Personal and environmental pathways to participation in young children with and without mild motor disabilities

Soref, B.; Ratzon, Navah Z.; Rosenberg, Limor; Leitner, Yael; Jarus, Tal; Bart, Orit

doi:10.1111/j.1365-2214.2011.01295.x

Cited by 50 publications

(87 citation statements)

References 65 publications

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“…9 We found that personal factors, including reported health status, the presence of functional limitations and depressed mood, were associated with participation restrictions. Similar to studies for children with disabilities, 14,27 we also found that family-level (environmental) factors, including family structure and poverty status were associated with participation restrictions. Poverty is associated with a host of negative consequences for children, including poor health outcomes.…”

Section: Discussionsupporting

confidence: 84%

Participation of Children with Special Health Care Needs in School and the Community

Houtrow

Jones

Ghandour

et al. 2012

Academic Pediatrics

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Objective Children with special health care needs (CSHCN) are at risk for decreased participation which can negatively impact their lives. The objectives of this study were to document the presence of participation restrictions for CSHCN compared to other children and to determine how personal and environmental factors are associated with participation restrictions for CSHCN. Methods The 2007 National Survey of Children’s Health (NSCH) was analyzed to evaluate two participation outcomes for children aged 6–17 years: school attendance and participation in organized activities, and two participation outcomes for children aged 12–17 years: working for pay and volunteering. Adjusted prevalences of participation restrictions were calculated for children with and without special health care needs. Logistic regression was used to identify factors independently associated with participation restrictions for CSHCN. Results After adjustment for sociodemographic characteristics, a larger proportion of CSHCN (27.9%) reported missing more than 5 days of school than other children (15.1%). In contrast, no differences were found for participation in organized activities, working for pay or volunteering. CSHCN with functional limitations were more likely to experience all four types of participation restrictions compared to other CSHCN and non-CSHCN. For CSHCN, the odds of certain participation restrictions were higher for those with functional limitations, in fair/poor health, with depressed mood, living at or near the federal poverty level and living in homes not headed by two parents. Conclusions CSHCN with functional limitations and those with worse health status are at elevated risk of experiencing participation restrictions than other children. Social disadvantage furthers the likelihood that CSHCN will experience participation restrictions.

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Section: Discussionsupporting

confidence: 84%

Participation of Children with Special Health Care Needs in School and the Community

Houtrow

Jones

Ghandour

et al. 2012

Academic Pediatrics

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“…While knowledge about context‐specific disparities in children's participation may help to identify clients who could benefit from intervention, there is a need for improved knowledge about correlates of young children's participation to inform clinical decisions about how to focus interventions towards improved participation in a select activity or setting. Previous studies have primarily modeled the impact of child, family, and environmental factors on the participation of school‐aged children and young children with physical disabilities . Child factors commonly modeled are disability according to diagnosis or service use, age, and functional abilities according to the severity of a child's impairment(s) (e.g.…”

mentioning

confidence: 99%

Environmental impact on young children's participation in home‐based activities

Albrecht

Khetani

2016

Develop Med Child Neuro

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AIM To test the effect of child, family, and environmental factors on young children’s participation in home-based activities. METHOD Caregivers of young children were recruited using convenience and snowball sampling. Participants were 395 caregivers of children aged from 1 month to 5 years and 11 months. Demographic items and the home section of the Young Children’s Participation and Environment Measure were administered online, followed by completion of the daily activities, mobility, and social/cognitive domains of the Pediatric Evaluation of Disability Inventory Computer Adaptive Test by telephone interview. RESULTS A structural equation model fitted the data well (comparative fit index=0.91) and explained 31.2% of the variance in perceived environmental support and 42.5% of the variance in home involvement. Functional limitations and performance had an indirect effect on young children’s participation through their effect on perceived environmental support. Specifically, fewer functional limitations and higher task performance were associated with greater environmental support, which in turn predicted higher levels of home involvement. INTERPRETATION Results suggest the importance of a young child’s functional abilities and task performance on caregiver perceptions of environmental support at home, and the impact of environmental support on a child’s participation in home-based activities during the early childhood period. Results warrant replication with more diverse samples to evaluate model generalizability.

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“…Different studies describe the participation of young children with disabilities as restricted when compared with their typically developing peers, namely in terms of the intensity of participation (Chiarello et al, 2012), the frequency of participation and involvement in daily life activities (Lim et al, 2016), child independence, and enjoyment (Soref et al, 2011). Parents of young children with disabilities report lower satisfaction levels (Soref et al, 2011), more difficulties and restrictions (Khetani et al, 2013b), and desire more change in their child participation (Lim et al, 2016) than parents of typically developing children.…”

Section: Faculty Of Psychology and Educational Sciences University Omentioning

confidence: 99%

“…Parents of young children with disabilities report lower satisfaction levels (Soref et al, 2011), more difficulties and restrictions (Khetani et al, 2013b), and desire more change in their child participation (Lim et al, 2016) than parents of typically developing children.…”

Section: Faculty Of Psychology and Educational Sciences University Omentioning

confidence: 99%

Differences between Pre-School Children with and without Special Educational Needs Functioning, Participation, and Environmental Barriers at Home and in Community Settings: An International Classification of Functioning, Disability, and Health for Children and Youth Approach

Guichard

Grande

2018

Front. Educ.

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Personal and environmental pathways to participation in young children with and without mild motor disabilities

Abstract: Maternal self-efficacy and SES serve as facilitators to increased participation and well-being of children with mild motor disabilities.

Cited by 50 publications

References 65 publications

Participation of Children with Special Health Care Needs in School and the Community

Participation of Children with Special Health Care Needs in School and the Community

Environmental impact on young children's participation in home‐based activities

Differences between Pre-School Children with and without Special Educational Needs Functioning, Participation, and Environmental Barriers at Home and in Community Settings: An International Classification of Functioning, Disability, and Health for Children and Youth Approach

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