Benjamin Tanya E, Lucas-Thompson Rachel G, Little Lauren M, Davies Patricia L, Khetani Mary A
a Department of Occupational Therapy , Colorado State University , Fort Collins , Colorado , USA.
b Department of Occupational Therapy Education , University of Kansas , Kansas City , Kansas , USA.
Phys Occup Ther Pediatr. 2017 Feb;37(1):87-107. doi: 10.3109/01942638.2015.1130007. Epub 2016 Mar 1.
This mixed methods study examined: 1) how young children with and without developmental disabilities and delays participate in daycare or preschool activities; 2) similarities and differences in environmental factors impacting daycare or preschool participation; and 3) strategies used by parents who desired a change in their child's participation.
Data were drawn from 129 parents of young children with and without developmental disabilities and delays (mean age = 49.3 months) residing in North America. Summary and item-level group differences based on disability status were assessed for participation and environmental supports to participation. Narrative data on parental strategies were content coded, transformed into numerical counts, and summarized to identify strategies commonly employed by parents to promote their child's participation.
Moderate to large disability related group differences in participation and environmental support to participation were found even after controlling for confounding effects of child age, child gender, and family income. Parents commonly described strategies focused on "child care tasks" and "child peer groups," irrespective of the type(s) of change they desired.
Study findings suggest that discrepancies in school participation between young children with and without disabilities and delays can be detected and intervened on during the early childhood period.
这项混合方法研究考察了:1)有和没有发育障碍及发育迟缓的幼儿如何参与日托或学前教育活动;2)影响日托或学前教育参与的环境因素的异同;3)希望改变孩子参与情况的家长所采用的策略。
数据来自居住在北美的129名有和没有发育障碍及发育迟缓的幼儿的家长(平均年龄 = 49.3个月)。基于残疾状况,对参与情况和参与的环境支持进行了总结性和项目层面组间差异评估。关于家长策略的叙述性数据进行了内容编码,转化为数值计数,并进行总结以确定家长促进孩子参与常用的策略。
即使在控制了儿童年龄、儿童性别和家庭收入的混杂效应后,仍发现了与残疾相关的参与情况和参与的环境支持方面的中度到较大的组间差异。无论他们希望的改变类型如何,家长通常描述的策略集中在“儿童照料任务”和“儿童同龄人群体”上。
研究结果表明,在幼儿期就可以发现并干预有和没有残疾及发育迟缓的幼儿在学校参与方面的差异。