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J Autism Dev Disord. 2021 Nov 20; doi: 10.1007/s10803-021-05374-1. Epub 2021 Nov 20.

Participation According to Clinicians Working with Young Children with Developmental Disabilities: A Long Way to Go.

Journal of autism and developmental disorders

Marieke Coussens, Jeroen Maes, Annemie Desoete, Guy Vanderstraeten, Hilde Van Waelvelde, Dominique Van de Velde

Affiliations

  1. Occupational Therapy Program, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Campus UZ Gent, Corneel Heymanslaan 10, Building B3, Entrance 46, 9000, Ghent, Belgium. [email protected].
  2. Occupational Therapy Program, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Campus UZ Gent, Corneel Heymanslaan 10, Building B3, Entrance 46, 9000, Ghent, Belgium.
  3. Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium.

PMID: 34800226 DOI: 10.1007/s10803-021-05374-1

Abstract

Participation has become an important measure of outcome in child rehabilitation as young children with developmental disabilities are increasingly at risk of decreased participation. Therefore, this study garnered information on clinicians' perspectives regarding perceived facilitators and barriers when rendering participation-based interventions using a qualitative research design. Semi-structured interviews of clinicians (Ns = 12, 25-57 years) were conducted and evaluated via an inductive thematic analysis. Results denote that current mechanisms of providing participation-based interventions resembled traditionally focused interventions; thus, resulting in a knowledge-to-practice gap. Clinicians desired more opportunities to communicate with caregivers and to be able to influence the children' s natural environments. They also identified shortness of time, resources, and rigid health care regulations as barriers hampering the efficacy of participation-based services.

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords: Developmental disabilities; Participation; Participation-based approaches; Young children

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