Journal article
The determinants of self-determined behaviors of young children with cerebral palsy
Research in developmental disabilities, v 35(1), pp 99-109
Jan 2014
PMID: 24240020
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
•Self-determined behaviors are primarily associated with cognitive behavioral function.•Supporting playfulness may support children's self-determined behaviors.•Family support is essential to foster their child's self-determined behaviors.
The purpose of this study was to identify determinants of self-determined behaviors of young children with cerebral palsy. The participants were 429 children (56% boys, 18–60 months) and their parents. Structural equation modeling was used to test two models of self-determined behaviors, one for children with walking mobility (Gross Motor Function Classification System, GMFCS levels I–II) and the other for children with limited self-mobility (GMFCS levels III–V). Cognitive-behavioral problems and the extent family supports their child's self-determined behaviors explained 60% of the variance in self-determined behaviors of children with walking mobility. Cognitive-behavioral problems, playfulness, and the extent family supports their child's self-determined behaviors explained 68% of the variance in self-determined behaviors of children with limited self-mobility. The less the child's cognitive-behavioral problems affect daily activities (p<.05) and the more the extent family supports their child's self-determined behaviors (p<.05), the more effective the child's self-determined behaviors. Playfulness only had an effect on self-determined behaviors of children with limited self-mobility (p<.05). Service providers are encouraged to assess and support children's daily functioning in cognition, communication, and emotional/behavioral regulation, playfulness, and family strategies in providing opportunity for children to practice self-determined behaviors.
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Details
- Title
- The determinants of self-determined behaviors of young children with cerebral palsy
- Creators
- Hui-Ju Chang - Drexel University, Department of Physical Therapy and Rehabilitation Sciences, Philadelphia, PA, USALisa A Chiarello - Drexel University, Department of Physical Therapy and Rehabilitation Sciences, Philadelphia, PA, USARobert J Palisano - Drexel University, Department of Physical Therapy and Rehabilitation Sciences, Philadelphia, PA, USAMargo N Orlin - Drexel University, Department of Physical Therapy and Rehabilitation Sciences, Philadelphia, PA, USAAnita Bundy - University of Sydney, Faculty of Health Sciences, Sydney, AustraliaEdward J Gracely - Drexel University, School of Public Health, Philadelphia, PA, USA
- Publication Details
- Research in developmental disabilities, v 35(1), pp 99-109
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- MD (Doctor of Medicine) Program; [Retired Faculty]; Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000328303900011
- Scopus ID
- 2-s2.0-84887683617
- Other Identifier
- 991014877821204721
UN Sustainable Development Goals (SDGs)
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Education, Special
- Rehabilitation