Occupational Therapy Practice Guidelines for Children and Youth Ages 5–21 Years.

Importance: Demand is increasing for activity- and occupation-based interventions to address occupational performance and support maximal participation of children and youth. Objective: This Practice Guideline was developed to guide decision making and support best practices in service delivery for...

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Publicado en:American Journal of Occupational Therapy Vol. 74; no. 4; pp. 1 - 49
Autores principales: Cahill, Susan M., Beisbier, Stephanie
Formato: practice guidelines tables/charts Journal Article
Publicado: American Occupational Therapy Association Jul/Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2020
      vid: 74
      iid: 4
      pid: 6680
      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2020.744001
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        atl: Occupational Therapy Practice Guidelines for Children and Youth Ages 5–21 Years.
      aug:
        au:
          Cahill, Susan M.
          Beisbier, Stephanie
        affil: Susan M. Cahill, PhD, OTR/L, FAOTA, is Associate Professor and Occupational Therapy Department Chair, MSOT Program, Lewis University, Romeoville, IL.
      sug:
        subj:
          Occupational Therapy
          Practice Guidelines
          Health Care Delivery
          Decision Making, Clinical
          Occupational Therapists
          Occupational Therapy Practice, Evidence-Based
          Child
          Child, Preschool
          Adolescence
          Young Adult
          Activities of Daily Living
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Adolescent: 13-18 years
      ab: Importance: Demand is increasing for activity- and occupation-based interventions to address occupational performance and support maximal participation of children and youth. Objective: This Practice Guideline was developed to guide decision making and support best practices in service delivery for children and youth ages 5–21 yr at home, at school, and in the community. Method: The results from three systematic reviews (SRs) of activity- and occupation-based interventions for children and youth ages 5–21 yr were reviewed, synthesized, and translated into recommendations for education, practice, and research. Results: One hundred eighty-five articles were included in the three SRs examining the evidence for interventions to promote activities of daily living, instrumental activities of daily living, play and leisure, and rest and sleep; to improve mental health, positive behavior, and social participation; and to enhance learning, academic achievement, and successful participation in school. The reviews provide evidence for interventions associated with typical concerns addressed by occupational therapy practitioners. Conclusions and Recommendations: On the basis of the evidence, this guideline recommends that occupational therapy practitioners consistently collaborate with families and caregivers and provide services in the natural context of the desired occupation. The evidence also supports group service models and models that include peer mediation; these models can promote participation across areas of occupation. Skills-based training and therapeutic practice in the context of valued occupations are recommended over isolated sensorimotor approaches. Technology, manualized programs, and sports activities can be effective but should be evaluated and matched to age, diagnosis, and outcomes as guided by the evidence. What This Article Adds: When guided by evidence, activity- and occupation-based interventions are effective in promoting participation and enhancing performance in valued occupations of children and youth ages 5–21 yr.
      pubtype: Academic Journal
      doctype:
        practice guidelines
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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