Perspectives of children with physical disabilities, parents and physiotherapists on use of walkers and their potential to increase physical activity. A qualitative exploration.

IF 1.3 4区 医学 Q3 NURSING
Journal of Child Health Care Pub Date : 2024-06-01 Epub Date: 2022-08-17 DOI:10.1177/13674935221117868
Marilyn Bradbury, Stephanie Tierney
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引用次数: 0

Abstract

Children with physical disabilities are less physically active than children with typical development. How children's experiences of using walkers relates to their physical activity has not been studied previously. This study aimed to explore perspectives of walker use and their potential to increase physical activity. Four focus groups were conducted with children aged 7-10 (n = 3; 12.5%), aged 9-12 (n = 4; 16.7%), parents (n = 7; 29.2%) and paediatric physiotherapists (n = 10; 41.7%). Groups were audio recorded and transcribed. Data were analysed using framework analysis. An overarching concept of walkers needing flexibility to accommodate individual, interpersonal and environmental variability was underpinned by three themes: (a) contrasting drivers for use/non-use of walkers, (b) trade-offs, (c) acceptance of technology within walkers to increase physical activity. Participants were motivated by differing drivers: social for children, emotional for parents and professional for physiotherapists. These contrasting drivers create trade-offs, for example between quality of movement and independence. To maximise physical activity, walker prescribers and designers should prioritise drivers that motivate children and parents, ensuring goal setting is family-centred and participation orientated. Involving families in co-designing walkers is therefore important. Individual clinical assessment allows for identification of children's specific needs and how a child's, parent's and physiotherapist's goals may differ.

肢体残疾儿童、家长和物理治疗师对助行器的使用及其增加体育活动的潜力的看法。定性探索。
与发育正常的儿童相比,肢体残疾儿童的体育活动较少。儿童使用助行器的经历与他们的体育活动有什么关系,以前还没有研究过。本研究旨在探讨使用助行器的观点及其增加体育活动的潜力。研究人员与 7-10 岁儿童(n=3;12.5%)、9-12 岁儿童(n=4;16.7%)、家长(n=7;29.2%)和儿科物理治疗师(n=10;41.7%)进行了四次焦点小组讨论。对小组讨论进行了录音和转录。数据采用框架分析法进行分析。学步车需要灵活性以适应个人、人际和环境的变化这一总体概念由三个主题支撑:(a) 使用/不使用学步车的不同驱动因素,(b) 权衡利弊,(c) 接受学步车中的技术以增加体力活动。参与者的动机各不相同:对儿童而言是社交动机,对父母而言是情感动机,对物理治疗师而言是专业动机。这些截然不同的驱动力造成了取舍,例如在运动质量和独立性之间的取舍。为了最大限度地提高身体活动量,助行器的处方者和设计者应优先考虑能够激励儿童和家长的驱动因素,确保目标设定以家庭为中心,以参与为导向。因此,让家庭参与到助行器的共同设计中非常重要。通过个人临床评估,可以确定儿童的具体需求,以及儿童、家长和物理治疗师的目标可能有何不同。
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
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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