Article

Enhancement of participation has been described as the ultimate outcome for
health and educational interventions. The goal of this systematic review was to
identify and critically appraise studies that aimed to improve the participation
outcomes of children with disabilities. METHOD: Nine databases that index
literature from the fields of health, psychology, and education were searched to
retrieve information on research conducted with children with disabilities aged
between 5 years and 18 years. Articles were included if the author(s) reported
that participation was an intended outcome of the intervention. The articles
included were limited to those reporting high-level primary research, as defined
by Australia's National Health and Medical Research Council evidence hierarchy
guidelines. No restrictions were placed on the type of intervention being
investigated. RESULTS: Seven randomized controlled or pseudo-randomized studies
were included. Only three of these studies identified participation as a primary
outcome. Both individualized and group-based approaches to enhancing
participation outcomes appeared to be effective. Studies of interventions with a
primary focus on body function or activity level outcomes did not demonstrate an
effect on participation outcomes. INTEPRETATION: Few intervention studies have
focused on participation as a primary outcome measure. Approaches using
individually tailored education and mentoring programmes were found to enhance
participation outcomes, while exercise programmes, where participation was a
secondary outcome, generally demonstrated little effect.
CI - (c) 2015 Mac Keith Press.

Langue : ANGLAIS