The determinants of self-determined behaviors of young children with cerebral palsy

被引：10

作者：

Chang, Hui-Ju ^{[1
]}

Chiarello, Lisa A. ^{[1
]}

Palisano, Robert J. ^{[1
]}

Orlin, Margo N. ^{[1
]}

Bundy, Anita ^{[2
]}

Gracely, Edward J. ^{[3
]}

机构：

[1] Drexel Univ, Dept Phys Therapy & Rehabil Sci, Philadelphia, PA 19104 USA

[2] Univ Sydney, Fac Hlth Sci, Sydney, NSW 2006, Australia

[3] Drexel Univ, Sch Publ Hlth, Philadelphia, PA 19104 USA

来源：

RESEARCH IN DEVELOPMENTAL DISABILITIES | 2014年 / 35卷 / 01期

基金：

加拿大健康研究院;

关键词：

Children; Self-determined behaviors; Cerebral palsy; Playfulness; GROSS MOTOR FUNCTION; PRESCHOOL-CHILDREN; DISABILITIES; PLAYFULNESS; CLASSIFICATION; PARTICIPATION; RELIABILITY; EDUCATION; VALIDITY; STUDENTS;

D O I：

10.1016/j.ridd.2013.10.004

中图分类号：

G76 [特殊教育];

学科分类号：

040109 ;

摘要：

The purpose of this study was to identify determinants of self-determined behaviors of young children with cerebral palsy. The participants were 429 children (56% boys, 18-60 months) and their parents. Structural equation modeling was used to test two models of self-determined behaviors, one for children with walking mobility (Gross Motor Function Classification System, GMFCS levels I-II) and the other for children with limited self-mobility (GMFCS levels III-V). Cognitive-behavioral problems and the extent family supports their child's self-determined behaviors explained 60% of the variance in self-determined behaviors of children with walking mobility. Cognitive-behavioral problems, playfulness, and the extent family supports their child's self-determined behaviors explained 68% of the variance in self-determined behaviors of children with limited self-mobility. The less the child's cognitive-behavioral problems affect daily activities (p < .05) and the more the extent family supports their child's self-determined behaviors (p < .05), the more effective the child's self-determined behaviors. Playfulness only had an effect on self-determined behaviors of children with limited self-mobility (p < .05). Service providers are encouraged to assess and support children's daily functioning in cognition, communication, and emotional/behavioral regulation, playfulness, and family strategies in providing opportunity for children to practice self-determined behaviors. (C) 2013 Elsevier Ltd. All rights reserved.

引用

页码：99 / 109

页数：11

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