职业作为儿科职业治疗的手段和目的-系统回顾。

IF 1.9 4区 医学 Q2 REHABILITATION
E Fischer, D Green, F Lygnegård
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引用次数: 0

摘要

背景:在儿科职业治疗中,关于使用日常活动作为一种治疗方式来提高儿童参与的干预措施的有效性,缺乏基于证据的知识。目的:本研究旨在评估以职业为基础和以职业为重点的干预措施在改善残疾儿童日常职业参与方面的有效性。材料和方法:基于乔安娜布里格斯研究所的方法和关键的评估工具进行了系统的回顾。在六个数据库中搜索了旨在通过使用日常职业改善残疾幼儿参与日常职业的定量干预研究。结果:检索到3732条记录,其中13项研究符合纳入标准。10项研究符合方法学质量标准,纳入综合研究,5项随机对照试验和5项准实验研究,共涉及424名平均年龄为6.5岁的儿童。这些研究分为认知干预(n = 5)、情境干预(n = 2)和游戏小组干预(n = 3)。研究质量从低到中等,只有一项研究被评为高质量。结论和意义:基于职业和以职业为中心的干预措施可能对残疾幼儿参与日常职业有积极影响,但研究设计、偏倚风险和报告不足限制了证据体的可信度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Occupation as means and ends in paediatric occupational therapy - A systematic review.

Background: There is a lack of evidence-based knowledge in paediatric occupational therapy about the effectiveness of interventions using daily activities as a treatment modality in improving children's participation.

Objective: This study aimed to evaluate the effectiveness of occupation-based and occupation-focused interventions in improving participation in everyday occupations for young children with a disability.

Material and methods: A systematic review based on Joanna Briggs Institute methodology and critical appraisal tools was conducted. Six databases were searched for quantitative intervention studies aimed at improving participation in everyday occupations of young children with a disability through the use of everyday occupation.

Results: The search yielded 3732 records, of which 13 studies met inclusion criteria. Ten studies met methodological quality criteria and were included in the synthesis, five randomised controlled trials and five quasi-experimental studies, involving a total of 424 children with a mean age of 6.5 years. The studies were classified into cognitive (n = 5), context-focussed (n = 2) and playgroup interventions (n = 3). Study quality ranged from low to moderate, only one study was rated high quality.

Conclusions and significance: Occupation-based and occupation-focused interventions may have a positive effect on participation in everyday occupations for young children with a disability, but study design, risk of bias and insufficient reporting limit confidence in the body of evidence.

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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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