Boshoff Kobie, Bowen Henry, Paton Hazel, Cameron-Smith Sally, Graetz Sean, Young Alexander, Lane Katelyn
Can J Occup Ther. 2020 Apr;87(2):153-164. doi: 10.1177/0008417419899224. Epub 2020 Feb 4.
Occupational therapy is often part of the multi-disciplinary approach within the Developmental, Individual-differences, Relationship-based (DIR) Floortime Model. The model addresses the emotional development of children, which is considered to be critical for the other child developmental areas.
This review serves to inform practitioner decision-making about the use of this model, as no systematic reviews exist on child development outcomes.
The systematic search included Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Cochrane. For critical appraisal, the McMaster Critical Review was utilized.
Nine studies were identified with varying quality levels. Outcomes were mostly reported for increased socio-emotional development.
The evidence base for this model is emerging from a published research perspective. It is recommended that the use of this model be supported by sound clinical reasoning processes, intervention fidelity, use of valid outcome measures, and regular monitoring. Higher quality research is urgently needed to progress the research base for this intervention.
职业治疗通常是基于发展、个体差异、关系的（DIR）地板时光模型中多学科方法的一部分。该模型关注儿童的情感发展，而情感发展被认为对儿童其他发展领域至关重要。
由于尚无关于儿童发展结果的系统评价，本综述旨在为从业者在使用该模型时的决策提供参考。
系统检索包括医学索引数据库（Medline）、荷兰医学文摘数据库（Embase）、护理学与健康相关文献累积索引数据库（CINAHL）、Scopus数据库和考科蓝图书馆。批判性评价采用麦克马斯特批判性评价。
共识别出9项质量参差不齐的研究。多数研究报告的结果是社会情感发展有所改善。
从已发表的研究角度来看，该模型的证据基础正在形成。建议通过合理的临床推理过程、干预保真度、有效结果测量的使用以及定期监测来支持该模型的使用。迫切需要开展更高质量的研究以推进该干预措施的研究基础。
