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

Abstract:

: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.

journal_name

Res Dev Disabil

authors

Chang HJ,Chiarello LA,Palisano RJ,Orlin MN,Bundy A,Gracely EJ

doi

10.1016/j.ridd.2013.10.004

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

99-109

issue

1

eissn

0891-4222

issn

1873-3379

pii

S0891-4222(13)00441-1

journal_volume

35

pub_type

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