Motivation in pediatric motor rehabilitation: A systematic search of the literature using the self-determination theory as a conceptual framework

Meyns, Pieter; Mettelinge, Tine Roman de; Spank, Judith van der; Coussens, Marieke; Waelvelde, Hilde Van

doi:10.1080/17518423.2017.1295286

Cited by 38 publications

(39 citation statements)

References 43 publications

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“…The process of “engaging with” children in therapy was described by occupational therapists in the current study as comprising elements that were relatedness-, autonomy-, and competence-supportive, according to SDT. This comprehensive framework has been previously used to guide the identification of engagement strategies for children with cerebral palsy (James et al, 2015; Meyns et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

The Engaged Child in Occupational Therapy

D’Arrigo¹,

Copley²,

Poulsen³

et al. 2020

Can J Occup Ther

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Background. Achieving optimal outcomes for children in occupational therapy settings is influenced, in part, by their engagement. The nature of child engagement from the occupational therapy perspective remains relatively unexplored. Method. A qualitative research methodology was adopted, using an interpretive description approach. Thirty-two occupational therapists participated in five focus groups and six individual interviews that were thematically analyzed. Findings. Four themes emerged from the data: (i) signs of child engagement and disengagement; (ii) it’s about the child feeling safe; (iii) a sense of meaning and purpose; and (iv) service and therapist factors influencing child engagement. Implications. Helping the child feel safe; providing meaningful experiences; and being flexible and responsive were key means of connecting with, and supporting, child engagement. Strategies occupational therapists reportedly used to engage the child aligned with the tenets of self-determination theory (autonomy, relatedness, and competence).

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Section: Discussionmentioning

confidence: 99%

The Engaged Child in Occupational Therapy

D’Arrigo¹,

Copley²,

Poulsen³

et al. 2020

Can J Occup Ther

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“…Responses on causal beliefs (the last item of the illness perception questionnaire) were coded using thematic content analysis. Codebook development was influenced by the self‐determination theory, which separates beliefs into intrinsic and extrinsic, and has been studied to have importance in rehabilitation in similar pediatric populations with functional limitations (Meyns, Roman de Mettelinge, van der Spank, Coussens, & Van Waelvelde, ). Codes were then modified based on open‐ended coding.…”

Section: Methodsmentioning

confidence: 99%

Factors affecting quality of life in children and adolescents with hypermobile Ehlers‐Danlos syndrome/hypermobility spectrum disorders

Muriello

Clemens

et al. 2019

American J of Med Genetics Pt A

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Hypermobile Ehlers‐Danlos syndrome (hEDS) is a hereditary disorder of connective tissue, often presenting with complex symptoms can include chronic pain, fatigue, and dysautonomia. Factors influencing functional disability in the pediatric hEDS population are incompletely studied. This study's aims were to assess factors that affect quality of life in children and adolescents with hEDS. Individuals with hEDS between the ages 12–20 years and matched parents were recruited through retrospective chart review at two genetics clinics. Participants completed a questionnaire that included the Pediatric Quality of Life Inventory (PedsQL™), PedsQL Multidimentional Fatigue Scale, Functional Disability Inventory, Pain‐Frequency‐Severity‐Duration Scale, the Brief Illness Perception Questionnaire, measures of anxiety and depression, and helpful interventions. Survey responses were completed for 47 children and adolescents with hEDS/hypermobility spectrum disorder (81% female, mean age 16 years), some by the affected individual, some by their parent, and some by both. Clinical data derived from chart review were compared statistically to survey responses. All outcomes correlated moderately to strongly with each other. Using multiple regression, general fatigue and pain scores were the best predictors of the PedsQL total score. Additionally, presence of any psychiatric diagnosis was correlated with a lower PedsQL score. Current management guidelines recommend early intervention to prevent disability from deconditioning; these results may help identify target interventions in this vulnerable population.

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“…Recent research has identified engagement strategies used in paediatric rehabilitation and developmental settings that are aligned with the tenets of Self-Determination Theory (SDT;D'Arrigo et al, 2019D'Arrigo et al, , 2020Meyns, Roman de Mettelinge, van der Spank, Coussens, & Van Waelvelde, 2018;Smart et al, 2016). According to SDT, three psychological needs (autonomy, relatedness and competence) must be nourished in therapy to promote optimal performance and growth (Ryan & Deci, 2017).…”

Section: Discussionmentioning

confidence: 99%

Strategies occupational therapists use to engage children and parents in therapy sessions

D’Arrigo

Copley

Poulsen

et al. 2020

Aus Occup Therapy J

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Occupational therapists implicitly rely on tacit knowledge to inform the strategies they use to engage children and parents in a therapy session. Objective: To identify strategies occupational therapists use in a therapy session to engage children and parents. Methods: A qualitative approach was employed using interpretive description methodology. This involved seven therapy session observations with six occupational therapists (involving child, parent and therapist) and a key informant interview with the therapist after each session. Thematic analysis was undertaken. Results: Two themes emerged. (a) 'Engaging the child' included 'building a connection', 'attending to feelings', 'thoughts and behaviours', 'structuring or designing the session', 'giving choice and respecting their choice', 'use of self', 'helping the child feel success' and 'helping the child understand and explore'. (b) 'Engaging the parent' included 'connecting', 'listening', 'explaining', 'demonstrating anddiscussing', 'including the parent and valuing their input' and 'collaborating'. Conclusions: The strategies therapists used to engage children and families can be mapped with autonomy, relatedness-and competence-supportive strategies of Self-Determination Theory. Therapist attunement and responsiveness to the child as well as collaboration with the parent were strategies that represented all aspects of SDT.

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Motivation in pediatric motor rehabilitation: A systematic search of the literature using the self-determination theory as a conceptual framework

Abstract: Motivation in pediatric rehabilitation should be comprehensively assessed within a theoretical framework as there are indications that motivated children have better rehabilitation outcomes, depending on the aspect of motivation.

Cited by 38 publications

References 43 publications

The Engaged Child in Occupational Therapy

The Engaged Child in Occupational Therapy

Factors affecting quality of life in children and adolescents with hypermobile Ehlers‐Danlos syndrome/hypermobility spectrum disorders

Strategies occupational therapists use to engage children and parents in therapy sessions

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