Willis Claire, Girdler Sonya, Thompson Melanie, Rosenberg Michael, Reid Siobhan, Elliott Catherine
a School of Sport Science, Exercise and Health , The University of Western Australia , Perth , Australia.
b School of Occupational Therapy and Social Work , Curtin University , Perth , Australia.
Disabil Rehabil. 2017 Aug;39(17):1771-1784. doi: 10.1080/09638288.2016.1207716. Epub 2016 Jul 21.
To synthesise research literature describing elements of community recreation and leisure activities that create meaningful participation experiences for children and youth with disabilities.
Database searches of Medline, Embase, PsycINFO, ERIC, SportDiscus, CINAHL, Scopus and Web of Science were conducted. Studies describing the experience of participating in a community-based programme or activity from the perspectives of children and youth with a disability aged 0-21 or their parents, and published in English were included. Meta-ethnography was used to synthesise qualitative data, and resulting themes were conceptualised in the International Classification of Functioning, Disability and Health-Child and Youth version. Consultation with stakeholders occurred throughout the review process.
The search identified 9544 articles, of which 20 were included for review. Ten elements contributing to meaningful participation experiences were identified and organised as follows: person-based elements (n = 5; having fun, experiencing success, belonging, experiencing freedom, developing an identity); environment-focused elements (n = 4; authentic friendships, the opportunity to participate, role models, family support) and activity-related elements (n = 1; learning).
Elements contributing to meaningful leisure participation are interrelated. This review reveals the substantial contribution that meaningful interactions and relationships have in creating and facilitating positive and engaging experiences. Outcomes of this review may assist professionals in the design of targeted interventions to facilitate leisure participation. Implications for Rehabilitation Elements identified in this review may operate as core components of interventions that aim to optimise participation outcomes in community-based leisure activities. Supportive relationships and the availability of services are specific aspects of the environment that needs to be considered by health professionals to facilitate meaningful participation. Understanding the perspectives of the child is critical for assessing needs, preferences and goals relating to leisure participation in the community.
综合研究文献，描述社区娱乐和休闲活动中能为残疾儿童和青少年创造有意义参与体验的要素。
对医学数据库（Medline）、荷兰医学文摘数据库（Embase）、心理学文摘数据库（PsycINFO）、教育资源信息中心数据库（ERIC）、体育文献数据库（SportDiscus）、护理学与健康领域数据库（CINAHL）、Scopus数据库和科学引文索引数据库（Web of Science）进行检索。纳入以0至21岁残疾儿童和青少年或其父母的视角描述参与社区项目或活动体验且以英文发表的研究。采用元民族志方法综合定性数据，并根据《国际功能、残疾和健康分类-儿童和青少年版》对得出的主题进行概念化。在整个综述过程中与利益相关者进行了磋商。
检索到9544篇文章，其中20篇纳入综述。确定了有助于产生有意义参与体验的10个要素，并按以下方式组织：基于个人的要素（共5个；享受乐趣、体验成功、归属感、体验自由、形成身份认同）；以环境为重点的要素（共4个；真挚的友谊、参与机会、榜样、家庭支持）和与活动相关的要素（共1个；学习）。
有助于实现有意义休闲参与的要素相互关联。本综述揭示了有意义的互动和关系在创造和促进积极且吸引人的体验方面的重大贡献。本综述结果可能有助于专业人员设计有针对性的干预措施，以促进休闲参与。对康复的启示本综述中确定的要素可能作为旨在优化社区休闲活动参与结果的干预措施的核心组成部分。支持性的关系和服务的可获得性是健康专业人员为促进有意义参与而需要考虑的环境的具体方面。了解儿童的观点对于评估与社区休闲参与相关的需求、偏好和目标至关重要。
