Kang Lin-Ju, Palisano Robert J, King Gillian A, Chiarello Lisa A
Graduate Institute of Early Intervention, College of Medicine, Chang Gung University , Kwei-Shan, Tao-Yuan , Taiwan .
Disabil Rehabil. 2014;36(20):1735-41. doi: 10.3109/09638288.2013.863392. Epub 2013 Dec 11.
To present a conceptual model of optimal participation in recreational and leisure activities for children with physical disabilities.
The conceptualization of the model was based on review of contemporary theories and frameworks, empirical research and the authors' practice knowledge. A case scenario is used to illustrate application to practice.
The model proposes that optimal participation in recreational and leisure activities involves the dynamic interaction of multiple dimensions and determinants of participation. The three dimensions of participation are physical, social and self-engagement. Determinants of participation encompass attributes of the child, family and environment. Experiences of optimal participation are hypothesized to result in long-term benefits including better quality of life, a healthier lifestyle and emotional and psychosocial well-being.
Consideration of relevant child, family and environment determinants of dimensions of optimal participation should assist children, families and health care professionals to identify meaningful goals and outcomes and guide the selection and implementation of innovative therapy approaches and methods of service delivery. Implications for Rehabilitation Optimal participation is proposed to involve the dynamic interaction of physical, social and self-engagement and attributes of the child, family and environment. The model emphasizes the importance of self-perceptions and participation experiences of children with physical disabilities. Optimal participation may have a positive influence on quality of life, a healthy lifestyle and emotional and psychosocial well-being. Knowledge of child, family, and environment determinants of physical, social and self-engagement should assist children, families and professionals in identifying meaningful goals and guiding innovative therapy approaches.
提出一个关于身体残疾儿童在娱乐和休闲活动中最佳参与度的概念模型。
该模型的概念化基于对当代理论与框架、实证研究以及作者实践知识的回顾。通过一个案例场景来说明其在实践中的应用。
该模型提出，在娱乐和休闲活动中的最佳参与涉及参与的多个维度和决定因素之间的动态相互作用。参与的三个维度是身体、社会和自我参与。参与的决定因素包括儿童、家庭和环境的属性。最佳参与的体验被假定会带来长期益处，包括更高的生活质量、更健康的生活方式以及情感和心理社会幸福感。
考虑最佳参与维度的相关儿童、家庭和环境决定因素，应有助于儿童、家庭和医疗保健专业人员确定有意义的目标和结果，并指导创新治疗方法的选择和服务提供方式的实施。对康复的启示 最佳参与被认为涉及身体、社会和自我参与以及儿童、家庭和环境属性之间的动态相互作用。该模型强调身体残疾儿童自我认知和参与体验的重要性。最佳参与可能对生活质量、健康生活方式以及情感和心理社会幸福感产生积极影响。了解身体、社会和自我参与的儿童、家庭和环境决定因素，应有助于儿童、家庭和专业人员确定有意义的目标并指导创新治疗方法。
