Carson Tana B, Irwin J Megan, Santiago Perez Tania, Frampton Ivana, Ruby Lisa
Department of Occupational Therapy, Florida International University, Miami, FL, United States.
Department of Health and Human Performance, College of Charleston, Charleston, SC, United States.
Front Rehabil Sci. 2025 Jan 3;5:1496185. doi: 10.3389/fresc.2024.1496185. eCollection 2024.
Drowning is a leading cause of death for children. Some populations of children with disabilities, such as children with autism, experience a health disparity in drowning when compared to peers without disabilities.
This study presents a secondary data analysis of the response to intervention for a 5-day adapted swim instruction program (iCan Swim) for children with disabilities ( = 164 participants) ages 3-18 years.
This secondary data analysis assessed the effectiveness of the swim intervention on changes in swim skill level from Day 1 to Day 5. Associations between response to intervention (i.e., change score) and participant characteristics were examined using Kendall's tau-b for age and Chi-square for sex and diagnosis. Models were fit using a Poisson regression to examine potential predictors of progress across participants.
Swim skills significantly improved from Day 1 ( = 1.00, = 164) to Day 5 ( = 2.00, = 164), z = -10.06, < .001, r = .58). Most participants (61.6%) improved by at least one swim skill level. Age was weakly, yet significantly positively correlated with swim skill level change scores ( = .154, = .020) and was a significant predictor of swim skill level change for participants with Down Syndrome [b = .091, S.E. = .0434, = .036, 95%CI (.006,.176)].
While this 5-day adapted swim instruction program was effective for most participants in improving swim skills, certain factors may have contributed to slower progression including participant fearfulness or needing more time. Further study of these factors is warranted.
溺水是儿童死亡的主要原因。与无残疾的同龄人相比，一些残疾儿童群体，如自闭症儿童，在溺水方面存在健康差异。
本研究对一项为期5天的针对3至18岁残疾儿童（n = 164名参与者）的适应性游泳教学计划（iCan Swim）的干预反应进行了二次数据分析。
这项二次数据分析评估了游泳干预对从第1天到第5天游泳技能水平变化的有效性。使用肯德尔tau-b检验年龄以及卡方检验性别和诊断，来研究干预反应（即变化分数）与参与者特征之间的关联。使用泊松回归拟合模型，以检查参与者进步的潜在预测因素。
游泳技能从第1天（M = 1.00，n = 164）到第5天（M = 2.00，n = 164）有显著提高，z = -10.06，p <.001，r =.58）。大多数参与者（61.6%）至少提高了一个游泳技能水平。年龄与游泳技能水平变化分数呈弱但显著的正相关（τ =.154，p =.020），并且是唐氏综合征参与者游泳技能水平变化的显著预测因素[b =.091，标准误 =.0434，p =.036，95%置信区间（.006，.176）]。
虽然这个为期5天的适应性游泳教学计划对大多数参与者提高游泳技能是有效的，但某些因素可能导致进步较慢，包括参与者的恐惧或需要更多时间。有必要对这些因素进行进一步研究。
