Investigating the practice and capacity of paediatric occupational therapists to promote the physical activity levels of children in Western Australia
Notice bibliographique
Résumé
Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational therapists’ capacity for and involvement in health promotion, with no studies concerning their promotion of children’s PAL. This study aimed to develop an understanding of paediatric occupational therapists’ involvement in, and capacity for, implementing health promotion activities to increase the PAL of children in WA aged 0-18 years. The application of the Building Health Promotion Capacity theoretical framework throughout the study enabled robust analysis of participants’ capacity for health promotion. A mixed methods design was employed with qualitative data illustrating and verifying the initial quantitative findings. Self-report questionnaires were completed by 86 paediatric occupational therapists in WA, representing 28% of the total population. This elicited cross-sectional quantitative data of participants’ involvement in and capacity for promoting the PAL of children, as well as barriers to their involvement. Following these, in-depth interviews were completed with 9 paediatric occupational therapists and thematically analysed to determine barriers and enablers to promoting children’s PAL. Quantitative data revealed the majority of participants were involved in promoting the PAL of some of the individual children with whom they worked. In addition, half of the participants who worked with all children in a community setting had incorporated community-level strategies to increase children’s PAL. Reflecting an alignment with the Ottawa Charter for Health Promotion, participants implemented a combination of strategies relating to creating supportive environments, developing personal skills, and strengthening community action. Participants rated their capacity positively in relation to having the necessary knowledge, skill and commitment to promote children’s PAL; however, having access to necessary resources rated close to neutral. Analysis of quantitative and qualitative data revealed significant enablers to paediatric occupational therapists’ promoting children’s PAL include holding a belief in its importance and having confidence in their clinical skills and knowledge. Common barriers were a lack of resources, including time due to a heavy clinical workload and inadequate funding. In addition, commitment to increasing children’s PAL was impacted by competing clinical priorities, which were influenced by the priorities of each child’s family, limited recognition of occupational therapists’ competency, and a lack of managerial and political support for primary prevention activity. This study raises awareness of the important contribution paediatric occupational therapists in WA have made towards promoting children’s PAL. Common barriers reveal the need for ongoing efforts to increase awareness amongst occupational therapists and health services’ management of the importance of a preventative approach to delivering health services. This study provides foundation information and valuable insights regarding paediatric occupational therapists’ views and experiences implementing health promotion activities in WA, which can be used to inform paediatric occupational therapy practice and education, and inform initiatives for building the health promotion capacity of a multidisciplinary workforce.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».