Grandisson Marie, Chrétien-Vincent Myriam, Pratte Gabrielle, Fauteux Cynthia, Marcotte Justine, Jasmin Emmanuelle, Milot Élise, Bergeron Julie
Can J Occup Ther. 2025 Jun;92(2):113-125. doi: 10.1177/00084174251323729. Epub 2025 Mar 13.
Parents of children with special needs are more likely to experience stress and have health-related problems. Pediatric occupational therapy interventions that build parents' capacity are often considered to be effective. It remains unclear how they can be offered without overburdening parents. The purpose of this article is to share the findings from the evaluation of a flexible capacity-building occupational therapy service with seven families. A convergent parallel mixed methods design was used to document parents' and occupational therapists' perspectives on the services, including outcomes, strengths, weaknesses, opportunities, and threats. Parents reported understanding their children better, having more positive attitudes toward the challenges experienced, feeling more confident that they could help them, and having more satisfactory family routines. The importance for therapists to develop nonjudgmental collaborative relationships, to be flexible and to use the time available to help families with what matters the most in their daily lives came out particularly loudly. This study provides a concrete example of how it is possible to build families' capacities without overburdening them. It also provides guidance to establishments wishing to take a step back to think about how they build families' capacities.
有特殊需求儿童的家长更有可能经历压力并出现与健康相关的问题。增强家长能力的儿科职业治疗干预措施通常被认为是有效的。目前尚不清楚如何在不给家长造成过重负担的情况下提供这些干预措施。本文的目的是分享对一项针对七个家庭的灵活的能力建设职业治疗服务进行评估的结果。采用了收敛平行混合方法设计，以记录家长和职业治疗师对该服务的看法，包括结果、优势、劣势、机会和威胁。家长报告称，他们对孩子有了更深入的了解，对所经历的挑战持更积极的态度，更有信心帮助孩子，并且家庭日常安排也更令人满意。治疗师建立无偏见的合作关系、保持灵活性以及利用可用时间帮助家庭解决日常生活中最重要的问题，这些方面的重要性尤为突出。这项研究提供了一个具体例子，说明如何在不给家庭造成过重负担的情况下增强其能力。它还为希望回过头来思考如何增强家庭能力的机构提供了指导。
