Anaby Dana, Law Mary, Teplicky Rachel, Turner Laura
School of Physical and Occupational Therapy, McGill University, 3654 Promenade Sir-William-Osler, Montreal, QC H3G 1Y5, Canada.
CanChild Centre for Childhood Disability Research, McMaster University, 1400 Main Street West, Hamilton, ON L8S 1C7, Canada.
Int J Environ Res Public Health. 2015 Oct 23;12(10):13388-98. doi: 10.3390/ijerph121013388.
The environment plays a key role in supporting children's participation and can serve as a focus of intervention. This study aimed to elicit the perceptions and experiences of occupational therapists who had applied the PREP approach--Pathways and Resources for Engagement and Participation. PREP is a novel 12-week intervention for youth with physical disabilities, aimed at improving participation in leisure community-based activities by modifying aspects of the environment. Using a qualitative post-intervention only design, 12 therapists took part in individual semi-structured interviews, in which the therapists reflected on their experience using PREP to enable participation. A thematic analysis was conducted. Four themes emerged from the data; two of which were informative in nature, describing elements of the PREP intervention that target multi-layered composition of the environment and use strategies that involve leveraging resources and problem solving. The two remaining themes were reflective in nature, illustrating a new take on the Occupational Therapy role and re-positioning the concept of participation in therapy practices. Results emphasize aspects of the environment that can serve as effective targets of intervention, guided by the PREP approach. Findings can broaden the scope and focus of occupational therapy practice by redefining views on participation and the environment.
环境在支持儿童参与方面起着关键作用，并且可以作为干预的重点。本研究旨在了解应用PREP方法（参与和融入途径与资源）的职业治疗师的看法和经验。PREP是一项针对身体残疾青少年的为期12周的新型干预措施，旨在通过改变环境因素来提高其在基于社区的休闲活动中的参与度。采用仅干预后定性设计，12名治疗师参与了个人半结构化访谈，治疗师们在访谈中反思了他们使用PREP促进参与的经验。进行了主题分析。数据中出现了四个主题；其中两个主题本质上是信息性的，描述了PREP干预的要素，这些要素针对环境的多层次构成，并使用涉及利用资源和解决问题的策略。其余两个主题本质上是反思性的，说明了对职业治疗角色的新认识，并重新定位了治疗实践中参与的概念。结果强调了在PREP方法指导下可作为有效干预目标的环境方面。研究结果可以通过重新定义对参与和环境的看法来拓宽职业治疗实践的范围和重点。
