Journal article
Determinants of Intensity of Participation in Leisure and Recreational Activities by Youth With Cerebral Palsy
Archives of physical medicine and rehabilitation, v 92(9), pp 1468-1476
2011
PMID: 21878219
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Palisano RJ, Orlin M, Chiarello LA, Oeffinger D, Polansky M, Maggs J, Gorton G, Bagley A, Tylkowski C, Vogel L, Abel M, Stevenson R. Determinants of intensity of participation in leisure and recreational activities by youth with cerebral palsy.
To test a model of determinants of intensity of participation in leisure and recreational activities by youth with cerebral palsy (CP).
Prospective cohort study.
Children's hospitals (N=7).
Youth with CP (N=205; age, 13–21y) and their parents. The sample included 107 (57.2%) males and 26 (12.7%) to 57 (27.8%) youth in each of the 5 levels of the Gross Motor Function Classification System (GMFCS).
Not applicable.
Youth completed the Children's Assessment of Participation and Enjoyment by means of an interview. Parents completed the Pediatric Outcomes Data Collection Instrument, Family Environment Scale, Coping Inventory, Measure of Processes of Care, a demographic questionnaire, and a services questionnaire.
Structural equation modeling was used to test the model. Fit statistics indicate good model fit. The model explains 35% of the variance in intensity of participation. Path coefficients (
P≤.05) indicate that higher physical ability, higher enjoyment, younger age, female sex, and higher family activity orientation are associated with higher intensity of participation. GMFCS level and caregiver education have indirect effects on intensity of participation. The path between services and intensity of participation was not significant.
Participation by youth with CP is influenced by multiple factors. The influence of physical activity supports the importance of activity accommodations and assistive technology for youth who are not capable of improving physical ability. Knowledge of family activity orientation is important for identifying opportunities for participation. The unexplained variance suggests that the model should include other determinants, such as physical accessibility and availability of transportation and community leisure and recreational activities.
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Details
- Title
- Determinants of Intensity of Participation in Leisure and Recreational Activities by Youth With Cerebral Palsy
- Creators
- Robert J Palisano - Department of Physical Therapy and Rehabilitation Sciences, Drexel University, Philadelphia, PAMargo Orlin - Department of Physical Therapy and Rehabilitation Sciences, Drexel University, Philadelphia, PALisa A Chiarello - Department of Physical Therapy and Rehabilitation Sciences, Drexel University, Philadelphia, PADonna Oeffinger - Shriners Hospitals for Children, Lexington, KYMarcy Polansky - School of Public Health, Drexel University, Philadelphia, PAJill Maggs - Department of Physical Therapy and Rehabilitation Sciences, Drexel University, Philadelphia, PAGeorge Gorton - Shriners Hospitals for Children, Springfield, MAAnita Bagley - Shriners Hospitals for Children, Sacramento, CAChester Tylkowski - Shriners Hospitals for Children, Lexington, KYLawrence Vogel - Shriners Hospitals for Children, Chicago, ILMark Abel - University of Virginia School of Medicine, Charlottesville, VARichard Stevenson - University of Virginia School of Medicine, Charlottesville, VA
- Publication Details
- Archives of physical medicine and rehabilitation, v 92(9), pp 1468-1476
- Publisher
- Elsevier
- Grant note
- COS #9197 / Shriners Hospitals for Children
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]; Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000295390900018
- Scopus ID
- 2-s2.0-80052195518
- Other Identifier
- 991014877898804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Rehabilitation
- Sport Sciences