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. 2020 Dec;67(6):537-549.
doi: 10.1111/1440-1630.12670. Epub 2020 May 25.

Strategies occupational therapists use to engage children and parents in therapy sessions

Rachel G D'Arrigo  1 , Jodie A Copley  1 , Anne A Poulsen  1 , Jenny Ziviani  1
Affiliations

Strategies occupational therapists use to engage children and parents in therapy sessions

Rachel G D'Arrigo et al. Aust Occup Ther J. 2020 Dec.

Abstract

Occupational therapists implicitly rely on tacit knowledge to inform the strategies they use to engage children and parents in a therapy session.

Objective: To identify strategies occupational therapists use in a therapy session to engage children and parents.

Methods: A qualitative approach was employed using interpretive description methodology. This involved seven therapy session observations with six occupational therapists (involving child, parent and therapist) and a key informant interview with the therapist after each session. Thematic analysis was undertaken.

Results: Two themes emerged. (a) 'Engaging the child' included 'building a connection', 'attending to feelings', 'thoughts and behaviours', 'structuring or designing the session', 'giving choice and respecting their choice', 'use of self', 'helping the child feel success' and 'helping the child understand and explore'. (b) 'Engaging the parent' included 'connecting', 'listening', 'explaining', 'demonstrating anddiscussing', 'including the parent and valuing their input' and 'collaborating'.

Conclusions: The strategies therapists used to engage children and families can be mapped with autonomy, relatedness- and competence-supportive strategies of Self-Determination Theory. Therapist attunement and responsiveness to the child as well as collaboration with the parent were strategies that represented all aspects of SDT.

Keywords: disability; engagement; involvement; occupational therapy; rehabilitation.

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References

REFERENCES

    1. An, M., Palisano, R. J., Yi, C.-H., Chiarello, L. A., Dunst, C. J., & Gracely, E. J. (2017). Effects of a collaborative intervention process on parent empowerment and child performance: A randomized controlled trial. Physical & Occupational Therapy in Pediatrics, 39(1), 1-15. https://doi.org/10.1080/01942638.2017.1365324
    1. Ayres, A. J., & Robbins, J. (2005). Sensory integration and the child: Understanding hidden sensory challenges. Los Angeles, CA: Western Psychological Services.
    1. Bowlby, J. (1984). Attachment and loss: Vol. 1 attachment (2nd ed. Vol. 1). Harmondsworth, UK: Penguin.
    1. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
    1. Carr, M., & Zebrowski, P. P. D. (2017). Child and parent perspective of effective and ineffective therapeutic alliance during treatment for stuttering. University of Iowa.

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