Kenyon Lisa K, Blank Kathryn, Meengs Jessica, Schultz Allyson M
Department of Physical Therapy, Grand Valley State University, Grand Rapids, MI, USA.
Disabil Rehabil Assist Technol. 2023 Apr;18(3):304-312. doi: 10.1080/17483107.2020.1849431. Epub 2020 Dec 1.
Research suggests there are three groups of paediatric power mobility learners: exploratory, operational and functional. The purpose of this modified grounded theory study was to explore the key aspects of power mobility interventions for children in each of these paediatric power mobility learner groups.
Data were gathered through face-to-face interviews conducted in-person or via Zoom. Three stakeholder groups were interviewed: (1) children ages 8-18 years who used a power wheelchair (PWC); (2) parents whose children (≤18 years of age) used a PWC; and (3) therapists/therapist researchers experienced in paediatric power mobility. An interview guide was created for each stakeholder group. Interviews were transcribed verbatim and an initial coding scheme was used to identify intervention activities specific to each learner group. Data for each learner group were then coded to reflect the essence of each intervention activity. Finally, patterns within the data were identified and codes were collapsed into thematic categories reflecting the key aspects of intervention for each learner group.
A total of 29 participants (nine children, seven parents and 13 therapists) took part in the study. Key aspects of power mobility interventions for each learner group, as well as fundamental aspects of power mobility intervention applicable to all learner groups, emerged in the data.
This study highlights both the similarities (fundamental aspects) and differences (key aspects targeting the specific needs of each learner group) of power mobility interventions for children in each of the three power mobility learner groups.Implications for RehabilitationThere are both similarities (fundamental aspects) and differences (key aspects targeting the specific needs of each learner group) in the needs of children in each of the three power mobility learner groups.Key aspects of power mobility interventions vary for children in each of the three paediatric power mobility learner groups and correspond with the learning needs of each power mobility learner group.The findings of this study will help clinicians and researchers to tailor power mobility interventions to meet the unique needs of children in each power mobility learner group.
研究表明，小儿动力移动学习者可分为三类：探索型、操作型和功能型。这项修正后的扎根理论研究旨在探索针对这些小儿动力移动学习者群体中每一类儿童的动力移动干预的关键方面。
通过面对面访谈收集数据，访谈可亲自进行或通过Zoom进行。访谈了三个利益相关者群体：（1）使用电动轮椅（PWC）的8至18岁儿童；（2）其子女（≤18岁）使用PWC的父母；以及（3）在小儿动力移动方面有经验的治疗师/治疗师研究人员。为每个利益相关者群体创建了一份访谈指南。访谈内容逐字转录，并使用初始编码方案来识别每个学习者群体特有的干预活动。然后对每个学习者群体的数据进行编码，以反映每项干预活动的本质。最后，识别数据中的模式，并将代码归纳为主题类别，以反映每个学习者群体干预的关键方面。
共有29名参与者（9名儿童、7名父母和13名治疗师）参与了该研究。数据中出现了每个学习者群体动力移动干预的关键方面，以及适用于所有学习者群体的动力移动干预的基本方面。
本研究突出了三个动力移动学习者群体中针对儿童的动力移动干预的相似之处（基本方面）和差异（针对每个学习者群体特定需求的关键方面）。
康复启示
三个动力移动学习者群体中儿童的需求既有相似之处（基本方面），也有差异（针对每个学习者群体特定需求的关键方面）。
三个小儿动力移动学习者群体中，每个群体儿童的动力移动干预关键方面各不相同，且与每个动力移动学习者群体的学习需求相对应。
本研究结果将帮助临床医生和研究人员调整动力移动干预措施，以满足每个动力移动学习者群体中儿童的独特需求。
