Exploring the contributing factors that influence the volition of adolescents with cerebral palsy: A directed content analysis

Abstract

Background: Communication, behavioural disturbances and low motivation influence the functional potential and the effectiveness of interventions in adolescents with cerebral palsy (CP). While the model of human occupation (MOHO) is a conceptual model in occupational therapy, no research on the volition of adolescents with CP in daily activities has been undertaken.Aim: To explore the elements contributing to the volition of adolescents with CP based on their own experienceMethods: A qualitative approach using directed content analysis with volition of MOHO as a framework was applied. Semi-structured in-depth interviews were carried out with five adolescents with CP and five parents of the same adolescents.Results: In this study primary codes were categorized into eight categories: family and community-related values, individual values, individual perceptions of ability level, sense of control over conditions, enjoying performing activities, enjoying interpersonal relationships, physical context features and social context features.Conclusions: Personal causation in interaction with environmental features is strongly influenced by adolescents' motivation.Significance: Occupational therapists could improve the motivation of adolescents with CP in interaction with the individual's volition with focussing on self-efficacy for promoting personal causation. Adapting to the physical environment and changing the attitudes of others to these adolescents is necessary.

Effectiveness of Community Occupational Therapy Intervention in, with and from the Community in People with Disabilities in Azrou (Morocco)

“…An Australian study, involving 244 adults older than 70 years, demonstrated a significant association of volition with increased participation in physical activities in older adults living in the community [ 56 ]. Another study with adolescents with cerebral palsy demonstrated that occupational therapists can increase the motivation and will of this group through self-efficacy in interaction with environmental characteristics to promote personal causality [ 57 ]. Graff et al [ 58 ] found in their study of 135 couples of people with dementia and their caregivers that community OT improves the mood, quality of life and health of both people with dementia and their caregivers, improvement that was significant in the follow-up after 12 weeks.…”

Predictors of Interest in Performing Activities Among Iranian Adolescents with Cerebral Palsy

“…As a result, we had restrictions in sampling in this group. Furthermore, an individual's interests are related to their values and environmental features [25]. The values of these individuals also could depend on their family and friends.…”

“…The Adolescent Interest Inventory-Cerebral Palsy (AII-CP): It is a 15-item self-report inventory, i.e. de-veloped by the first author of this research [25]; the findings of a qualitative study using directed content analysis and a Nominal Group Technique (NGT) were used for this purpose [26]. The Model of Human Occupation (MOHO), as an occupational therapy framework, was used for developing the AII-CP.…”

The Psychometric Properties of Iranian Children's Participation Assessment Scale for Iranian Children With Attention-deficit/hyperactivity Disorder

“…Participation is one of the outcomes of occupational therapy intervention and is defined as an engagement in daily life activities [2]. Participation has different aspects and depends on several factors, such as motivation and interest [3,4]. The difficulties in participation lead clients to occupational therapy [5].…”