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儿童的移动性和参与机会与权利:职业治疗师在儿科动力移动方面的经验。

Children's opportunities and rights for mobility and participation: Occupational therapists' experiences with paediatric powered mobility.

作者信息

Vassbø Åshild Meinich-Bache, Mørk Gry

机构信息

Department of Pediatric and Adolescent Habilitation (HABU), Stavanger, Norway.

Department of Health, Faculty of Health Sciences, VID Specialized University, Stavanger, Norway.

出版信息

Scand J Occup Ther. 2025 Jan;32(1):2520863. doi: 10.1080/11038128.2025.2520863. Epub 2025 Jun 23.

DOI:10.1080/11038128.2025.2520863
PMID:40549170
Abstract

BACKGROUND

Mobility is a human right and play a key role for children's development and participation. Children with limited independent mobility do not have the same opportunities to explore their surroundings and interact in play. Research has shown that powered mobility can enable independent mobility for children as young as 12 months.

AIMS/OBJECTIVES: To explore occupational therapists experience with powered mobility for children under three years of age.

MATERIAL AND METHOD

Data was collected through three focus groups. A total of ten occupational therapists from ten different municipalities in Norway participated in the study. Systematic Text Condensation by Malterud was used as a method for analysing data.

RESULTS

Five main themes were identified: (1) The child's prerequisites for powered mobility, (2) Introducing powered mobility requires different considerations within each family, (3) Environmental considerations for enhancing powered mobility for children, (4) Powered mobility promotes self-determination and new roles, (5) Powered mobility promotes increased participation in expanded play activities.

CONCLUSIONS AND SIGNIFICANCE

Powered mobility is a complex process that must consider the child's abilities, family context, and environment. Emphasis should be placed on fostering a supportive social environment and adapting the physical environment to enable self-initiated mobility, empowerment and occupational justice.

摘要

背景

行动能力是一项人权,对儿童的发展和参与起着关键作用。行动能力有限的儿童没有同等的机会去探索周围环境并参与玩耍。研究表明,电动移动设备能让年仅12个月的儿童实现独立行动。

目的

探讨职业治疗师针对三岁以下儿童使用电动移动设备的经验。

材料与方法

通过三个焦点小组收集数据。来自挪威十个不同市镇的总共十位职业治疗师参与了该研究。采用马尔特鲁德的系统文本浓缩法作为数据分析方法。

结果

确定了五个主要主题:(1)儿童使用电动移动设备的前提条件,(2)引入电动移动设备在每个家庭中需要不同的考量,(3)增强儿童电动移动能力的环境考量,(4)电动移动设备促进自主决定权和新角色,(5)电动移动设备促进更多地参与扩展的玩耍活动。

结论与意义

电动移动设备是一个复杂的过程,必须考虑儿童的能力、家庭背景和环境。应强调营造支持性的社会环境,并调整物理环境以实现自主行动、赋权和职业公平。

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