Ross Samantha Mae, Catena Michele, Twardzik Erica, Hospodar Christina, Cook Erika, Ayyagari Apoorva, Inskeep Kelsey, Sloane Bethany, MacDonald Megan, Logan Samuel W
a Kinesiology, Oregon State University , Corvallis , Oregon.
b Kinesiology, University of Michigan , Ann Arbor , Michigan.
Phys Occup Ther Pediatr. 2018;38(5):493-509. doi: 10.1080/01942638.2017.1400491. Epub 2017 Dec 13.
Children with mobility related disabilities often experience limited participation and access to social interactions. An emerging pediatric powered mobility device are modified ride-on cars that provide self-directed mobility experiences to children with disabilities. This study aimed to determine: (1) the feasibility of a modified ride-on car intervention during an inclusive playgroup, (2) the effect of a modified ride-on car intervention on the play behaviors of children with and without mobility related disabilities.
A single-subject research design was implemented. Thirteen children participated in a weekly inclusive playgroup. The five children with mobility related disabilities were provided modified ride-on cars during the intervention. Children's play behaviors were classified with Howes' Peer Play Scale. Intervention effects were examined using nonoverlap of all pairs (NAP).
The intervention was feasible based on participants' good attendance, retention rates, and successful use of modified ride-on cars. Overall children did not experience significant changes in play behaviors, with a few exceptions for decreased solitary, and increased parallel play, and/or direct peer interaction, among children with mobility related disabilities. Future research could examine modified ride-on car use by children with mobility related disabilities focusing on changes in unique play interactions between children with and without disabilities.
行动不便的儿童往往参与度有限，且难以参与社交互动。一种新兴的儿科动力移动设备是经过改装的乘骑式汽车，可为残疾儿童提供自主移动体验。本研究旨在确定：（1）在包容性游戏小组中进行改装乘骑式汽车干预的可行性，（2）改装乘骑式汽车干预对有无行动相关残疾儿童游戏行为的影响。
采用单受试者研究设计。13名儿童参加了每周一次的包容性游戏小组。在干预期间，为5名行动不便的儿童提供了改装后的乘骑式汽车。儿童的游戏行为采用豪斯同伴游戏量表进行分类。使用全对不重叠法（NAP）检查干预效果。
基于参与者的高出勤率、留存率以及对改装乘骑式汽车的成功使用，干预是可行的。总体而言，儿童的游戏行为没有显著变化，但行动不便的儿童中存在一些例外，即独自游戏减少，平行游戏和/或直接同伴互动增加。未来的研究可以关注行动不便的儿童使用改装乘骑式汽车的情况，重点研究残疾儿童与非残疾儿童之间独特游戏互动的变化。
