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Journal of occupational therapy, schools & early intervention最新文献

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We Need to Completely Change the Way We Look at Therapy: Occupational Therapy in Specialist Schools 我们需要彻底改变我们看待治疗的方式:专业学校的职业治疗
Pub Date : 2021-11-12 DOI: 10.1080/19411243.2021.2003732
Philippa Caie, R. Brooks
ABSTRACT Recent literature has changed the ways in which occupational therapy is delivered in mainstream schools, but consideration of practice in specialist schools, where all students have special educational needs or disabilities, is limited. This study aimed to address this gap by exploring occupational therapy practice in specialist schools in England. This qualitative study used a phenomenological approach. Data were collected via semistructured interviews and analyzed using thematic analysis. The study had 6 occupational therapist participants. Three themes emerged from the data: Theme 1: “I’m going to be really honest with you, we’re not doing therapy;” Theme 2: “We are not entirely part of the school community;” and Theme 3: “You shouldn’t have to try and make someone else the therapist.” The findings echo studies of occupational therapy in mainstream schools but offer new insights into the focus and delivery of occupational therapy in specialist schools. It is recommended that in England a new model of service provision is developed that integrates occupational therapists into specialist schools, creates more time in the classroom, facilitates therapist-teacher collaboration, and enables a broader scope of practice.
最近的文献已经改变了主流学校提供职业治疗的方式,但对所有学生都有特殊教育需求或残疾的专科学校实践的考虑是有限的。本研究旨在通过探索英国专科学校的职业治疗实践来解决这一差距。本定性研究采用现象学方法。数据通过半结构化访谈收集,并使用专题分析进行分析。这项研究有6名职业治疗师参与。从数据中出现了三个主题:主题1:“我要诚实地告诉你,我们不做治疗;主题2:“我们不完全是学校社区的一部分;主题3:“你不应该试图让别人成为治疗师。”这些发现与主流学校的职业治疗研究相呼应,但对专科学校的职业治疗的重点和交付提供了新的见解。建议在英国开发一种新的服务提供模式,将职业治疗师整合到专业学校,创造更多的课堂时间,促进治疗师与教师的合作,并使实践范围更广。
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引用次数: 1
Using a Health Promotion Approach to Frame Parent Experiences of Family Routines and Their Significance for Health and Well-being 用健康促进的方法来构建家庭日常活动的父母经验及其对健康和幸福的意义
Pub Date : 2021-10-01 DOI: 10.1080/19411243.2021.1983499
Jennifer S. Pitonyak, K. Souza, Caroline Umeda, T. Jirikowic
ABSTRACT Occupational therapy providers working with young children and their families in early intervention settings frequently provide interventions to support family routines related to social participation, health management, and related occupations at home and in the community. Family routines are inextricably tied to individual and family health and well-being, yet contextual influences can impact satisfaction with and performance of routines resulting in disparities in health and occupational outcomes. A health promotion approach to intervention is intended to address contextual aspects of occupational performance in natural settings, and therefore, may be a useful approach for providing family-centered, routines-based intervention in early intervention settings. This basic qualitative study used interview methods to collect perspectives about family routines from two parent participants. The participants were from a broader pilot project on family mental health intervention that was implemented with eight families and were the only two parents who volunteered to complete additional interviews. The life course health development framework was used to guide study design and data analysis. Interviews were audio-recorded, transcribed, and coded using conventional qualitative content analysis. Themes were validated through expert and member checks. Participant data from the Canadian Occupational Performance Measure was also available from the broader project and was used to triangulate findings. Resulting themes illustrated the complexity of family routines, influence of values and often hidden parental decision making on routines, connectedness of routines with family health and well-being, and impact of contextual influences on routines. Findings inform the importance of considering contextual factors when providing family-centered, routines-based intervention and suggest the fit for a health promotion approach to intervention given the inter-relatedness of family routines with outcomes such as health and well-being.
在早期干预环境中为幼儿及其家庭工作的职业治疗提供者经常提供干预,以支持与社会参与、健康管理和家庭和社区相关职业相关的家庭常规。家庭惯例与个人和家庭的健康和福祉有着千丝万缕的联系,但环境影响可能影响对惯例的满意度和表现,从而导致健康和职业结果的差异。健康促进干预方法旨在解决自然环境中职业表现的环境方面问题,因此,在早期干预环境中提供以家庭为中心、基于常规的干预可能是一种有用的方法。本研究采用访谈法,收集两位家长对家庭日常生活的看法。参与者来自一个更广泛的家庭心理健康干预试点项目,该项目在8个家庭中实施,是仅有的两位自愿完成额外访谈的父母。采用生命历程健康发展框架指导研究设计和数据分析。使用传统的定性内容分析对访谈进行录音、转录和编码。主题通过专家和成员的检查进行验证。来自加拿大职业表现测量的参与者数据也可以从更广泛的项目中获得,并用于三角测量结果。由此产生的主题说明了家庭惯例的复杂性,价值观的影响和通常隐藏的父母决策对惯例的影响,惯例与家庭健康和福祉的联系,以及环境对惯例的影响。研究结果表明,在提供以家庭为中心、以常规为基础的干预措施时,考虑到环境因素的重要性,并建议考虑到家庭常规与健康和福祉等结果的相互关系,采用健康促进方法进行干预。
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引用次数: 1
Using Virtual Collaboration and Education to Increase Teachers’ Ability to Promote Self-regulation 利用虚拟协作与教育提高教师自我调节能力
Pub Date : 2021-10-01 DOI: 10.1080/19411243.2021.1983497
J. Mac Donald, H. Baist
ABSTRACT The aim of this evidence-based occupational therapy (OT) project was to answer the question, “Does education and scheduled collaboration on the use of sensory tools in the school environment increase general education teachers’ understanding of OT’s role in self-regulation?” Evidence supports the use of asynchronous learning modules for professional development. Research indicates that the addition of an interactive element enhances learning. Collaboration is supported by evidence for enhanced effectiveness of sensory tools in schools. The project was implemented over the course of 7 weeks. Teachers participated in 5 weeks of intervention with a weekly 30-min asynchronous web-based learning module and a 30-min individual or group collaboration session. Results showed increased positive perceptions with 5 of 10 Likert scale questions showing a statistically significant increase. In addition, data showed a statistically significant positive change in teachers’ knowledge related to OT’s role in schools, self-regulation, and social-emotional skills. Data from open-ended questions revealed an increase in teachers’ understanding of different causes of student behaviors and increased knowledge of self-regulation tools. The results suggest teachers’ understanding of OT’s role in self-regulation increases through the use of asynchronous virtual learning and scheduled collaboration sessions with an occupational therapist. Further research is recommended to increase the generalizability of results and to identify the most effective use of collaboration to enhance teachers’ understanding of self-regulation.
这个基于证据的职业治疗(OT)项目的目的是回答这个问题,“在学校环境中使用感官工具的教育和计划合作是否增加了通识教育教师对OT在自我调节中的作用的理解?”有证据支持在专业发展中使用异步学习模块。研究表明,增加互动元素可以提高学习效果。有证据表明,学校感官工具的有效性得到了提高,从而支持了合作。该项目实施了7周。教师们参加了为期5周的干预,每周30分钟的异步网络学习模块和30分钟的个人或小组合作会议。结果显示,在10个李克特量表问题中,有5个问题的积极认知增加,统计上显着增加。此外,数据显示,教师在学校中与OT角色、自我调节和社会情感技能相关的知识方面发生了统计学上显著的积极变化。开放式问题的数据显示,教师对学生行为的不同原因的理解有所增加,对自我调节工具的了解也有所增加。结果表明,通过使用异步虚拟学习和与职业治疗师安排的协作会议,教师对OT在自我调节中的作用的理解有所增加。建议进一步研究,以提高结果的普遍性,并确定合作的最有效使用,以提高教师对自我调节的理解。
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引用次数: 0
Head and Upper Limb Motor Control in Elementary School Children with Handwriting Difficulties 小学写字困难儿童的头、上肢运动控制
Pub Date : 2021-09-29 DOI: 10.1080/19411243.2021.1983498
Masatoshi Gocho, Sasada Sasada
ABSTRACT Children with suspected developmental disabilities often have handwriting difficulties and show problems with motor control of the head and upper limbs, but it has not been examined in detail. The purpose of this study was to examine the characteristics of motor control in children with suspected developmental disabilities and writing difficulties. Nineteen right-handed males who were receiving support in the resource room for handwriting difficulties (SDD group) were compared with 17 right-handed age-matched male controls. Both groups completed two handwriting tasks. The main measures were jerk and changes in joint angle, which were measured by a 3D motion analysis system. The SDD group had significantly higher mean values of jerk in the head, forearms, and hands and significantly greater changes in the joint angle of neck flexion in both handwriting tasks compared to the control group. Children with suspected developmental disabilities and handwriting difficulties had less smooth forearm movements and greater fixed head movements.
疑似发育障碍的儿童通常有书写困难、头部和上肢运动控制问题,但尚未对其进行详细研究。本研究的目的是探讨疑似发育障碍和书写困难儿童的运动控制特征。19名右撇子男性在书写困难资源室接受支持(SDD组)与17名同龄右撇子男性对照进行比较。两组都完成了两项书写任务。通过三维运动分析系统测量了关节的抖动和关节角度变化。与对照组相比,SDD组在头、前臂和手的抽搐平均值明显更高,在两项书写任务中颈部屈曲关节角度的变化也明显更大。怀疑有发育障碍和书写困难的儿童前臂运动不流畅,头部运动更固定。
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引用次数: 0
Impact of A Co-taught Handwriting Intervention for Kindergarten Children in A School Setting: A Pilot, Single Cohort Study
Pub Date : 2021-09-21 DOI: 10.1080/19411243.2021.1975604
Karen Ray, K. Dally, A. Lane
ABSTRACT Write Start is a co-taught, whole of class approach to handwriting instruction developed for students in grade one and delivered collaboratively by teachers and occupational therapists. Write Start emphasizes the development of handwriting fluency utilizing evidence-based cognitive and perceptual motor strategies within a station-based teaching approach. This pilot study assessed the impact of a modified Write Start on handwriting fluency in Australian kindergarten students (first year of formal schooling), and investigated the effects of early literacy on intervention outcomes using a retrospective analysis of existing clinical data. Participants were kindergarten students (n = 81; mean age = 65.9 months) attending a large independent primary school in a regional metropolitan center. Participants received the modified Write Start, over one school term, in two x 45 minute sessions per week for 8 weeks. Handwriting fluency was measured pre- and post-intervention using a researcher-designed tool, the Letter Form Assessment (LFA), based on and extending commonly used measures. LFA scores for the whole cohort were significantly higher post-intervention, indicating improved handwriting after the intervention (Z = −4.457, p < .0001). In order to determine if school entry ability impacted responsiveness to the intervention, students were assigned to a high or low performing tier based on scores from three early literacy skills measured by teachers as part of routine assessment at school entry (n = 70). There was no effect of Low or High Tier literacy skills groupings on change to LFA score for phonics (f (19, 50) = 1.11, p = .36), phonemic awareness (f (19,50) = 1.32, p = .21) or writing (f (19,50) = 0.59, p = .89). The modified Write Start shows promise as an effective intervention for kindergarten handwriting, however further revisions and testing should address the potential impact of literacy and the interrelationship of perceptual motor and cognitive skills on outcomes.
Write Start是一种为一年级学生开发的、由教师和职业治疗师共同授课的全班级手写教学方法。书写开始强调在基于站点的教学方法中,利用基于证据的认知和知觉运动策略发展书写流畅性。本试点研究评估了修改后的Write Start对澳大利亚幼儿园学生(正式入学第一年)书写流畅性的影响,并通过对现有临床数据的回顾性分析,调查了早期读写能力对干预结果的影响。参与者为幼儿园学生(n = 81;平均年龄= 65.9个月)就读于区域都市中心的大型独立小学。参与者接受修改后的“写开始”,在一个学期中,每周两次,每次45分钟,持续8周。使用研究者设计的工具——书信形式评估(LFA)来测量干预前后的书写流畅性,该工具基于并扩展了常用的测量方法。干预后,整个队列的LFA评分显著提高,表明干预后笔迹改善(Z = - 4.457, p < 0.0001)。为了确定入学能力是否影响对干预的反应,根据教师在入学时常规评估的三种早期识字技能的分数,将学生分配到高或低表现层(n = 70)。低水平或高水平读写技能分组对语音(f (19,50) = 1.11, p = 0.36),音位意识(f (19,50) = 1.32, p = 0.21)或写作(f (19,50) = 0.59, p = 0.89)的LFA分数的变化没有影响。修改后的“书写开始”显示出对幼儿园书写的有效干预的希望,然而,进一步的修订和测试应该解决读写能力的潜在影响以及感知运动和认知技能对结果的相互关系。
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引用次数: 0
Utility of the occupation-centered intervention assessment in pediatric occupational therapy practice 以职业为中心的干预评估在儿童职业治疗实践中的应用
Pub Date : 2021-09-13 DOI: 10.1080/19411243.2021.1975603
Emily Hinkley, C. Leach, Vanessa D. Jewell, Taylor L. Wienkes
ABSTRACT Best practice supports the use of occupation as a therapeutic agent of change for pediatric occupational therapy practice. However, limited tools to promote the development of and implementation of occupation-centered practice exist. This study explored the clinical utility of the Occupation Centered Intervention Assessment (OCIA) as a tool to facilitate occupation-centered practice in outpatient and school-based pediatric settings. The OCIA allows practitioners to reflect on their own practice by scoring interventions on personal, contextual, and occupational relevance. This qualitative, descriptive study utilized semi-structured interviews (n = 12) with practitioners in outpatient and school settings to glean information regarding tool utility. A six-step thematic analysis process guided the coding process. Four themes emerged from the data related to clinical utility of the OCIA: reflection on practice habits, practice settings influence therapy service delivery, translation of theoretical knowledge into practice technique, and the distinct value of occupation. Preliminary evidence supports the use of the OCIA in outpatient and school pediatric settings to promote reflection on occupation-centered practice for students and novice practitioners, although some setting are more conducive to use of an occupation-centered approach than others.
摘要:最佳实践支持使用职业作为儿科职业治疗实践的改变治疗剂。然而,促进以职业为中心的实践发展和实施的工具有限。本研究探讨以职业为中心的干预评估(OCIA)的临床应用,以促进门诊和校本儿科机构的职业为中心的实践。OCIA允许从业者通过对个人、环境和职业相关性的干预进行评分来反思自己的实践。本定性描述性研究利用半结构化访谈(n = 12)与门诊和学校的从业人员收集有关工具效用的信息。六步专题分析过程指导了编码过程。从与OCIA临床应用相关的数据中出现了四个主题:对实践习惯的反思,实践环境对治疗服务提供的影响,理论知识转化为实践技术,以及职业的独特价值。初步证据支持在门诊和学校儿科环境中使用OCIA,以促进学生和新手从业者对职业中心实践的反思,尽管一些环境比其他环境更有利于使用职业中心方法。
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引用次数: 4
Relationship between Cognitive Performance and Visual Motor Integration in Preschool Children in A Community: A Pilot Study 社区学龄前儿童认知表现与视觉运动整合关系的初步研究
Pub Date : 2021-09-05 DOI: 10.1080/19411243.2021.1975602
Rames Chanpirom, Suchitporn Lersilp, Supawadee Putthinoi, Napalai Chaimaha
ABSTRACT The purpose of this pilot study was to explore cognitive performance and visual motor integration, and investigate the relationship between them in preschool children in a community. Forty-nine participants were selected by stratified random sampling from a local community school and community child development center in Thailand. The instruments used were the Miller Assessment for Preschoolers (MAP) and the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI). Results showed that most of the preschool children (59.18%) had cognitive performance at the average level, and the percentage of such children increased when they reached the higher education level. Most of the children (79.60%) had an average VMI score of above the average level, which also increased when they reached the higher education level. In addition, the relationship between cognitive performance and VMI indicated a statistically significant relationship between verbal cognitive performance and VMI in the group of Kindergarten 1 (KG-1) participants (r = .417, p < .05).
摘要本研究旨在探讨某社区学龄前儿童的认知表现与视觉运动整合的关系。采用分层随机抽样的方法,从泰国当地一所社区学校和社区儿童发展中心抽取49名参与者。使用的工具是学龄前儿童米勒评估(MAP)和比尔里-布克特尼卡视觉-运动整合发展测验(比尔里- VMI)。结果表明,大部分学龄前儿童(59.18%)的认知能力处于中等水平,随着教育程度的提高,这一比例有所增加。绝大多数儿童(79.60%)的VMI平均得分在平均水平以上,且随着受教育程度的提高,VMI得分也有所上升。此外,认知表现与VMI的关系显示,幼儿园一组(KG-1)的言语认知表现与VMI的关系具有统计学意义(r = .417, p < .05)。
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引用次数: 1
ASSESSMENT OF SENSORY INTEGRATIVE FUNCTION OF ELEMENTARY SCHOOL CHILDREN In Egypt 埃及小学生感觉统合功能之评估
Pub Date : 2021-08-22 DOI: 10.1080/19411243.2021.1959481
Eman Amer, Gehan M. Abd El-Maksoud, E. Mahgoub
ABSTRACT In elementary school children, the normally developed integrative function may be affected influencing the learning process, peer relationships, social interactions, and behaviors. This study was conducted to assess sensory integrative function in elementary school children in Egypt. Five hundred and twenty-three elementary school children without any neurological or developmental problems, ages from 5 to 10 years of both sexes, participated in this study. They were selected from different elementary schools in Giza, Egypt. Sensory integrative function was assessed by the sensory profile caregiver questionnaire. The findings revealed that, in the registration quadrant, 210 (40.2%) children were in the typical performance range. While in the seeking quadrant, 168 (32.1%) children were in typical performance range. Also, in the sensitivity quadrant, there were 267 (51.1%) in the typical performance range. Finally, in the avoiding quadrant, there were 303 (57.9%) in typical performance range. In all sections and quadrants, the scores of Egyptian children were lower than the scores of the American children except for the visual processing section which was higher. There was a statistically significant decrease in all sections and quadrants of the sensory profile in Egyptian and the American children except for the visual processing section which was significantly higher. However, all the sections and quadrants are considered to be within the typical performance range except for the visual processing section, the vestibular processing section, the modulation of visual input affecting emotional responses and activity level section, emotional/ social responses section, registration quadrant, and seeking quadrant, which may be due to social or environmental differences. Therefore, further studies with a national representative sample and with specific disability groups are needed to further validate the clinical use of the Sensory Profile in Egypt.
摘要小学生正常发展的整合功能可能受到影响,影响学习过程、同伴关系、社会交往和行为。本研究旨在评估埃及小学生的感觉统合功能。523名没有任何神经或发育问题的小学儿童参加了这项研究,年龄从5岁到10岁不等。他们是从埃及吉萨的不同小学中挑选出来的。感觉统合功能通过感觉档案照顾者问卷进行评估。结果显示,在注册象限中,210名(40.2%)儿童处于典型表现范围。在寻找象限,168名(32.1%)儿童处于典型表现范围。在灵敏度象限,有267个(51.1%)在典型性能范围内。最后,在回避象限中,有303只(57.9%)在典型表现范围内。在所有部分和象限中,除了视觉处理部分得分较高外,埃及儿童的得分低于美国儿童。除视觉处理部分显著升高外,埃及和美国儿童感官剖面的所有部分和象限均有统计学意义上的显著下降。然而,除了视觉加工部分、前庭加工部分、影响情绪反应和活动水平的视觉输入调制部分、情绪/社会反应部分、注册象限和寻找象限可能是由于社会或环境的差异造成的,其他部分和象限都被认为是在典型的表现范围内。因此,需要对具有全国代表性的样本和特定残疾群体进行进一步的研究,以进一步验证感官概况在埃及的临床应用。
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引用次数: 0
Systematic Review of Occupational Therapy Interventions to Enhance Cognitive Development in Children 0–5 Years: Part 1, Identified Diagnoses 促进0-5岁儿童认知发展的职业治疗干预的系统综述:第一部分,确诊诊断
Pub Date : 2021-08-12 DOI: 10.1080/19411243.2021.1959480
G. F. Frolek Clark, Jayna Niblock, Taylor Crane Vos, D. Lieberman, E. Hunter
Cognition is a critical part of performance and participation across daily life activities (Katz & Toglia, 2018). Children who have known conditions such as developmental delay, prematurity, cerebr...
认知是日常生活活动中表现和参与的关键部分(Katz & Toglia, 2018)。已知有发育迟缓、早产、脑…
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引用次数: 1
Comparing the Effects of Two Education-Based Intervention Programs on Visual Perception Processes of Children with Developmental Dyslexia 两种教育干预方案对发展性阅读障碍儿童视觉知觉过程的影响比较
Pub Date : 2021-08-12 DOI: 10.1080/19411243.2021.1959485
B. Köse, S. Şahin, Ege Temizkan, Hasan Galipoğlu, E. Karabulut, E. Akı
ABSTRACT Investigating the effects of the special education support program (SESP) and visual-praxis-based occupational therapy program (VPBOTP) on visual perception skills of children with developmental dyslexia (DD). A time-series quasi-experimental design with two stages was used. The first stage included visual perception assessments of children with DD who were registered to the SESP, using MVPT-3. Following the assessments, SESP was implemented for a total of 16 hours in the span of 8 weeks. In the second stage, MVPT-3 was administered for a second time, SESP’s implementation continued for another 16 hours and VPBOTP was implemented also for a total of 32 hours in the span of 8 weeks. Finally, the MVPT-3 was administered for the third time. VPBOTP was found to be statistically more effective than SESP in improving visual perception skills (p<0.05). VPBOTP offers a different, individualizable, and flexible approach for improving visual perception skills of children with DD and its usage can be widened to other populations.
摘要:探讨特殊教育支持计划(SESP)和基于视觉实践的职业治疗计划(VPBOTP)对发展性阅读障碍(DD)儿童视觉感知技能的影响。采用两阶段时间序列准实验设计。第一阶段包括使用MVPT-3对在SESP中登记的DD儿童进行视觉感知评估。评估结束后,SESP在8周内共实施了16小时。在第二阶段,第二次给予MVPT-3, SESP的实施持续了16小时,VPBOTP的实施也在8周的时间内总共进行了32小时。最后,第三次给予MVPT-3。VPBOTP在改善视觉感知能力方面优于SESP (p<0.05)。VPBOTP提供了一种不同的、个性化的、灵活的方法来提高DD儿童的视觉感知技能,它的使用可以扩大到其他人群。
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引用次数: 2
期刊
Journal of occupational therapy, schools & early intervention
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