Blanco-Martínez Nerea, Delgado-Lobete Laura, Montes-Montes Rebeca, Ruiz-Pérez Nuria, Ruiz-Pérez Marcos, Santos-Del-Riego Sergio
Faculty of Health Sciences, Health Integration and Promotion Research Unit (INTEGRA SAÚDE), University of A Coruña, 15011 A Coruña, Spain.
Faculty of Educational Sciences & Sports, University of Vigo, 36005 Pontevedra, Spain.
Children (Basel). 2020 Oct 1;7(10):157. doi: 10.3390/children7100157.
Children with neurodevelopmental disorders (NDDs) often report significant difficulties performing activities of daily living (ADLs), which may restrict their daily participation. The aim of this study was to investigate the differences in ADLs participation between children with NDDs and typically developing (TD) children, and to explore the associations between different daily participation contexts. A cross-sectional study was conducted that included twenty children with a medical diagnosis of an NDD and 26 sex- and age-matched TD controls. The daily participation across home, community, school, and instrumental living activities was measured using the Child and Adolescent Scale of Participation (CASP). The results show that children with NDDs engaged in lower participation in all CASP contexts (Δ = 1.7-5.5, < 0.001) and had a significantly higher prevalence of moderate or severe restricted participation than their TD peers (OR = 23.4, 95% CI = 3.6-154.2, < 0.001). Additionally, a strong association was found between the different contexts of participation ( = 0.642-0.856). Overall, the children with NDDs experienced significant participation restrictions on their daily activities. This study adds to the growing evidence showing that intervention strategies in this population should adopt a participation-oriented approach.
患有神经发育障碍（NDDs）的儿童在进行日常生活活动（ADLs）时常常报告存在显著困难，这可能会限制他们的日常参与。本研究的目的是调查患有NDDs的儿童与发育正常（TD）儿童在ADLs参与方面的差异，并探讨不同日常参与情境之间的关联。进行了一项横断面研究，纳入了20名经医学诊断患有NDDs的儿童和26名性别及年龄匹配的TD对照儿童。使用儿童青少年参与量表（CASP）对家庭、社区、学校和工具性日常生活活动中的日常参与情况进行了测量。结果表明，患有NDDs的儿童在所有CASP情境中的参与度较低（Δ = 1.7 - 5.5，< 0.001），并且与他们的TD同龄人相比，中度或重度受限参与的患病率显著更高（OR = 23.4，95% CI = 3.6 - 154.2，< 0.001）。此外，还发现不同参与情境之间存在很强的关联（= 0.642 - 0.856）。总体而言，患有NDDs的儿童在日常活动中经历了显著的参与限制。这项研究进一步补充了越来越多的证据，表明针对这一人群的干预策略应采用以参与为导向的方法。
