Understanding School-Based Rehabilitation Services Through The Lived-Experience Of Children And Youth: A Meta-Aggregative Review Protocol - Info and Reading Options

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Abstract Background: According to the United Nations, access to quality education is a right. However, barriers to accessing a quality education persist for many children and youth who have health conditions and who experience disability, including limitations in their activities and restrictions in their participation. School-based rehabilitation services (SBRS), such as occupational therapy (OT), physiotherapy (PT) and speech-language pathology (SLP), have the potential to reduce barriers, increase participation, and prevent the experience of disability for children and youth with health conditions. Aims: Our aims are to identify what children and youth who receive SBRS want, need and think about these services, determine the perceived impact of SBRS on their education and participation, and develop practical recommendations to improve SBRS and its delivery based on their perspectives. Method: We will conduct a meta-aggregative review to synthesize existing literature and to answer the question: "What are the firsthand perspectives of children and youth regarding the SRBS they receive?" We will select primary qualitative studies that capture the perspectives and experiences of children and youth about the rehabilitation services they receive while attending school. The study will use a systematic search strategy across six databases (CINAHL, ERIC, Embase, Emcare, Medline, and Web of Science), focusing on qualitative studies that provide first-person perspectives about SBRS. Data will be extracted, categorized, and synthesized using meta-aggregation, avoiding reinterpretation of primary findings to ensure the voices of youth receiving SBRS remain authentic. The findings will be pooled using a meta-aggregation approach as outlined in the JBI Manual for Evidence Synthesis (2024), where similar findings will be grouped into categories based on shared meanings or themes. These categories will then be synthesized to provide practical recommendations for practitioners, schools, and government on the delivery of SBRS. Conclusion: By synthesizing the first-hand perspectives of children and youth, we aim to understand what they want, need, like and dislike about the rehabilitation services they receive in schools. This review will aim to contribute to the development of more effective and inclusive SBRS, and to support the participation and functioning of children and youth with health conditions throughout their schooling career. Keywords: school-based rehabilitation service (SBRS), participation, lived experience, children and youth, meta-aggregative review, functioning and disability.

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