Pratique affirmant la neurodivergence en ergothérapie : revue de portée et analyse qualitative de contenu de la littérature

Titre original en anglais : Neurodivergent affirming practice in occupational therapy: Scoping review and qualitative content analysis of the literature

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Twinley, R. (2024). Neurodivergent affirming practice in occupational therapy: Scoping review and qualitative content analysis of the literature. Neurodiversity, 2. https://doi.org/10.1177/27546330241301740

Date de publication: 01/02/2024 Ajout dans AutiHub: 26/09/2026 Type: Article Langue de l’article: Anglais
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1 / 1 (100,0 %)
  1. Rebecca Twinley *

Résumé

Contexte Les enjeux relatifs à la neurodiversité et à la neurodivergence n'ont commencé à être abordés dans le discours de l'ergothérapie que ces dernières années. Une publication fondatrice a proposé de manière notable que la profession d'ergothérapeute modifie son paradigme de services afin de développer un soutien inclusif pour les populations neurodivergentes ; l'ampleur et la réussite de cette démarche restaient à mesurer. Objectif Examiner et décrire la littérature qualitative, conceptuelle/théorique ou fondée sur des opinions actuellement disponible afin d'identifier les facteurs clés liés à une pratique ergothérapeutique affirmant la neurodivergence (ou inclusive envers les personnes neurodivergentes). Méthodes Une combinaison de guides méthodologiques a été utilisée : (1) le cadre méthodologique en cinq étapes d'Arksey et O'Malley, (2) Levac et al., et (3) Pollock et al. Les résultats ont été rapportés à l'aide de l'extension Preferred Reporting Items for Systematic Reviews and Meta-analyses pour les revues de portée (PRISMA-ScR). Une analyse qualitative de contenu selon Elo et Kyngäs a été menée. Résultats Huit ressources répondaient aux critères d'inclusion. Quatre catégories clés ont été identifiées : (1) changement de paradigme et approches de la pratique thérapeutique ; (2) défense des droits et autonomisation ; (3) compréhension et adoption de la neurodiversité dans le cadre d'une pratique éthique et collaborative, et (4) obstacles systémiques, défis externes et contexte social. Conclusions/Importance Les résultats suggèrent que les orientations futures comprennent l'élaboration d'approches holistiques et la constitution de données probantes par des recherches supplémentaires. Cette étude constitue une synthèse des connaissances destinée à éclairer les recherches futures.

Background Issues pertaining to neurodiversity and neurodivergence have only begun to be commented on in the occupational therapy discourse in recent years. A seminal piece made a notable proposal for the occupational therapy profession to shift its service paradigm to develop inclusive support for neurodivergent populations; the extent and success of this were yet to be measured. Aim To examine and describe the current qualitative, conceptual/theoretical, or opinion-based literature to identify key factors related to neurodivergent-affirming (or neurodivergent-inclusive) occupational therapy practice. Methods A combination of methodological guidance were utilised: (1) Arksey and O’Malley’s five-stage methodological framework, (2) Levac et al., and (3) Pollock et al. Findings were reported using the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping reviews (PRISMA-ScR). Qualitative content analysis according to Elo and Kyngäs was conducted. Findings Eight resources met the criteria for inclusion. Four key categories were identified: (1) paradigm shift and therapeutic practice approaches; (2) advocacy and empowerment; (3) understanding and embracing neurodiversity as part of ethical and collaborative practice, and (4) systemic barriers, external challenges, and social context. Conclusions/Significance Findings suggest future directions include developing holistic approaches and building evidence through further research. This study serves as a knowledge synthesis to inform future research.

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Vue d’ensemble de la bibliographie citée

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Références citées
67
Avec un DOI
42
Sans DOI, à partir du texte brut de la bibliographie
25
7 / 67 (10,4 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
16 / 67 (23,9 %)
Références avec noms d’auteurices détectés
51 / 67 (76,1 %)
Sans nom d’auteurice détecté
16
Sans titre structuré
15
Sans identifiant stable
23
Références avec noms bruts d’auteurices restant à vérifier
15
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0
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Noms d’auteurices détectés dans la bibliographie citée
173
À partir du DOI ou de métadonnées externes
173
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
17
29 / 173 (16,8 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 144 / 173 (83,2 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
10 / 173 (5,8 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 10 / 29 (34,5 %). Personnes distinctes identifiées comme autistes : 10 / 148 (6,8 %).
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