McGill University, Montreal, Quebec, Canada.
The Hebrew University, Jerusalem, Israel.
OTJR (Thorofare N J). 2024 Jan;44(1):13-24. doi: 10.1177/15394492231164939. Epub 2023 Apr 23.
Little is known about participation during adverse times.
This study described participation of children with autism aged 6 to 13 during COVID-19 pandemic and examined the extent to which child factors, mother's own participation, and environmental barriers/supports explain child participation in home and community.
A total of 130 mothers completed the Participation and Environment Measure for Children and Youth, the Health Promoting Activities Scale, functional issues checklist, and sociodemographic questionnaire.
Children's participation frequency and involvement were significantly higher at home than in the community. In both settings, mothers desired change in 71% of activities. Multiple regression models indicated that child's age and mother's participation frequency significantly explained child's home involvement ( = 21%), where mother's participation (frequency) had a unique contribution (Δ = 10.4%) at home but not in the community.
Findings imply the importance of maternal participation to child's participation at home and suggest redirecting attention for enhancing family participation as a whole.
关于困难时期的参与情况，我们知之甚少。
本研究描述了 6 至 13 岁自闭症儿童在 COVID-19 大流行期间的参与情况，并考察了儿童因素、母亲自身参与度以及环境障碍/支持在多大程度上解释了儿童在家中和社区的参与度。
共有 130 位母亲完成了《儿童和青少年参与度和环境测量表》、《健康促进活动量表》、功能问题检查表和社会人口学问卷。
相较于社区，儿童在家中的参与频率和投入度显著更高。在这两个环境中，母亲都希望改变 71%的活动。多元回归模型表明，儿童的年龄和母亲的参与频率显著解释了儿童在家中的参与度（ = 21%），其中母亲的参与（频率）在家庭环境中有独特的贡献（Δ = 10.4%），但在社区环境中没有。
研究结果表明，母亲的参与对儿童在家中的参与非常重要，并提示应将注意力重新集中于增强整个家庭的参与度。
