A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.

<h4>Background</h4>According to Article 12 of the United Nations Convention on the Rights of the Child, therapists are duty-bound to include children in decisions that impact them. Although occupational therapists champion client-centred, collaborative practice, there remains a paucity o...

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Main Authors: Deirdre O'Connor, Helen Lynch, Bryan Boyle
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0260975
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author Deirdre O'Connor
Helen Lynch
Bryan Boyle
author_facet Deirdre O'Connor
Helen Lynch
Bryan Boyle
author_sort Deirdre O'Connor
collection DOAJ
description <h4>Background</h4>According to Article 12 of the United Nations Convention on the Rights of the Child, therapists are duty-bound to include children in decisions that impact them. Although occupational therapists champion client-centred, collaborative practice, there remains a paucity of studies detailing children's rights and experiences of decision-making in pediatric occupational therapy.<h4>Purpose</h4>This qualitative study described the decision-making experiences of children, parents and therapists in occupational therapy.<h4>Methods</h4>Semi-structured interviews were conducted with 17 participants (six children, five parents and six occupational therapists), and data analysed using thematic analysis.<h4>Findings</h4>Three themes emerged: 1) Goal-setting experiences; 2) Adults: child-rights gatekeepers or defenders? and 3) Decision-making in context. Findings suggest that decision-making is mostly adult directed, and children's voices are subsumed by adult-led services, priorities, and agendas.<h4>Implications</h4>Children's rights need to be embedded as an aspect of best practice in providing services that are child-centred in occupational therapy practices and education.
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spelling doaj.art-11de423d40834f5d88663649b29ee16b2022-12-21T21:19:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011612e026097510.1371/journal.pone.0260975A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.Deirdre O'ConnorHelen LynchBryan Boyle<h4>Background</h4>According to Article 12 of the United Nations Convention on the Rights of the Child, therapists are duty-bound to include children in decisions that impact them. Although occupational therapists champion client-centred, collaborative practice, there remains a paucity of studies detailing children's rights and experiences of decision-making in pediatric occupational therapy.<h4>Purpose</h4>This qualitative study described the decision-making experiences of children, parents and therapists in occupational therapy.<h4>Methods</h4>Semi-structured interviews were conducted with 17 participants (six children, five parents and six occupational therapists), and data analysed using thematic analysis.<h4>Findings</h4>Three themes emerged: 1) Goal-setting experiences; 2) Adults: child-rights gatekeepers or defenders? and 3) Decision-making in context. Findings suggest that decision-making is mostly adult directed, and children's voices are subsumed by adult-led services, priorities, and agendas.<h4>Implications</h4>Children's rights need to be embedded as an aspect of best practice in providing services that are child-centred in occupational therapy practices and education.https://doi.org/10.1371/journal.pone.0260975
spellingShingle Deirdre O'Connor
Helen Lynch
Bryan Boyle
A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.
PLoS ONE
title A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.
title_full A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.
title_fullStr A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.
title_full_unstemmed A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.
title_short A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.
title_sort qualitative study of child participation in decision making exploring rights based approaches in pediatric occupational therapy
url https://doi.org/10.1371/journal.pone.0260975
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