Journal article
Environment-based approaches to improve participation of young people with physical disabilities during COVID-19
Developmental medicine and child neurology
22 Dec 2023
PMID: 38140720
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To examine the effects of the Pathways and Resources for Engagement and Participation (PREP) intervention during the COVID-19 pandemic on (1) activity performance and satisfaction, and (2) motor, cognitive, and affective body functions.
An interrupted time-series design with multiple baselines across 21 young people (13 females, eight males) aged 16 to 25 years (median = 21 years 5 months) with physical disabilities was employed. The young people engaged in an 8-week self-chosen leisure activity (e.g. football, piano, photography) at their home or community. The Canadian Occupational Performance Measure (COPM) assessed activity performance and satisfaction weekly. Mental health problems, including affective and cognitive outcomes, were assessed weekly using the Behavior Assessment System for Children, Third Edition. Motor functions (e.g. trunk control, reaching, strength) were assessed biweekly. Linear mixed-effects models were used.
The intervention had large effects on activity performance (0.78) and satisfaction (0.88) with clinically significant change in COPM scores (2.6 [95% confidence interval {CI}: 2.0-3.2] and 3.2 points [95% CI: 2.4-3.9] respectively). Young people without mental health problems at baseline benefited more from the intervention (p = 0.028). Improvements in at least one domain of body function occurred in 10 young people especially for motor outcomes.
Results demonstrate the effectiveness of PREP during adverse times and suggest benefits going beyond participation, involving outcomes at the body-function level.
Metrics
Details
- Title
- Environment-based approaches to improve participation of young people with physical disabilities during COVID-19
- Creators
- Dana R Anaby - McGill UniversityLisa Avery - Public Health OntarioRobert J Palisano - Drexel UniversityMindy F Levin - McGill UniversityPranamika Khayargoli - McGill UniversityYu-Hsin Hsieh - McGill UniversityJan Willem Gorter - University Medical Center UtrechtRachel Teplicky - CanChild Centre for Childhood Disability Research, Hamilton, Ontario, CanadaBEYOND Consultant Team
- Publication Details
- Developmental medicine and child neurology
- Publisher
- Wiley
- Grant note
- 166213 / Institute of Human Development, Child and Youth Health of the Canadian Institutes of Health Research
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]; Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:001129639700001
- Scopus ID
- 2-s2.0-85180695184
- Other Identifier
- 991021811751204721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Clinical Neurology
- Pediatrics