Anaby Dana, Mercerat Coralie, Tremblay Stephanie
School of Physical and Occupational Therapy, McGill University, Montreal, QC H3G 1Y5, Canada.
Department of Psychology, Université du Québec à Montréal, Montréal, QC H2X 3P2, Canada.
Int J Environ Res Public Health. 2017 Sep 2;14(9):1005. doi: 10.3390/ijerph14091005.
Pathways and Resources for Engagement and Participation (PREP), an innovative intervention aimed at modifying the environment and coaching youth/parents, was found to be effective in improving youth participation in chosen community activities. In order to complement existing quantitative evidence, this study examined parents' perspectives on the PREP approach. Twelve parents of youth with physical disabilities (12 to 18 years old) who received the PREP approach participated in individual semi-structured interviews following the 12-week intervention delivered by an occupational therapist. Thematic analysis revealed three inter-linked themes, the first of which was informative, describing the "nature of intervention", and led to two reflective themes: "multi-faceted effects of care" and "process of care". Parents highlighted the effect of the PREP intervention in a broad sense, extending beyond the accomplishment of the selected activities. This involved improvements on the physical, emotional, and social levels as well as in autonomy. Parents also discussed how their own needs were acknowledged through the intervention and recognized the unique role of the occupational therapist in supporting this process. The findings provide additional information about the usefulness of the PREP approach and describe the various benefits generated by a single intervention. Such knowledge can expand the therapeutic options for positive, health-promoting participation.
参与和融入的途径与资源（PREP）是一项旨在改善环境并指导青少年/家长的创新干预措施，已被证明能有效提高青少年参与所选社区活动的程度。为补充现有的定量证据，本研究考察了家长对PREP方法的看法。12名接受PREP方法的身体残疾青少年（12至18岁）的家长，在职业治疗师进行为期12周的干预后，参与了个人半结构化访谈。主题分析揭示了三个相互关联的主题，第一个主题是信息性的，描述了“干预的性质”，并引出了两个反思性主题：“护理的多方面影响”和“护理过程”。家长们强调了PREP干预在广义上的效果，其影响超出了所选活动的完成情况。这涉及到身体、情感和社会层面以及自主性的改善。家长们还讨论了他们自己的需求如何通过干预得到认可，并认识到职业治疗师在支持这一过程中的独特作用。这些发现提供了关于PREP方法有用性的更多信息，并描述了单一干预产生的各种益处。此类知识可以扩大促进积极健康参与的治疗选择。
