Determinants of self-care participation of young children with cerebral palsy

  • D.J. B
  • L.A. C
  • S.W. M
 et al. 
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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.

Author-supplied keywords

  • Gross Motor Function Classification System
  • Gross Motor Function Measure
  • adaptive behavior
  • article
  • cerebral palsy
  • child
  • child behavior
  • child growth
  • cohort analysis
  • conceptual framework
  • convenience sample
  • family life
  • family service
  • female
  • functional status
  • health status
  • human
  • major clinical study
  • male
  • motor performance
  • patient information
  • patient participation
  • prognosis
  • prospective study
  • seizure
  • self care
  • social welfare

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  • Bartlett D.J.

  • Chiarello L.A.

  • McCoy S.W.

  • Palisano R.J.

  • Jeffries L.

  • Fiss A.L.

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