对于神经发育障碍儿童的CO-OP方法的有效性:系统性审查
Emmanuel Madieu1,2, Sandrine Gagné-Trudel1, Pierre Yves Therriault1
1Department of Occupational Therapy, University of Quebec at Trois-Rivières, Trois-Rivières, Canada.
认知导向对日常职业表现 (CO-OP) 方法显著改善了神经发育障碍 (NDD) 儿童的日常活动和参与. 群体治疗显示出增强自尊和功能结果的前景.
科学领域:
- 职业疗法 职业疗法 职业疗法
- 儿科 儿科 儿科
- 发展心理学 发展心理学
背景情况:
- 神经发育障碍 (NDD) 对儿童的日常功能构成重大挑战.
- 对日常职业绩效的认知导向 (CO-OP) 方法是一种以客户为中心,以目标为导向的干预.
- 关于CO-OP方法对患有NDD的儿童有效性的证据需要进行系统评估.
研究的目的:
- 系统地审查关于CO-OP方法对被诊断患有NDD的儿童有效性的科学证据.
- 综合与CO-OP对职业表现,活动和参与的影响有关的发现.
- 确定当前研究中的差距,并建议未来的方向.
主要方法:
- 在多个数据库 (CINAHL, MEDLINE, PsycINFO, Scopus等) 中进行了全面的文献搜索. 在2001年至2022年间发表的研究.
- 资格标准集中在评估CO-OP在0-18岁儿童中NDD有效性的研究上,不包括非英语/法语和未出版的作品.
- 研究质量使用PEDro-P尺度或RoBiNT进行评估,数据按照PRISMA指南进行合成.
主要成果:
- 审查包括了20项研究,证据水平各不相同 (III,IV和V).
- 在接受CO-OP方法的儿童的活动和参与领域持续观察到显著的改善.
- 群体治疗课程显示了增强活动,参与和自我尊重等心理社会方面的有希望的结果.
结论:
- 协作合作 (CO-OP) 方法对患有NDD的儿童的功能能力产生了积极影响,特别是在活动和参与方面.
- 使用CO-OP的小组治疗模型显示了更广泛的应用和益处的潜力.
- 需要进一步进行高质量的实验研究,以确定效果大小和完善治疗方案.
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