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A critical appraisal of how occupational therapists can enable participation in adaptive physical activity for children and young people
- Authors:
- SHARP Naomi, DUNFORD Carolyn, SEDDON Lyndsey
- Journal article citation:
- British Journal of Occupational Therapy, 75(11), November 2012, pp.486-494.
- Publisher:
- Sage
This literature review researched adaptive physical activity (APA) for people with physical disabilities. It examined barriers to participation, potential solutions, and the role of occupational therapists in enabling participation. A systemic literature search identified eleven key articles. Each paper was critically analysed using the Critical Appraisal Skills Programme tool. The information was summarised and reviewed using an iterative approach to identify themes. Two key themes emerged. The first encompassed barriers to participation, lack of role models, family attitudes and transportation. The second identified potential solutions through integrating APA into health care interventions. The authors conclude that participation in APA improves physical, social and psychological skills, which in turn impacts on other occupations. They believe there is a role for occupational therapists in helping children with disabilities to start participating in APA. Key to this are occupational therapists’ core skills of assessment, collaboration, engagement, adaptation, education and advocacy.
Participation of disabled children in individual decisions about their lives and in public decisions about service development
- Authors:
- CAVET Judith, SLOPER Patricia
- Journal article citation:
- Children and Society, 18(4), September 2004, pp.278-290.
- Publisher:
- Wiley
A literature review was carried out to establish what evidence exists about disabled children's participation in decision-making, both regarding their own lives and about the shape of service delivery. There is evidence that disabled children hold and can express views, given the right environment. However, participation of disabled children needs further development. Measures proposed include addressing organisational systems so that they promote participation, extending advocacy services, the adoption of inclusive approaches and staff training, plus education and information for disabled children and their parents. There remain significant gaps in the research evidence available.