Goal setting in paediatric rehabilitation for children with motor disabilities: a scoping review

Pritchard, Lesley; Phelan, Shanon

doi:10.1177/0269215518758484

Cited by 45 publications

(76 citation statements)

References 87 publications

(348 reference statements)

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“…Decision-making in pediatric rehabilitation is especially evident in goal-setting processes where collaborative dialogue and power sharing occurs [ 6 ], and during which clients and professionals make decisions and agree on goals [ 23 ]. From a scoping review of 62 studies of goal-setting in children’s rehabilitation, researchers identified that carers and teachers have been the main stakeholders, while the conspicuous absence of children in the process was noted [ 24 ]. While some evidence shows positive outcomes for goal attainment, and increased motivation of the child when child-centred goal-setting is implemented, conversely also the lack of child determined goals was noted as possibly contributing to a lack of motivation to achieve goals [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy

2021

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Background According to Article 12 of the United Nations Convention on the Rights of the Child, therapists are duty-bound to include children in decisions that impact them. Although occupational therapists champion client-centred, collaborative practice, there remains a paucity of studies detailing children’s rights and experiences of decision-making in pediatric occupational therapy. Purpose This qualitative study described the decision-making experiences of children, parents and therapists in occupational therapy. Methods Semi-structured interviews were conducted with 17 participants (six children, five parents and six occupational therapists), and data analysed using thematic analysis. Findings Three themes emerged: 1) Goal-setting experiences; 2) Adults: child-rights gatekeepers or defenders? and 3) Decision-making in context. Findings suggest that decision-making is mostly adult directed, and children’s voices are subsumed by adult-led services, priorities, and agendas. Implications Children’s rights need to be embedded as an aspect of best practice in providing services that are child-centred in occupational therapy practices and education.

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Section: Introductionmentioning

confidence: 99%

A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy

2021

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“…Research has suggested self-determination theory (SDT) as a framework for health care practitioners to use to focus on the quality and quantity of a client's motivation to improve intervention and outcomes (Meyns et al, 2018;Pritchard-Wiart & Phelan, 2018;Ziviani, 2015). In support, Bulanda and McCrea (2013) found incorporating SDT principles into programing produced positive results and engagement for adolescents of poverty.…”

Section: Introductionmentioning

confidence: 99%

Self-determined Occupational Performance Model for Children From Economically Disadvantaged Backgrounds

Bray¹,

Capilouto²

2021

Can J Occup Ther

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Background. Children from low-income backgrounds have a higher incidence of handwriting challenges due to the unique social and environmental stressors associated with poverty. Additionally, children from economically disadvantaged households are at risk for motor, cognitive, and social deficits, which further impact their handwriting performance. Purpose. The purpose of this paper is to propose a theoretical model that provides a holistic perspective for addressing the handwriting needs of children from low-socioeconomic backgrounds. Key Issues. The presented conceptual model is derived from the person–environment–occupation model for occupational performance and self-determination theory. These theories reciprocally complement and enhance each other, providing a foundation from which clinicians can guide evaluation and intervention. Implications. Through the use of the proposed model, evaluation and intervention focus on intrinsic motivation while considering the physical, social, and cultural impacts on a child's occupational performance. The provider connects with the child's basic psychological needs, thus improving handwriting outcomes and facilitating improved academic performance.

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“…The characteristics of mobility and self-care, including the independence level, are usually examined only in relation to gross motor abilities or in relation to gross motor and fine manual abilities [5,[8][9][10][11][12]. Besides, the effects of different types of treatment were examined and the factors influencing the development of functional independence in children with CP identified [6,7,13,14]. In other words, DOI: https://doi.org/10.2298/SARH190321077M previous empirical research did not take into account the overall profile of motor abilities of children with CP that, in addition to both gross motor function and manual abilities, includes bimanual fine motor function.…”

Section: Introductionmentioning

confidence: 99%

Profile of motor abilities of children with cerebral palsy as a predictor of their functional independence in self-care and mobility

Milićević

2020

Srp Arh Celok Lek

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Introduction/Objective Limitations of mobility and motor deficits are identified as predominant in the clinical picture of cerebral palsy. This research aimed to describe the profile of motor abilities of children with cerebral palsy, which included gross motor, manual, and bimanual fine motor functions, and to determine the extent to which their functional independence in self-care and mobility was influenced by the profile of their motor abilities. Methods A convenience sample of 117 participants with cerebral palsy (56.4% males), aged 7-18 years (M = 13.2, SD = 3.4), was included. The Gross Motor Function Classification System-Expanded and Revised, Manual Ability Classification System, Bimanual Fine Motor Function and the Functional Independence Measure-Version for Children, were used. Data was analyzed by descriptive statistics and hierarchical multiple regression. Results More than a half of sample exhibited different levels of gross motor, manual, and bimanual function. Lower functional independence in self-care and mobility was associated with higher functional limitations. Manual abilities were the strongest predictor of functional independence in self-care (β =-0.63, p < 0.001), while gross motor functions were the strongest predictor in the mobility domain (β =-0.65, p < 0.001). Conclusion Improvement of gross motor and manual abilities of children with cerebral palsy is confirmed as one of the basic preconditions for achieving a greater independence and for minimizing or eliminating a need for assistance in mobility and in everyday self-care activities.

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Goal setting in paediatric rehabilitation for children with motor disabilities: a scoping review

Abstract: The results highlight significant gaps in the literature explicating a sound theoretical basis for goal setting in paediatric rehabilitation and research evaluating the effects of goal qualities and goal setting processes on the achievement of meaningful outcomes.

Cited by 45 publications

References 87 publications

A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy

A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy

Self-determined Occupational Performance Model for Children From Economically Disadvantaged Backgrounds

Profile of motor abilities of children with cerebral palsy as a predictor of their functional independence in self-care and mobility

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