Article

AIM: To test a model of child, family, and service determinants of intensity of
participation in leisure and recreational activities by children with cerebral
palsy (CP). METHOD: Participants were 288 children with CP, age range 6 to 12
years (mean 9y 8mo, SD 2y), and their parents from seven children's hospitals.
The sample comprised 166 (57.6%) males and 122 (42.4%) females, and between 40
(13.9%) and 74 (25.7%) children in each of the five levels of the Gross Motor
Function Classification System. Children completed the Children's Assessment of
Participation and Enjoyment by interview. Parents completed the Pediatric
Outcomes Data Collection Instrument, Family Environment Scale, Coping Inventory,
Measure of Processes of Care, and two questionnaires. Structural equation
modeling was used to test the model. RESULTS: Fit statistics indicated a good
model fit. The model explains 32% of the variance in intensity of participation.
Path coefficients (p </= 0.05) indicate that higher gross motor function, higher
enjoyment, more effective adaptive behavior, younger age, and higher family
activity orientation are associated with higher intensity of participation. The
path between services and participation was not significant. INTERPRETATION:
Intensity of participation of children with CP is influenced by multiple child
and family determinants. Children's gross motor function and behavior in life
situations are important for participation; knowledge of activities the child and
family enjoy has implications for opportunities for participation. Professionals
are encouraged to address priorities for leisure and recreation identified by
children with CP and their families.
CI - (c) The Authors. Journal compilation (c) Mac Keith Press 2010.

Langue : ANGLAIS