Malaysian Parents’ Feedback On Three Proxy-Rated Assessments Used In Pediatric Rehabilitation

@#Assessing a child’s functional abilities and limitations can provide useful information for occupational therapists to develop individualised intervention plans. Usually paediatric assessments require parents to rate their child on different domains of health and functional performance. To do so, parents need to be able to understand the assessment content and instructions to rate their child accurately. The primary purpose of this study was to examine if parents in Malaysia understood the content and instructions of three assessments: the Sensory Profile Caregiver Questionnaire (SP), the Sensory Processing Measure Home Form (SPM) and the Behaviour Rating Inventory of Executive Function Parent Form (BRIEF). The secondary purpose was to examine perceptions about the clarity and relevancy of each of the items in each assessment. Thirty parents, recruited using convenience sampling, completed a survey about the assessments. In general, the parents indicated no problems or only minor problems in understanding the content and instructions of all three assessments. The parents also provided comments to improve the clarity of the assessment items. Comments were primarily related to the terms or jargon language used. Elaborations of the terms or jargon were later provided based on the parents’ comments. All three assessments were identified as relevant to be used in the Malaysian population. The results suggest that all three assessments can be used by parents and are suitable to be implemented by occupational therapists working with children in Malaysia.

Hospitalised Malaysian children with pandemic (H1N1) 2009 influenza: clinical characteristics, risk factors for severe disease and comparison with the 2002-2007 seasonal influenza

<p><b>INTRODUCTION</b>The pandemic caused by the H1N1 influenza virus in 2009 resulted in extensive morbidity and mortality worldwide. As the virus was a novel virus, there was limited data available on the clinical effects of the virus on children in Malaysia. Herein, we describe the clinical characteristics of children hospitalised with H1N1 influenza in a tertiary care centre; we also attempted to identify the risk factors associated with disease severity.</p><p><b>METHODS</b>In this retrospective study, we compared the characteristics of the children who were admitted into the University of Malaya Medical Centre, Malaysia, for H1N1 influenza during the pandemic with those who were admitted for seasonal influenza in 2002-2007.</p><p><b>RESULTS</b>Among the 77 children (aged ≤ 12 years) admitted to the centre due to H1N1 influenza from 1 July 2009-30 June 2010, nearly 60% were aged < 6 years and 40.3% had an underlying medical condition. The top three underlying medical conditions were bronchial asthma (14.3%), cardiac disease (10.4%) and neurological disorder (11.7%). The risk factors for severe disease were age < 2 years, underlying bronchial asthma and chronic lung disease. The three patients who died had a comorbid medical condition. The underlying cause of the deaths was acute respiratory distress syndrome or shock.</p><p><b>CONCLUSION</b>The clinical presentation of the children infected with the pandemic (H1N1) 2009 influenza virus did not differ significantly from that of children infected with seasonal influenza. However, there were more complaints of fever, cough and vomiting in the former group.</p>