Burke Hannah K, Burke Lynette M, Hacker Colleen G, Lane Shelly J
Department of Occupational Therapy, Colorado State University, Fort Collins, Colorado, USA.
The Sensory Gym®, Hobartville, New South Wales, Australia.
Phys Occup Ther Pediatr. 2024;44(1):96-109. doi: 10.1080/01942638.2023.2204924. Epub 2023 Apr 26.
Our purpose was to explore the scope of nature-based interventions used in pediatric occupational therapy and identify gaps in existing literature.
This scoping review was guided by Arksey and O'Malley's methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) framework. We searched CINAHL, PubMed, PsycINFO, Web of Science, Embase, MEDLine, and gray literature, and we hand-searched included articles' references. We included studies published through June, 2021 that were in English, described a service provided by occupational therapists, with a population with at least 50% of participants ages 0-21 years, with nature as a primary context and treatment modality. Studies were excluded if they only described animal-assisted therapies or human-made structures.
A total of 12 articles (two reporting quasi-experimental studies; 10 gray literature) met inclusion criteria. Articles described a variety of interventions, but there was a lack of rigor in included articles and no clear conceptualization of nature-based pediatric occupational therapy.
Despite practitioner interest in the topic, there are two primary gaps in the literature: lack of a clear conceptualization of nature-based practices for occupational therapy and lack of articulation of the unique contribution of occupational therapy to nature-based practices.
我们的目的是探讨儿科职业治疗中基于自然的干预措施的范围，并找出现有文献中的空白。
本范围综述以阿克西和奥马利的方法以及系统评价和元分析扩展的首选报告项目范围综述（PRISMA-ScR）框架为指导。我们检索了CINAHL、PubMed、PsycINFO、科学网、Embase、MEDLine和灰色文献，并手工检索了纳入文章的参考文献。我们纳入了截至2021年6月发表的英文研究，这些研究描述了职业治疗师提供的服务，研究对象中至少50%的参与者年龄在0至21岁之间，以自然为主要背景和治疗方式。如果研究仅描述动物辅助疗法或人造结构，则将其排除。
共有12篇文章（2篇报告准实验研究；10篇灰色文献）符合纳入标准。文章描述了各种干预措施，但纳入的文章缺乏严谨性，且对基于自然的儿科职业治疗没有明确的概念化。
尽管从业者对该主题感兴趣，但文献中存在两个主要空白：缺乏对职业治疗基于自然的实践的明确概念化，以及缺乏对职业治疗对基于自然的实践的独特贡献的阐述。
