Balancing Hope and Realism in Family-Centered Care: Physical Therapists' Dilemmas in Negotiating Walking Goals with Parents of Children with Cerebral Palsy.

ABSTRACT The aims of this study were to explore physical therapists' beliefs about the value of walking for children with cerebral palsy (CP), how these beliefs inform therapy choices, and to describe how physical therapists engage families in decision-making regarding walking goals. Eight physical therapists who had experience working with children with CP each participated in a qualitative, one-to-one interview exploring their walking-related values, beliefs, and decision-making practices. The physical therapists' accounts demonstrated that they balanced their beliefs and professional expertise with families' goals in order to preserve families' hopes and maintain rapport, while also ensuring evidence-based and efficacious treatment plans were implemented.