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The Effects of Ball Chair Seating during an Instructional Period in First Grade Classrooms 球椅在一年级课堂教学中的使用效果
Pub Date : 2020-06-22 DOI: 10.1080/19411243.2020.1768999
Alexia E. Metz, Michelle DeMarco, A. Khalsa, Natalie Kreuz, Rebecca Stock, Alicia Westfall
ABSTRACT Seating that allows movement is commonly suggested to enhance postural activation, attention, and behavior. The study examined the effects of ball chair seating on legibility, student behavior, and classroom productivity. In two consecutive years, in an ABAB design, first grade students alternated by weeks between standard seating (A phases) and ball chairs (B phases) during math class. Parents provided informed consent for student to be included in analysis (11/16 Year 1; 19/25 Year 2). There were significant decreases in legibility across the phases of this study (p <.001). Time in Seat was greater in each of the B phases compared to the first A phase (p <.001). There were no significant differences in the proportion of instructions followed (p =.564). There were differences in undesired behaviors: each switch to ball chairs was accompanied by a nonsignificant decrease in undesired behaviors, but the increase in undesired behaviors switching back to standard chairs was significant (p =.004). There was no difference in the proportion of time spent productively (p =.723). The effect on legibility suggests that if the desired outcome is improved legibility, using ball chairs may not serve as an effective intervention. The effects on behavior suggest that implementing a classroom-wide alternative seating intervention may have moderate, reversible positive effect. The effect on productivity suggests that ball chairs do not disrupt, nor enhance, classroom efficiency.
允许活动的座位通常被建议用于增强姿势激活、注意力和行为。该研究考察了球椅对易读性、学生行为和课堂效率的影响。在连续两年的ABAB设计中,一年级学生在数学课上每隔几周在标准座位(A阶段)和球椅(B阶段)之间交替。家长为参与分析的学生提供知情同意(11/16年级;19/25年第2年)。在本研究的各个阶段,易读性显著下降(p < 0.001)。与第一个A阶段相比,每个B阶段的坐位时间都更长(p < 0.001)。遵循指令的比例无显著差异(p =.564)。不希望的行为存在差异:每次切换到球椅时,不希望的行为都伴随着不显著的减少,但切换回标准椅子时,不希望的行为增加是显著的(p = 0.004)。在生产性花费的时间比例上没有差异(p =.723)。对易读性的影响表明,如果期望的结果是提高易读性,使用球椅可能不是有效的干预措施。对行为的影响表明,实施班级范围内的替代座位干预可能具有适度的,可逆的积极影响。对生产力的影响表明,球椅既不会破坏也不会提高课堂效率。
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引用次数: 2
School Occupational Therapy: Staying Focused on Participation and Educational Performance 学校职业治疗:关注参与和教育表现
Pub Date : 2020-06-08 DOI: 10.1080/19411243.2020.1776187
G. F. Frolek Clark, Jean Polichino
ABSTRACT Occupational therapy practitioners working in school settings must articulate their distinct value in supporting student participation and educational performance. Using a systems-level practice, they weave their knowledge and skills as leaders at the district-, building-, classroom-, and student-levels to achieve “health, well-being, and participation in life through occupation” (AOTA, 2014, pS2). Evidence-guided practices indicate should practitioners should focus on embedding services within the classroom to enhance the student’s participation and engagement in the natural routines of their environment is essential. To enhance the utilization of the participation focus by practitioners, examples of practice strategies in evaluation and intervention are provided, as well as vignettes comparing strategies with an impairment and remediation focus to a participation and performance focus to an impairment and remediation focused strategies are discussed.
在学校工作的职业治疗从业人员必须阐明他们在支持学生参与和教育表现方面的独特价值。通过系统层面的实践,他们将自己的知识和技能作为学区、大楼、教室和学生层面的领导者来编织,以实现“健康、幸福和通过职业参与生活”(AOTA, 2014, pS2)。循证指导的实践表明,从业者是否应该把重点放在课堂内嵌入服务上,以增强学生对其环境中自然惯例的参与,这是至关重要的。为了提高从业者对参与焦点的利用,本文提供了评估和干预中的实践策略的例子,并讨论了以损害和补救为重点的策略与以参与和绩效为重点的策略与以损害和补救为重点的策略的比较。
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引用次数: 5
Convergent Validity between Three Self-Report Measures of Children’s Play and Activity Interests 儿童游戏与活动兴趣三种自述量表的收敛效度
Pub Date : 2020-05-31 DOI: 10.1080/19411243.2020.1769001
Emily Lugton, T. Brown, K. Stagnitti
ABSTRACT It is important for assessments used by occupational therapists to have documented evidence of their validity. This adds to the knowledge about what specific factors assessments measure and inform their utility for use in clinical practice by occupational therapists. The convergent validity between the Children’s Assessment of Participation and Enjoyment & Preferences for Activities of Children (CAPE/PAC), Kid Play Profile (KiPP), and Pediatric Activity Card Sort (PACS) was investigated. This will address gaps in the current body of psychometric evidence related to these three participation-focused, child self-reported measures of children’s play and activity interests. Fifty Australian children without disabilities (x̅ age 8.54 ± 2.04 years; 64% female) completed the CAPE/PAC, KiPP, and PACS. Data were analyzed using Spearman Rho correlations with bootstrapping. Several significant low to moderate level correlations (rs = 0.280, p < .05 to rs = 0.552, p < .01) were found between the scale domains of the CAPE, PAC, KiPP, and PACS. Evidence of the convergent validity between the CAPE/PAC, KiPP, and PACS was established. This indicates that the three measures appear to measure several similar play and activity interest factors. Given the differences between the CAPE/PAC, KiPP, and PACS in the mode of administration, time needed to complete, purchase costs and profile of score results obtained, the convergent evidence provides additional information for occupational therapists toward making informed decisions about the most appropriate assessment(s) to potentially use. Further validity research is recommended.
对于职业治疗师使用的评估来说,有文件证据证明其有效性是很重要的。这增加了对具体因素评估测量的知识,并告知他们在临床实践中由职业治疗师使用的效用。研究了儿童参与、儿童活动享受与偏好评价量表(CAPE/PAC)、儿童游戏量表(KiPP)和儿童活动卡片分类量表(PACS)的收敛效度。这将解决目前与这三种以参与为中心、儿童自我报告的儿童游戏和活动兴趣测量方法相关的心理测量证据中的空白。50名澳大利亚无残疾儿童(x′年龄8.54±2.04岁;(64%为女性)完成了CAPE/PAC、KiPP和PACS。数据分析采用Spearman Rho相关与bootstrapping。在CAPE、PAC、KiPP和PACS的量表域之间发现了几个显著的低至中等水平相关性(rs = 0.280, p < 0.05至rs = 0.552, p < 0.01)。建立了CAPE/PAC、KiPP和PACS之间趋同效度的证据。这表明这三种测量方法似乎测量了几个相似的游戏和活动兴趣因素。考虑到CAPE/PAC、KiPP和PACS在管理模式、完成所需时间、购买成本和获得的评分结果方面的差异,趋同证据为职业治疗师提供了额外的信息,有助于他们做出最合适的评估决策。建议进一步进行效度研究。
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引用次数: 1
Improving Selective Attention for All Students with Coordinative Bal-A-Vis-X Movement Breaks: A Pilot Study 通过协调性Bal-A-Vis-X动作中断提高所有学生的选择性注意:一项试点研究
Pub Date : 2020-05-26 DOI: 10.1080/19411243.2020.1769000
Amy Watson-Grace, Ingrid M Provident
ABSTRACT Brief coordinative movement breaks increase student attention and should be implemented by school-based occupational therapists to support the occupational potential of all students. Inattention is one of the most common reasons for student referrals to special education. Decreased physical activity is a contributing factor, yet movement opportunities are declining in schools. Despite these trends and the call from AOTA to support health promotion and prevention for all, 1:1 occupational therapy focusing on students identified with handwriting deficits continue to be prevalent in school-based practice. To remain a relevant service and keep pace with changing trends in special education and best practice, occupational therapists must broaden their scope to address inattention. This study explored Bal-A-Vis-X as an inclusive coordinative exercise intervention and found that 10-minutes of Bal-A-Vis-X twice per week for eight weeks improved attention in sixth grade students from d2 Test of Attention pretest to posttests. Immediate posttest improvements were statistically significant for processing speed (TN, t(27) = −7.27, p <.001), focused attention (TN-E, t(27) = −9.85, p <.001), concentration performance (CP, t(27) = −7.90, p <.001), and accuracy (E%, t(27) = 1.72, p = .048). Delayed posttesting was completed 90-minutes after the intervention with statistically significant improvements in processing speed (TN, t(21) = −10.37, p <.001), focused attention (TN-E, t(21) = −12.59, p <.001), concentration performance (CP, t(21) = −11.28, p <.001), and accuracy (E%, t(21) = 2.62, p = .008).
摘要:短暂的协调运动间歇可以提高学生的注意力,应由学校职业治疗师实施,以支持所有学生的职业潜力。注意力不集中是学生转介到特殊教育的最常见原因之一。体育活动减少是一个因素,但学校的运动机会正在减少。尽管有这些趋势和AOTA呼吁支持所有人的健康促进和预防,但在学校实践中,以确定有书写缺陷的学生为重点的1:1职业治疗仍然普遍存在。为了保持相关的服务,跟上特殊教育和最佳实践的变化趋势,职业治疗师必须扩大他们的范围,以解决注意力不集中的问题。本研究探索了Bal-A-Vis-X作为一种包容性的协调运动干预,并发现每周两次10分钟的Bal-A-Vis-X在八周内改善了六年级学生从d2注意力测试前到后测试的注意力。在处理速度(TN, t(27) = - 7.27, p <.001)、注意力集中(TN-E, t(27) = - 9.85, p <.001)、注意力集中表现(CP, t(27) = - 7.90, p <.001)和准确度(E%, t(27) = 1.72, p = .048)方面,测试后立即改善具有统计学意义。延迟后测在干预后90分钟完成,处理速度(TN, t(21) = - 10.37, p <.001)、注意力集中(TN-E, t(21) = - 12.59, p <.001)、注意力集中表现(CP, t(21) = - 11.28, p <.001)和准确率(E%, t(21) = 2.62, p = .008)有统计学意义的改善。
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引用次数: 0
The Effectiveness of iPad Apps to Improve Handwriting Legibility in First and Second Grade Students: A Pilot Study iPad应用程序提高一、二年级学生字迹易读性的有效性:一项试点研究
Pub Date : 2020-04-22 DOI: 10.1080/19411243.2020.1751768
Anne H. Zachry, Reagan Arnwine, A. Garrett
ABSTRACT Occupational therapists use a variety of approaches during intervention to address handwriting legibility, including therapeutic practice, sensorimotor approaches, and practice using iPad apps. The purpose of this pilot study was to compare the effectiveness of three interventions implemented in small groups to improve handwriting legibility: handwriting practice on iPad apps alone, handwriting practice using iPads combined with a traditional OT multisensory approach, or a traditional OT multisensory approach alone with handwriting practice. A pretest-posttest design with random assignment was employed in the current study. Although all of the mean group scores improved, a Kruskal-Wallis H test revealed no statistically significant differences in THS-R scores between the three groups after the intervention, X2 (2) = 4.63, p = .09. A blinded qualitative analysis of handwriting samples from each group revealed observable improvements in the letter formation in the iPad only group as compared to the other two intervention groups.
职业治疗师在干预过程中使用多种方法来解决字迹易读性问题,包括治疗实践、感觉运动方法和使用iPad应用程序的练习。本试验研究的目的是比较在小组中实施的三种干预措施的有效性,以提高笔迹的易读性:单独使用iPad应用程序进行笔迹练习,使用iPad进行笔迹练习结合传统的OT多感官方法,或单独使用传统的OT多感官方法进行笔迹练习。本研究采用随机分配的前测后测设计。虽然各组平均评分均有所提高,但经Kruskal-Wallis H检验,干预后三组间的hs - r评分差异无统计学意义,X2 (2) = 4.63, p = 0.09。一项对每组笔迹样本的盲法定性分析显示,与其他两个干预组相比,只使用iPad的组在字母形成方面有了明显的改善。
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引用次数: 6
Relationships between early childhood intervention services, family quality of life and parent occupations: A mixed-methods Australian study 儿童早期干预服务、家庭生活质量和父母职业之间的关系:一项混合方法的澳大利亚研究
Pub Date : 2020-04-02 DOI: 10.1080/19411243.2019.1700471
Anoo Bhopti, Primrose Lentin, T. Brown
ABSTRACT Disability-related services such as Early Childhood Intervention Services (ECIS) become a part of life for families when there is a child with disability. Many parents give up their everyday occupations such as self-care and paid work to be able to provide long-term caregiving. This Australian study explored parent perspectives of their family quality of life (FQOL) when there is a child with disability. It examined the relationships between ECIS, parent occupations and FQOL. A mixed-methods concurrent triangulation design was used. The Beach Center FQOL survey (N = 72) and 12 semi-structured interviews were conducted. There were high scores for overall satisfaction with Total FQOL and associations between FQOL, ECIS and parent occupations. The four themes highlighted that despite FQOL being fluctuating and challenging, positive adaptations (normalization) and positive beliefs helped FQOL. Parents were hopeful that their child would continue to progress in the future (stability). This study concluded that receiving family-centered and timely ECIS is positive for FQOL. While parenting was considered an important occupation, loss of previous occupations such as paid work and time for self-care had a detrimental influence on FQOL.
残疾相关服务,如早期儿童干预服务(ECIS),已成为有残疾儿童的家庭生活的一部分。许多父母放弃了日常工作,如自我照顾和有偿工作,以便能够提供长期的照顾。这项澳大利亚研究探讨了当有残疾儿童时,父母对家庭生活质量(FQOL)的看法。它检验了ECIS、父母职业和家庭生活质量之间的关系。采用混合方法并行三角剖分设计。进行了Beach Center FQOL调查(N = 72)和12个半结构化访谈。家庭生活质量总体满意度得分较高,家庭生活质量、家庭生活质量与父母职业之间存在相关性。这四个主题强调,尽管妇女生活质量波动不定,充满挑战,但积极的适应(正常化)和积极的信念有助于妇女生活质量。父母希望他们的孩子将来能继续进步(稳定)。本研究认为,及时接受以家庭为中心的ECIS对FQOL有积极作用。虽然养育子女被认为是一项重要的职业,但失去以前的职业,如有偿工作和自我照顾的时间,对家庭生活质量产生了不利影响。
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引用次数: 4
Sleep Education for Primary School Students by Occupational Therapists in Japan: A Pilot Study through a Health Promotion Project 日本职业治疗师对小学生的睡眠教育:通过健康促进项目进行的试点研究
Pub Date : 2020-04-02 DOI: 10.1080/19411243.2019.1672602
Shigeki Kurasawa, K. Yokoi, M. Utsumi, Hiroyasu Shiozu, N. Miyai
ABSTRACT This study examines the effects of sleep education provided by occupational therapists on elementary school students. The study subjects were students at a public elementary school in a mountainous area in Japan. Two occupational therapists working at a university delivered 45 min lectures on sleep to students from grades one to six. The upper-grade students filled-out a sleep-breakfast survey daily, for 2 weeks, following which, the second sleep education lecture was delivered. The sleep disorder-related symptoms showed insignificant differences in the lower grade students. The number of upper-grade students with excessive daytime sleepiness declined post intervention (p = .039).
摘要本研究旨在探讨职业治疗师对小学生进行睡眠教育的效果。研究对象是日本山区一所公立小学的学生。在一所大学工作的两名职业治疗师给一年级到六年级的学生做了45分钟的睡眠讲座。高年级学生每天填写一份睡眠-早餐调查,持续两周,之后进行第二次睡眠教育讲座。低年级学生的睡眠障碍相关症状差异不显著。高年级学生白天嗜睡过多的人数在干预后有所下降(p = 0.039)。
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引用次数: 1
A Cognitive, Self-Monitoring Intervention for Handwriting with Second-Grade Students 二年级学生书写的认知、自我监控干预
Pub Date : 2020-04-02 DOI: 10.1080/19411243.2019.1672604
Ann Lee, Jennifer E. Lape
ABSTRACT A pre-test post-test design was used to deliver the Size Matters Handwriting Program to 19 second-grade students using an occupational therapist-teacher collaborative teaching model. Outcomes from the Minnesota Handwriting Assessment indicate statistically and clinically significant gains for students in legibility, form, alignment, size, and spacing. Students’ perceptions of self-monitoring, collected via a brief self-report measure, reveal that most students agreed that self-monitoring played an important role in their learning by understanding the rules of handwriting and learning proper spacing strategies when writing. These results support the effectiveness of employing the Size Matters Handwriting Program and teaching self-monitoring strategies.
摘要采用职业治疗师-教师合作教学模式,采用前测后测设计,对19名二年级学生实施“尺寸重要”书写项目。明尼苏达州笔迹评估的结果表明,学生在易读性、形式、对齐、大小和间距方面取得了统计学和临床意义上的显著进步。通过一项简短的自我报告测量收集的学生对自我监控的看法显示,大多数学生认为,通过理解书写规则和学习正确的书写间距策略,自我监控在他们的学习中发挥了重要作用。这些结果支持了采用字体大小决定笔迹计划和教学自我监控策略的有效性。
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引用次数: 3
Community-based Screening and Referrals for Autism 基于社区的自闭症筛查和转诊
Pub Date : 2020-04-02 DOI: 10.1080/19411243.2019.1700472
L. Brewer
ABSTRACT The average diagnosis of autism in the United States is after 4 years of age, even though a reliable diagnosis can be obtained as early as 2 years of age. Early identification of autism can help facilitate access to early intervention, yet many children experience significant delays in receiving a diagnosis and intervention. Various factors contribute to these challenges, including a lack of training among health-care providers and socioeconomic factors among families of young children. Community-based screening is one potential method to help address the need for early identification of children with autism. Some studies indicate that childcare workers can perform screenings for autism with minimal support. Occupational therapists frequently receive referrals for children with autism, but there is a lack of research on the role of interprofessional collaboration with early childcare providers to facilitate timely screening and referrals. The primary focus of this study is to determine the current practice of early childcare providers regarding developmental and autism-specific screening and referral practices within central Michigan. A total of 80 early childcare providers in central Michigan completed a quantitative survey. Results indicate that most early childcare providers are utilizing developmental screening tools such as the Ages and Stages Questionnaire, but only two participants report the use of autism specific screening tools and most did not feel prepared to assist with referrals for this population. Occupational therapists in early intervention have the opportunity and skill set to collaborate with early childhood professionals to facilitate the timely and appropriate use of screening tools for early identification and referrals for children with autism.
在美国,自闭症的平均诊断是在4岁之后,尽管早在2岁时就可以获得可靠的诊断。自闭症的早期识别有助于获得早期干预,但许多儿童在接受诊断和干预方面存在严重延误。造成这些挑战的因素有很多,包括保健提供者缺乏培训和幼儿家庭的社会经济因素。基于社区的筛查是一种潜在的方法,可以帮助解决早期识别自闭症儿童的需求。一些研究表明,托儿工作者可以在很少的支持下进行自闭症筛查。职业治疗师经常接受自闭症儿童的转诊,但缺乏与早期儿童保育提供者的跨专业合作在促进及时筛查和转诊方面的作用的研究。本研究的主要焦点是确定密歇根州中部早期儿童保育提供者关于发育和自闭症特异性筛查和转诊实践的当前实践。密歇根州中部共有80家早期托儿机构完成了一项定量调查。结果表明,大多数早期儿童保育提供者都在使用发育筛选工具,如年龄和阶段问卷,但只有两名参与者报告使用了自闭症特定筛选工具,而且大多数人都没有准备好协助这一人群的转介。早期干预的职业治疗师有机会和技能与早期儿童专业人员合作,促进及时和适当地使用筛查工具,早期识别和转介自闭症儿童。
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引用次数: 0
Understanding Early Childhood Educator Practices 理解幼儿教育实践
Pub Date : 2020-04-02 DOI: 10.1080/19411243.2019.1672605
Victoria G. Wilburn, Christina M. Douglas, A. Chase, Leah Van Antwerp, Hannah B. Stoll
ABSTRACT The level of awareness regarding sensory concepts was explored in a convenience sample of 25 early childhood educators in an urban environment. This survey design measured early childhood educators self-report of sensory activities offered within their classrooms and independently scored by two occupational therapists practicing in pediatrics. Educators demonstrated sufficient basic understanding of sensory activities and how to structure and offer activities within early childhood classrooms. However, educators did not demonstrate a clear understanding of how to appropriately approach avoidance or disruptive behaviors during sensory activities. This finding into educators’ lack of awareness of how best to approach atypical behavior during sensory play highlights the opportunity for further collaborative opportunities between educator and therapist at both the individual and classroom level.
摘要本研究以城市环境中25名幼儿教育工作者为样本,对感官概念的认知水平进行了研究。本调查设计测量了幼儿教育工作者在课堂上提供的感官活动的自我报告,并由两位儿科职业治疗师独立评分。教育工作者展示了对感官活动以及如何在幼儿课堂中组织和提供活动的充分基本理解。然而,教育工作者并没有清楚地了解如何在感官活动中适当地处理回避或破坏性行为。这一关于教育工作者缺乏如何在感官游戏中最好地处理非典型行为的意识的发现,突出了教育工作者和治疗师在个人和课堂层面上进一步合作的机会。
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引用次数: 0
期刊
Journal of occupational therapy, schools & early intervention
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