The meaning of play for children and young people with physical disabilities: A systematic thematic synthesis

Child Care Health Dev. 2018 Mar;44(2):173-182. doi: 10.1111/cch.12509. Epub 2017 Sep 14.

Abstract

Background: Children and young people with physical disabilities are often reported to play less than their typically developing peers. Few studies explore the meaning of play from the child's perspective; this study carried out a thematic synthesis of the findings of qualitative studies about the meaning of play following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

Methods: A search of CINAHL, AHMED, PsycINFO, MEDLINE, EMBASE, and ERIC was undertaken between September 2015 and March 2016. Qualitative studies exploring the meaning of play from the perspective of 0- to 18-year-olds with physical disabilities impacting function were included. Quality appraisal and thematic synthesis were undertaken in order to develop analytical themes.

Results: Thirteen studies met the inclusion criteria in part addressing the meaning of play for children and young people with physical disabilities. Synthesis of the findings identified 5 analytical themes: Play can feel both positive and negative; play can draw attention towards or away from my disability; play is a social interaction; I participate differently to my peers, and needing help feels normal.

Conclusions: The themes highlight the potential for play experiences of individuals with physical disabilities being overlooked by parents and professionals; further research is needed to explore play experience from these individual's perspective.

Keywords: children's views; disability; physical disabilities; play; qualitative; systematic review.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Attitude to Health*
  • Child
  • Disabled Children / psychology
  • Disabled Children / rehabilitation*
  • Humans
  • Play and Playthings / psychology*
  • Qualitative Research