Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.
Disabil Rehabil. 2022 Aug;44(16):4429-4440. doi: 10.1080/09638288.2021.1910353. Epub 2021 Apr 18.
To explore engagement principles and contextual conditions in high-engagement therapy sessions involving youth with disabilities and service providers.
From a larger project on therapy engagement, a dyadic case analysis was conducted involving three youth ages 8-15 with disabilities and their service providers. Participants were interviewed about their engagement experiences after high-engagement sessions focusing on speech articulation, transition goals, and physical mobility. Data were analyzed thematically, with an emphasis on engagement principles illustrated by the cases.
There were four service provider engagement principles: (a) clients differ in what engages them and in how they display engagement (), (b) there are multiple ways to engage clients (), (c) engagement is cultivated through relationship (), and (d) it is important to monitor and be attuned to the client's level of engagement over a session (). Service providers' use of engagement strategies varied due to contextual conditions, including therapy type and youths' interests and preferences.
The findings indicate the value of providers' awareness of the dynamics of engagement, their use of personalized strategies to engage clients, and the fundamental importance of cultivating a good relationship and monitoring client engagement during therapy.IMPLICATIONS FOR REHABILITATIONService providers may benefit from being aware of common principles underlying the co-construction of engagement between service providers and clients.Service providers can use a variety of personalized strategies to heighten client engagement, and can work to cultivate a positive relationship.It is important to monitor clients' non-verbal and verbal signs of engagement and respond to signs of disengagement during therapy.Contextual conditions affecting service providers' use of engagement strategies include the nature of the therapy being provided and youths' interests and preferences.
探索涉及残疾青年和服务提供者的高参与度治疗会议中的参与原则和背景条件。
从一项关于治疗参与度的更大项目中，进行了一项涉及三个 8-15 岁残疾青年及其服务提供者的二元案例分析。在重点关注语音清晰度、过渡目标和身体活动能力的高参与度会议之后，参与者被采访了他们的参与体验。数据进行了主题分析，重点是通过案例说明参与原则。
有四个服务提供者参与原则：（a）客户在吸引他们的事物和展示参与的方式上存在差异（）；（b）有多种吸引客户的方法（）；（c）通过关系培养参与度（）；（d）在治疗过程中监控和关注客户的参与度水平非常重要（）。由于治疗类型以及青年的兴趣和偏好等背景条件，服务提供者对参与策略的使用有所不同。
研究结果表明，服务提供者了解参与动态、使用个性化策略吸引客户以及在治疗过程中培养良好关系和监控客户参与度的重要性。
服务提供者可能受益于了解服务提供者和客户之间参与共建的基本原则。服务提供者可以使用各种个性化策略来提高客户的参与度，并努力培养积极的关系。在治疗过程中，监控客户的非言语和言语参与迹象并对脱参与迹象做出反应非常重要。影响服务提供者使用参与策略的背景条件包括提供的治疗性质以及青年的兴趣和偏好。
