Promoting Participation in Leisure Activities: Expanding Role for Pediatric Therapists

Majnemer, Annette

doi:10.1080/01942630802625163

Cited by 19 publications

(14 citation statements)

References 7 publications

(8 reference statements)

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“…Group benefits on self-esteem were also reported. This is an important outcome since poor self-esteem may limit a child's participation more than poor functional skills (Majnemer, 2009). Improvements in self-esteem also help improve family cohesion.…”

Section: Discussionmentioning

confidence: 99%

Section: Administrative and Clinical Implicationsmentioning

confidence: 99%

“…These collaborative endeavors require time and effort, perhaps leaving less time to provide interventions. However, since a child's function may be more influenced by the number of opportunities to practice than by the frequency of interventions (Palisano & Murr;2009), collaborative efforts are necessary to help families and community partners provide these opportunities to children.Finally, groups may require therapists to gain new knowledge, work collaboratively and assume new roles; from clinical experts they also become consultants, information providers and service coordinators (Chiarello & Kolobe, 2005; Harrison, et al, 2007; King, 2009; King & Meyer, 2006). Academic programs, professional associations and rehabilitation programs need to support …”

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confidence: 99%

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Increasing the Use of Group Interventions in a Pediatric Rehabilitation Program: Perceptions of Administrators, Therapists, and Parents

Camden

Tétreault

Swaine³

2011

Physical & Occupational Therapy In Pediatrics

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Abstract:Objectives. To explore perceptions related to increased utilization of group interventions as part of a service reorganization within a pediatric rehabilitation program. Methods. Individual interviews with program administrators (n=13) and focus groups with therapists (n=19) and parents of children with disabilities (n=5) were conducted. Data were analysed using a coding grid inspired by the organized action systems theory. Results. Administrators and therapists identified several issues including the need to improve the referral process for groups and the coordination across services. Groups considerably modified practice and required substantial efforts from therapists. Administrators felt groups contributed to increased service accessibility.Although therapists had some doubts about service quality in groups, especially in regards to the reduced attention to individual needs, they reported positive benefits on children's social participation. Generally, parents were satisfied with group interventions. Conclusion. Groups appear to be a promising method of service delivery, but organizational-related issues should be considered. Key wordsRehabilitation, children, disabilities, group intervention, service delivery 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 BACKGROUNDGroup interventions are increasingly used in clinical settings and are sometimes presented as a strategy to decrease waiting times (Bell, Corfield, Davies, & Richardson, 2010;Miller et al., 2008). Group interventions are defined as sessions where two or more clients interact to achieve common goals (Graham & Avent, 2004;Schwartzberg, Howe, & Barnes, 2008). Generally, groups are reported to enhance psychological support, to have motivational effects, to ease the pressure related to the intensity of one-to-one interactions, to provide opportunities for practice and to alleviate feelings of isolation and hopelessness experienced by persons with disabilities (Coulter, Weber, & Scarvell, 2009; Graham & Avent, 2004; Hong & Howard, 2002). For various pediatric populations, groups have been reported to be as effective as individual interventions with respect to families' satisfaction and improvements of children's skills (Davies & Gavin, 1993; Hung & Pang, 2010; Kayihan, 2001). Groups are also presumed to be more cost-effective than individual interventions (Coulter, et al., 2009; Hung & Pang, 2010; LaForme Fiss & Effgen, 2007; LaForme Fiss, et al., 2009; Trahey, 1990), although few cost-effective studies exist.The decision of whether to treat a child individually or in a group is complex. Depending on the rehabilitation goals, individual interventions, or small or large group interventions can be offered to families (Palisano & Murr, 2009). Although about 50% of occupational and physical therapists (LaForme Fiss & Effgen, 2007, Lawlor & Henderson, 1989 reported u...

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Section: Discussionmentioning

confidence: 99%

Section: Administrative and Clinical Implicationsmentioning

confidence: 99%

mentioning

confidence: 99%

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Increasing the Use of Group Interventions in a Pediatric Rehabilitation Program: Perceptions of Administrators, Therapists, and Parents

Camden

Tétreault

Swaine³

2011

Physical & Occupational Therapy In Pediatrics

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“…Young children with developmental disabilities and delays experience difficulties when participating in activities (Khetani, Graham, & Alvord, 2013c;Khetani, Orsmond, Cohn, Law, & Coster, 2012b). In fact, participation is a primary service-related outcome for those children who are deemed eligible for early intervention, outpatient and inpatient pediatric rehabilitation, and early childhood special education (American Occupational Therapy Association (AOTA), n.d.; Hebbeler et al, 2007; Individuals with Disabilities Education Improvement Act of 2004; Majnemer, 2009). Nearly one-fifth of occupational therapists nationwide are employed in these pediatric settings (National Board for Certification in Occupational Therapy, 2012).…”

Section: Introductionmentioning

confidence: 99%

Patterns and Correlates of Caregiver Satisfaction With Young Children’s Participation in Home Activities

Nale

2017

The American Journal of Occupational Therapy

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PATTERNS AND CORRELATES OF CAREGIVER SATISFACTION WITH YOUNG CHILDREN'S PARTICIPATION IN HOME ACTIVITIES Young children's participation in home activities is an important indicator of their health and well-being and also facilitates development in social, physical, and emotional skills. Prior studies have shown that young children with disabilities and delays experience participation restrictions. Some young children with disabilities and delays qualify for services to improve their participation in activities. Therefore, service providers, such as occupational therapists, can benefit from context-specific information on trends and correlates of caregiver concern (i.e., dissatisfaction) with children's participation. This detailed information can help to direct familycentered care towards improved participation. The Young Children's Participation and Environment Measure (YC-PEM) is a caregiver questionnaire that assesses context-specific information about areas of caregiver concern (i.e., dissatisfaction) with young children's participation in specific activities, as well as perceived environmental supports and barriers for participation in a specific setting. A recent study leveraging YC-PEM data showed that discrepancies in daycare/preschool participation between young children with and without disabilities, including caregiver desire for change (i.e., dissatisfaction), can be detected in the early childhood period. This study further leverages the YC-PEM to examine disparities in caregiver satisfaction with young children's participation in the home. The home is a significant context given that it is where young children spend a majority of their time and where early childhood interventions often occur. Towards this end, the purpose of this study is threefold: 1) to characterize common areas of caregiver dissatisfaction with young children's home participation, 2) to examine common type(s) of caregiver change ACKNOWLEDGEMENTS First and foremost, I would like to thank my hardworking and dedicated parents for always supporting and encouraging me and raising me in a way that gave me the ability to achieve my dreams and be the person I am today. I am also extremely grateful for my three beautiful, smart, and loving sisters, Jennifer, Andrea, and Michelle, who keep life interesting and are my best friends and confidants. I would also like to thank Thomas Moran for always reminding me of what I am capable of and for handling all my stress in a loving way. I would also like to thank all of my friends in the OT program for their support throughout my thesis process, and especially for listening to my dilemmas and giving me advice when I needed it. I also want to acknowledge my past and present Children's Participation and Environment Research Lab (CPERL) team members Kristen, Tanya, Jiang, Cara, and Ryan for their constructive feedback on my thesis and for making the lab environment a great place to work.

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“…Engagement in preferred leisure activities enhances particular skill competencies, fosters friendships with peers, facilitates refinement of personal interests and identity, and provides opportunities to explore new roles. Leisure participation is particularly important at schoolage and adolescence, as children gain greater autonomy from their parents and make more choices (King et al, 2006;Majnemer, 2009;McConachie, Colver, Forsyth, Jarvis, & Parkinson, 2006). Children with disabilities are at greater risk for poor physical and mental health, and concomitantly, for decreased involvement in leisure activities.…”

Section: Promoting Health In Children Andmentioning

confidence: 99%

Balancing the Boat: Enabling an Ocean of Possibilities

Majnemer¹

2010

Can J Occup Ther

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Promoting Participation in Leisure Activities: Expanding Role for Pediatric Therapists

Cited by 19 publications

References 7 publications

Increasing the Use of Group Interventions in a Pediatric Rehabilitation Program: Perceptions of Administrators, Therapists, and Parents

Increasing the Use of Group Interventions in a Pediatric Rehabilitation Program: Perceptions of Administrators, Therapists, and Parents

Patterns and Correlates of Caregiver Satisfaction With Young Children’s Participation in Home Activities

Balancing the Boat: Enabling an Ocean of Possibilities

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