Predicting leisure participation of school‐aged children with cerebral palsy: longitudinal evidence of child, family and environmental factors. Issue 3 (8th June 2012)

• Record Type: Journal Article
• Authors: Bult, M. K.; Verschuren, O.; Lindeman, E.; Jongmans, M. J.; Westers, P.; Claassen, A.; Ketelaar, M.
• Is Part Of: Child care health and development. Volume 39:Issue 3(2013:May)
• Page Start: 374
• Page End: 380
• Publication Date: 2012-06-08
• Subjects: Child development -- Periodicals; Child care -- Periodicals; Children -- Health and hygiene -- Periodicals; Children with disabilities -- Periodicals; 155.405
• DOI: 10.1111/j.1365-2214.2012.01391.x
• Languages: English
• ISSNs: 0305-1862

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <p> <bold>Objective </bold> This longitudinal study aims to determine which child, family and environmental variables measured at 2 years of age predict leisure participation in formal and informal activities in school aged children with cerebral palsy (CP).</p> <p> <bold>Methods </bold> Parents of 46 children with CP (mean age at baseline: 2 years 6 months, SD 0 years 1 month; at follow‐up 6 years 7 months, SD 0 years 9 months; <italic>n</italic> = 26 boys, <italic>n</italic> = 20 girls; Gross Motor Classification System I = 30%, II = 7%, III = 28%, IV = 24%, V = 11%) completed the Children's Assessment of Participation and Enjoyment indicating their child's participation. Multivariate regression models were used to identify early predictors of participation.</p> <p> <bold>Results </bold> Movement ability was a significant child‐related predictor for formal activities (<italic>R</italic><sup>2</sup> 17%, <italic>P</italic> < 0.05). Movement ability and social skills were most predictive (<italic>R</italic><sup>2</sup> 62%, <italic>P</italic> < 0.00) for informal activities. The feeling of being restricted in family participation was the single most predictive factor for formal and informal activities at family level (<italic>R</italic><sup>2</sup> 12%, <italic>P</italic> < 0.05, <italic>R</italic><sup>2</sup> 25%, <italic>P</italic> < 0.05). Type of daycare was the only environmental variable that was predictive, and only for informal activities (<italic>R</italic><sup>2</sup> 16%, <italic>P</italic> < 0.05). In the overall model movement ability was most predictive for leisure participation in formal activities (<italic>R</italic><sup>2</sup> 17%, <italic>P</italic> < 0.05). Movement ability and social skills are the most important predictors for informal leisure participation (<italic>R</italic><sup>2</sup> 62%, <italic>P</italic> < 0.01).</p> <p> <bold>Conclusions </bold> Several variables are found to be related to formal and informal participation at age 6. Movement ability and social skills at age 2 are most predictive of leisure participation when the child is 6 years old.</p> </abstract>