Physical & Occupational Therapy in Pediatrics最新文献

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Occupational Experiences and Attributions of Typically Developing Adolescents. 典型发展青少年的职业经验与归因。
IF 1.5 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-02-12 DOI: 10.1080/01942638.2025.2463347
Jennifer Budman, Shahar Zaguri-Vittenberg, Adina Maeir, Miri Tal-Saban
{"title":"Occupational Experiences and Attributions of Typically Developing Adolescents.","authors":"Jennifer Budman, Shahar Zaguri-Vittenberg, Adina Maeir, Miri Tal-Saban","doi":"10.1080/01942638.2025.2463347","DOIUrl":"10.1080/01942638.2025.2463347","url":null,"abstract":"<p><strong>Background: </strong>Understanding the occupational experience of typically developing adolescents and their attributions of strengths and difficulties is important for promoting their adaptive occupational participation.</p><p><strong>Objectives: </strong>To explore the psychometric properties of the Self-Perception of Occupational Experiences for Teens (SPOT) interview, occupational experiences, attributions of strengths and difficulties, and strategies for managing challenges among typically developing adolescents.</p><p><strong>Methodology: </strong>83 typically developing adolescents underwent the Self-Perception of Occupational experiences for Teens interview. Descriptive statistics and qualitative content analysis were used to analyze the data.</p><p><strong>Results: </strong>Acceptable to good internal consistency was found across all SPOT domains and scales and moderate correlations among all scales within the four domains. Descriptive analyses showed high ratings across domains, with social activities reported the most enjoyable and activities of daily living the least difficult. Leisure and social domains were the most frequently reported as strengths, while education was the most difficult. Emerged themes from qualitative analyses were internal attributes, external attributes, and motivation. Connecting with others and personal values were rated as most effective strategies for overcoming challenges.</p><p><strong>Conclusions: </strong>Aligning interventions with adolescents' attributions and challenges may enhance their motivation and engagement, promoting adaptive participation.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"468-482"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bimanual Coordination in Children with Bilateral Cerebral Palsy: A Cross-Sectional Study. 双侧脑瘫儿童的双足协调能力:横断面研究
IF 1.5 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-07-15 DOI: 10.1080/01942638.2024.2376062
Grace-Anne M Herard, Ya-Ching Hung, Marina B Brandao, Andrew M Gordon
{"title":"Bimanual Coordination in Children with Bilateral Cerebral Palsy: A Cross-Sectional Study.","authors":"Grace-Anne M Herard, Ya-Ching Hung, Marina B Brandao, Andrew M Gordon","doi":"10.1080/01942638.2024.2376062","DOIUrl":"10.1080/01942638.2024.2376062","url":null,"abstract":"<p><strong>Aim: </strong>To compare bimanual coordination in children with bilateral cerebral palsy (BCP) with that of children with typical development (TD) and correlate bimanual coordination with clinical measures of hand function.</p><p><strong>Methods: </strong>3-D kinematic data were collected from 14 children with BCP (mean age 13 years 1 month; range 7.3-17.2 years, 5 females) and 14 age-matched children with TD (mean age 13 years 1 month, range 7.0-16.0 years, 7 females) as they opened a drawer with one hand and activated a switch inside it with the other hand at self-paced and as-fast-as-possible speeds. Hand roles varied in each condition. Participants' hand function levels were classified using the Manual Ability Classification System. Unimanual dexterity and bimanual performance were evaluated using the Box and Blocks Test and Both Hands Assessment respectively.</p><p><strong>Results: </strong>Participants with BCP performed the bimanual task more slowly (<i>p</i> < 0.001) and sequentially, as evidenced by greater time differences between the two hands achieving the end goal (<i>p</i> = 0.01). Faster speeds, particularly when the less affected hand opened the drawer, facilitated time-related measures of bimanual coordination (<i>p</i> < 0.05). Bimanual coordination correlated with all clinical measures of hand function (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>For children with BCP, speed and hand used for each subcomponent of the task influence bimanual coordination. Better bimanual coordination is associated with less impairment of both hands.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"68-83"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Creation of an Individualized School Plan for Optimal Inclusion of Students with Osteogenesis Imperfecta. 制定个性化学校计划,优化骨发育不全学生的融入。
IF 1.5 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-08-11 DOI: 10.1080/01942638.2024.2389881
G Osman, J Chemtov, C Mercier, J Collins, T Wong, V Gagnon, S Thierry, C Poitras-Quiniou, U Steen, O de Vries, V Quann, M Barbu, F Rauch, A Tsimicalis
{"title":"The Creation of an Individualized School Plan for Optimal Inclusion of Students with Osteogenesis Imperfecta.","authors":"G Osman, J Chemtov, C Mercier, J Collins, T Wong, V Gagnon, S Thierry, C Poitras-Quiniou, U Steen, O de Vries, V Quann, M Barbu, F Rauch, A Tsimicalis","doi":"10.1080/01942638.2024.2389881","DOIUrl":"10.1080/01942638.2024.2389881","url":null,"abstract":"<p><strong>Aims: </strong>The aims of this study were to: (1) synthesize existing evidence regarding the integration of students with osteogenesis imperfecta (OI) into the school setting, (2) tabulate existing school integration tools for OI, and (3) create an individualized school plan to facilitate school integration.</p><p><strong>Methods: </strong>Guided by the process of developing evidence-informed guidelines, an international, interprofessional, expert task force was convened. The process entailed: (1) reviewing of the literature, (2) developing recommendations, and (3) creating a clinically meaningful, person-focused plan to facilitate the integration and promotion of school inclusivity. The 13-member task force relied on empirical studies, grey literature, and their experiential knowledge (from clinical, teaching or patient experiences) to devise the plan.</p><p><strong>Results: </strong>Over a series of eight meetings and five drafts, the Task Force prioritized 14 core items for inclusion. These items consisted of general student information, fracture response protocol, student inclusion recommendations, mobility considerations, transfer considerations, toileting protocol, physical education recommendations, fieldtrip information, transportation considerations, evacuation plan, environmental and scholarly considerations, consent and authorization, and an annual renewal document.</p><p><strong>Conclusion: </strong>Further research is recommended to pilot the plan, solicit ongoing feedback, implement and evaluate the plan into routine education and health care practices.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"84-101"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceived Activity Competence and Participation in Everyday Activities of Children With and Without Neurodevelopmental Disorders. 有或无神经发育障碍儿童的感知活动能力和日常活动参与。
IF 1.5 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-02-26 DOI: 10.1080/01942638.2025.2466553
Lin-Ju Kang, Mats Granlund, Karina Huus, Shakila Dada
{"title":"Perceived Activity Competence and Participation in Everyday Activities of Children With and Without Neurodevelopmental Disorders.","authors":"Lin-Ju Kang, Mats Granlund, Karina Huus, Shakila Dada","doi":"10.1080/01942638.2025.2466553","DOIUrl":"10.1080/01942638.2025.2466553","url":null,"abstract":"<p><strong>Aim: </strong>To compare children with and without neurodevelopmental disorders (NDD) in self-rated activity competence, participation, and the associations between activity competence and participation.</p><p><strong>Methods: </strong>This cross-sectional study included 126 children with NDD and 115 without NDD, aged 6-12 years, who completed interviews with the Perceived Efficacy and Goal Setting System (PEGS) and Picture My Participation (PmP). Independent <i>t</i>-tests or Mann-Whitney U tests examined group differences in the PEGS and PmP scores. Correlation and regression analyses examined associations between the PEGS and PmP scores.</p><p><strong>Results: </strong>Children with NDD perceived lower physical competence than children without NDD, particularly in self-care (<i>d</i> = 0.80) and leisure (<i>d</i> = 0.66). The two groups did not differ in participation. Both groups demonstrated significant correlations between perceived activity competence and attendance (<i>r</i> = 0.21-0.49) and involvement (<i>r</i> = 0.19-0.53); significantly lower correlations were observed in children with NDD than those without (<i>d</i> = 0.22-0.28). Perceived activity competence significantly influenced attendance (<i>β</i> = 0.365) and involvement (<i>β</i> = 0.391).</p><p><strong>Conclusions: </strong>Children with NDD perceived less competency than peers without NDD. Children's perceived activity competence is correlated bi-directionally with perceived participation. Clinicians can support competence to promote participation, or by supporting participation, the competence can be enhanced.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"498-516"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of Early Intervention Program Services in Mother-Child Health Care Centers for At-Risk Population: Multiple Perspectives. 高危人群母婴保健中心早期干预项目服务的质量:多重视角。
IF 1.5 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-03-10 DOI: 10.1080/01942638.2025.2473934
Anat Golos, Rana Tartir, Maria Fadwa Abo-Halka, Esti Tekuzener
{"title":"Quality of Early Intervention Program Services in Mother-Child Health Care Centers for At-Risk Population: Multiple Perspectives.","authors":"Anat Golos, Rana Tartir, Maria Fadwa Abo-Halka, Esti Tekuzener","doi":"10.1080/01942638.2025.2473934","DOIUrl":"10.1080/01942638.2025.2473934","url":null,"abstract":"<p><strong>Aims: </strong>Mother-Child Health Centers in Israel offer comprehensive health-care services, including unique screening programs that serve as important preventive services for families of lower socioeconomic status. This study aimed to explore the service quality regarding family-centered care and professionalism from the perspectives of parents, providers, and observers.</p><p><strong>Methods: </strong>Eighty-nine Arabic-speaking parents of children (<i>M</i> = 17.4, <i>SD</i> = 11.7) from East Jerusalem completed socio-demographic, self-efficacy, care, and child development questionnaires. Five providers completed demographic-professional and care questionnaires; two occupational therapists completed observation forms.</p><p><strong>Results: </strong>Most parents reported moderate self-efficacy, and half of the children had suspected/detected developmental delays. Parents rated enabling, partnership and respectful care highly, with low scores for providing information. Observations indicated higher scores for professional referrals and listening to parents, but lower scores for providing adapted-written information. Content analysis revealed two main categories knowledge provision and parent-provider interaction with sub-categories.</p><p><strong>Conclusion: </strong>This study highlights the value of assessing early intervention services from multiple perspectives, confirming that high-quality interaction between recipients and providers is essential for successful family-centered services, while emphasizing the need for socio-cultural adjustments. Further research involving large samples of providers and diverse at-risk populations, and long-term assessment is recommended to refine and enhance these services.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"541-557"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Feasibility of a Yoga Intervention for Children and Adolescents Undergoing Hematopoietic Cell Transplant. 瑜伽干预对接受造血细胞移植的儿童和青少年的可行性。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-04-24 DOI: 10.1080/01942638.2025.2489999
Tricia Easley, Ann Haight, Tara Hall, Kim Palmer, Jessica Konter, Rebecca Hayes, Jennifer L Nelson, Brooke Cherven
{"title":"Feasibility of a Yoga Intervention for Children and Adolescents Undergoing Hematopoietic Cell Transplant.","authors":"Tricia Easley, Ann Haight, Tara Hall, Kim Palmer, Jessica Konter, Rebecca Hayes, Jennifer L Nelson, Brooke Cherven","doi":"10.1080/01942638.2025.2489999","DOIUrl":"10.1080/01942638.2025.2489999","url":null,"abstract":"<p><strong>Aims: </strong>Interventions to support function and quality of life among pediatric patients undergoing hematopoietic cell transplant (HCT) are a priority. The purpose of this study was to evaluate the feasibility of a structured, individualized yoga intervention for children/adolescents undergoing HCT.</p><p><strong>Methods: </strong>Patients ages 8-17 years hospitalized for HCT participated in either phase one (standard of care [SOC] group) or phase two (yoga group) of the study. Feasibility outcomes included recruitment rates, number/intensity of yoga sessions completed, and patient satisfaction. Participants in both groups completed functional outcome and quality of life (QOL) measures.</p><p><strong>Results: </strong>All participants approached for the study agreed to participate, with 22 in the SOC group and 8 in the yoga group. On average, yoga participants completed 5.3 ± 2.8 sessions, the majority of moderate intensity. Most yoga participants reported the overall program, breathing, and relaxation strategies as helpful (83.3%) and supported their ability to move (66.7%). There were functional gain trends noted from baseline to time point 3 among the yoga group not observed in the SOC group.</p><p><strong>Conclusions: </strong>Yoga is feasible as a therapeutic intervention for hospitalized pediatric patients undergoing HCT. Functional assessment data, if streamlined, may be a relevant outcome for future yoga interventions.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"729-744"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Use of Evaluation Methods for Physiotherapy Treatment in Infants With Bronchiolitis-a Survey Study. 支气管炎婴儿物理治疗评估方法的使用--一项调查研究。
IF 1.5 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-08-11 DOI: 10.1080/01942638.2024.2386475
Sonja Andersson Marforio, Eva Ekvall Hansson, Annika Lundkvist Josenby
{"title":"The Use of Evaluation Methods for Physiotherapy Treatment in Infants With Bronchiolitis-a Survey Study.","authors":"Sonja Andersson Marforio, Eva Ekvall Hansson, Annika Lundkvist Josenby","doi":"10.1080/01942638.2024.2386475","DOIUrl":"10.1080/01942638.2024.2386475","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to identify and describe methods that physiotherapists use to evaluate the immediate effects of their interventions for infants in hospital with acute respiratory tract infections.</p><p><strong>Methods: </strong>We constructed an anonymous digital survey to physiotherapists working with infants aged 0-24 months in Sweden. The survey was distributed by e-mail and posted on web pages for seven weeks, which included a reminder.</p><p><strong>Results: </strong>Replies were obtained from 88 respondents, and 52 completed surveys remained to be analyzed. All 21 counties in Sweden were represented. The most prevalent answer options were as follows: more productive/increased or decreased cough (73%), increased oxygen saturation (35%), changed secretion sounds (33%), reduced work of breathing (20%), and parental report (16%).</p><p><strong>Conclusions: </strong>The physiotherapists reported to use diverse methods for evaluation of their interventions. However, to a large degree they used subjective measures, which depend on the individual clinician's assessment and interpretation. The evaluation methods vary in psychometric properties and robustness. This study identifies the need for consensus about valid, reliable, and clinically relevant evaluation methods for this patient group.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"55-67"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Responsiveness of the Seated Postural & Reaching Control Test in Children with Cerebral Palsy: A Preliminary Study. 脑性麻痹儿童坐位与伸手对照试验的反应性初步研究。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-05-19 DOI: 10.1080/01942638.2025.2498356
Victor Santamaria, Jaya Rachwani, Madeline Irmen, Wajiha Khatri, Jazmin Stepchuk, Geoffroy Saussez, Yannick Bleyenheuft, Andrew M Gordon, Marjorie Woollacott
{"title":"Responsiveness of the Seated Postural & Reaching Control Test in Children with Cerebral Palsy: A Preliminary Study.","authors":"Victor Santamaria, Jaya Rachwani, Madeline Irmen, Wajiha Khatri, Jazmin Stepchuk, Geoffroy Saussez, Yannick Bleyenheuft, Andrew M Gordon, Marjorie Woollacott","doi":"10.1080/01942638.2025.2498356","DOIUrl":"10.1080/01942638.2025.2498356","url":null,"abstract":"<p><strong>Aims: </strong>To examine the responsiveness of the Seated Postural & Reaching Control (SP&R-co) test in children with cerebral palsy (CP) classified at levels III to V on the Gross Motor Function Classification System (GMFCS).</p><p><strong>Methods: </strong>Eleven children received a motor learning-based intervention. Expert and blinded raters scored pre- and post-intervention SP&R-co test videos. Responsiveness was measured with paired <i>t-</i>tests, and effect sizes with Cohen's d. Minimum Clinically Important Differences (MCIDs) were estimated for SP&R-co overall and dimension scores.</p><p><strong>Results: </strong>The SP&R-co test was responsive to group improvement in sitting-related postural and reaching control (SP&R-co overall = 48.9 points, <i>p</i> < 0.001). It captured increases in the active (change = 2.4 points, <i>p</i> = 0.040), proactive: bimanual (change = 10.5 points, <i>p</i> = 0.001), proactive: unimanual (change = 19.8 points, <i>p</i> < 0.001), and reactive (change = 15.3 points, <i>p</i> = 0.016) dimensions. Most children showed overall score improvements exceeding the MCID value, whereas clinical improvements in dimension scores varied across children with different GMFCS levels.</p><p><strong>Conclusions: </strong>This preliminary study shows that the SP&R-co test is responsive to clinical changes in postural and reaching control strategies in children with CP who can follow test directions and are classified as GMFCS levels III-V.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"612-627"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Active Start Active Future: Feasibility of a Behaviour-Change Intervention to Reduce Sedentary Behaviour and Promote Physical Activity in Young Children with Cerebral Palsy. 积极的开始积极的未来:行为改变干预在脑瘫幼儿中减少久坐行为和促进身体活动的可行性。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-05-26 DOI: 10.1080/01942638.2025.2506061
Sarah E Reedman, Gaela M Kilgour, Sjaan Gomersall, Leanne Sakzewski, Stewart G Trost, Roslyn N Boyd
{"title":"Active Start Active Future: Feasibility of a Behaviour-Change Intervention to Reduce Sedentary Behaviour and Promote Physical Activity in Young Children with Cerebral Palsy.","authors":"Sarah E Reedman, Gaela M Kilgour, Sjaan Gomersall, Leanne Sakzewski, Stewart G Trost, Roslyn N Boyd","doi":"10.1080/01942638.2025.2506061","DOIUrl":"10.1080/01942638.2025.2506061","url":null,"abstract":"<p><strong>Aims: </strong>Children with cerebral palsy (CP) have low physical activity (PA) and high sedentary behavior. The aim was to trial a participation-focused behavior-change intervention to increase PA and decrease sedentary behavior.</p><p><strong>Methods: </strong>Twelve children with CP were recruited (mean age 5 years 6 months ± 1 year 2 months, Gross Motor Function Classification System [GMFCS] levels <i>I</i> = 1, II = 1, III = 1, IV = 4, V = 5); eight with complete post-intervention data (mean 5 years 10 months ± 1 year 4 months, GMFCS <i>I</i> = 1, III = 1, IV = 4, V = 2). Children received 8 weekly sessions targeting individualized PA participation goals in a pre-post feasibility trial. Outcomes included: implementation, effectiveness (Canadian Occupational Performance Measure [COPM]), device-measured PA, goal confidence, quality of life, and barriers to PA participation. Semi-structured interviews explored acceptability and were analyzed thematically.</p><p><strong>Results: </strong>Implementation was feasible with ≥90% sessions attended and high enjoyment (89.5%). After 8 wk, COPM goal performance (mean difference [MD] = 2.9, 95% CI 0.7, 5.0; <i>p</i> = 0.02), satisfaction with performance (MD = 3.0, 95% CI 1.6, 4.4; <i>p</i> = 0.002), and confidence (MD = 1.4, 95% CI 0.4, 2.5; <i>p</i> = 0.02) significantly increased with no change in other outcomes. All six caregivers interviewed reported the intervention to be acceptable.</p><p><strong>Conclusions: </strong>Active Start Active Future was feasible to conduct, acceptable and showed preliminary evidence to improve PA in young children with CP.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"745-768"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parent-Mediated Occupational Therapy Interventions for Children with Developmental Disabilities: A Scoping Review. 针对发育障碍儿童的家长主导型职业疗法干预:范围审查》。
IF 1.5 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-07-16 DOI: 10.1080/01942638.2024.2378063
Hessah M Bin Zuair, Joanne M Baird, Angela R Caldwell
{"title":"Parent-Mediated Occupational Therapy Interventions for Children with Developmental Disabilities: A Scoping Review.","authors":"Hessah M Bin Zuair, Joanne M Baird, Angela R Caldwell","doi":"10.1080/01942638.2024.2378063","DOIUrl":"10.1080/01942638.2024.2378063","url":null,"abstract":"<p><strong>Aim: </strong>This scoping review synthesizes literature about occupational therapy parent-mediated interventions (PMIs) that target occupation-based outcomes for children with developmental disabilities (DD).</p><p><strong>Methods: </strong>A search of PubMed, Web of Science, and CINAHL from 2010 through 2023 was performed resulting in 471 publications. Studies were included if they involved PMIs for participants with DD aged 3-12 years and were published in English. Studies were excluded if the outcomes were not occupation-based. A thematic analysis was conducted following an iterative review of charted data.</p><p><strong>Results: </strong>Twelve studies met the inclusion criteria reflecting four themes across occupational therapy PMIs, including variation in terminologies, types of PMIs, key components of PMIs, and the overall impact. While the effects of PMIs are difficult to define due to the variability in the samples, interventions, and outcomes, this review suggests general positive impacts of PMIs.</p><p><strong>Conclusion: </strong>The emerging body of evidence supporting PMIs within the field of occupational therapy suggests they are feasible and have the potential to improve child and parent outcomes when delivered to children with DD. Further research is needed to clarify PMIs' components, unify the identification terminology, and test the efficacy of different types of PMIs for specific populations.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"5-21"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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