Participation as a means– implications for intervention reasoning
Authors: Mats Granlund, Christine Imms
Abstract:
Introduction: The increased focus among researchers and professionals on
participation as an explicit intervention outcome has prompted a paradigm shift
in both thought and practice. However, much research centers on altering
participation outcomes in specific life situations and stages. This discussion
paper considers “participation as a means” in pediatric rehabilitation and special
education interventions, emphasizing its role in achieving lasting outcomes.
Method: This paper uses a Venn diagram approach to consider relations
between three core concepts—participation, intervention, and outcomes—and
their intersection. The paper’s central theme revolves around the intersection
of these concepts, wherein participation serves as a means to achieve
enduring participation outcomes within the realms of rehabilitation and special
education. The discussion is supported by contemporary empirical work and
from literature identified in two recent scoping reviews focusing on the
intervention process.
Results: Achieving enduring participation outcomes through participation in the
intervention process necessitates creating a learning experience, with children
and families actively participating in every step: identifying participation issues,
seeking explanations, prioritizing intervention goals, selecting methods,
implementing interventions, and evaluating the process and outcomes.
Discussion: This structured approach supports professionals and researchers to
foster the skills and capacity required for lasting participation outcomes for
children with impairments.
This reseach is financed by: Swedish Reseach Council
