{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:38:23Z","timestamp":1785821903992,"version":"3.56.0"},"reference-count":43,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T00:00:00Z","timestamp":1622419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Professionals in child healthcare increasingly endorse the support of self\u2010management in paediatric rehabilitation services for children with physical disability. Less understood though are their views regarding the role of the children's parents, as well as their own role in supporting parents. This study aimed to investigate the motivation of rehabilitation professionals to support self\u2010management of parents regarding their child with physical disability, professionals' beliefs about parental self\u2010management, and the perceptions underlying their motivation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A mixed\u2010methods strategy was followed using a survey among rehabilitation professionals (<jats:italic>n<\/jats:italic>\u2009=\u2009175) and consecutive semi\u2010structured interviews (<jats:italic>n<\/jats:italic>\u2009=\u200916). Associations between autonomous (intrinsic) versus controlled (extrinsic) motivation and beliefs on parental self\u2010management were tested. For deeper understanding of their motivation, directed content analysis was used to address key themes in the qualitative data extracts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Professionals reported autonomous motivation for parental self\u2010management support more often than controlled motivation (<jats:italic>t<\/jats:italic>[174]\u2009=\u200929.95, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Autonomous motivation was associated with the beliefs about the importance of parental self\u2010management (<jats:italic>r<\/jats:italic>\u2009=\u2009.29, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Approximately 90% of the professionals believed that parents should have an active role, though less than 10% considered it important that parents also are independent actors and initiative takers in the rehabilitation process. Interviews revealed that individual professionals struggled with striking a balance between keeping control and \u2018giving away responsibility\u2019 to parents. A \u2018professional\u2010like\u2019 attitude was expected of parents with \u2018involvement\u2019 and \u2018commitment\u2019 as essential preconditions. Furthermore, professionals expressed the need for additional coaching skills to support parental self\u2010management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Professionals were predominantly autonomously motivated to support self\u2010management of parents. However, the dilemmas in giving or taking responsibilities within the partnership with parents may limit their effectiveness in empowering parents. Reflection on the potential gaps between professionals' motivation, beliefs and actual behaviour might be crucial to support parental self\u2010management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.12883","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T15:12:45Z","timestamp":1621523565000},"page":"685-696","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Professionals' motivation to support parental self\u2010management regarding children with physical disability in Dutch rehabilitation services: \u2018Please mind your gap\u2019"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3282-2861","authenticated-orcid":false,"given":"Ruud","family":"Wong Chung","sequence":"first","affiliation":[{"name":"Merem Medical Rehabilitation  Almere The Netherlands"},{"name":"Amsterdam Public Health research institute and Department of Educational and Family studies, Faculty of Behavioural and Movement Sciences Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0912-2608","authenticated-orcid":false,"given":"Agnes","family":"Willemen","sequence":"additional","affiliation":[{"name":"Amsterdam Public Health research institute and Department of Educational and Family studies, Faculty of Behavioural and Movement Sciences Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanine","family":"Voorman","sequence":"additional","affiliation":[{"name":"Centre of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Centre University Medical Centre Utrecht and De Hoogstraat Rehabilitation Utrecht  Utrecht The Netherlands"},{"name":"Department of Rehabilitation, Physical Therapy Science &amp; Sports, Wilhelmina Children's Hospital University Medical Centre Utrecht  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8324-518X","authenticated-orcid":false,"given":"Marjolijn","family":"Ketelaar","sequence":"additional","affiliation":[{"name":"Centre of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Centre University Medical Centre Utrecht and De Hoogstraat Rehabilitation Utrecht  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3046-4255","authenticated-orcid":false,"given":"Jules","family":"Becher","sequence":"additional","affiliation":[{"name":"Amsterdam Movement Sciences and Department of Rehabilitation Medicine Amsterdam UMC, VU Medical Centre, Amsterdam Movement Sciences  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5501-3341","authenticated-orcid":false,"given":"Carlo","family":"Schuengel","sequence":"additional","affiliation":[{"name":"Amsterdam Public Health research institute and Department of Educational and Family studies, Faculty of Behavioural and Movement Sciences Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,31]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"National strategic framework for chronic conditions","author":"Australian Health Ministers' Advisory Council","year":"2017"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0171251"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13249"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12104"},{"key":"e_1_2_11_7_1","volume-title":"Research design. Qualitative, quantitative and mixed methods approaches","author":"Creswell J. W.","year":"2009"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2018.07.015"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2010.01160.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0012801"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13249"},{"key":"e_1_2_11_12_1","unstructured":"Dutch Ministry of Health Welfare and Sport.Wet inzake Geneeskundige Behandelovereenkomst [Medical Treatment Agreement Act]. (2018). (WB7 afd.5) art. 446. Retrieved from:http:\/\/wetten.overheid.nl\/BWBR0005290\/2017-10-10#Boek7_Titeldeel7_Afdeling5"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2015.05.017"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2015.11.007"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12117"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2011.01324.x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1742395317710082"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12476"},{"issue":"10","key":"e_1_2_11_19_1","first-page":"17","article-title":"Chronic disease self\u2010management: Implementation with and within Australian general practice","volume":"189","author":"Harris M. F.","year":"2008","journal-title":"Medical Journal of Australia"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2009.00571.x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphs.12280"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/17518423.2019.1604580"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12015"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2012.01395.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2010.487104"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyl148"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12453"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2011.02.002"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12334"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0799-y"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2011.01338.x"},{"key":"e_1_2_11_34_1","first-page":"2","article-title":"Facilitating health behaviour change and its maintenance: Interventions based on self\u2010determination theory","volume":"10","author":"Ryan R. M.","year":"2008","journal-title":"The European Health Psychologist"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-13668-4"},{"key":"e_1_2_11_36_1","first-page":"1","volume-title":"Family\u2010centred services: Differences in what parents of children with cerebral palsy rate important","author":"Terwiel M.","year":"2017"},{"key":"e_1_2_11_37_1","first-page":"64","volume-title":"Onderzoeksmethoden, 8ste geheel herziene druk [Research methods, 8th fully revised edition]","author":"Tijmstra J.","year":"2009"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2015.01.002"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.07.004"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-014-96490"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.70.1.115"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2019.1594396"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S78670"},{"key":"e_1_2_11_44_1","unstructured":"ZwarN Harris M. Griffiths R. Roland M. Dennis S. Powell\u2010Davies G. &Hasan I. (2006).A Systematic review of chronic disease management. Retrieved from:http:\/\/rsph.anu.edu.au\/research\/projects\/systematic-review-chronic-disease-management"}],"container-title":["Child: Care, Health and Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.12883","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cch.12883","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.12883","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:23:49Z","timestamp":1693207429000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cch.12883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,31]]},"references-count":43,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1111\/cch.12883"],"URL":"https:\/\/doi.org\/10.1111\/cch.12883","archive":["Portico"],"relation":{},"ISSN":["0305-1862","1365-2214"],"issn-type":[{"value":"0305-1862","type":"print"},{"value":"1365-2214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,31]]},"assertion":[{"value":"2020-02-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}