通过职业疗法为残疾及其他面临挑战的父母提供支持：需要什么？
Supporting parents with disability and other challenges through occupational therapy: What is needed?
作者信息
Honey Anne, Almomani Fidaa, Chen Yu-Wei Ryan, Codd Yvonne, Kim Junghun A J, Kunishige Masafumi, Morrison Rodolfo, Mara Veronica O, Peterson Jessica, Pituch Evelina, Rider John V, Romli Muhammad Hibatullah, Rozen Deena, Sabbah Rachel, Sarsak Hassan I, Saunders Elaine, Sim So Sin, Tan Hwei Lan, Wong Wing Tung, Yunus Farahiyah Wan, McGrath Margaret
机构信息
Discipline of Occupational Therapy, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.
Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Ar-Ramtha, Jordan.
出版信息
Aust Occup Ther J. 2025 Jun;72(3):e70026. doi: 10.1111/1440-1630.70026.
INTRODUCTION
Parenting is a highly valued and challenging occupational role in which many parents experience challenges. Yet the involvement of occupational therapy in supporting parenting for adults with disability and other challenges is relatively low. This paper explores what is needed to increase occupational therapy support for parents with disability and other challenges.
METHODS
An international online survey was developed based on previous literature and refined via cognitive interviews. It was reviewed by international occupational therapy academics from 11 countries and translated into eight languages. The survey sought the experiences and views of occupational therapists who work with adult populations about supporting parenting occupations. For this paper, fixed-choice and free-text responses illuminating what is needed to increase the provision of that support were analysed. A mixed methods design was used, combining descriptive statistics and interpretive content analysis. Multivariate multinominal logistic regression analyses were used to assess associations between needs identified and participant and practice characteristics.
CONSUMER AND COMMUNITY INVOLVEMENT
This survey and paper were developed with input from occupational therapists and occupational therapy academics from 13 countries.
RESULTS
Participants (n = 1347) identified six types of factors needed to increase occupational therapy support for parenting occupations in adult populations. These were supportive institutional structures; training, resources and assessments; and recognition of occupational therapists' suitability to support parenting both within and outside the profession. Responses varied somewhat by country, setting, population, previous training and clinical experience.
CONCLUSION
Increasing occupational therapy support for parents with a variety of disabilities and other challenges requires efforts from individual occupational therapists, professional bodies, organisations and educators.
引言
育儿是一项备受重视且具有挑战性的职业角色，许多父母都面临着挑战。然而，职业治疗在支持残疾及其他有困难的成年人育儿方面的参与度相对较低。本文探讨了增加职业治疗对残疾及其他有困难的父母的支持所需的条件。
方法
基于先前的文献开发了一项国际在线调查，并通过认知访谈进行完善。该调查由来自11个国家的国际职业治疗学者进行评审，并翻译成八种语言。该调查旨在了解从事成年人群体工作的职业治疗师在支持育儿职业方面的经验和观点。对于本文，分析了能够说明增加此类支持所需条件的固定选择和自由文本回复。采用了混合方法设计，结合描述性统计和解释性内容分析。使用多元多项逻辑回归分析来评估所确定的需求与参与者及实践特征之间的关联。
消费者和社区参与
这项调查和本文是在来自13个国家的职业治疗师和职业治疗学者的参与下制定的。
结果
参与者（n = 1347）确定了六种类型的因素，这些因素是增加职业治疗对成年人群体育儿职业支持所必需的。这些因素包括支持性的机构结构；培训、资源和评估；以及职业治疗师在专业内外支持育儿的适宜性得到认可。不同国家、环境、人群、先前培训和临床经验的回复有所不同。
结论
增加职业治疗对各种残疾及其他有困难的父母的支持需要个体职业治疗师、专业团体、组织和教育工作者的共同努力。
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