ERIC Number: EJ962171
Record Type: Journal
Publication Date: 2011-Aug
Abstractor: As Provided
Reference Count: 30
Exploring Issues of Participation among Adolescents with Cerebral Palsy: What's Important to Them?
Livingston, Michael H.; Stewart, Debra; Rosenbaum, Peter L.; Russell, Dianne J.
Physical & Occupational Therapy in Pediatrics, v31 n3 p275-287 Aug 2011
The purpose of this cross-sectional study was to determine what participation issues are important to adolescents with cerebral palsy (CP). Two hundred and three adolescents with CP (mean age 16.0 [plus or minus] 1.8 years) were assessed using the Canadian Occupational Performance Measure (COPM). This was done through semistructured interviews by trained physical and occupational therapists. Adolescents responded either directly (n = 144) or through a parent or a caregiver (n = 59) if they were unable to communicate. Issues were extracted from completed questionnaires and coded under three COPM categories (self-care, productivity, and leisure) and 16 subcategories. There was no association between the total number of issues identified and gender (p = 0.99), age (p = 0.88), type of respondent (adolescents versus parent) (p = 0.27), Gross Motor Function Classification System (GMFCS) level (p = 0.93), or 66-item Gross Motor Function Measure (GMFM-66) score (p = 0.45). The issues identified most frequently were related to active leisure (identified by 57% of participants), mobility (55%), school (48%), and socialization (44%). Interventions aimed at improving participation among adolescents with physical disabilities, such as CP, should be directed towards these four key areas. Health care professionals should also recognize and consider the interaction of person and environment when addressing issues related to participation. (Contains 4 tables.)
Descriptors: Physical Disabilities, Cerebral Palsy, Questionnaires, Adolescents, Classification, Occupational Therapy, Participation, Adolescent Attitudes, Semi Structured Interviews, Physical Therapy, Gender Differences, Generational Differences, Leisure Time, Recreational Activities, Performance Factors, Foreign Countries
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Publication Type: Journal Articles; Reports - Research
Education Level: Secondary Education
Authoring Institution: N/A
Identifiers - Location: Canada