Co-constructing engagement in pediatric rehabilitation: a multiple case study approach

Area of Science:

• Rehabilitation science
• Pediatric therapy
• Disability studies

Background:

• Therapy engagement is crucial for positive outcomes in youth with disabilities.
• Understanding the dynamics of engagement is essential for effective service delivery.
• Previous research highlights the need for tailored therapeutic approaches.

Purpose of the Study:

• To explore engagement principles in therapy sessions with youth with disabilities and service providers.
• To identify contextual conditions influencing engagement strategies.
• To understand the co-construction of engagement in pediatric rehabilitation.

Main Methods:

• A dyadic case analysis of three youth (ages 8-15) with disabilities and their service providers.
• Semi-structured interviews focusing on high-engagement therapy experiences.
• Thematic analysis of interview data to identify engagement principles and contextual factors.

Main Results:

• Four key engagement principles were identified: Individual Variation, Personalizing, Relationship, and Monitoring.
• Service providers adapted engagement strategies based on therapy type and youth's interests.
• Client engagement varied based on individual differences and how it was displayed.

Conclusions:

• Awareness of engagement dynamics and personalized strategies are vital for service providers.
• Cultivating strong client-provider relationships and monitoring engagement are fundamental.
• Contextual conditions significantly impact the application of engagement strategies in therapy.