Lin Chien-Lin, Lin Hung-Yu, Wang Pei-Jung
Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung 404327, Taiwan.
Department of Occupational Therapy, Asia University, Taichung 413305, Taiwan.
Children (Basel). 2024 Feb 9;11(2):220. doi: 10.3390/children11020220.
This study aimed to examine the group differences in participation level between children with and without global delays and to explore the associations between mastery motivation, executive function, and participation in young children with and without global developmental delays (GDD). Methods: we recruited 26 children with GDD aged 2 to 5 years and 26 children with sex- and mental age-matched developing typically (TD). The participants were assessed child development using the standardized developmental test, and their mothers were asked to fill in questionnaires, including the revised Dimension of Mastery Questionnaire (DMQ 18) with preschool version to assess mastery motivation, the Behavior Rating Inventory of Executive Function with preschool version (BRIEF-P) to assess executive function, and the Young Children's Participation and Environment Measure (YC-PEM) used to obtain participation levels. Results and conclusions: young children with GDD showed significantly lower participation levels at home, daycare, and community than TD group. We found that for young children, child mastery pleasure, health condition, and total persistence were significant predictors of child participation. Therefore, coaching parents to observe and facilitate their children's motivation and executive function, as well as child developmental abilities, is important in order to enhance children's participation in daily activities.
本研究旨在考察有和没有全面发育迟缓的儿童在参与水平上的组间差异,并探讨掌握动机、执行功能与有和没有全面发育迟缓(GDD)的幼儿参与度之间的关联。方法:我们招募了26名年龄在2至5岁的患有GDD的儿童以及26名性别和心理年龄匹配的发育正常(TD)儿童。使用标准化发育测试对参与者的儿童发育情况进行评估,并要求他们的母亲填写问卷,包括用于评估掌握动机的学龄前版本的修订版掌握问卷维度(DMQ 18)、用于评估执行功能的学龄前版本的执行功能行为评定量表(BRIEF-P)以及用于获取参与水平的幼儿参与和环境测量量表(YC-PEM)。结果与结论:患有GDD的幼儿在家庭、日托和社区中的参与水平显著低于TD组。我们发现,对于幼儿来说,儿童掌握乐趣、健康状况和总体坚持性是儿童参与的重要预测因素。因此,指导家长观察并促进孩子的动机、执行功能以及儿童发育能力,对于提高儿童在日常活动中的参与度很重要。