{"id":2975,"date":"2026-10-11T16:42:03","date_gmt":"2026-10-11T16:42:03","guid":{"rendered":"https:\/\/remotion.rehab\/family-centered-rehabilitation-and-shared-decision-making-building-meaningful-goals-together\/"},"modified":"2026-10-12T01:16:13","modified_gmt":"2026-10-12T01:16:13","slug":"family-centered-rehabilitation-and-shared-decision-making-building-meaningful-goals-together","status":"publish","type":"post","link":"https:\/\/remotion.rehab\/fr\/family-centered-rehabilitation-and-shared-decision-making-building-meaningful-goals-together\/","title":{"rendered":"R\u00e9adaptation centr\u00e9e sur la famille et d\u00e9cision partag\u00e9e : construire ensemble des objectifs porteurs de sens"},"content":{"rendered":"<h2>Introduction<\/h2>\n<p>La r\u00e9adaptation est plus efficace lorsqu\u2019elle refl\u00e8te la vie que la personne souhaite mener, et pas seulement les exercices disponibles en clinique. Les familles et les aidants connaissent souvent les routines, les obstacles et les forces qui influencent la participation entre les rendez-vous. Les professionnels apportent l\u2019\u00e9valuation clinique, les donn\u00e9es probantes, la gestion des risques et leurs comp\u00e9tences sp\u00e9cialis\u00e9es. La r\u00e9adaptation centr\u00e9e sur la famille r\u00e9unit ces perspectives, tandis que la d\u00e9cision partag\u00e9e garantit que les choix de soins sont discut\u00e9s plut\u00f4t qu\u2019impos\u00e9s. Cette approche doit \u00e9galement prot\u00e9ger la voix et l\u2019autonomie de la personne accompagn\u00e9e.<\/p>\n<h2>Ce que signifie la r\u00e9adaptation centr\u00e9e sur la famille<\/h2>\n<p>La r\u00e9adaptation centr\u00e9e sur la famille est une approche collaborative qui reconna\u00eet les connaissances, les priorit\u00e9s, la situation et les capacit\u00e9s de la personne et de sa famille. Elle vise \u00e0 rendre les interventions pertinentes dans les contextes r\u00e9els, tels que l\u2019\u00e9cole, le travail, les soins personnels, les relations, le jeu et la participation sociale. Elle ne signifie pas que les parents ou les aidants non r\u00e9mun\u00e9r\u00e9s doivent assumer les responsabilit\u00e9s th\u00e9rapeutiques des professionnels. Toutes les personnes ne souhaitent pas le m\u00eame niveau d\u2019implication familiale : les pr\u00e9f\u00e9rences et le consentement doivent guider la participation.<\/p>\n<p>La Classification internationale du fonctionnement, du handicap et de la sant\u00e9 (CIF) de l\u2019Organisation mondiale de la Sant\u00e9 aide les professionnels \u00e0 consid\u00e9rer ensemble les fonctions corporelles, les activit\u00e9s, la participation et les influences environnementales. Une \u00e9volution de la performance clinique est surtout importante lorsqu\u2019elle contribue \u00e0 un fonctionnement porteur de sens ou \u00e0 un r\u00e9sultat convenu.<\/p>\n<\/p>\n<h2>La d\u00e9cision partag\u00e9e est un processus, pas une simple signature<\/h2>\n<p>La d\u00e9cision partag\u00e9e consiste \u00e0 discuter d\u2019une d\u00e9cision, \u00e0 explorer les options et leurs compromis, \u00e0 comprendre ce qui compte pour la personne et \u00e0 \u00e9laborer ensemble un plan. Un formulaire de consentement ne prouve pas \u00e0 lui seul que les choix ont \u00e9t\u00e9 r\u00e9ellement partag\u00e9s. Le processus peut inclure une <strong>discussion du choix<\/strong> (il existe plusieurs options raisonnables), <strong>discussion des options<\/strong> (les b\u00e9n\u00e9fices potentiels, les contraintes et les incertitudes) et une <strong>discussion de la d\u00e9cision<\/strong> (les pr\u00e9f\u00e9rences et la prochaine \u00e9tape convenue). Les professionnels doivent communiquer honn\u00eatement les incertitudes, proposer des informations accessibles et r\u00e9examiner les d\u00e9cisions lorsque la situation \u00e9volue.<\/p>\n<h2>Qui doit participer ?<\/h2>\n<p>La personne accompagn\u00e9e est au centre du processus, y compris l\u2019enfant dont l\u2019\u00e2ge et les capacit\u00e9s d\u00e9veloppementales influencent la mani\u00e8re d\u2019exprimer ses pr\u00e9f\u00e9rences. Les parents ou repr\u00e9sentants l\u00e9gaux peuvent donner leur consentement conform\u00e9ment \u00e0 la loi applicable, mais l\u2019assentiment, le confort et le refus de l\u2019enfant doivent \u00e9galement \u00eatre pris en compte. Un adulte ne doit pas perdre automatiquement son pouvoir d\u00e9cisionnel parce qu\u2019un proche l\u2019aide pour les rendez-vous ou les appareils. Lorsqu\u2019un soutien \u00e0 la d\u00e9cision est n\u00e9cessaire, il convient d\u2019utiliser des processus adapt\u00e9s de d\u00e9cision accompagn\u00e9e et les garanties juridiques applicables.<\/p>\n<p>Les professionnels concern\u00e9s peuvent inclure des ergoth\u00e9rapeutes, des kin\u00e9sith\u00e9rapeutes, des orthophonistes, des psychomotriciens, des psychologues, des m\u00e9decins de r\u00e9adaptation, des infirmiers et des \u00e9ducateurs. Leurs r\u00f4les doivent \u00eatre clairement d\u00e9finis afin d\u2019int\u00e9grer les retours de la famille sans cr\u00e9er de consignes contradictoires.<\/p>\n<\/p>\n<h2>Commencer par des objectifs d\u2019occupation et de participation<\/h2>\n<p>Commencer par demander ce qui compte pour la personne : pr\u00e9parer un repas, s\u2019habiller sans d\u00e9tresse, rejoindre ses camarades dans le jeu, utiliser les transports en commun, communiquer avec sa famille ou reprendre un loisir. Explorer les obstacles dans leur contexte. Un objectif doit \u00eatre compr\u00e9hensible, observable et r\u00e9aliste, tout en permettant \u00e0 la personne de d\u00e9finir ce que signifie la r\u00e9ussite.<\/p>\n<p>Par exemple, \u00ab am\u00e9liorer la motricit\u00e9 fine \u00bb est moins parlant pour une famille que \u00ab participer \u00e0 la pr\u00e9paration d\u2019une collation avec des ustensiles adapt\u00e9s et le niveau d\u2019aide convenu \u00bb. Les mesures standardis\u00e9es peuvent soutenir l\u2019\u00e9valuation, mais elles ne doivent pas remplacer les priorit\u00e9s propres \u00e0 la personne.<\/p>\n<\/p>\n<h2>Six \u00e9tapes pour un plan de r\u00e9adaptation collaboratif<\/h2>\n<ol>\n<li><strong>\u00c9couter et d\u00e9finir :<\/strong> identifier les pr\u00e9occupations de la personne, ses activit\u00e9s pr\u00e9f\u00e9r\u00e9es et son contexte familial.<\/li>\n<li><strong>\u00c9valuer :<\/strong> utiliser l\u2019\u00e9valuation professionnelle pour comprendre les capacit\u00e9s, les obstacles, les risques et les donn\u00e9es probantes.<\/li>\n<li><strong>Pr\u00e9senter les options :<\/strong> expliquer les soins en pr\u00e9sentiel, les strat\u00e9gies \u00e0 domicile, l\u2019adaptation de l\u2019environnement, les aides techniques et les options num\u00e9riques lorsqu\u2019elles sont pertinentes.<\/li>\n<li><strong>D\u00e9cider ensemble :<\/strong> prendre en compte le b\u00e9n\u00e9fice attendu, l\u2019incertitude, l\u2019effort, le co\u00fbt, les valeurs et l\u2019accessibilit\u00e9.<\/li>\n<li><strong>Clarifier les responsabilit\u00e9s :<\/strong> pr\u00e9ciser les t\u00e2ches du professionnel, les choix de la personne et l\u2019aide r\u00e9ellement r\u00e9alisable par les aidants.<\/li>\n<li><strong>R\u00e9\u00e9valuer et adapter :<\/strong> convenir de r\u00e9sultats porteurs de sens et r\u00e9viser le plan \u00e0 partir des retours, plut\u00f4t que de consid\u00e9rer le premier plan comme d\u00e9finitif.<\/li>\n<\/ol>\n<h2>La technologie doit soutenir les d\u00e9cisions partag\u00e9es<\/h2>\n<p>Les consultations vid\u00e9o peuvent aider les professionnels \u00e0 observer les routines \u00e0 domicile ; les plannings visuels et les supports accessibles peuvent faciliter la compr\u00e9hension des options ; les jeux interactifs de r\u00e9adaptation peuvent offrir certaines possibilit\u00e9s d\u2019entra\u00eenement et de retour d\u2019information. L\u2019IA peut aider les professionnels \u00e0 r\u00e9diger des explications en langage clair, \u00e0 traduire des contenus \u00e9ducatifs soumis \u00e0 r\u00e9vision ou \u00e0 prototyper des activit\u00e9s accessibles. Aucun de ces outils ne peut d\u00e9terminer \u00e0 la place de la personne ses valeurs, son consentement ou l\u2019ad\u00e9quation clinique.<\/p>\n<p>Les th\u00e9rapeutes ont de plus en plus besoin de comp\u00e9tences num\u00e9riques et en IA pour \u00e9valuer les outils et, lorsque cela est pertinent, coconcevoir de petites ressources personnalis\u00e9es. Le jugement clinique, les tests, la protection des donn\u00e9es et la responsabilit\u00e9 professionnelle restent essentiels. Un outil g\u00e9n\u00e9r\u00e9 par l\u2019IA et techniquement fonctionnel n\u2019est pas n\u00e9cessairement une intervention cliniquement valid\u00e9e.<\/p>\n<\/p>\n<h2>Remotion et la personnalisation contr\u00f4l\u00e9e par le th\u00e9rapeute<\/h2>\n<p>La solution Remotion explore des exp\u00e9riences de r\u00e9adaptation centr\u00e9es sur le th\u00e9rapeute, sur \u00e9crans conventionnels comme sur dispositifs immersifs. La solution Remotion Classic propose des activit\u00e9s interactives, tandis que la solution Remotion TheraVerse permet au professionnel de disposer des objets interactifs dans une salle virtuelle configurable et, avec un mat\u00e9riel compatible, d\u2019int\u00e9grer des retours visuels, auditifs et haptiques fond\u00e9s sur les vibrations. Cette flexibilit\u00e9 peut aider le th\u00e9rapeute \u00e0 adapter l\u2019exp\u00e9rience \u00e0 un objectif convenu et au confort de la personne. Elle ne prouve pas \u00e0 elle seule l\u2019efficacit\u00e9 clinique pour un diagnostic particulier et ne remplace pas l\u2019\u00e9valuation individuelle.<\/p>\n<p>La question pertinente n\u2019est pas de savoir si une famille doit utiliser une plateforme particuli\u00e8re, mais si l\u2019outil choisi am\u00e9liore r\u00e9ellement une activit\u00e9 convenue sans cr\u00e9er de co\u00fbt, de charge ou de risque inutile.<\/p>\n<\/p>\n<h2>Reconna\u00eetre la charge familiale et les in\u00e9galit\u00e9s<\/h2>\n<p>La pratique \u00e0 domicile doit composer avec le travail, l\u2019\u00e9cole, d\u2019autres responsabilit\u00e9s d\u2019aide, la fatigue, les transports et les contraintes financi\u00e8res. Il convient de demander qui pr\u00e9parera le mat\u00e9riel, quelle aide est r\u00e9ellement possible et si la personne souhaite le soutien d\u2019un proche. Si un plan impose des obligations excessives aux aidants, c\u2019est le plan, et non la famille, qui doit \u00eatre r\u00e9examin\u00e9.<\/p>\n<p>Fournir les informations dans une langue et un format accessibles, tenir compte de l\u2019acc\u00e8s au num\u00e9rique et proposer des alternatives non num\u00e9riques. Les familles qui ne disposent pas d\u2019une connexion haut d\u00e9bit, d\u2019appareils ou d\u2019un espace priv\u00e9 ne doivent pas \u00eatre exclues de services de r\u00e9adaptation adapt\u00e9s.<\/p>\n<\/p>\n<h2>D\u00e9saccords et \u00e9volution des pr\u00e9f\u00e9rences<\/h2>\n<p>Un enfant peut refuser une activit\u00e9 que les adultes jugent importante ; un adulte peut privil\u00e9gier la participation sociale plut\u00f4t qu\u2019un objectif d\u2019exercice particulier ; deux membres d\u2019une famille peuvent \u00eatre en d\u00e9saccord sur les risques ou les attentes. Les professionnels doivent explorer les raisons et proposer des alternatives proportionn\u00e9es, sans assimiler automatiquement le d\u00e9saccord \u00e0 un manque d\u2019adh\u00e9sion. La capacit\u00e9 d\u00e9cisionnelle et les questions de protection doivent \u00eatre \u00e9valu\u00e9es selon les normes professionnelles applicables, avec un recours sp\u00e9cialis\u00e9 si n\u00e9cessaire.<\/p>\n<h2>Comment \u00e9valuer si les d\u00e9cisions ont r\u00e9ellement \u00e9t\u00e9 partag\u00e9es<\/h2>\n<p>V\u00e9rifier si la personne a compris les options, a r\u00e9ellement eu la possibilit\u00e9 d\u2019exprimer ses pr\u00e9f\u00e9rences et a estim\u00e9 que ses pr\u00e9occupations avaient \u00e9t\u00e9 entendues. Documenter les objectifs convenus, les alternatives pertinentes, les raisons du choix et la date de r\u00e9examen du plan. Les r\u00e9sultats peuvent inclure la participation en situation r\u00e9elle, l\u2019autonomie, le confort, la satisfaction, la charge des aidants et des mesures cliniquement pertinentes.<\/p>\n<p>L\u2019utilisation d\u2019une application, l\u2019assiduit\u00e9 et les scores de jeu constituent des informations compl\u00e9mentaires ; ils ne remplacent ni la qualit\u00e9 de la d\u00e9cision ni une \u00e9volution fonctionnelle porteuse de sens.<\/p>\n<\/p>\n<h2>Trois exemples illustratifs<\/h2>\n<h3>Un enfant se pr\u00e9parant pour l\u2019\u00e9cole<\/h3>\n<p>L\u2019enfant supporte mal les matins pr\u00e9cipit\u00e9s. La famille et l\u2019ergoth\u00e9rapeute discutent du confort des v\u00eatements, du s\u00e9quen\u00e7age et du temps disponible. Ils comparent une routine visuelle sur papier, un planning sur tablette et des modifications de l\u2019environnement. L\u2019enfant choisit les supports visuels qu\u2019il pr\u00e9f\u00e8re, et la famille s\u00e9lectionne un plan compatible avec son organisation matinale. L\u2019autonomie et le confort sont r\u00e9\u00e9valu\u00e9s ensemble.<\/p>\n<h3>Un adulte reprenant la cuisine apr\u00e8s un AVC<\/h3>\n<p>L\u2019adulte donne la priorit\u00e9 \u00e0 la pr\u00e9paration du petit-d\u00e9jeuner. L\u2019\u00e9quipe explique les options, notamment l\u2019\u00e9valuation en pr\u00e9sentiel, les adaptations de la cuisine et certains entra\u00eenements num\u00e9riques. La personne choisit l\u2019objectif et participe \u00e0 la d\u00e9finition du soutien acceptable. La performance fonctionnelle et la s\u00e9curit\u00e9, et non le seul score de jeu, guident la r\u00e9\u00e9valuation.<\/p>\n<h3>Une personne ayant besoin d\u2019un soutien \u00e0 la communication<\/h3>\n<p>Un orthophoniste et la famille explorent les options de communication am\u00e9lior\u00e9e et alternative, l\u2019accessibilit\u00e9 et les possibilit\u00e9s de communication au quotidien. La personne participe au choix du vocabulaire, des m\u00e9thodes de saisie et des contextes. Le choix est r\u00e9examin\u00e9 \u00e0 mesure que les besoins et les pr\u00e9f\u00e9rences \u00e9voluent.<\/p>\n<p><em>Ces exemples illustrent des principes de d\u00e9cision et ne constituent pas des prescriptions d\u2019interventions cliniques individuelles.<\/em><\/p>\n<h2>Consid\u00e9rations \u00e9thiques, de confidentialit\u00e9 et r\u00e9glementaires<\/h2>\n<p>La d\u00e9cision partag\u00e9e s\u2019applique \u00e9galement lors de l\u2019introduction de nouveaux services num\u00e9riques. Il faut expliquer en termes compr\u00e9hensibles si des donn\u00e9es personnelles sont enregistr\u00e9es, qui peut y acc\u00e9der et si des prestataires d\u2019IA ou de cloud interviennent. Obtenir un consentement appropri\u00e9 ou une autre base juridique valable, et ne jamais pr\u00e9sumer qu\u2019un membre de la famille dispose d\u2019un acc\u00e8s illimit\u00e9 aux informations d\u2019un patient adulte.<\/p>\n<p>Dans l\u2019 <strong>Union europ\u00e9enne<\/strong>, le RGPD r\u00e9git le traitement des donn\u00e9es personnelles, le r\u00e8glement (UE) 2017\/745 relatif aux dispositifs m\u00e9dicaux peut s\u2019appliquer aux logiciels ayant une finalit\u00e9 m\u00e9dicale, et le r\u00e8glement sur l\u2019IA impose des obligations selon la nature et l\u2019usage du syst\u00e8me. Aux <strong>\u00c9tats-Unis<\/strong>, les r\u00e8gles de la FDA relatives aux logiciels de dispositifs peuvent s\u2019appliquer aux logiciels m\u00e9dicaux, tandis que la loi HIPAA couvre certaines entit\u00e9s et relations plut\u00f4t que toutes les applications grand public ; la FTC peut r\u00e9glementer d\u2019autres pratiques li\u00e9es aux donn\u00e9es de sant\u00e9. Au <strong>Moyen-Orient<\/strong>, les exigences varient selon les pays : elles comprennent notamment les orientations saoudiennes de la SFDA sur la sant\u00e9 num\u00e9rique, les r\u00e8gles des \u00c9mirats relatives aux donn\u00e9es de sant\u00e9 et aux produits, ainsi que la loi qatarienne sur la confidentialit\u00e9 des donn\u00e9es personnelles. L\u2019usage clinique, les all\u00e9gations commerciales, l\u2019h\u00e9bergement et les transferts transfrontaliers de donn\u00e9es n\u00e9cessitent une \u00e9valuation propre \u00e0 chaque juridiction.<\/p>\n<p>Les \u00e9quipes cliniques ne doivent pas faire de la complexit\u00e9 r\u00e9glementaire un probl\u00e8me pour le patient. Les prestataires et les d\u00e9veloppeurs doivent r\u00e9aliser les travaux requis en mati\u00e8re de qualification, de cybers\u00e9curit\u00e9, de donn\u00e9es probantes et de confidentialit\u00e9 avant le d\u00e9ploiement. Ce r\u00e9sum\u00e9 est p\u00e9dagogique et ne constitue pas un avis juridique.<\/p>\n<\/p>\n<h2>Questions fr\u00e9quemment pos\u00e9es<\/h2>\n<h3>Les soins centr\u00e9s sur la famille signifient-ils que les parents doivent assurer la th\u00e9rapie ?<\/h3>\n<p>Non. Les familles peuvent soutenir les activit\u00e9s convenues, mais l\u2019\u00e9valuation clinique, la progression et les d\u00e9cisions de s\u00e9curit\u00e9 restent sous la responsabilit\u00e9 de professionnels d\u00fbment qualifi\u00e9s.<\/p>\n<h3>Un enfant peut-il participer aux d\u00e9cisions concernant son traitement ?<\/h3>\n<p>Oui, d\u2019une mani\u00e8re adapt\u00e9e \u00e0 son d\u00e9veloppement. L\u2019autorit\u00e9 du repr\u00e9sentant l\u00e9gal pr\u00e9vue par le droit local n\u2019annule pas l\u2019importance de l\u2019assentiment, des pr\u00e9f\u00e9rences et du confort de l\u2019enfant.<\/p>\n<h3>Que faire si la famille et le th\u00e9rapeute sont en d\u00e9saccord ?<\/h3>\n<p>Discuter ouvertement des objectifs, des b\u00e9n\u00e9fices, des risques et des contraintes pratiques. R\u00e9examiner les options et solliciter un avis professionnel compl\u00e9mentaire si n\u00e9cessaire.<\/p>\n<h3>La d\u00e9cision partag\u00e9e ralentit-elle la r\u00e9adaptation ?<\/h3>\n<p>Elle n\u00e9cessite de la communication, mais peut aider \u00e0 \u00e9viter des plans mal adapt\u00e9s et rendre les activit\u00e9s plus pertinentes et durables.<\/p>\n<h3>L\u2019IA peut-elle d\u00e9cider quelle intervention est la meilleure ?<\/h3>\n<p>Non. L\u2019IA peut r\u00e9sumer des informations ou aider \u00e0 pr\u00e9parer des contenus, mais elle ne peut remplacer le consentement \u00e9clair\u00e9, l\u2019\u00e9valuation professionnelle ni les valeurs de la personne.<\/p>\n<h2>Conclusion<\/h2>\n<p>La r\u00e9adaptation centr\u00e9e sur la famille ne se r\u00e9sume pas \u00e0 des soins dispens\u00e9s \u00e0 domicile. Elle consiste \u00e0 concevoir l\u2019accompagnement autour de la personne, de ses choix et des contextes dans lesquels sa vie se d\u00e9roule r\u00e9ellement. La d\u00e9cision partag\u00e9e cr\u00e9e un lien entre les donn\u00e9es cliniques, l\u2019expertise professionnelle et l\u2019exp\u00e9rience v\u00e9cue. Les outils num\u00e9riques et l\u2019IA peuvent renforcer ce lien lorsqu\u2019ils sont utilis\u00e9s avec discernement ; ils ne doivent jamais remplacer les personnes dont les objectifs donnent son sens \u00e0 la r\u00e9adaptation.<\/p>\n<p>\u00c0 lire \u00e9galement : <a href=\"https:\/\/remotion.rehab\/fr\/digital-rehabilitation-for-families-and-caregivers-practical-guide-to-safe-home-based-support\/\">R\u00e9adaptation num\u00e9rique pour les familles et les aidants<\/a>, <a href=\"https:\/\/remotion.rehab\/fr\/how-families-can-support-home-rehabilitation-practical-strategies-safety-and-meaningful-activities\/\">Comment les familles peuvent soutenir la r\u00e9adaptation \u00e0 domicile<\/a>, et <a href=\"https:\/\/remotion.rehab\/fr\/choosing-digital-rehabilitation-tools-for-your-family-a-practical-guide-to-personalization-safety-and-ai\/\">Choisir des outils num\u00e9riques de r\u00e9adaptation<\/a>.<\/p>\n<\/p>\n<h2>References and further reading<\/h2>\n<ul>\n<li>World Health Organization. <a href=\"https:\/\/www.who.int\/standards\/classifications\/international-classification-of-functioning-disability-and-health\">International Classification of Functioning, Disability and Health (ICF)<\/a>.<\/li>\n<li>NICE. <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng197\">Shared decision making: guideline NG197<\/a> (2021).<\/li>\n<li>Elwyn G et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22618581\/\">Shared decision making: a model for clinical practice<\/a>. J Gen Intern Med (2012).<\/li>\n<li>European Union. <a href=\"https:\/\/eur-lex.europa.eu\/eli\/reg\/2016\/679\/oj\">GDPR<\/a> and <a href=\"https:\/\/eur-lex.europa.eu\/eli\/reg\/2017\/745\/oj\">MDR<\/a>.<\/li>\n<li>US FDA. <a href=\"https:\/\/www.fda.gov\/medical-devices\/digital-health-center-excellence\/device-software-functions-including-mobile-medical-applications\">Device software functions<\/a>.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>A practical guide to family-centred rehabilitation, shared decision-making, meaningful goals, therapist-led digital personalization, AI and international regulatory responsibilities.<\/p>","protected":false},"author":1,"featured_media":3011,"comment_status":"","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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