1. Determinants of self-care participation of young children with cerebral palsy.
- Author
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Bartlett, Doreen J., Chiarello, Lisa A., McCoy, Sarah Westcott, Palisano, Robert J., Jeffries, Lynn, Fiss, Alyssa LaForme, and Wilk, Piotr
- Subjects
HEALTH self-care ,BEHAVIOR ,CEREBRAL palsy ,STATISTICAL correlation ,LONGITUDINAL method ,RESEARCH evaluation ,RESEARCH funding ,STATISTICAL sampling ,STATISTICS ,DATA analysis ,STRUCTURAL equation modeling ,INTER-observer reliability ,RESEARCH methodology evaluation ,DATA analysis software ,DESCRIPTIVE statistics ,PSYCHOLOGY - Abstract
Objective: To test a model of child, family and service determinants of self-care participation of children with cerebral palsy (CP), grouped by Gross Motor Function Classification System levels (I-II and III-V). Methods: Participants were a convenience sample of 429 children (242 males) with CP, aged 18-60 months. Data on impairments and gross motor function were collected by reliable therapists; parents provided information about children's health conditions and adaptive behaviour. Seven months later parents reported on family life and services received. One year after study onset, parents documented children's self-care participation. Data from two groups of children were analysed using structural equation modelling. Results: The model explained a significant proportion of the variance of self-care participation, with higher motor function, fewer health conditions and higher levels of adaptive behaviour being associated with greater self-care participation. Conclusion: Supporting children's gross motor function, health and adaptive behaviour may optimize self-care participation. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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