Chair of Social Determinants of Health, Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany
Department of Health, Stuttgart, Germany.
BMJ Open. 2023 Jul 14;13(7):e072684. doi: 10.1136/bmjopen-2023-072684.
This study aimed to assess the theoretical framework regarding social participation from the perspectives of experts and parents of youth aged between 10 and 17 years, and therefore, provides new insights into the concept of social participation.
A qualitative study was conducted to understand the construct of social participation in more detail. Eight focus groups were held with experts (n=21) and parents (n=24) and analysed based on content analysis.
We used purposive and snowball sampling to obtain a comprehensive sample of (A) parents of adolescents with and without chronic and/or physical-motor impairments and (B) experts involved in participatory research and/or treatment of adolescents with chronic and/or physical-motor impairments. The final sample consisted of 3 focus groups with a total of 21 experts and 5 focus groups with 24 parents. This included 10 parents who had disabled children.
The concept of social participation consists of subjective and objective components. The focus from the experts' perspective is clearly on the subjective level; that is, revolving around the question 'Does the adolescent feel involved?' In contrast, the parents' focus is more on normative expectations. The possibility of participation in all areas of life through the adjustment of environmental factors was identified as a central factor.
The results underline the importance of the subjective feelings of adolescents, as well as the significance of normative requirements. To capture the subjective component of participation, suitable measurements are needed.
DRKS00014739.
本研究旨在从专家和 10-17 岁青少年家长的角度评估社会参与的理论框架,从而深入了解社会参与的概念。
为了更详细地了解社会参与的结构,我们进行了一项定性研究。我们使用目的抽样和滚雪球抽样方法,获得了(A)有和没有慢性和/或身体运动障碍的青少年的父母,以及(B)参与青少年慢性和/或身体运动障碍的参与式研究和/或治疗的专家的综合样本。最终的样本包括 21 名专家的 3 个焦点小组和 24 名家长的 5 个焦点小组。其中包括 10 名有残疾儿童的家长。
社会参与的概念包括主观和客观两个部分。专家的重点显然是主观层面,即围绕“青少年是否感到参与?”的问题展开。相比之下,家长的关注点更多地集中在规范期望上。通过调整环境因素,使青少年有可能参与所有生活领域,这被认为是一个核心因素。
研究结果强调了青少年主观感受的重要性,以及规范要求的重要性。为了捕捉参与的主观成分,需要合适的测量方法。
DRKS00014739。