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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 曾美惠(Mei-Hui Tseng) | |
| dc.contributor.author | Mu-En Chiu | en |
| dc.contributor.author | 邱牧恩 | zh_TW |
| dc.date.accessioned | 2022-11-25T06:34:27Z | - |
| dc.date.copyright | 2021-11-03 | |
| dc.date.issued | 2021 | |
| dc.date.submitted | 2021-10-20 | |
| dc.identifier.citation | 陳偉權. (2017). 診間醫病關係之探究-以多元文化為觀點. 高雄師範大學成人教育研究所學位論文, 1-291. Ahn, R. R., Miller, L. J., Milberger, S., McIntosh, D. N. (2004). Prevalence of parents’ perceptions of sensory processing disorders among kindergarten children. American Journal of Occupational Therapy, 58(3), 287-293. An, S. J. L. (2017). Parent Training Occupational Therapy Program for Parents of Children with Autism in Korea. Occup Ther Int, 2017, 4741634. https://doi.org/10.1155/2017/4741634 Anaby, D., Avery, L., Gorter, J. W., Levin, M. F., Teplicky, R., Turner, L., Cormier, I., Hanes, J. (2020). Improving body functions through participation in community activities among young people with physical disabilities. Developmental Medicine Child Neurology, 62(5), 640-646. Angelin, C. S., Sugi, S., Rajendran, K. (2021). Occupational Performance Coaching for Mothers of Children with Disabilities in India. Canadian Journal of Occupational Therapy, 88(1), 38-47. https://journals.sagepub.com/doi/pdf/10.1177/0008417420972868 Bagby, M. S., Dickie, V. A., Baranek, G. T. (2012, Jan-Feb). How Sensory Experiences of Children With and Without Autism Affect Family Occupations. American Journal of Occupational Therapy, 66(1), 78-86. https://doi.org/10.5014/ajot.2012.000604 Baker, A. E. Z., Lane, A., Angley, M. T., Young, R. L. (2008, May). The relationship between sensory processing patterns and behavioural responsiveness in autistic disorder: A pilot study. J Autism Dev Disord, 38(5), 867-875. https://doi.org/10.1007/s10803-007-0459-0 Baldwin, P., King, G., Evans, J., McDougall, S., Tucker, M. A., Servais, M. (2013, Nov). Solution-focused coaching in pediatric rehabilitation: an integrated model for practice. Phys Occup Ther Pediatr, 33(4), 467-483. https://doi.org/10.3109/01942638.2013.784718 Bar-Haim, S., Harries, N., Nammourah, I., Oraibi, S., Malhees, W., Loeppky, J., Perkins, N. 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Fidelity of Occupational Performance Coaching: Importance of Accuracy in Intervention Identification. OTJR (Thorofare N J), 38(1), 67-69. https://doi.org/10.1177/1539449217738926 Graham, F., Rodger, S. (2010). Occupational performance coaching: Enabling parents’ and children’s occupational performance. 203-226. Graham, F., Rodger, S., Ziviani, J. (2009, Feb). Coaching parents to enable children's participation: an approach for working with parents and their children. Aust Occup Ther J, 56(1), 16-23. https://doi.org/10.1111/j.1440-1630.2008.00736.x Graham, F., Rodger, S., Ziviani, J. (2010, Feb). Enabling occupational performance of children through coaching parents: three case reports. Phys Occup Ther Pediatr, 30(1), 4-15. https://doi.org/10.3109/01942630903337536 Graham, F., Rodger, S., Ziviani, J. (2013, Jan-Feb). Effectiveness of occupational performance coaching in improving children's and mothers' performance and mothers' self-competence. 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Effects of telerehabilitation in occupational therapy practice: A systematic review. Hong Kong Journal of Occupational Therapy, 32(1), 3-21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560836/pdf/10.1177_1569186119849119.pdf Kahjoogh, A. M., Kessler, D., Hosseini, S. A., Rassafiani, M., Akbarfahimi, N., Khankeh, H. R., Biglarian, A. (2018). Randomized controlled trial of occupational performance coaching for mothers of children with cerebral palsy. British Journal of Occupational Therapy, 0308022618799944. https://doi.org/10.1177/0308022618799944 Kahjoogh, M. A., Kessler, D., Rassafiani, M., Hosseini, S. A., Khankeh, H., Akbarfahimi, N. (2017, May). Occupational performance coaching for mothers of children with cerebral palsy: A case report. International Journal of Therapy And Rehabilitation, 24(5), 218-222. https://doi.org/10.12968/ijtr.2017.24.5.218 Kessler, D., Graham, F. (2015, Jun). The use of coaching in occupational therapy: an integrative review. Aust Occup Ther J, 62(3), 160-176. https://doi.org/10.1111/1440-1630.12175 King, G., Schwellnus, H., Servais, M., Baldwin, P. (2019, Oct 23). Solution-Focused Coaching in Pediatric Rehabilitation: Investigating Transformative Experiences and Outcomes for Families. Phys Occup Ther Pediatr, 39(1), 16-32. https://doi.org/10.1080/01942638.2017.1379457 King, G., Williams, L., Hahn Goldberg, S. (2017, May). Family-oriented services in pediatric rehabilitation: a scoping review and framework to promote parent and family wellness. Child Care Health Dev, 43(3), 334-347. https://doi.org/10.1111/cch.12435 Law, M., Baum, C. M., Dunn, W. (2005). Measuring occupational performance. NJ: Slack. Little, L. M., Dean, E., Tomchek, S., Dunn, W. (2018, Aug). Sensory Processing Patterns in Autism, Attention Deficit Hyperactivity Disorder, and Typical Development. Phys Occup Ther Pediatr, 38(3), 243-254. https://doi.org/10.1080/01942638.2017.1390809 Little, L. M., Pope, E., Wallisch, A., Dunn, W. (2018, Mar/Apr). Occupation-Based Coaching by Means of Telehealth for Families of Young Children With Autism Spectrum Disorder. Am J Occup Ther, 72(2), 7202205020p7202205021-7202205020p7202205027. https://doi.org/10.5014/ajot.2018.024786 Miller-Kuhaneck, H., Watling, R. (2018, Jan/Feb). Parental or Teacher Education and Coaching to Support Function and Participation of Children and Youth With Sensory Processing and Sensory Integration Challenges: A Systematic Review. Am J Occup Ther, 72(1), 7201190030p7201190031-7201190030p7201190011. https://doi.org/10.5014/ajot.2018.029017 Ngai, F.-W., Wai-Chi Chan, S., Holroyd, E. (2007, Sep-Oct). Translation and validation of a chinese version of the parenting sense of competence scale in chinese mothers. Nursing research, 56(5), 348-354. https://doi.org/10.1097/01.NNR.0000289499.99542.94 Novak, I. (2014, May). Evidence to practice commentary new evidence in coaching interventions. 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Sensory Processing in Children with Autism Spectrum Disorder and/or Attention Deficit Hyperactivity Disorder in the Home and Classroom Contexts. Front Psychol, 8, 1772. https://doi.org/10.3389/fpsyg.2017.01772 Schaaf, R. C., Dumont, R. L., Arbesman, M., May-Benson, T. A. (2018, Jan/Feb). Efficacy of Occupational Therapy Using Ayres Sensory Integration((R)): A Systematic Review. Am J Occup Ther, 72(1), 7201190010p7201190011-7201190010p7201190010. https://doi.org/10.5014/ajot.2018.028431 Schwellnus, H., King, G., Thompson, L. (2015). Client-centred coaching in the paediatric health professions: a critical scoping review. Disabil Rehabil, 37(15), 1305-1315. https://doi.org/10.3109/09638288.2014.962105 Tomchek, S. D., Little, L. M., Myers, J., Dunn, W. (2018, Jun). Sensory Subtypes in Preschool Aged Children with Autism Spectrum Disorder. J Autism Dev Disord, 48(6), 2139-2147. https://doi.org/10.1007/s10803-018-3468-2 Townsend, E. A., Polatajko, H. J. (2007). Advancing an occupational therapy vision for health, well-being, and justice through occupation. Enabling Occupation II (CAOT Publications) Vismara, L. A., McCormick, C. E., Wagner, A. L., Monlux, K., Nadhan, A., Young, G. S. (2018). Telehealth parent training in the Early Start Denver Model: Results from a randomized controlled study. Focus on Autism and Other Developmental Disabilities, 33(2), 67-79. Wallisch, A., Little, L., Pope, E., Dunn, W. (2019). Parent Perspectives of an Occupational Therapy Telehealth Intervention. Int J Telerehabil, 11(1), 15-22. https://doi.org/10.5195/ijt.2019.6274 Ward, R., Reynolds, J. E., Pieterse, B., Elliott, C., Boyd, R., Miller, L. (2019, Apr 25). Utilisation of coaching practices in early interventions in children at risk of developmental disability/delay: a systematic review. Disabil Rehabil, 1-22. https://doi.org/10.1080/09638288.2019.1581846 Yang, H. 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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/82255 | - |
| dc.description.abstract | 感覺處理異常是學齡前兒童尋求職能治療的重要主訴，經常造成兒童社會參與、學業表現、生活自理及遊戲等參與困難，以及家長的親職效能感低落及較高的親職壓力。「職能表現教練」運用反思性提問、問題導向、溝通取向及成人學習原則，支持家長確認參與目標、行動及執行改變，以協助兒童能成功參與在有意義的職能任務中及提升參與表現；並提升家長的勝任感及自主性。2020年全球面臨新型冠狀病毒肺炎疫情時期，遠距照護模式成為許多服務傳遞的替代方式之一，而職能治療師也開始大量運用遠距服務模式來提供兒童及家庭介入。然而，台灣目前對於職能治療師運用遠距服務之成效及可行性仍未知。本研究旨在檢驗感覺處理異常兒童之家長於接受遠距教練介入方案，與衛教方案之成效差異；並探討家長對於接受遠距教練介入模式的滿意度及感受。 本研究採用準實驗設計之非隨機實驗控制組前後測設計，以便利取樣於台灣東部醫院收案20位感覺處理異常兒童及家長，收案條件為(1)年齡為3-6歲的兒童及家長，(2)兒童有感覺處理異常的現象(例如:過度敏感、反應不佳、動作笨拙等)，且感覺處理問題已造成兒童生活參與表現困難，(3)感覺處理剖析量表3-10歲中文版測驗結果至少有一項落在邊緣或障礙範圍，(4)家長具備口語訪談和問卷填寫的溝通表達和書寫閱讀能力。20對參與者經非隨機分組至遠距教練組及控制組，兩組皆接受4堂線上教育課程，遠距教練組接受傳統職能治療及6次遠距職能表現教練介入；控制組接受傳統職能治療及六次衛教方案。本研究分別於基準線(T1)、介入前(T2)及介入後(T3)進行測量，施測學前活動卡片組(PACS-C)、加拿大職能表現量表(COPM)、育兒勝任感量表中文版(POSC-C)及親職壓力量表中文版簡版(PSI-SF)；並於後測時給予針對遠距教練介入方案的滿意度及感受之問卷調查。 結果顯示遠距教練介入方案能有效促進學前感覺處理異常兒童的職能表現(d=1.622，p=0.000)及滿意度(d=2.699，p=0.000)，且相較於控制組的進步量有顯著差異(表現p=0.000，滿意度p=0.001)。此外，遠距教練組也顯示較能促進活動參與的多元性，介入後於全量表總分變化量有顯著差異(p=0.007)。在親職功能方面，遠距教練組家長於介入後整體親職壓力總分降低，但兩組於親職壓力及育兒效能感分數無組間差異。家長對於遠距教練介入的滿意度良好(mean=9.60)，並有「可實際促進兒童生活功能表現」、「可增進家長觀察分析孩子的能力」、「對待孩子更有同理心」及「有動力實際執行行動」之主觀感受。整體而言，遠距教練介入可作為職能治療師的服務提供方式之一，並針對「有特定需求」且「具動機」之家長，有助於提升兒童的職能表現，在疫情期間相當適合作為替代的服務模式之一。 | zh_TW |
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| dc.description.tableofcontents | "誌謝 1 中文摘要 2 英文摘要 4 第一章 緒論 Introduction 10 第一節 研究背景 10 第二節 研究目的 11 第三節 研究問題 11 第二章 文獻回顧 Literature Review 13 第一節 健康照護領域中的教練 13 第二節 教練與職能治療 16 第三節 教練於兒童復健領域之運用 18 第四節 職能表現教練 21 第五節 感覺處理異常 23 第六節 遠距照護於家長介入之運用 30 第七節 研究假設 32 第三章 研究方法 Research Method 33 第一節 研究設計 33 第二節 研究對象 33 第三節 評估工具 34 第四節 研究步驟 36 第五節 介入方案 39 第六節 資料分析 43 第四章 結果 Result 45 第一節 研究對象分析 45 第二節 遠距教練介入方案於感覺處理異常兒童及家庭之成效 47 第三節 家長接受遠距教練介入方案之滿意度及主觀感受 50 第五章 討論 Discussion 54 第一節 遠距教練介入對兒童生活參與表現之成效 54 第二節 遠距教練介入對家長親職功能之成效 56 第三節 家長對遠距教練介入之主觀感受 58 第四節 研究限制 60 第六章 結論 Conclusion 61 參考文獻 References 62 圖表目錄 70 圖一 促進增能的教練模式 70 圖二 OPC介入模式中關注的三個賦能領域 (Graham, 2020) 71 圖三 合作性分析的架構 72 圖四 研究流程圖 73 表一 教練與非教練的特質介紹 74 表二 以專業為本位與教練取向來介入感覺調節問題的範例 75 表三 線上教育課程主題內容 76 表四 研究對象基本人口變項 77 表五 遠距教練組及控制組的感覺處理異常型態因素之分佈 78 表六 遠距教練組與控制組於感覺處理剖析量表之T1分數 79 表七 控制組參與目標及COPM分數變化 80 表八 遠距教練組參與目標及COPM分數變化 81 表九 遠距教練組及控制組於COPM之T1分數 82 表十 遠距教練組與控制組於兒童中文版學前活動卡片組之T1分數 83 表十一 遠距教練組與控制組於育兒勝任感量表之T1分數 84 表十二 遠距教練組與控制組於親職壓力量表之T1分數 85 表十三 遠距教練組Wilcoxon Signed Rank 檢定COPM、PSI/SF及PSOC分數組內差異 86 表十四 控制組Wilcoxon Signed Rank 檢定COPM、PSI/SF及PSOC分數組內差異 87 表十五 遠距教練組及控制組COPM、PSI/SF及PSOC分數組間差異檢定 88 表十六 遠距教練組Wilcoxon Signed Rank 檢定PACS-C分數組內差異 89 表十七 控制組Wilcoxon Signed Rank 檢定PACS-C分數組內差異 90 表十八 遠距教練組及控制組PACS-C分數組間差異檢定 91 表十九 遠距教練組接受遠距教練介入方案之滿意度 93 附錄一：職能表現教練：個案紀錄稽核工具（Case Note Audit Tool） 94 " | |
| dc.language.iso | zh-TW | |
| dc.subject | 遠距照護 | zh_TW |
| dc.subject | 兒童參與 | zh_TW |
| dc.subject | 親職效能感 | zh_TW |
| dc.subject | 感覺處理異常 | zh_TW |
| dc.subject | 職能表現教練 | zh_TW |
| dc.subject | Parental Efficacy | en |
| dc.subject | Occupational Performance Coaching | en |
| dc.subject | Telehealth | en |
| dc.subject | Sensory Processing Disorder | en |
| dc.subject | Children Participation | en |
| dc.title | 運用遠距教練介入方案於學齡前感覺處理異常兒童及家長之成效探討：前驅研究 | zh_TW |
| dc.title | Occupational Performance Coaching for Parents of Preschool Children with Sensory Processing Disorder Delivered via Telehealth: A Pilot Study | en |
| dc.date.schoolyear | 109-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 簡啟文(Hsin-Tsai Liu),黃雅淑(Chih-Yang Tseng) | |
| dc.subject.keyword | 職能表現教練,遠距照護,感覺處理異常,兒童參與,親職效能感, | zh_TW |
| dc.subject.keyword | Occupational Performance Coaching,Telehealth,Sensory Processing Disorder,Children Participation,Parental Efficacy, | en |
| dc.relation.page | 95 | |
| dc.identifier.doi | 10.6342/NTU202103897 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2021-10-21 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 職能治療研究所 | zh_TW |
| dc.date.embargo-lift | 2025-10-20 | - |
| 顯示於系所單位： | 職能治療學系 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| U0001-1910202121114300.pdf 未授權公開取用 | 4.06 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。