如何评估2至5岁儿童的参与,重点关注日常功能和社会互动:范围审查
Chantale Breault1,2, Marie-Julie Béliveau2,3, Marylène Dionne1,4
1School of Speech-Language Pathology and Audiology, University of Montreal, Montreal, Canada.
Developmental neurorehabilitation
|September 1, 2025
概括
这一审查确定了一些广泛使用的参与评估措施,用于幼儿 (2-5岁). 目前的方法难以协调概念,
科学领域:
- 儿童医学
- 发展心理学
- 职业治疗
背景情况:
- 评估幼儿参与对于了解儿童参与日常生活和社会互动至关重要.
- 现有的措施可能无法充分捕捉幼儿参与的细微差别 (2-5岁).
研究的目的:
- 对2至5岁儿童进行范围审查,以确定和描述参与评估措施.
- 评估儿童早期参与措施的概念和操作性.
主要方法:
- 根据PRISMA指南进行全面的范围审查.
- 分析了来自37个国家的480份出版物,确定了186个不同的参与措施.
- 关注与日常生活和社会互动相关的措施.
主要成果:
- 在186个确定的措施中,只有34个被引用超过3次,这表明对首选工具的共识有限.
- 在早期儿童职业中对参与评估的概念化和操作化方面存在重大挑战.
- 结果强调从单一的,以诊断为中心的方法转向以儿童和家庭为中心的做法是很困难的.
结论:
- 需要更强大,更广泛地接受幼儿参与评估措施.
- 提高概念和操作性对于有效的参与评估至关重要.
- 促进转向以儿童和家庭为中心的实践需要更好的工具和跨学科的合作.
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