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魁北克全纳教育中职业治疗师与教师的合作:一项定性描述性研究。

Occupational Therapist-Teacher Collaboration in Inclusive Education in Québec: A Qualitative Descriptive Study.

作者信息

Ianni Lina, Camden Chantal, Campbell Wenonah, Colquhoun Heather, Anaby Dana

出版信息

Can J Occup Ther. 2025 Jun;92(2):135-147. doi: 10.1177/00084174241310078. Epub 2025 Jan 28.

DOI:10.1177/00084174241310078
PMID:39871727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12117133/
Abstract

In inclusive schools, collaboration between occupational therapists (OTs) and teachers has the potential to build capacities among these school-team members working with students with disabilities. Current evidence supports multi-tiered delivery models, such that OT interventions are integrated within the context of school life. Collaboration, however, is a complex multifaceted phenomenon that poses systemic, organizational, or interpersonal challenges. This qualitative descriptive study explored the perspectives on current and ideal collaborative practices and associated contextual barriers and facilitators related to collaboration, as described by elementary teachers and OTs. Two focus groups were conducted with OTs ( = 5) and elementary teachers ( = 6) working in inclusive schools in Québec (Canada) in French and English language settings. Qualitative data were transcribed and analyzed thematically. Four thematic categories were identified: Organization of services scaffolds collaborative practices; varying perspectives of the OT role influence collaboration; establishing and navigating collaborative relationships; and considerations for optimal collaboration. These findings have practice and policy implications regarding the organization of OT services as well as team professional development. Understanding these challenges is fundamental to tailoring future knowledge translation interventions to optimize school collaboration.

摘要

在融合学校中,职业治疗师(OT)与教师之间的合作有潜力提升这些与残疾学生合作的学校团队成员的能力。目前的证据支持多层次服务模式,使职业治疗干预融入学校生活的背景之中。然而,合作是一个复杂的多方面现象,会带来系统、组织或人际方面的挑战。这项定性描述性研究探讨了小学教师和职业治疗师所描述的关于当前和理想合作实践的观点,以及与合作相关的背景障碍和促进因素。在加拿大魁北克省的法语和英语环境下,对融合学校的职业治疗师(5人)和小学教师(6人)进行了两个焦点小组访谈。对定性数据进行了转录并进行了主题分析。确定了四个主题类别:服务组织为合作实践搭建框架;对职业治疗师角色的不同看法影响合作;建立和维持合作关系;以及优化合作的考量因素。这些发现对职业治疗服务的组织以及团队专业发展具有实践和政策意义。了解这些挑战对于定制未来的知识转化干预措施以优化学校合作至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8616/12117133/ced04baf216d/10.1177_00084174241310078-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8616/12117133/ced04baf216d/10.1177_00084174241310078-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8616/12117133/ced04baf216d/10.1177_00084174241310078-fig1.jpg

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Occupational Therapist-Teacher Collaboration in Inclusive Education in Québec: A Qualitative Descriptive Study.魁北克全纳教育中职业治疗师与教师的合作:一项定性描述性研究。
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本文引用的文献

1
Evidence for Implementing Tiered Approaches in School-Based Occupational Therapy in Elementary Schools: A Scoping Review.小学学校职业治疗中实施分层方法的证据:一项范围综述。
Am J Occup Ther. 2023 Jan 1;77(1). doi: 10.5014/ajot.2023.050027.
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Inclusion of autistic students: promising modalities for supporting a school team.
Disabil Rehabil. 2023 Apr;45(7):1258-1268. doi: 10.1080/09638288.2022.2057598. Epub 2022 Apr 7.
3
Role Perception and Professional Identity of Occupational Therapists Working in Education Systems: Perception du rôle et identité professionnelle des ergothérapeutes qui travaillent dans les systèmes scolaires.在教育系统中工作的职业治疗师的角色认知和专业认同:在学校系统中工作的作业治疗师的角色认知和专业认同。
Can J Occup Ther. 2021 Jun;88(2):163-172. doi: 10.1177/00084174211005898. Epub 2021 Apr 16.
4
Implementing Partnering for Change in Québec: Occupational Therapy Activities and Stakeholders' Perceptions.魁北克实施伙伴关系变革:职业治疗活动和利益相关者的看法。
Can J Occup Ther. 2021 Mar;88(1):71-82. doi: 10.1177/0008417421994368.
5
Caseload and Workload: Current Trends in School-Based Practice Across the United States.工作量和工作负荷:美国基于学校实践的当前趋势。
Am J Occup Ther. 2020 Sep/Oct;74(5):7405205090p1-7405205090p8. doi: 10.5014/ajot.2020.039818.
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Autism spectrum disorder: How can occupational therapists support schools?自闭症谱系障碍:职业治疗师如何为学校提供支持?
Can J Occup Ther. 2020 Feb;87(1):30-41. doi: 10.1177/0008417419838904. Epub 2019 Aug 11.
7
Recommended practices to organize and deliver school-based services for children with disabilities: A scoping review.为残疾儿童组织和提供校内服务的推荐做法:一项范围综述
Child Care Health Dev. 2019 Jan;45(1):15-27. doi: 10.1111/cch.12621. Epub 2018 Sep 27.
8
Guidelines for Occupational Therapy Services in Early Intervention and Schools.早期干预和学校职业治疗服务指南。
Am J Occup Ther. 2017 Nov/Dec;71(Supplement_2):7112410010p1-7112410010p10. doi: 10.5014/ajot.2017.716S01.
9
A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems.运用行为改变理论领域框架调查实施问题指南。
Implement Sci. 2017 Jun 21;12(1):77. doi: 10.1186/s13012-017-0605-9.
10
National survey of occupational therapy practitioners' involvement in response to intervention.职业治疗从业者参与响应干预的全国性调查。
Am J Occup Ther. 2014 Nov-Dec;68(6):e234-40. doi: 10.5014/ajot.2014.010116.