Department of Brain Injury Rehabilitation, Rigshospitalet Neurocentret, RUBRIC (Research Unit on Brain Injury Rehabilitation), Hvidovre, Denmark.
Rigshospitalet, Department of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Copenhagen, Denmark.
Phys Occup Ther Pediatr. 2022;42(3):275-296. doi: 10.1080/01942638.2021.2009616. Epub 2021 Dec 16.
The aim of this study was to investigate the extent, range and nature of research activity specifically reporting the inclusion of the voices of children or adolescents when therapists are setting therapy goals and implementing therapy.
We conducted a scoping review and searched the following electronic bibliographic databases: Pedro, SciELO, Google Scholar, MEDLINE, EMBASE, Web of Science and CINAHL. We included primary studies focusing on involvement of children and/or adolescents in goalsetting, decision-making or conduct of physical or occupational therapy. Results are presented descriptively and narratively.
Nineteen studies were included presenting various instruments or strategies for involvement. We found sparse evidence that children and adolescents with disabilities were included in therapy goal setting using goal setting instruments, especially children under 5 years of age or with communicative or cognitive disabilities.
There are few studies reporting the way in which the voices of children or adolescents are heard in therapy. Further research is needed to develop new methods and studies with stronger designs are needed to determine the extent to which listening to children's voices affects therapeutic outcomes.
本研究旨在调查治疗师制定治疗目标和实施治疗时，具体报告纳入儿童或青少年意见的研究活动的范围、种类和性质。
我们进行了范围界定审查，并检索了以下电子文献数据库：佩德罗（PEDRO）、科学电子图书馆（SciELO）、谷歌学术（Google Scholar）、医学文献在线数据库（MEDLINE）、荷兰医学文摘（EMBASE）、科学引文索引扩展版（Web of Science）和护理文献数据库（CINAHL）。我们纳入了主要研究，这些研究重点关注了儿童和/或青少年在设定目标、决策或进行物理治疗或职业治疗中的参与情况。结果以描述性和叙述性方式呈现。
纳入了 19 项研究，这些研究介绍了各种参与的工具或策略。我们发现，很少有证据表明残疾儿童和青少年使用目标设定工具参与了治疗目标设定，特别是 5 岁以下或有沟通或认知障碍的儿童。
很少有研究报告儿童或青少年的意见在治疗中是如何被听到的。需要进一步研究来开发新的方法，需要进行更具说服力的研究设计来确定倾听儿童的声音对治疗结果的影响程度。
