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Strategies Used by Professionals in Pediatric Rehabilitation to Engage the Child in the Intervention Process: A
Marianna Antoniadou1,2, Mats Granlund3,4, Anna Karin Andersson5
1CHILD, School of Education and Communication, Jönköping University, Jönköping, Sweden.
Insights
Pediatric rehabilitation professionals use strategies like therapeutic use of self and clear communication to engage children in therapy. Enhancing child mastery through success in activities is key for effective pediatric rehabilitation engagement.
Area of Science:
- Pediatric Rehabilitation
- Child Psychology
- Therapeutic Engagement Strategies
Background:
- Engaging children in pediatric rehabilitation is crucial for intervention success.
- Understanding professionals' strategies for child engagement is vital.
Purpose of the Study:
- To investigate strategies used by pediatric rehabilitation professionals.
- To explore child engagement across all intervention stages: assessment, goal setting, planning, implementation, and evaluation.
Main Methods:
- A comprehensive scoping literature review was performed.
- Seven major databases were searched, supplemented by citation searches.
- Studies were selected based on predefined criteria and quality standards, analyzed through the PIO framework.
Main Results:
- Twenty studies revealed professionals use 'therapeutic use of self' and active engagement to build rapport.
- Clear explanations of roles and rationale foster positive expectations.
- Enhancing child mastery through successful activities improves engagement.
Conclusions:
- Professionals' engagement strategies require further investigation for effectiveness across intervention steps.
- Observational and longitudinal studies are needed to understand in-session engagement dynamics.
Aim:
To investigate strategies used by professionals in pediatric rehabilitation to engage children in every step of the intervention process, including assessment, goal setting, planning and implementation of the intervention, and results evaluation.
Methods:
A scoping literature review was conducted, and seven databases were searched, including CINAHL and MEDLINE, ProQuest Central, PsycINFO, Social Science Premium Collection, PubMed, and Web of Science. A citation search of included articles was completed. Predetermined criteria, quality standards, and PIO framework guided the selection process. Results were presented in relation to Self-Determination Theory (SDT) and the contextual model of therapeutic change.
Results:
In total, 20 studies were included in the review. Pediatric professionals reported that therapeutic use of self and their own engagement in the intervention facilitated the establishment of a supportive relationship. Providing clear explanations about their role and therapy rationale developed positive expectations. By making the child feel successful within-session and outside-session activities, professionals enhanced child mastery. Professionals' strategies were abstractly described.
Conclusions:
Further research is needed to investigate strategies that are effective in the different steps of the intervention. More observational, longitudinal studies are required to capture fluctuations in in-session engagement.
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