Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Department of Physiotherapy, Federal University of Paraíba, João Pessoa, Paraíba, Brazil.
PLoS One. 2024 May 20;19(5):e0301718. doi: 10.1371/journal.pone.0301718. eCollection 2024.
To analyze the perceptions of professionals, caregivers, children, and adolescents with disabilities regarding the implementation of the My Abilities First (MAF) tool in Specialized Child Rehabilitation Centers (CERs).
This is a qualitative research based on Reflexive Thematic Analysis (RTA). The study involved twenty-seven intentionally selected individuals, comprising 12 physiotherapists, 4 occupational therapists, 11 caregivers, 9 children and 2 adolescents. Participants completed sociodemographic and clinical questionnaires and took part in semi-structured online interviews, focusing on two themes: Positive health approaches and the MAF tool. The study was approved by the local ethics committee (opinion 4.779.175).
Reflexive Thematic Analysis of the interviews resulted in two themes: (1) Perceptions regarding the MAF tool as an educational and contributory process to enhance the inclusion and participation of children and adolescents with disabilities, and (2) Barriers and facilitators for the implementation process of the MAF tool. The implementation of MAF was identified as a driving factor in promoting equity and increased participation of children and adolescents with disabilities in various settings, including health, education, and leisure. Interviewees highlighted the need to confront attitudinal, communication, and social barriers that may hinder the implementation of the tool.
The implementation of the MAF tool was perceived as an innovation due to its focus on the abilities of individuals with disabilities. However, there is a need to restructure it to broaden its scope and access to different contexts in order to confront barriers and enhance the inclusion and participation of children and adolescents with disabilities.
分析专业人员、照顾者、残疾儿童和青少年对特殊儿童康复中心（CER）实施 My Abilities First（MAF）工具的看法。
这是一项基于反思性主题分析（RTA）的定性研究。研究涉及 27 名有针对性选择的个体，包括 12 名物理治疗师、4 名职业治疗师、11 名照顾者、9 名儿童和 2 名青少年。参与者完成了社会人口统计学和临床问卷，并参加了半结构化的在线访谈，重点关注两个主题：积极的健康方法和 MAF 工具。该研究得到了当地伦理委员会的批准（意见 4.779.175）。
对访谈的反思性主题分析得出了两个主题：（1）对 MAF 工具作为增强残疾儿童和青少年包容性和参与性的教育和促进过程的看法，以及（2）MAF 工具实施过程的障碍和促进因素。实施 MAF 被认为是促进残疾儿童和青少年在包括健康、教育和休闲在内的各种环境中公平和增加参与的驱动因素。受访者强调需要应对可能阻碍工具实施的态度、沟通和社会障碍。
由于 MAF 工具侧重于残疾个体的能力，因此被视为一项创新。然而，需要对其进行重构，以扩大其范围并使其能够应用于不同的情境，从而克服障碍并增强残疾儿童和青少年的包容性和参与度。
