Understanding Therapists’ Use of Play with Children with Life-Threatening Conditions: A Qualitative Study

Abstract

Background: This study examined how occupational therapists use play in their treatments when working with children with life-threatening conditions. Methods: This narrative qualitative study used an interpretive phenomenological approach to data analysis. Three semi-structured interviews were conducted with each therapist; interviews were designed to gather an understanding of how these occupational therapists work with children with life-threatening conditions and the ways in which they use play. Results: Four major themes arose from the interviews along with two sub-themes. The four major themes were: play as a means, playful moments, condition-dependent limitations, and reimbursement. The two subthemes were the importance of play and allowing for more play at end of life. Conclusion: Findings from this study suggest that while therapists value play as an occupation, they are typically using it as a means to another end in therapy with children with life-threatening conditions. In addition, therapists who incorporate play into treatment when working with children with life-threatening conditions face many challenges, including the limitations of insurance reimbursement and the confines of practicing in a hospital-based setting.

Keywords

• play
• children with life-threatening conditions (CWLC)
• underground therapy