Article

AIM: To examine participation-preference congruence, regional differences in
participation-preference congruence, and predictors of whether children with
cerebral palsy participate in preferred activities.
METHOD: The sample (n=236)
included 148 males and 88 females aged 10 to 13 years, living in Victoria,
Australia (n=110), Ontario (n=80), or Quebec (n=46), Canada. Ninety-nine (41.9%)
were classed at Gross Motor Function Classification System (GMFCS) level I; 89
(37.7%) at GMFCS level II/III; and 48 (20.3%) at GMFCS level IV/V. Participants
completed the Children's Assessment of Participation and Enjoyment and
Preferences for Activity of Children questionnaires. Regional comparisons were
performed using one-way analyses of variance and factors influencing
participation-preference congruence were explored using multiple linear
regression. RESULTS: The proportion of children doing non-preferred activities in
each activity type was generally low (2-17%), with only one regional difference.
Higher proportions were not doing preferred active physical (range 23.2-29.1%
across regions), skill-based (range 21.7-27.9% across regions), and social
activities (range 12.8-14.5% across regions). GMFCS level was the most important
predictor associated with not doing preferred activities. INTERPRETATION:
Children with cerebral palsy did not always participate in preferred active
physical and skill-based activities. Understanding discrepancies between
preferences and actual involvement may allow families and rehabilitation
professionals to address participation barriers.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS