학술논문

Experience of Engagement in a Somatosensory Discrimination Intervention for Children with Hemiplegic Cerebral Palsy: A Qualitative Investigation.
Document Type
Article
Source
Developmental Neurorehabilitation. Jul2019, Vol. 22 Issue 5, p348-358. 11p. 1 Color Photograph, 2 Diagrams, 2 Charts.
Subject
*CEREBRAL palsy treatment
*HEMIPLEGIA
*CONCEPTUAL structures
*EXPERIENCE
*GOAL (Psychology)
*INTERVIEWING
*MEDICAL personnel
*MOTIVATION (Psychology)
*OCCUPATIONAL therapy
*TOUCH
*PATIENT participation
*QUALITATIVE research
*SOCIAL support
*CAREGIVER attitudes
*PARENT attitudes
*PATIENTS' families
*FUNCTIONAL assessment
*CHILDREN
*THERAPEUTICS
Language
ISSN
1751-8423
Abstract
Background: To successfully modify an intervention from an adult population for use with children with cerebral palsy, it is important to understand the components that support a child's motivation and engagement. Method: Ten children who had participated in the Sense© intervention (mean age = 11 years 2 m [SD = 2 years]; four males; Manual Ability Classification System level I = 1, II = 9) and their primary caregivers (N = 11, 10 females) were interviewed. Transcripts were analyzed using framework analysis. Results: Key themes were identified in the core domains of the Synthesis of Child, Occupational Performance and Environment in Time model. Child: children's somatosensory discrimination ability improved; Motivation: incorporating child's goals was essential, as were real-world gains; Environmental: parents were interested in having more involvement in the intervention. Conclusion: The most engaging elements of the intervention for children were the attainment of their self-selected goals. Opportunities to modify the intervention for improved partnership with parents were identified. [ABSTRACT FROM AUTHOR]