1Bloorview Research Institute, Toronto, Ontario, Canada.
Phys Occup Ther Pediatr. 2013 Nov;33(4):384-404. doi: 10.3109/01942638.2013.791915. Epub 2013 May 29.
Psychosocial determinants of children's out of school participation were examined, using secondary analyses of data from 427 children with physical disabilities (from 12 service locations in Ontario Canada) and 354 children without disabilities, ages 6 to 14. For both groups of children, hierarchical regression analyses indicated that psychosocial variables added significant incremental variance (6% to 14%) to the prediction of active physical intensity and social activity enjoyment, beyond that accounted for by family income, child age and sex, and physical functioning. As well, there were significant psychosocial determinants, with medium to large effect sizes. Athletic competence and hyperactivity had specific effects on active physical activities and social activities, respectively, for both groups of children. Disability-specific determinants included social acceptance, emotional functioning, and peer difficulties (only significant for children with disabilities). It was concluded that psychosocial variables play an important role in children's enjoyment and intensity of participation in leisure activities.
采用来自加拿大安大略省 12 个服务地点的 427 名身体残疾儿童（残疾组）和 354 名无残疾儿童（对照组）的二次数据分析了儿童校外参与的心理社会决定因素。对于两组儿童，层次回归分析表明，心理社会变量在预测积极的身体强度和社会活动享受方面增加了显著的增量方差（6%至 14%），超过了家庭收入、儿童年龄和性别以及身体功能所解释的部分。此外，还存在显著的心理社会决定因素，具有中等到较大的效应量。对于两组儿童，运动能力和多动分别对积极的身体活动和社会活动有特定影响。残疾特有的决定因素包括社会接受度、情绪功能和同伴困难（仅对残疾儿童有意义）。研究结论认为，心理社会变量在儿童参与休闲活动的享受和强度方面发挥着重要作用。
