Rihtman Tanya, Gadsby Nichola, Porter Joanne
Principal Lecturer in Occupational Therapy, Oxford Brookes University, Oxford, UK.
Senior Lecturer in Occupational Therapy, Coventry University, Coventry, UK.
Br J Occup Ther. 2022 Sep;85(9):653-661. doi: 10.1177/03080226211054383. Epub 2022 Feb 27.
The social-emotional impacts of Developmental Coordination Disorder (DCD) for children and young people (CYP) are often the most disabling. Occupational therapists (OTs) have a central role in facilitating holistic service provision for this population. There is a need to understand OTs' perceptions regarding provision of support for the social-emotional needs of CYP with DCD.
A focus group ( = 9) explored issues pertaining to OT support for the social-emotional needs of this population. Qualitative data were analysed through collaborative coding, organization and reorganization following the classic analysis strategy.
Findings suggest that social-emotional support is not explicitly addressed in service provision for CYP with DCD. It appears that OTs know what needs to happen to improve social-emotional outcomes, and have made some progress, but more remains to be done. Holistic service provision depends upon varied factors, many of which are outside individual therapists' control.
In England, OTs working with CYP with DCD may be providing services in settings not geared to supporting social-emotional needs. This raises concerns as to whether practitioners are enabled to stay true to holistic principles, as well as concerns related to delivering evidence-based practice in light of growing evidence regarding this population's social-emotional risks.
发育性协调障碍(DCD)对儿童和青少年的社会情感影响往往是最具致残性的。职业治疗师在为这一人群提供全面服务方面发挥着核心作用。有必要了解职业治疗师对为患有DCD的儿童和青少年提供社会情感需求支持的看法。
一个焦点小组(n = 9)探讨了与职业治疗师对这一人群社会情感需求支持相关的问题。定性数据通过遵循经典分析策略的协作编码、组织和重组进行分析。
研究结果表明,在为患有DCD的儿童和青少年提供的服务中,社会情感支持并未得到明确解决。似乎职业治疗师知道为改善社会情感结果需要做些什么,并且已经取得了一些进展,但仍有更多工作要做。全面服务的提供取决于多种因素,其中许多因素超出了个别治疗师的控制范围。
在英国,为患有DCD的儿童和青少年提供服务的职业治疗师可能是在不适合支持社会情感需求的环境中提供服务。这引发了对从业者是否能够坚持全面原则的担忧,以及鉴于越来越多关于这一人群社会情感风险的证据,对提供循证实践的担忧。