Article

AIM: To determine the extent to which children's mastery motivation predicts
occupational performance outcomes following upper limb intervention (ULI).
METHOD: In this cohort study, participants received 45 hours of ULI, either in an
intensive group-based or distributed individualized model. The Dimensions of
Mastery Questionnaire (DMQ) measured mastery motivation at baseline. Occupational
performance outcomes were assessed at baseline and 13 weeks' post-intervention
using the Canadian Occupational Performance Measure (COPM). Multivariable models
determined the contribution of mastery motivation to COPM outcome irrespective of
group membership. RESULTS: Forty-two children with congenital hemiplegia (29
males, 13 females; mean age 7y 8mo [SD 2y 2mo]; range 5y 1mo-12y 8mo; Manual
Ability Classification System [MACS] I=20 and II=22; predominant motor type
unilateral spastic n=41) participated in the study. Significant gains were seen
in COPM performance and satisfaction scores (p<0.001) post-intervention with no
between group differences. Children who had greater persistence with
object-oriented tasks (p=0.02) and better manual ability (p=0.03) achieved higher
COPM performance scores at 13 weeks. Children's persistence on object-oriented
tasks was the strongest predictor of COPM satisfaction (p=0.01). INTERPRETATION:
Children's persistence with object-oriented tasks as well as manual abilities
needs to be considered when undertaking ULI. Predetermining children's
motivational predispositions can assist clinicians to tailor therapy sessions
individually based on children's strengths, contributing to effective engagement
in ULI.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS