Exploring Therapeutic Relationships in Pediatric Occupational Therapy: A Meta-Ethnography DOI
Sandrine Gagné-Trudel,

Pierre-Yves Thérriault,

Noémi Cantin

et al.

Canadian Journal of Occupational Therapy, Journal Year: 2023, Volume and Issue: 91(1), P. 78 - 87

Published: July 4, 2023

Background. Developing strong therapeutic relationships with families is a crucial aspect of pediatric occupational therapy. However, building such complex as they involve multiple directions interaction. Purpose. To provide thorough interpretation children's, caregivers’, and therapists’ experience the relationship. Method. A meta-ethnography was realized to synthesize qualitative studies. systematic search carried out using five databases from 2005 2022. The CAPS checklist used appraise included studies’ quality. analysis completed constant comparison findings. Findings. Three themes emerged 14 studies synthesized. first theme illustrates that relationship can have different meanings depending on perspective children, caregivers, or therapists. second explores components impacting These include power dynamics, communication, respect for diversity. Finally, third how empower positive change. Implications. Children, therapists each ought be heard. Occupational should actively ask children's caregivers’ perspectives encourage sharing effective communication. By doing so, strengthen relationship, which, in turn, promotes

Language: Английский

Individual and contextual factors influencing children's effort in pediatric rehabilitation interventions DOI Creative Commons
Danielle Levac

Developmental Medicine & Child Neurology, Journal Year: 2023, Volume and Issue: 66(1), P. 23 - 31

Published: April 21, 2023

Abstract Rehabilitation clinicians strive to encourage children's sustained effort within challenging practice conditions. Effort influences intervention success, yet it is rarely defined or measured. can be conflated with individual factors, such as motivation and engagement, that might influence it. Contextual factors likely impact effort, conditions therapeutic interactions, are generally under‐described. Defining, describing, measuring its influencers necessary enhance understanding of differences in rehabilitation outcomes across individuals contexts support the development personalized precision approaches. This narrative review describes conceptualization rehabilitation, particularly relation intensity, participation nomenclature. The outlines contextual may potential next steps for description measurement. Subsequent work should aim identify targeted clinical promote sustain process, thereby individualizing interventions potentially improving their effectiveness. What this paper adds relates confusingly described infrequently Engagement, involvement, terms alluding effort. Child‐specific therapy‐specific alone combination, Clearer will personalization interventions. Better measurement knowledge about relationships between outcomes.

Language: Английский

Citations

13
Embedding Play to Enrich Physical Therapy DOI Creative Commons

Alyssa LaForme Fiss,

Ragnhild B. Håkstad,

Julia Looper

et al.

Behavioral Sciences, Journal Year: 2023, Volume and Issue: 13(6), P. 440 - 440

Published: May 24, 2023

Play is an active process by which individual intrinsically motivated to explore the self, environment, and/or interactions with another person. For infants and toddlers, engaging in play essential support development across multiple domains. Infants toddlers or at risk of motor delays may demonstrate differences challenges activities compared typically developing peers. Pediatric physical therapists often use as a modality engage children therapeutic assessment interventions. Careful consideration design therapy that embeds needed. Following 3-day consensus conference review literature, we propose should consider three components; child, family. First, child respecting child’s behavioral state following lead during play, respect autonomous initiatives engagements, developmental domains, adapt needs. Second, structure environment including toy selection using independent movements means play. Allow initiate sustain activities. Third, families family cultures related while also providing information on value tool for learning. Partner individualized routine scaffolds advances newly emerging skills.

Language: Английский

Citations

11
How do we capture child and family goals? Examining the goal setting practices used by community-based allied health professionals DOI Creative Commons
Aisling K. Ryan, Laura Miller, Megan MacDonald

et al.

Disability and Rehabilitation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 10

Published: Jan. 21, 2025

Purpose This study aimed to i) identify child and family goals reported in a community allied health service, ii) map ICF domains, iii) evaluate goal characteristics against child-centred family-centred practice principles.

Language: Английский

Citations

0
The effect of sleep fragmentation on therapeutic engagement and rehabilitation progress after brain injury in a pediatric inpatient sample DOI
Anthony H. Lequerica, Hannah A. Shoval,

Jessica Ace

et al.

Brain Injury, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 6

Published: March 24, 2025

This study evaluated the effect of sleep fragmentation after brain injury on therapeutic engagement and rehabilitation progress in pediatric inpatients. Participants (N = 29) wore a wrist accelerometer for one week to calculate index measuring restlessness during period. Therapists completed ratings functional independence (using WeeFIM) (effort active participation physical therapy sessions measured using Rehabilitation Therapy Engagement Scale). Controlling time from admission, is negatively associated with (defined as improvement WeeFIM scores admission discharge per day rehabilitation). Hierarchical regression demonstrated significant negative association between progress. However, when was added model it accounted portion variance no longer predictor Findings demonstrate detrimental impact also suggest possible mediating role

Language: Английский

Citations

0
Strategies Used by Professionals in Pediatric Rehabilitation to Engage the Child in the Intervention Process: A Scoping Review DOI Creative Commons
Marianna Antoniadou, Mats Granlund, Anna Karin Andersson

et al.

Physical & Occupational Therapy In Pediatrics, Journal Year: 2024, Volume and Issue: 44(4), P. 461 - 488

Published: Jan. 11, 2024

To investigate strategies used by professionals in pediatric rehabilitation to engage children every step of the intervention process, including assessment, goal setting, planning and implementation intervention, results evaluation.

Language: Английский

Citations

3
Parent Engagement in Child-Focused Interventions: A Systematised Review of Qualitative Allied Health Literature DOI Creative Commons
Victoria Burney, Clare McCann, Angela Arnold‐Saritepe

et al.

Child & Youth Care Forum, Journal Year: 2024, Volume and Issue: 53(6), P. 1451 - 1486

Published: March 3, 2024

Abstract Background Parent engagement in child-focused interventions is increasingly recognised as an important aspect of effective intervention delivery. While several fields have emerging literature around parent engagement, no reviews currently exist which combine findings across allied health literatures. Objective This review aimed to explore factors relevant understanding interventions, described qualitative disciplines, toward informing the clinical practice helping professionals effectively engaging parents. Methods A systematised was carried out, with a comprehensive search five online databases (CINAHL, Embase, MEDLINE, PsycINFO, Scopus) for (specifically: behaviour analysis, occupational therapy, psychology, and speech-language therapy) using key words. Reference searching citation tracking steps supported search. Thematic synthesis used overarching framework analysis approach. Results 8824 unique studies were generated Of 71 met inclusion criteria, 38 reported included analysis. Five themes identified including: societal context, interpersonal clinician features, family relationship engagement. Conclusions Findings support conceptual explanations complex dynamic process, emphasising joint contributions parents clinicians developing therapeutic relationships promote Across research there are consistency understandings supporting conclusion that can look literatures from various inform interventions.

Language: Английский

Citations

3
A scoping review of parental roles in rehabilitation interventions for children with developmental delay, disability, or long-term health condition DOI
Katherine A. Smith, Alecia Samuels

Research in Developmental Disabilities, Journal Year: 2021, Volume and Issue: 111, P. 103887 - 103887

Published: Feb. 5, 2021

Language: Английский

Citations

18
Introducing wearable haptics for rendering velocity feedback in VR serious games for neuro-rehabilitation of children DOI Creative Commons
Cristian Camardella, Domenico Chiaradia, Ilaria Bortone

et al.

Frontiers in Virtual Reality, Journal Year: 2023, Volume and Issue: 3

Published: Jan. 6, 2023

Rehabilitation in virtual reality offers advantages terms of flexibility and parametrization exercises, repeatability, continuous data recording analysis the progress patient, also promoting high engagement cognitive challenges. Still, most proposed settings provide a quality, immersive visual audio feedback, without involving sense touch. In this paper, we show design, implementation, first evaluation gaming scenario for upper limb rehabilitation children with cerebral palsy. particular, took care to introduce haptic feedback as useful source sensory information task, considering—at same time—the strict constraints wearable devices comply patient’s comfort, residual motor abilities, embedded tracking features latest VR technologies. To potential haptics setup, device rendering method have been used improve velocity control movements during exercise, given its importance recovery metric. Eight healthy participants were enrolled, results showed that can lead lower speed errors higher movement smoothness, making setup suitable be context way promote fluidity exercises.

Language: Английский

Citations

7
Towards multi-faceted outcomes of participation-based interventions: mapping the PREP’s effects for children and youth with disabilities DOI
Yu‐Hsin Hsieh, M. E. Ryan, Dana Anaby

et al.

Disability and Rehabilitation, Journal Year: 2023, Volume and Issue: 46(20), P. 4825 - 4834

Published: Nov. 21, 2023

Systematically organizing participation effects may guide participation-based research designs in rehabilitation. This perspective paper uses existing evidence on Pathways and Resources for Engagement Participation (PREP) to showcase the multitude of from a single intervention synthesize magnitude these effects.

Language: Английский

Citations

7
A measure of parent engagement: plan appropriateness, partnering, and positive outcome expectancy in pediatric rehabilitation sessions DOI
Gillian King, Lisa A. Chiarello, Matthew J. W. McLarnon

et al.

Disability and Rehabilitation, Journal Year: 2021, Volume and Issue: 44(14), P. 3459 - 3468

Published: Jan. 4, 2021

Purpose To examine the psychometric properties of a parent-report measure engagement in pediatric rehabilitation.Method 113 parents (of children 4 months to 18 years, varying diagnoses) were recruited from standard outpatient/inpatient, early intervention, and life skills programs, sampled different sites Canada, US, Australia. Parents completed Pediatric Rehabilitation Intervention Measure Engagement—Parent version (PRIME-P) twice, after two therapy sessions approximately weeks apart. Analyses examined factor structure, internal consistency, test-retest reliability, assessed construct validity hypotheses concerning participant characteristics contextual factors.Results The resulting 11-item PRIME-P has three factors capturing terms Plan Appropriateness, Partnering, Positive Outcome Expectancy. displayed strong consistency reliability (Partnering demonstrated slightly weaker reliability). Construct was shown by significant associations between scales parents' presence versus absence during sessions, as well service providers' years experience.Conclusions captures parent multifaceted involving appropriateness plan, sense active partnership intervention process, an expectation for positive outcome. promise research, clinical practice, educational purposes.IMPLICATIONS FOR REHABILITATIONThe is psychometrically sound tool that fills gap how researchers practitioners can process.To enhance engagement, providers encourage collaboration planning, foster working partnership, convey hope.The findings point need pay attention beliefs about plan outcomes, addition their behavioral involvement.The promising rehabilitation be used investigate role crucial, yet poorly understood variable process.

Language: Английский

Citations

16