Occupational Therapists Enhance Comprehensive Health Assessments for Children in Foster Care.

IF 1.5 4区医学 Q2 PEDIATRICS

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-02 DOI:10.1080/01942638.2024.2447022

Kristine Fortin, Teniola Egbe, Nicole Briskin, Anne-Ashley Field, Jordan Wentz, Judith Dawson, Susan Friedman, M Katherine Henry

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引用次数: 0

Abstract

Aims: Children in foster care (CFC) have prevalent developmental health needs. Comprehensive health assessments (CHA) that include development evaluation are recommended for CFC. The impact of adding occupational therapy (OT) to multidisciplinary CHA teams is unknown. We aimed to describe findings from OT evaluations performed as part of CHA for CFC and determine if OT evaluation influences developmental health recommendations.

Methods: Retrospective study at a clinic for CFC that included 335 children with OT evaluation during their CHA and 217 without OT evaluation due to limited availability. OTs performed developmental components of CHA using observation and standardized testing. We used descriptive statistics, and chi-square and Fisher's exact tests to compare developmental health recommendations between patients with and without OT assessment.

Results: Median age was 8.3 years (range 0, 19). At least one aspect of development was delayed in 230/335 (69%) children evaluated by OT. OTs provided strategies to strengthen development to 74% of evaluated youth. Children seen by OT received significantly more developmental referrals compared to controls (38% versus 58%, p<.001).

Conclusions: Our findings suggest rehabilitation specialists such as OTs can enhance detection of developmental needs and provide strategies to strengthen development when included in CHA for CFC.

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职业治疗师加强对寄养儿童的全面健康评估。

目的：寄养儿童（CFC）有普遍的发展健康需求。建议对氟氯化碳进行综合健康评估（CHA），包括发展评价。在多学科CHA团队中加入职业治疗（OT）的影响尚不清楚。我们的目的是描述作为CFC CHA的一部分的OT评估的结果，并确定OT评估是否影响发育健康建议。方法：在一家CFC临床进行回顾性研究，其中包括335名在CHA期间进行了OT评估的儿童和217名因可用性有限而未进行OT评估的儿童。OTs通过观察和标准化测试来执行CHA的发展成分。我们使用描述性统计、卡方检验和Fisher精确检验来比较有和没有进行OT评估的患者的发育健康建议。结果：中位年龄8.3岁（范围0 ~ 19岁）。经OT评估的儿童中有230/335（69%）至少有一个方面发育迟缓。海外发展组织向接受评估的74%青年提供了加强发展的战略。与对照组相比，接受门诊治疗的儿童获得了更多的发育转诊（38%对58%）。结论：我们的研究结果表明，当接受门诊治疗的儿童被纳入CHA时，康复专家（如门诊医生）可以增强对发展需求的检测，并提供加强发展的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical & Occupational Therapy in Pediatrics PEDIATRICS-REHABILITATION

CiteScore

3.70

自引率

4.80%

发文量

审稿时长

>12 weeks

期刊介绍： 5 issues per year Abstracted and/or indexed in: AMED; British Library Inside; Child Development Abstracts; CINAHL; Contents Pages in Education; EBSCO; Education Research Abstracts (ERA); Education Resources Information Center (ERIC); EMCARE; Excerpta Medica/EMBASE; Family and Society Studies Worldwide; Family Index Database; Google Scholar; HaPI Database; HINARI; Index Copernicus; Intute; JournalSeek; MANTIS; MEDLINE; NewJour; OCLC; OTDBASE; OT SEARCH; Otseeker; PEDro; ProQuest; PsycINFO; PSYCLINE; PubsHub; PubMed; REHABDATA; SCOPUS; SIRC; Social Work Abstracts; Speical Educational Needs Abstracts; SwetsWise; Zetoc (British Library); Science Citation Index Expanded (also known as SciSearch®); Journal Citation Reports/Science Edition; Social Sciences Citation Index®; Journal Citation Reports/ Social Sciences Edition; Current Contents®/Social and Behavioral Sciences; Current Contents®/Clinical Medicine