D'Arrigo Rachel G, Copley Jodie A, Poulsen Anne A, Ziviani Jenny
Can J Occup Ther. 2020 Apr;87(2):127-136. doi: 10.1177/0008417420905708. Epub 2020 Feb 27.
BACKGROUND.: Achieving optimal outcomes for children in occupational therapy settings is influenced, in part, by their engagement. The nature of child engagement from the occupational therapy perspective remains relatively unexplored.
METHOD.: A qualitative research methodology was adopted, using an interpretive description approach. Thirty-two occupational therapists participated in five focus groups and six individual interviews that were thematically analyzed.
FINDINGS.: Four themes emerged from the data: (i) signs of child engagement and disengagement; (ii) it's about the child feeling safe; (iii) a sense of meaning and purpose; and (iv) service and therapist factors influencing child engagement.
IMPLICATIONS.: Helping the child feel safe; providing meaningful experiences; and being flexible and responsive were key means of connecting with, and supporting, child engagement. Strategies occupational therapists reportedly used to engage the child aligned with the tenets of self-determination theory (autonomy, relatedness, and competence).
在职业治疗环境中，儿童能否取得最佳治疗效果部分取决于他们的参与度。从职业治疗角度来看，儿童参与的本质仍有待深入探索。
采用定性研究方法，运用解释性描述法。32名职业治疗师参与了5个焦点小组和6次个人访谈，并对其进行了主题分析。
数据中出现了四个主题：（i）儿童参与和不参与的迹象；（ii）这关乎儿童感到安全；（iii）意义感和目标感；（iv）影响儿童参与的服务和治疗师因素。
帮助儿童感到安全；提供有意义的体验；保持灵活性和响应性是与儿童建立联系并支持其参与的关键方式。据报道，职业治疗师用来促使儿童参与的策略与自我决定理论（自主性、关联性和能力）的原则相一致。
