Publication Date

2016

Abstract

Background: Knowledge of whether children with cerebral palsy (CP) are doing preferred leisure activities has important implications for families and rehabilitation professionals. We examined (a) participation-preference congruence; (b) regional differences in participation-preference congruence; and (c) predictors of whether children were participating in preferred activities.

Methods: The sample (n=236) included 148 boys and 88 girls, 10 to 13 years, living in Victoria (n=110), Ontario (n=80) or Quebec (n=46); GMFCS Level 1: 99(41.9%); Level II/III: 89(37.7%); Level IV/V: 48(20.3%). Participants completed the Children’s Assessment of Participation and Enjoyment and Preferences for Activity of Children. Regional comparisons were performed using one way ANOVAs and exploration of factors influencing participation-preference congruence using multiple linear regression.

Results: Proportion of children Doing Non-Preferred activities in each Activity Type was generally low (2-17%); with only one regional difference. Higher proportions were Not Doing Preferred Active Physical (range: 23.2%-29.1% across regions), Skill-based (range: 21.7%-27.9% across regions) and Social activities (range: 12.8%-14.5% across regions). GMFCS level was the most important predictor associated with Not Doing Preferred activities.

Interpretation: Children with CP did not always participate in preferred Active Physical and Skill-based activities. Understanding discrepancies between preferences and actual involvement may allow families and rehabilitation professionals to address participation barriers.

Document Type

Open Access Journal Article

Access Rights

Open Access

Available for download on Sunday, November 05, 2017

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