative, consensus-based approach, a parent-based MI intervention incorporating specific MI strategies identified in the review was developed in collaboration with a psychologist. Future research exploring the application of this parent-based MI intervention is indicated. The parent-based MI interventions developed in this project may help to increase parental adherence to home-based early power mobility programs, thereby potentially addressing an identified barrier to implementation of early power mobility programs.IMPLICATIONS FOR REHABILITATIONTo our knowledge, this is the first study to develop MI scripts for the purpose of increasing parental/caregiver adherence to a power mobility training program for children.The MI interventions developed in this study are consistent with published suggestions to address perceived barriers to the implementation of early power mobility programs.Given the strategies of collaboration, autonomy, and empowerment embedded within the spirit of MI, parent-based MI interventions are congruous with and inclusive of the principles of family-centered care. To our knowledge, this is the first study to develop MI scripts for the purpose of increasing parental/caregiver adherence to a power mobility training program for children. The MI interventions developed in this study are consistent with published suggestions to address perceived barriers to the implementation of early power mobility programs. Given the strategies of collaboration, autonomy, and empowerment embedded within the spirit of MI, parent-based MI interventions are congruous with and inclusive of the principles of family-centered care.