了解影响儿童获得性脑损伤康复目标设定的因素:使用理论领域框架进行定性研究
Sarah Knight1, Jill Rodda2, Emma Tavender2
1Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Vic., Australia; and Melbourne School of Psychological Sciences, The University of Melbourne, Vic., Australia; and Department of Paediatrics, The University of Melbourne, Vic., Australia; and Victorian Paediatric Rehabilitation Service, The Royal Children's Hospital Melbourne, Vic., Australia.
概括
为获得性脑损伤 (ABI) 的儿童实施有效的目标设定需要解决临床医生和家庭技能,沟通以及跨学科团队中的角色. 这项研究使用TDF和COM-B模型来确定改善儿科康复结果的关键因素.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 儿科心理学 儿科心理学
背景情况:
- 在康复期间,协作目标设定对获得性脑损伤 (ABI) 的儿童至关重要.
- 在跨学科团队中实施最佳实践目标设定存在重大挑战.
- 了解影响这一过程的因素对于有效的儿科康复至关重要.
研究的目的:
- 应用理论框架来理解影响儿童和家庭目标设定的因素,在一个大型的跨学科康复团队中.
- 确定障碍物和推动者,以有效的协作目标设定在儿科获得脑损伤康复.
- 为制定有针对性的干预措施提供信息,以改善目标设定实践.
主要方法:
- 一个半结构化的焦点小组由11名参与者组成:9名儿科康复临床医生,1名家长和1名患有儿科ABI的年轻人.
- 数据被主题编码,并根据理论领域框架 (TDF) 进行映射.
- 影响因素与能力,机会,动机 - 行为 (COM-B) 模型相关.
主要成果:
- 在6个TDF领域中确定了影响协作目标设定的因素:能力 (技能,知识,信念,行为调节),机会 (环境背景,资源) 和动机 (角色/身份).
- 这些因素映射到COM-B模型中,突出了个人和环境影响之间的相互作用.
- 建议采取多方面的干预措施,以提高跨学科团队内的技能,知识,沟通流程和角色清晰度.
结论:
- TDF和COM-B模型提供了一种系统的方法,以了解儿科ABI康复中的目标设定动态.
- 这些框架促进了针对临床应用的有针对性,多方面的干预措施的开发.
- 改善协作目标设定对于有效的儿科康复服务和确保最佳实践实施至关重要.
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