Dissertation
Promoting meaningful participation in two-wheel bike riding for children with neurodevelopmental disabilities
Doctor of Health Science (D.H.Sc.), Drexel University
Dec 2022
DOI:
https://doi.org/10.17918/00001426
Abstract
The aims of this study were to evaluate: 1) changes in two-wheel cycling skills and individualized bike riding participation goals for children with neurodevelopmental disorders (ND) who received a home visit and email check-in following the iCan Bike camp and 2) associations between two-wheel biking practice frequency, cycling skills, and participation goal attainment. Methods: A one group repeated measures design was used. Participants were 11 children with ND, ages 9 to 16 years old, and one of their parents. Measures completed prior to camp (T₁), during a home support visit after camp (T₂), and three months following camp (T₃) included a cycling skills checklist, two-wheel riding Goal Attainment Scaling (GAS), and an individualized bike riding participation GAS. Parents completed weekly logs of how many days per week children practiced biking for 12 consecutive weeks following camp. Each child and parent received a one hour in person home or community visit to provide education and coaching to address bike riding participation. Parents received an email six weeks after camp to check-in on their child's progress. After three months, parents and children completed a biking participation questionnaire and parents completed a program feedback questionnaire. Results: There was a significant change in two-wheel riding GAS T₁ to T₂ (z = -2.8, p = 0.01), bike riding participation GAS T₂ to T₃ (z = -2.7, p = 0.02), and cycling skills T₁ to T₂ (z = -2.9, p = 0.01) and T₂ to T₃ (z = -2.7, p = 0.02). At T₃ there was a positive correlation between practice frequency and cycling skills ([rho]₍₁₁₎ = 0.72, p=0.01), practice frequency and bike riding participation ([rho]₍₁₁₎ = 0.86, p<0.001), and cycling skills and bike riding participation ([rho]₍₁₁₎ = 0.81, p=0.003). Conclusion: Children made improvements in cycling skills and bike riding participation following a five day bike camp, support visit, and email check-in. Children who practiced biking more frequently were more likely to have greater cycling skills and bike riding participation at T₃. Encouraging weekly bicycling and providing hands-on support after camp may be helpful strategies to promote cycling skills and bike riding participation following the iCan Bike camp.
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Details
- Title
- Promoting meaningful participation in two-wheel bike riding for children with neurodevelopmental disabilities
- Creators
- Elizabeth Cyr
- Contributors
- Robert J. Palisano (Advisor)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Health Science (D.H.Sc.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- x, 98 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University; Physical Therapy (and Rehabilitation Sciences)
- Other Identifier
- 991020034315704721