Standard physical and occupational therapy: Participants admitted to the Pediatric Intensive Care Unit (PICU) will receive standard occupational therapy as part of routine clinical care. Interventions will be tailored to each patient's medical status and functional needs and may include activities of daily living (ADL) training, positioning, range of motion exercises, sensory stimulation, and caregiver education. No additional experimental treatment will be introduced for study purposes. The primary focus of the study is to evaluate patient-centered outcomes using the Canadian Occupational Performance Measure (COPM), without altering the standard therapeutic approach.
Study summary
COPM-Based Goal Setting Strategies in the PICU
Eligibility
Sex
ALL
Min age
1 Year
Max age
18 Years
Healthy volunteers
No
Inclusion Criteria:
Phase 1-2 (Delphi Survey - Experts)
* Physicians specializing in pediatrics or physical medicine and rehabilitation, occupational therapists, physical therapists, and nursing staff
* Minimum of 2 years of direct clinical experience in a Pediatric Intensive Care Unit (PICU)
Phase 3 (Pilot Testing - Caregivers \& PICU Clinicians)
Caregivers:
* Legal guardian of a child aged 1-18 years admitted to PICU
* ≥24 hours post-admission
PICU clinicians:
\- Treating occupational or physical therapist involved in the child's care during PICU admission
Exclusion Criteria:
Phase 1-2 (Delphi Survey - Experts)
* Rehabilitation professionals without prior PICU clinical experience
* Inability to read or respond to Korean-language surveys
Phase 3 (Pilot Testing - Caregivers \& PICU Clinicians)
* Caregivers experiencing severe emotional distress, or deemed inappropriate for participation by the treating clinician
* Non-Korean-speaking caregivers
* Refusal or withdrawal of informed consent at any stage
Primary outcome measure(s)
Consensus Level for COPM Implementation Criteria in the PICU (Delphi Survey) — From initial Delphi invitation to completion of second round (estimated 2-3 weeks). Level of expert consensus on specific clinical and procedural criteria for implementing COPM-based goal-setting in PICU, measured via a two-round online Delphi survey. Consensus is defined as ≥70% agreement (≥6/10 on a Likert scale) and mean score ≥7 for Likert items, or ≥50% selection for categorical items.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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