Portrait of occupational difficulties of French children in elementary schools followed in occupational therapy: an exploratory study
Portrait des difficultés occupationnelles des enfants français à l’école primaire et suivis en ergothérapie : une étude exploratoire
Creators: name: Vermeulen, Perrine
name: Hamdi-Bourgois, Capucine
Publisher: name: Communauté pour l’Avancement de la Recherche Appliquée Francophone en Ergothérapie (CARAFE)
Year: 2023
Subjects: Occupation, Enfants, MCRO, OT’Hope, Loisirs, Ergothérapie, Étude exploratoire
Occupation, Children, COPM, OT’Hope, Leisure, Occupational therapy, Exploratory study

description: Introduction: Participation of children in their occupations is essential to their development. Occupations are spread throughout the day in personal care, productivity (school activities) and leisure. The Canadian Occupational Performance Measure (COPM) is used in occupational therapy during the initial interview to identify the child's occupational difficulties, whether or not they are related to a pictorial aid such as the OT'HOPE. The aim of this study is to establish a portrait of the occupational difficulties of French children, followed in occupational therapy and aged between 6 and 12 years.
Methodology: A retrospective and exploratory descriptive analysis was performed on the data collected by the COPM in 2019. By convenience sampling, trained occupational therapists were invited to submit their data. Descriptive and mean-comparison statistical analyses, as well as a thematic analysis of the occupations raised, were performed.
Results: 720 activities with 104 children were identified as limiting their participation in their occupations. The profile of occupational difficulties was rather homogeneous between girls and boys except for hygiene (p=0.0002) and organization of school work (p=0.0004). Writing was the most cited activity, while leisure activities were the least mentioned by the children (6.81%).
Implication for practice: The under-representation of occupational difficulties in the leisure domain should encourage occupational therapists to pay particular attention to questioning this domain during the semi-directive interviews with the child at the beginning of the support.
description: Introduction : La participation de l’enfant dans ses occupations est essentielle pour son développement. Les occupations sont réparties tout au long de la journée dans ses soins personnels, ses activités scolaires et ses loisirs. La Mesure canadienne du rendement occupationnel (MCRO) peut être utilisée en ergothérapie lors de l’entretien initial pour faire émerger les difficultés occupationnelles de l’enfant, en lien ou non avec un support imagé tel que l’Outil THérapeutique d’autodétermination des Objectifs Pédiatriques en Ergothérapie (OT’Hope). Le but de cette étude est d’établir le portrait des difficultés occupationnelles des enfantsfrançais suivis en ergothérapie et âgés de 6 à 12 ans.Méthodologie : Une analyse descriptive rétrospective et exploratoire a été effectuée sur les données recueillies par la MCRO, avec l’utilisation ou non de l’OT’Hope, en 2019. En utilisant la méthode d’échantillonnage par convenance, 10 ergothérapeutes formés à la passation de la MCRO ont été invités à transmettre leurs données. Des analyses statistiques descriptives et de comparaison de moyenne ainsi qu’une analyse thématique sur les occupations soulevées ont été faites.Résultats : 720 activités auprès de 104 enfants ont été identifiées comme limitant leur participation dans leurs occupations. Le profil des difficultés occupationnelles est plutôt homogène entre les filles et les garçons sauf pour l’hygiène (p = 0,0002) et l’organisationdu travail scolaire (p = 0,0009). L’écriture est l’activité la plus citée (19,3 %) alors que les loisirs représentent le domaine le moins évoqué par les enfants (6,81 %).Implication pour la pratique : La sous-représentativité des difficultés occupationnelles dans le domaine des loisirs devrait encourager les ergothérapeutes à être particulièrement attentif à poser des questions sur ce domaine lors des entretiens semi-directifs avec l’enfant en début de l’accompagnement.
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Introduction: Children’s participation in their occupations is essential for their development. Occupations are distributed throughout the day in personal care, school activities and leisure. The Canadian Occupational Performance Measure (COPM) can be used in occupational therapy during the initial interview to elicit the child’s occupational difficulties, with or without a pictorial support such as the “Outil THérapeutique d’autodétermination des Objectifs Pédiatriques en Ergothérapie” (OT’Hope). The aim of this study is to establish a portrait of the occupational difficulties of French children, followed in occupational therapy and aged 6 to 12 years.Methodology: A retrospective and exploratory descriptive analysis was performed on the data collected by the COPM with or without the use of the OT’Hope collected in 2019. By convenience sampling, occupational therapists trained in administering theCOPM were invited to submit their data. Descriptive and mean-comparison statistical analyses, as well as a thematic analysis on the occupations raised, were performed.Results: 720 activities with 104 children were identified as limiting their participation in their occupations. The profile of occupational difficulties was rather homogeneous between girls and boys except for hygiene (p = 0.0002) and organization of schoolwork (p=0.0009). Writing was the most cited activity (19.3%), while leisure activities were the least cited by the children (6.81%).Implication for practice: The under-representation of occupational difficulties in the leisure domain should encourage occupational therapists to pay particular attention to questioning this domain during semi-directive interviews with the child at the beginning of the support.