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Leisure participation–preference congruence of children with cerebral palsy: a Children's Assessment of Participation and Enjoyment International Network descriptive study
Author(s) -
Imms Christine,
King Gillian,
Majnemer Annette,
Avery Lisa,
Chiarello Lisa,
Palisano Robert,
Orlin Margo,
Law Mary
Publication year - 2017
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13302
Subject(s) - cerebral palsy , gross motor function classification system , psychology , preference , congruence (geometry) , rehabilitation , developmental psychology , analysis of variance , hand preference , physical therapy , medicine , social psychology , laterality , psychiatry , neuroscience , economics , microeconomics
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.