King Gillian, McDougall Janette, Dewit David, Petrenchik Theresa, Hurley Patricia, Law Mary
Bloorview Research Institute, 150 Kilgour Road, Toronto Ontario Canada M4G 1R8.
Child Health Care. 2009;38(4):321-351. doi: 10.1080/02739610903237352.
Little is known about predictors of change over time in the intensity of the leisure and recreational activity participation of children with physical disabilities. This study reports data from 402 children/youth with physical disabilities (216 boys and 186 girls), ages 6 to 15, collected on three occasions over a 3-year period. Latent growth curve modeling was used to determine the significant child, family, and community predictors of change in the intensity of their participation in five types of activities (recreational, active physical, social, skill-based, and self-improvement). Differences in predictors were examined for boys versus girls, and older versus younger children. Significant predictors of change were found only for recreational and active physical activities. The findings indicate that factors associated with change in participation intensity are dependent on the type of activity, and vary as a function of children's sex and age. Implications for research and service delivery are discussed, including the importance of a contextualized, holistic, and developmental approach to intervention.
对于身体残疾儿童休闲和娱乐活动参与强度随时间变化的预测因素，我们知之甚少。本研究报告了402名6至15岁身体残疾儿童/青少年（216名男孩和186名女孩）的数据，这些数据是在3年时间内分三次收集的。采用潜在增长曲线模型来确定在参与五类活动（娱乐、积极体育、社交、技能型和自我提升）的强度变化方面，显著的儿童、家庭和社区预测因素。对男孩与女孩、年龄较大与较小儿童的预测因素差异进行了检验。仅在娱乐和积极体育活动方面发现了显著的变化预测因素。研究结果表明，与参与强度变化相关的因素取决于活动类型，并随儿童的性别和年龄而变化。讨论了对研究和服务提供的启示，包括采用情境化、整体化和发展性干预方法的重要性。
