Ying-Chia Kao, ScD, OTR, is Assistant Professor, Department of Occupational Therapy, Asia University, Taichung, Taiwan;
Gael I. Orsmond, PhD, is Professor, Department of Occupational Therapy, Boston University, Boston, MA.
Am J Occup Ther. 2020 Nov/Dec;74(6):7406205070p1-7406205070p10. doi: 10.5014/ajot.2020.036764.
No study has directly investigated which variables are associated with the shift of responsibility for managing daily tasks from parent to child in the transition to adulthood.
To examine characteristics associated with responsibility for managing daily life tasks in youth with and without disabilities.
A secondary data analysis of parent-report data on typically developing (TD) youth and youth with disabilities.
An online panel that has regularly participated in online surveys.
A nationally representative sample of 2,205 TD U.S. children and youth, ages 0 to 20 yr, 11 mo (about 100 children per age year) and a sample of 617 children and youth with disabilities, ages 0 to 20 yr, 11 mo.
The dependent variable was the Responsibility domain scaled score (from the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test), which reflects the extent to which responsibility for daily tasks has shifted from parent to youth.
Youth with higher levels of responsibility were older in age, reported to be more focused, and youngest in birth order (TD, R = .79; disability, R = .35). Youth with developmental delay, intellectual disability, autism spectrum disorder, or orthopedic or movement impairments had assumed less responsibility.
Other personal characteristics in addition to disability may have important influences on parents' decision making as they prepare their children to manage daily life tasks.
Clinicians who work with adolescents in the process of transition to adulthood need to consider the potential influence of the personal characteristics, such as birth order and child temperament, on preparation for adulthood.
没有研究直接调查过哪些变量与从父母到孩子的日常任务管理责任转变有关。
研究与残疾和非残疾青年日常生活任务管理责任相关的特征。
对典型发育（TD）青年和残疾青年的父母报告数据进行二次数据分析。
定期参与在线调查的在线小组。
一个具有全国代表性的 2205 名美国 TD 儿童和青年样本，年龄为 0 至 20 岁 11 个月（每个年龄约有 100 名儿童），以及 617 名残疾儿童和青年样本，年龄为 0 至 20 岁 11 个月。
因变量是责任领域评分（来自儿科残疾评估-计算机自适应测试），它反映了日常任务的责任从父母转移到青年的程度。
责任水平较高的青年年龄较大，报告更专注，出生顺序最小（TD，R =.79；残疾，R =.35）。有发育迟缓、智力残疾、自闭症谱系障碍或骨科或运动障碍的青年承担的责任较少。
除残疾外，其他个人特征可能对父母在准备子女管理日常生活任务时的决策产生重要影响。
与青少年过渡到成年期的过程中一起工作的临床医生需要考虑个人特征（如出生顺序和儿童气质）对成年准备的潜在影响。
