Tajik-Parvinchi Diana, Pinto Madhu, Lewis Iveta, King Gillian
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
CanChild, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Disabil Rehabil. 2025 Mar;47(6):1368-1378. doi: 10.1080/09638288.2024.2374502. Epub 2024 Jul 31.
The current umbrella review aimed to identify key intervention characteristics that have been demonstrated to enhance resiliency in children and youth with disabilities.
To identify these key ingredients, using JBI guidelines, we conducted comprehensive searches in the fall of 2022 and searches were re-run in June 2023. Using the PICO format, we searched for peer-reviewed review articles that included children and youth with disabilities (6 to 19 years of age), the intervention targeted resiliency, the context was home, school, or community, and the outcome was resiliency enhancement.
The initial searches produced 1031 articles, of which 4 met our inclusion criteria. These articles collectively had reviewed a total of 247 articles representing approximately 2756 participants. We found a wide range of disabilities represented in the studies and many activities that are included in the existing REIs. Our findings identified engagement, self-regulatory processes, capacity building, positive social connectedness, and a customized intervention approach as evidence-based resiliency enhancing features. We propose a model consolidating these findings into a multi-dimensional resiliency process which may help explain successful adaptation.
Our proposed model may be helpful in delineating entry points that different REIs have used to generate positive change.
本次综合性综述旨在确定已被证明可增强残疾儿童和青少年复原力的关键干预特征。
为确定这些关键要素，我们按照循证卫生保健国际协作组织（JBI）的指南，于2022年秋季进行了全面检索，并于2023年6月再次检索。我们采用PICO格式，检索了同行评审的综述文章，这些文章的研究对象包括残疾儿童和青少年（6至19岁），干预目标是复原力，背景是家庭、学校或社区，结果是复原力增强。
初步检索得到1031篇文章，其中4篇符合我们的纳入标准。这些文章共综述了247篇文章，涉及约2756名参与者。我们发现研究涵盖了广泛的残疾类型以及现有复原力增强干预措施（REIs）中包含的许多活动。我们的研究结果确定了参与、自我调节过程、能力建设、积极的社会联系以及定制化干预方法是基于证据的增强复原力的特征。我们提出了一个模型，将这些发现整合到一个多维复原力过程中，这可能有助于解释成功的适应情况。
我们提出的模型可能有助于描绘不同的复原力增强干预措施用于产生积极变化的切入点。
