RESUMO
Objective: Produce a French-Canadian translation of AMSTAR 2, affirm its content validity, and examine interrater reliability. Methods: Based on Vallerand's methodological approach, we conducted forward and parallel inverse-translations. Subsequently, an expert panel evaluated the translations to create a preliminary experimental French-Canadian version. A second expert panel examined this version and proposed additional modifications. Twenty future health professionals then rated the second experimental version for ambiguity on a scale (from 1 to 7). The principal co-investigators then reviewed the problematic elements and proposed a pre-official version. To ascertain content validity, a final back-translation was conducted resulting in the official version. Four judges evaluated 13 systematic reviews using the official French-Canadian version of AMSTAR 2. The Kappa coefficient was used to evaluate interrater reliability. Results: This rigorous adaptation enabled the development of a Franco-Canadian version of AMSTAR 2. Its application demonstrated low ambiguity (mean 1.15; SD 0.26) as well as good overall interrater reliability (total κ > 0.64) across all items. Conclusion: The French-Canadian version of AMSTAR 2 can now support francophone clinicians, educators, and managers in Canada as they undertake evidence-based practice.
RESUMO
BACKGROUND.: In the cognitive orientation to daily occupational performance (CO-OP) approach, parent involvement is critical for transferring skills from therapeutic settings to everyday contexts. PURPOSE.: This study aimed to gain insight into the experience of parents whose children with developmental coordination disorder participated in CO-OP intervention. METHOD.: This consolidation of three small qualitative studies investigating parents' experience involved an inductive qualitative content analysis of 10 parent interviews and 1 parent focus group. FINDINGS.: Four overarching themes emerged as depicting parents' experience. Although parents recognized the improvements their children made with the intervention, they also expressed several challenges, such as incorporating CO-OP tasks into daily routines, shifting of parent-child relationship and feeling self-efficacious with the approach. IMPLICATIONS.: This study highlights that parent observation of intervention sessions is not enough to support parents applying CO-OP at home. Research is needed to understand how to best engage parents in the CO-OP approach.
Assuntos
Transtornos das Habilidades Motoras , Terapia Ocupacional , Humanos , Orientação , Pais , AutoeficáciaRESUMO
INTRODUCTION: Cognitive Orientation to daily Occupational Performance (CO-OP) approach has been shown to be effective for improving the performance of tasks worked on in therapy and the use of cognitive strategies. No study to date seems to have explored its effectiveness for improving performance of untrained tasks (inter-task transfer) in children with Developmental Coordination Disorder (DCD). OBJECTIVE: This study aimed to determine whether CO-OP leads to improved performance in an untrained task. METHODS: A single-subject design with multiple baselines across skills was adopted, with three replications. Four children with DCD (7-12years) received 10 sessions of CO-OP intervention where each child worked on three tasks during therapy sessions and a fourth task was identified, but not worked on, to verify inter-task transfer. Task performance was rated over four phases (baseline, intervention, post-intervention, follow-up) using the Performance Quality Rating Scale (PQRS-OD). Graphed data was statistically analyzed using a two or three standard deviation band method. RESULTS: Significant improvement was obtained for 11 of 12 tasks worked on during therapy and for two of the four untrained tasks. CONCLUSION: These results indicate that the effectiveness of CO-OP to improve untrained tasks in children merit further exploration.
