La Trobe University, School of Occupational Therapy, La Trobe University, Melbourne, Australia.
Disabil Rehabil. 2009;31(26):2204-15. doi: 10.3109/09638280902971406.
To investigate the extent to which selected individual, family and environmental variables were associated with participation of children who have cerebral palsy in activities outside school.
Data were gathered through a population-based survey of 114 children born in 1994 or 1995 in Victoria, Australia. Participation was measured using the Children's Assessment of Participation and Enjoyment. Selected independent variables were classified as related to the child, family or environment. Linear regression analysis was used to identify variables associated with participation in informal (activities that require little planning) and formal (those with structure and leaders) activities.
Participation in informal activities tended to be greater in children who preferred informal activities and who had higher manual ability (adjusted R(2) = 36.3%). Girls and those with better gross motor function also tended to participate in more activities. The explanatory power of the regression model for participation in formal activities was limited (adjusted R(2) = 4.2%).
Knowing a child's activity preferences is critical to intervention planning. Being exposed to a range of activities within supportive environments may provide the opportunity to develop preferences, especially in activities where children with cerebral palsy have reduced participation, such as in physical activities.
调查特定个体、家庭和环境变量与脑瘫儿童参与校外活动的程度之间的关系。
本研究通过对澳大利亚维多利亚州 1994 年或 1995 年出生的 114 名儿童进行基于人群的调查收集数据。使用儿童参与和享受评估来衡量参与度。选择的自变量分为与儿童、家庭或环境相关的变量。线性回归分析用于识别与非正式（无需大量计划的活动）和正式（有结构和领导者的活动）活动参与相关的变量。
喜欢非正式活动且手动能力较高的儿童更倾向于参与非正式活动（调整后的 R²=36.3%）。女孩和粗大运动功能较好的儿童也往往参与更多的活动。正式活动参与回归模型的解释能力有限（调整后的 R²=4.2%）。
了解儿童的活动偏好对于干预计划至关重要。在支持性环境中接触各种活动可能为发展偏好提供机会，特别是在脑瘫儿童参与度较低的活动中，如体育活动。
