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Determinants of intensity of participation in leisure and recreational activities by children with cerebral palsy
Journal article   Peer reviewed

Determinants of intensity of participation in leisure and recreational activities by children with cerebral palsy

Robert J Palisano, Lisa A Chiarello, Margo Orlin, Donna Oeffinger, Marcy Polansky, Jill Maggs, Anita Bagley and George Gorton
Developmental medicine and child neurology, v 53(2), pp 142-149
Feb 2011
PMID: 20964676

Abstract

Disability Evaluation Family - psychology Leisure Activities Cerebral Palsy - classification United States Cerebral Palsy - epidemiology Humans Male Social Environment Mobility Limitation Health Surveys Motivation Recreation Cerebral Palsy - rehabilitation Female Cerebral Palsy - psychology Child Adaptation, Psychological
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). 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. 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. 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.

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Pediatrics
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