Key elements of Goal-Directed Training for children with cerebral palsy: A qualitative content analysis.

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy Pub Date : 2025-01-01 Epub Date: 2024-10-08 DOI:10.1177/03080226241269239

Louise Ogilvie, Simon Garbellini, Leanne Sakzewski, Sue-Anne Davidson, Catherine Elliottt

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引用次数: 0

Abstract

Background: Goal-directed training is an evidence-based occupational therapy intervention for children with cerebral palsy targeting motor performance and goal attainment. There is variability and limited description on goal-directed training delivery within the studies who found it a successful intervention. The aim of this study was to establish the who, what, why and how of goal directed training according to practicing occupational therapists.

Methods: Occupational therapists currently delivering goal-directed training to children with cerebral palsy were recruited. Qualitative data were collected from structured, open-ended interviews and analysed through content analysis. Themes and consensus answers were elicited and mapped to the Template for Intervention Description and Replication checklist.

Results: Four key elements were identified as essential for goal-directed training: goal setting, task analysis, active intervention and evaluation. Within each area, occupational therapists provided rich descriptions of what these elements looked like in practice. Despite having a clear understanding of goal-directed training, some barriers to implementation were identified.

Conclusion: Occupational therapists identified key elements and barriers to implementing goal-directed training in their practice. It is recommended that further support and training is provided to ensure that occupational therapists deliver goal-directed training with high fidelity.

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脑瘫儿童目标导向训练的关键要素：定性内容分析。

背景：目标导向训练是针对脑瘫儿童运动表现和目标实现的循证职业治疗干预。在发现目标导向培训是一种成功干预的研究中，目标导向培训的交付存在可变性和有限的描述。本研究的目的是根据执业职业治疗师建立目标导向培训的对象、内容、原因和方式。方法：招募目前为脑瘫儿童提供目标导向培训的职业治疗师。定性数据从结构化的开放式访谈中收集，并通过内容分析进行分析。主题和共识答案被引出，并映射到模板干预描述和复制检查表。结果：确定了目标导向培训的四个关键要素：目标设定、任务分析、积极干预和评估。在每个领域中，职业治疗师都提供了丰富的描述，说明这些元素在实践中是什么样子的。尽管对目标导向的培训有了清晰的认识，但仍确定了实施的一些障碍。结论：职业治疗师确定了在实践中实施目标导向培训的关键因素和障碍。建议提供进一步的支持和培训，以确保职业治疗师以高保真度提供目标导向的培训。

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

British Journal of Occupational Therapy REHABILITATION-

CiteScore

2.20

自引率

15.40%

发文量

审稿时长

6-12 weeks

期刊介绍： British Journal of Occupational Therapy (BJOT) is the official journal of the Royal College of Occupational Therapists. Its purpose is to publish articles with international relevance that advance knowledge in research, practice, education, and management in occupational therapy. It is a monthly peer reviewed publication that disseminates evidence on the effectiveness, benefit, and value of occupational therapy so that occupational therapists, service users, and key stakeholders can make informed decisions. BJOT publishes research articles, reviews, practice analyses, opinion pieces, editorials, letters to the editor and book reviews. It also regularly publishes special issues on topics relevant to occupational therapy.