Culturally Responsive Pediatric Rehabilitation Interventions: A Scoping Review

Culturally responsive frameworks are essential for delivering equitable rehabilitation services to diverse communities. Culturally informed practices that use evidence-based strategies facilitate holistic, family-centered interventions. This scoping review explores the literature published over the last 5 years on barriers and facilitators to the use of culturally responsive interventions for children and families receiving pediatric rehabilitation services. Databases searched included PubMed, CINAHL Complete, Medline, Cochrane Library, and OTseeker. Search terms included cultural competence, culturally informed, culturally grounded, pediatrics, rehabilitation, physical therapy, occupational therapy, barriers, facilitators, and a combination of these terms. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Published intervention studies that identified the barriers and facilitators of culturally responsive care were included in this review. Data from presentations, non-peer-reviewed literature, published abstracts, and dissertations were excluded. Ten studies were included, two Level III, three Level IV, and five Level V, according to the commonly accepted research Levels of Evidence. The outcomes of these studies suggest that rehabilitation providers should consider how to implement tailored, culturally informed interventions to improve holistic, accessible care for all communities.