Article

The purpose of this study was (1) to examine the changes in participation
rates over 1 year among children and adolescents after acquired brain injury and
(2) to explore the effect of child and family factors on these changes. METHOD:
The participation levels of 136 children and young people (88 males; 48 females;
age range 4y 11mo-17y 6mo; mean age 11y 6mo) after acquired brain injury (3</=
Glasgow Coma Scale score </=15; mean 12.8) were assessed three times: at their
return to school, and at 8 and 12 months after returning to school. The
Children's Assessment of Participation and Enjoyment measured the participants'
diversity and intensity of participation in out-of-school activities. At
baseline, information on general family functioning and medical and demographic
information was collected as possible predictors. Mixed-effect model analyses of
participation scores were performed while controlling for child's age at injury.
RESULTS: The severity of the injury explained rates of change across time for
participation intensity in recreational, physical, and social activities.
Household income influenced changes in the intensity of recreational activities,
whereas family functioning predicted changes in the diversity of skill-based
activities. INTERPRETATION: Participation is a relevant outcome of recovery that
needs to be assessed and monitored post brain injury. Special attention can be
directed to severity of injury and family functioning when developing
intervention plans.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2012 Mac Keith
Press.

Langue : ANGLAIS