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

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The Dance of Family Engagement in School-Based Occupational Therapy: An Interpretive Description 基于学校的职业治疗中家庭参与的舞蹈:一个解释性描述
Pub Date : 2021-08-12 DOI: 10.1080/19411243.2021.1941494
Jennifer N. Kennedy, S. Moll, C. Missiuna, J. Yost, Sarah Terreberry, Wenonah N. Campbell
ABSTRACT Family engagement is a central ideology in pediatric occupational therapy; however, the literature indicates that engaging families is challenging in the school- based context. The purpose of this study is to explore occupational therapists’ and families’ experiences of family engagement in school-based occupational therapy services and to propose stakeholder-informed improvements to service delivery. An interpretive description design was applied. Interviews were the primary method of data collection and were analyzed using inductive thematic analysis. Family engagement was depicted metaphorically as a group dance. The findings outline how therapists’ and families’ capabilities and expectations, trust, communication, emotional connections, and contextual factors interact to impact family engagement. Important changes to practice are required. Technology might enhance opportunities for connection and communication. The adoption of service delivery models that endorse a needs-based approach to service, rather than a ‘one-size-fits-all’ approach, are necessary to increase the value families place on this service.
家庭参与是儿科职业治疗的核心思想;然而,文献表明,在以学校为基础的背景下,参与家庭是具有挑战性的。本研究的目的是探讨职业治疗师和家庭参与校本职业治疗服务的经验,并提出利益相关者知情的服务提供改进。采用解释性描述设计。访谈是数据收集的主要方法,并使用归纳主题分析进行分析。家庭订婚被比喻成一场群舞。研究结果概述了治疗师和家庭的能力和期望、信任、沟通、情感联系和背景因素如何相互作用,从而影响家庭参与。需要对练习进行重要的修改。技术可能会增加联系和沟通的机会。采用以需求为基础的服务方法,而不是“一刀切”的方法的服务交付模式,对于提高家庭对这项服务的重视是必要的。
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引用次数: 1
Systematic Review of Occupational Therapy Interventions to Enhance Cognitive Development in Children 0–5 Years: Part 2, At-Risk Due to Environmental Factors and Promoting Cognitive Development 促进0-5岁儿童认知发展的职业治疗干预的系统综述:第二部分,环境因素导致的风险和促进认知发展
Pub Date : 2021-08-05 DOI: 10.1080/19411243.2021.1941493
Jayna Niblock, G. F. Frolek Clark, Taylor Crane Vos, D. Lieberman, E. Hunter
ABSTRACT Aim: This article is the second part of a systematic review updates and broadens a previous systematic review (Frolek Clark & Schlabach, 2010) to examine the evidence for of interventions within the scope of occupational therapy practice to enhance cognitive and pre-academic development in young children with or without at-risk factors. This article is Part 2 of the review and will focus on interventions for children at-risk from environmental factors and interventions that promoting cognitive development in children ages birth to 5 years. Part 1 is published separately and focuses on children with specific diagnoses. Methods: A systematic search of studies published from 2010 to 2020 using MEDLINE, PsycINFO, CINAHL, ERIC, OTseeker, and Cochrane was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: Twenty-seven studies met the inclusion criteria and were critically appraised: 19 Level I, 6 Level II, and 2 Level III evidence (Part 2). Two themes are discussed within this paper (Part 2): Children At-Risk of Cognitive Delays due to Environmental Factors, and Promoting Cognitive Development. Strong strength of evidence exists for cognitive and executive functioning training programs, literacy programs, and parent interactions focused on child’s needs. Strong strength of evidence indicates explicit Tier II interventions assist preschool children in learning early literacy skills (e.g., print knowledge, letter names, letter sounds). Moderate strength of evidence supports using movement or play to enhance cognitive and executive functions in preschoolers. Conclusions: Occupational therapy practitioners working in home and preschool programs can use these evidence-based interventions to enhance cognitive development, executive functions, and pre-academic functions performance for young children with or without risk factors. Part 1 of the review also appears in this issue.
摘要目的:本文是系统综述的第二部分,更新和扩展了之前的系统综述(Frolek Clark & Schlabach, 2010),以检查在职业治疗实践范围内的干预措施的证据,以增强有或没有风险因素的幼儿的认知和学业前发展。这篇文章是综述的第二部分,将重点关注环境因素和促进5岁儿童认知发展的干预措施。第1部分是单独出版的,重点是患有特定诊断的儿童。方法:采用系统评价和荟萃分析首选报告项目(PRISMA)指南,对2010年至2020年在MEDLINE、PsycINFO、CINAHL、ERIC、OTseeker和Cochrane上发表的研究进行系统检索。结果:27项研究符合纳入标准,并进行了严格评估:19项I级证据,6项II级证据和2项III级证据(第2部分)。本文讨论了两个主题(第2部分):环境因素导致的认知延迟风险儿童,以及促进认知发展。有强有力的证据表明,认知和执行功能培训项目、识字项目和关注儿童需求的父母互动是存在的。强有力的证据表明,明确的第二级干预措施有助于学龄前儿童学习早期识字技能(例如,印刷知识、字母名称、字母发音)。中等强度的证据支持使用运动或游戏来增强学龄前儿童的认知和执行功能。结论:在家庭和学前项目中工作的职业治疗从业者可以使用这些基于证据的干预措施来提高有或没有风险因素的幼儿的认知发展、执行功能和学前功能表现。评论的第1部分也出现在本期。
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引用次数: 0
A Multi-Tiered and Multi-Dimensional Approach to Intervention in Schools: Recommendations for Children with Sensory Integration and Processing Challenges 多层次、多维度的学校干预方法:对有感觉统合和加工障碍儿童的建议
Pub Date : 2021-08-05 DOI: 10.1080/19411243.2021.1959486
C. C. Whiting, M. Ochsenbein, S. Schoen, V. Spielmann
ABSTRACT This article advocates for a conceptualization of occupational therapy service delivery and intervention for students with sensory integration and processing challenges which improves occupational participation and performance within the educational setting. By offering a full continuum of service delivery options through multi-tiered systems of support, the school-based practitioner can provide services at the appropriate level of programming. Additionally, sensory, regulatory, and relational processes are increasingly recognized as inextricably linked in development and necessary in the provision of services for students with differences in sensory integration and processing. Thus, services for this population must include a multi-tiered approach in offering a complete array of service delivery options, and intervention needs to be inclusive of strategies from three domains: sensory, regulation, and relationship.
摘要本文提倡为有感觉统合和加工障碍的学生提供职业治疗服务和干预的概念化,以提高他们在教育环境中的职业参与和表现。通过多层次的支持系统提供一整套连续的服务选择,校本从业人员可以在适当的规划水平上提供服务。此外,感觉过程、调节过程和相关过程在发展过程中被越来越多地认识到是不可分割的联系,在为有感觉整合和处理差异的学生提供服务时是必要的。因此,为这一人群提供的服务必须包括多层次的方法,以提供一系列完整的服务提供选择,干预需要包括三个领域的策略:感觉、调节和关系。
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引用次数: 2
The Correlation between Retained Primitive Reflexes and Scholastic Performance among Early Elementary Students 小学早期学生保留原始反射与学习成绩的关系
Pub Date : 2021-08-04 DOI: 10.1080/19411243.2021.1959482
Diana R. Feldhacker, Reilly Cosgrove, Ben Feiten, Kayleigh Schmidt, Marissa Stewart
ABSTRACT Aims: The purpose of this study was to understand the frequency of reflex retention as well as the correlation between primitive reflex activity and scholastic performance. This quantitative correlational study involved 24 kindergartners and 29 first-graders (31 males and 22 females), aged 5–7 years, who were typically developing. Researchers screened for seven primitive reflexes. The Woodcock–Johnson Test of Cognitive Abilities was administered per regular scholastic testing procedures. Frequency, descriptive, group mean difference, and correlational analyses were performed. Results found that 100% of the participants had at least one active reflex, with the most common retained reflexes being STNR, ATNR R, and ATNR L. Overall, males demonstrated a higher prevalence of the majority of reflexes when compared to females though this was statistically significant for ATNR R only. Analyses found statistically significant and moderately strong correlations between ATNR retention and poorer performance in multiple areas of scholastic performance among males. Mixed and inconsistent results were found among females and by grade. The results support previous research findings and point toward a need to consider primitive reflex retention as a contributing factor when providing therapy services to support academic and scholastic performances. However, ongoing inconsistencies in the available research point to a need for further research to guide therapists in making evidence-based decisions.
摘要目的:本研究旨在了解反射保留的频率以及原始反射活动与学习成绩的相关性。本研究以24名幼儿园儿童和29名一年级学生(男31名,女22名)为研究对象,研究对象为5-7岁的典型发育儿童。研究人员筛选了七种原始反射。伍德科克-约翰逊认知能力测试是按照常规的学术测试程序进行的。进行频率分析、描述性分析、组平均差异分析和相关性分析。结果发现,100%的参与者至少有一种活跃反射,最常见的保留反射是STNR, ATNR R和ATNR l。总体而言,与女性相比,男性表现出更高的大多数反射的流行程度,尽管这仅在ATNR R上具有统计学意义。分析发现,在男性中,ATNR保留率与多个领域较差的学习成绩之间存在统计学意义和中等强度的相关性。在女性和年级之间发现了混合和不一致的结果。结果支持了先前的研究结果,并指出在提供治疗服务以支持学业成绩时,需要考虑原始反射保留作为一个促进因素。然而,现有研究中持续的不一致性表明需要进一步的研究来指导治疗师做出基于证据的决策。
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引用次数: 2
Insight into Performance of Daily Activities in Real Life of A Child with Limited Physical, Cognitive and Communication Abilities: A Case Report 一个身体、认知和沟通能力有限的儿童在现实生活中的日常活动表现:一个案例报告
Pub Date : 2021-08-03 DOI: 10.1080/19411243.2021.1941495
M. Lindenschot, I. D. de Groot, M. N. D. Nijhuis-van der Sanden, E. Steultjens, S. Koene, M. Graff
Radboud Institute for Health Sciences, Department of IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Occupational Therapy, HAN University of Applied Sciences, Nijmegen, Netherlands; Donders Center for Neuroscience, Department of Rehabilitation, Radboud University Medical Center, Nijmegen, The Netherlands; Radboud Center for Mitochondrial Medicine, Department of Pediatrics, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Clinical Genetics, Leiden University Medical Centre, Leiden, The Netherlands
荷兰奈梅亨内梅亨大学医学中心IQ保健部内梅亨健康科学研究所;HAN应用科学大学职业治疗系,荷兰奈梅亨;荷兰奈梅亨内梅亨大学医学中心康复系Donders神经科学中心;荷兰奈梅亨,奈梅亨大学医学中心儿科,奈梅亨线粒体医学中心;莱顿大学医学中心临床遗传学系,荷兰莱顿
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引用次数: 4
Visual Perceptual Skills as Predictors of Handwriting Skills of Children Grades 1-3 视觉知觉技能对1-3年级儿童书写能力的影响
Pub Date : 2021-07-26 DOI: 10.1080/19411243.2021.1959484
S. Lee
ABSTRACT The purposes of this study were to identify if correlations exist between the eight sub-components of visual perception including eye hand coordination, position in space, copying, figure ground discrimination, spatial relations, visual closure, visual motor speed and form constancy, and handwriting ability. The studies also further determined which sub-components of visual perception were best predictors of children’s handwriting abilities. In this descriptive correlational research design, 65 children in grades 1–3 were evaluated using the Evaluation Tool of Children’s Handwriting (ETCH) and the Developmental Test of Visual Perception-2 (DTVP-2) on two different occasions. The Pearson’s Product-Moment Correlation Coefficient (r) and Multiple Linear Regression: Stepwise method were used to analyze the data. The results revealed significant relationships between four subcomponents (eye-hand coordination, copying, figure-ground, and spatial relations) of visual perception and word legibility. Based on the stepwise regression analysis, the best predictors of handwriting legibility are spatial relations, visual closure, and position in space, respectively. This study can guide therapists/educators in determining which visual perceptual areas to focus on when working with children with handwriting difficulties. When evaluating children with poor handwriting, special attention should be paid to the areas of figure ground, spatial relations, visual closure, and copying as they were found to correlate significantly with handwriting legibility.
摘要:本研究旨在探讨手眼协调、空间位置、临摹、图底辨别、空间关系、视觉闭合、视觉运动速度和形式恒定性与书写能力之间的相关性。这些研究还进一步确定了哪些视觉感知的子成分是儿童书写能力的最佳预测因子。本研究采用描述性相关研究设计,对65名1-3年级儿童在两个不同场合使用儿童书写评价工具(ETCH)和视觉感知发展测验-2 (dptp -2)进行了评估。采用Pearson积矩相关系数(r)和多元线性回归逐步法对数据进行分析。结果表明,视觉知觉的四个子成分(眼手协调、摹写、图地关系和空间关系)与文字易读性之间存在显著的关系。基于逐步回归分析,空间关系、视觉闭合和空间位置分别是字迹易读性的最佳预测因子。这项研究可以指导治疗师/教育工作者在治疗有书写困难的儿童时,确定应该关注哪些视觉感知区域。在评估书写能力差的儿童时,应特别注意图形背景、空间关系、视觉封闭和复制等领域,因为它们与书写的易读性有显著的相关性。
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引用次数: 5
Occupational Therapists Tackling Childhood Obesity with School Wide Programs 职业治疗师在学校范围内解决儿童肥胖问题
Pub Date : 2021-07-26 DOI: 10.1080/19411243.2021.1959483
Ashley G. Allen
ABSTRACT Children in the United States face higher rates of childhood obesity than in other developed countries. A literature review examined eight different articles to discover why these statistics are so high and how occupational therapists can address this issue to reduce rates of childhood obesity. From the age of five, children spend almost 30 hours a week in school systems for 13 years. However, research concluded that United States school systems are lacking in physical activity time and are not being held liable to teach health education to students. Studies also verified that parents must be educated as well as students and staff, in order for children to obtain the most benefits from childhood obesity interventions. These findings attest to the need for occupational therapists to implement school wide programs to intervene with teachers, staff, students, and parents to reduce childhood obesity.
美国儿童面临着比其他发达国家更高的儿童肥胖率。一项文献综述研究了八篇不同的文章,以发现这些数据如此之高的原因,以及职业治疗师如何解决这一问题以降低儿童肥胖率。从5岁开始,孩子们在13年里每周花近30个小时在学校里。然而,研究得出的结论是,美国学校系统缺乏体育活动时间,没有向学生教授健康教育。研究还证实,为了让儿童从儿童肥胖干预措施中获得最大的好处,必须对家长、学生和工作人员进行教育。这些发现证明,职业治疗师需要在全校范围内实施项目,干预教师、员工、学生和家长,以减少儿童肥胖。
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引用次数: 0
Effects of Sensory Diets: A Single Subject Study 感官饮食的影响:一项单受试者研究
Pub Date : 2021-07-12 DOI: 10.1080/19411243.2021.1941492
Vidya Pingale, T. Fletcher, Catherine Candler, N. Pickens, Karen Dunlap
ABSTRACT To compare the effect of sensory diets on children’s sensory processing, psychosocial skills, and classroom engagement to a control intervention of non-therapeutic fine-motor or visual activities. A single-subject ABCA experimental design was used with five children attending prekindergarten through fourth-grade special education in an urban public school. Investigators measured target behaviors individualized for each participant in sensory processing skills, psychosocial skills, and classroom engagement. Data were analyzed visually and statistically. Sensory diets may have changed participants’ sensory processing, psychosocial skills, and classroom engagement behaviors. However, target behaviors for each participant responded to sensory diets differently. Control intervention of non-therapeutic fine-motor visual activities did not change these behaviors. Positive and individualized changes in sensory processing, psychosocial, and classroom engagement behaviors were noted for each of the five children when sensory diets were administered in brief sessions throughout a school day. Changes did not occur in response to control intervention sessions indicating the sensory aspects of the intervention may have had influence. Future study is needed to demonstrate a causal relationship between sensory diets and classroom behaviors.
比较感官饮食对儿童感觉加工、社会心理技能和课堂参与的影响与非治疗性精细运动或视觉活动的控制干预。采用单受试者ABCA实验设计,选取一所城市公立学校从学前班到四年级特殊教育的5名儿童。调查人员测量了每个参与者在感觉处理技能、社会心理技能和课堂参与度方面的个性化目标行为。对数据进行视觉和统计分析。感官饮食可能改变了参与者的感官处理、社会心理技能和课堂参与行为。然而,每个参与者的目标行为对感官饮食的反应是不同的。非治疗性精细运动视觉活动的对照干预没有改变这些行为。当在学校一天的短暂时间内给予感官饮食时,五个孩子的感官处理、社会心理和课堂参与行为都发生了积极和个性化的变化。对照干预课程没有发生变化,表明干预的感官方面可能产生了影响。未来的研究需要证明感官饮食和课堂行为之间的因果关系。
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引用次数: 0
Supporting Literacy Participation for Underserved Children: A Set of Guidelines for Occupational Therapy Practice 支持服务不足儿童的识字参与:一套职业治疗实践指南
Pub Date : 2021-07-05 DOI: 10.1080/19411243.2021.1934234
L. M. Arnaud MEd, MS, OTR/L, S. Gutman
ABSTRACT Children living in disenfranchised communities are at risk for growing up without developing the literacy skills they need to succeed and thrive later in life. The ability to read proficiently is a prerequisite for engagement in a myriad of meaningful occupations, financial success, and optimal health management. This set of practice guidelines provides understanding for school-based occupational therapists to begin to support pediatric literacy for elementary school children reading below grade level. The authors examine the theoretical bases underlying evaluation and intervention, which are organized according to four primary performance areas: (1) attention to teacher-led literacy lessons, (2) engagement in independent reading in the classroom, (3) academic self-concept and attitude toward reading, and (4) habits and routines supporting home literacy participation. Occupation-based intervention embeds literacy experiences in play, sensory and kinesthetic experiences, and meaningful functional and social activities. A case example is provided to illustrate these principles in practice. Pediatric literacy support is an emerging practice area in the occupational therapy profession that can have profound impact on the trajectories of children’s lives.
生活在被剥夺公民权社区的儿童,在成长过程中有可能无法培养他们在以后的生活中取得成功和繁荣所需的识字技能。熟练的阅读能力是从事大量有意义的职业、经济成功和最佳健康管理的先决条件。这套实践指南为以学校为基础的职业治疗师开始支持小学儿童阅读低于年级水平的儿童识字提供了理解。作者研究了评估和干预的理论基础,并根据四个主要表现领域进行了组织:(1)对教师主导的识字课程的关注,(2)课堂上独立阅读的参与,(3)学术自我概念和对阅读的态度,以及(4)支持家庭识字参与的习惯和惯例。基于职业的干预将识字体验嵌入到游戏、感觉和动觉体验以及有意义的功能和社会活动中。最后给出了一个实例来说明这些原理。儿童识字支持是职业治疗专业的一个新兴实践领域,可以对儿童的生活轨迹产生深远的影响。
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引用次数: 0
Toward a Conceptual Framework for Occupational Therapist-Teacher Collaborations 职业治疗师-教师合作的概念框架
Pub Date : 2021-07-05 DOI: 10.1080/19411243.2021.1934238
J. Wintle, T. Krupa, C. Deluca, H. Cramm
ABSTRACT Background. Occupational therapists and teachers often collaborate for the benefit of students. Purpose. This work aims to develop a conceptual framework for collaboration between occupational therapists and teachers in a school-based setting. Methods. A multiple method, qualitative methodology was employed. An integrative analysis of findings between a scoping review and interviews of occupational therapists (n = 5), teachers (n = 5), and parents of students receiving school-based occupational therapy (n = 3) was conducted to develop a conceptual model. Findings. The conceptual framework describes the enabling factors and tensions in collaboration while emphasizing the centrality of both trust and co-equal status between collaborating occupational therapists and teachers. Implications. This conceptual framework may be used to better understand collaboration between occupational therapists and teachers and may be used to inform policy on school-based occupational therapy.
抽象的背景。职业治疗师和教师经常为了学生的利益而合作。目的。这项工作旨在为职业治疗师和教师在学校环境中的合作建立一个概念框架。方法。采用多方法定性研究方法。本研究对职业治疗师(n = 5)、教师(n = 5)和接受校本职业治疗的学生家长(n = 3)的调查结果进行了综合分析,以建立一个概念模型。发现。概念框架描述了合作中的促成因素和紧张关系,同时强调了合作职业治疗师和教师之间信任和共同平等地位的中心地位。的影响。这一概念框架可用于更好地理解职业治疗师和教师之间的合作,并可用于为基于学校的职业治疗政策提供信息。
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引用次数: 2
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Journal of occupational therapy, schools & early intervention
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