Anaby Dana R, Law Mary C, Majnemer Annette, Feldman Debbie
Can J Occup Ther. 2016 Apr;83(2):83-90. doi: 10.1177/0008417415608653. Epub 2015 Oct 21.
While participation in leisure activities is beneficial to youth's health, little is known about effective intervention strategies to promote participation.
The aim of this study was to examine the effectiveness of environment-based interventions on participation of youth with physical disabilities.
Six adolescents ages 14 to 17 years participated in a 12-week intervention aimed at removing environmental barriers and coaching parents. An interrupted time series design was employed and a systematic replication of the intervention effect was examined across three individualized participation goals and across participants (17 goals overall). Goal performance was measured repeatedly using the Canadian Occupational Performance Measure and analyzed using visual inspection and a celeration line approach.
A clinically significant improvement in performance scores (M = 4.5, SD = 1.77) was observed across all 17 goals, and a statistically significant treatment effect was replicated in 13 goals (76%).
Findings support the effectiveness of environment-based interventions in promoting youth participation, but larger studies are required.
虽然参与休闲活动有益于青少年的健康，但对于促进参与的有效干预策略却知之甚少。
本研究的目的是检验基于环境的干预措施对身体残疾青少年参与度的有效性。
六名年龄在14至17岁的青少年参与了一项为期12周的干预措施，旨在消除环境障碍并指导家长。采用了中断时间序列设计，并在三个个性化参与目标以及所有参与者（总共17个目标）中检验了干预效果的系统复制情况。使用加拿大职业表现测量法反复测量目标表现，并通过目视检查和加速度线方法进行分析。
在所有17个目标中均观察到表现得分有临床显著改善（M = 4.5，SD = 1.77），并且在13个目标（76%）中复制到了具有统计学意义的治疗效果。
研究结果支持基于环境的干预措施在促进青少年参与方面的有效性，但需要更大规模的研究。
