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

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Abstract

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.

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Bartlett, D. J., Chiarello, L. A., McCoy, S. W., Palisano, R. J., Jeffries, L., Fiss, A. L., & Wilk, P. (2014). Determinants of self-care participation of young children with cerebral palsy. Developmental Neurorehabilitation, 17(6), 403–413. https://doi.org/10.3109/17518423.2014.897398

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