Article

PURPOSE: To present a conceptual model of optimal participation in recreational
and leisure activities for children with physical disabilities.
METHODS: The
conceptualization of the model was based on review of contemporary theories and
frameworks, empirical research and the authors' practice knowledge.
A case
scenario is used to illustrate application to practice.
RESULTS: The model
proposes that optimal participation in recreational and leisure activities
involves the dynamic interaction of multiple dimensions and determinants of
participation. The three dimensions of participation are physical, social and
self-engagement. Determinants of participation encompass attributes of the child,
family and environment. Experiences of optimal participation are hypothesized to
result in long-term benefits including better quality of life, a healthier
lifestyle and emotional and psychosocial well-being. CONCLUSION: Consideration of
relevant child, family and environment determinants of dimensions of optimal
participation should assist children, families and health care professionals to
identify meaningful goals and outcomes and guide the selection and implementation
of innovative therapy approaches and methods of service delivery. Implications
for Rehabilitation Optimal participation is proposed to involve the dynamic
interaction of physical, social and self-engagement and attributes of the child,
family and environment. The model emphasizes the importance of self-perceptions
and participation experiences of children with physical disabilities. Optimal
participation may have a positive influence on quality of life, a healthy
lifestyle and emotional and psychosocial well-being. Knowledge of child, family,
and environment determinants of physical, social and self-engagement should
assist children, families and professionals in identifying meaningful goals and
guiding innovative therapy approaches.

Langue : ANGLAIS