Can J Occup Ther. 2024 Mar;91(1):78-87. doi: 10.1177/00084174231186078. Epub 2023 Jul 4.
Developing strong therapeutic relationships with families is a crucial aspect of pediatric occupational therapy. However, building such relationships is complex as they involve multiple directions of interaction. To provide a thorough interpretation of children's, caregivers', and occupational therapists' experience of the therapeutic relationship. A meta-ethnography was realized to synthesize qualitative studies. A systematic search was carried out using five databases from 2005 to 2022. The CAPS checklist was used to appraise included studies' quality. The analysis was completed using a constant comparison of findings. Three themes emerged from the 14 studies synthesized. The first theme illustrates that the therapeutic relationship can have different meanings depending on the perspective of children, caregivers, or occupational therapists. The second theme explores the components impacting the experience of the relationship. These include the power dynamics, the communication, and respect for diversity. Finally, the third theme illustrates how the relationship can empower positive change. Children, caregivers, and occupational therapists each have a perspective that ought to be heard. Occupational therapists should actively ask for children's and caregivers' perspectives to encourage power sharing and effective communication. By doing so, occupational therapists can strengthen the therapeutic relationship, which, in turn, promotes positive change.
与家庭建立牢固的治疗关系是儿童职业治疗的一个关键方面。然而，建立这种关系很复杂，因为它涉及到多个方向的互动。为了全面解读儿童、照顾者和职业治疗师对治疗关系的体验，我们进行了元分析，以综合定性研究。从 2005 年到 2022 年，我们使用五个数据库进行了系统搜索。使用 CAPS 清单评估纳入研究的质量。使用发现的恒定性比较完成分析。从综合的 14 项研究中得出了三个主题。第一个主题表明，治疗关系可以根据儿童、照顾者或职业治疗师的观点而具有不同的含义。第二个主题探讨了影响关系体验的因素，包括权力动态、沟通和对多样性的尊重。最后，第三个主题说明了关系如何能够赋予积极的变化。儿童、照顾者和职业治疗师各自都有观点，应该被听到。职业治疗师应该积极询问儿童和照顾者的观点，以鼓励权力共享和有效的沟通。通过这样做，职业治疗师可以加强治疗关系，从而促进积极的变化。
