Beitostølen Healthsports Center, Beitostølen, Oppland, Norway.
Department of Clinical Neurosciences for Children, Oslo University Hospital, Oslo, Norway.
Disabil Rehabil. 2020 Aug;42(17):2501-2509. doi: 10.1080/09638288.2019.1573937. Epub 2019 Apr 20.
The first aim of the study was to obtain a broader understanding of how children 10-13 years old with disabilities experience participation in self-selected physical activities during an intensive group rehabilitation program. A second aim was to explore how new skills and experiences gained from intensive group rehabilitation can be transferred to meaningful participation in local environments. Individual in-depth interviews obtained the perspectives on participation of a purposive sample of eleven children with disabilities. The study applied inductive thematic coding of the content associated with participation followed by deductive analysis. Five main themes were derived; ", ", "", "" and "". To practice and learn physical activities during intensive group rehabilitation seemed to enhance transferring of meaningful participation to the local environment, and was related to the children's activity competence, preferences and self-efficacy. The rehabilitation stay created a setting where children learned diverse activities together with equal peers, which resulted in mastery, friendship and enjoyment. The children participated on their own terms, and continued to do so in their local environment.Implications for RehabilitationA context of freedom to learn preferred adapted physical activities on children's own terms is important for transferring meaningful participation to local environments.A high intensity rehabilitation program with enough time to try and to learn diverse adapted physical activities is essential to increased activity competence in children with disabilities.Attendance in a group of equal peers provides opportunities to experience new roles and thus strengthens the sense-of-self and creates a feeling of belonging, solidarity, friendship and joy.
研究的首要目的是更深入地了解 10-13 岁残疾儿童在密集小组康复计划中参与自选体育活动的体验。第二个目的是探讨从密集小组康复中获得的新技能和新经验如何能够转移到地方环境中有意义的参与。采用目的性抽样选择了 11 名残疾儿童进行深入的个体访谈,获取他们对参与的看法。研究采用参与主题的归纳式主题编码,然后进行演绎分析。得出了五个主要主题:“身体活动”、“自我效能感”、“能力”、“友谊”和“社区参与”。在密集小组康复中练习和学习体育活动似乎可以增强将有意义的参与转移到地方环境中的能力,这与儿童的活动能力、喜好和自我效能感有关。康复期创造了一个与平等同伴一起学习各种活动的环境,从而带来了掌握技能、友谊和乐趣。儿童根据自己的条件参与活动,并在当地环境中继续这样做。
康复的意义为儿童提供一个自由学习他们喜欢的适应体育活动的环境非常重要,这对于将有意义的参与转移到地方环境中至关重要。一个高强度的康复计划,有足够的时间尝试和学习各种适应体育活动,对于提高残疾儿童的活动能力至关重要。与平等的同伴一起参加小组活动提供了体验新角色的机会,从而增强了自我意识,并创造了归属感、团结感、友谊和快乐感。