Powered Mobility and Preschoolers With Complex Developmental Delays

Deitz, Jean; Swinth, Yvonne; White, Owen

doi:10.5014/ajot.56.1.86

Cited by 67 publications

(61 citation statements)

References 12 publications

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“…Seven studies were RCTs or pseudo-RCTs. [20][21][22][23][24][25][26] The remaining 18 were either comparative studies without concurrent control groups (including interrupted time series [27][28][29][30][31][32][33][34][35][36][37] or case series [38][39][40][41][42][43][44] ). The studies presented data for children aged 2.5 to 22 years.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In 10 studies, participation was considered to be a primary outcome, 22,[27][28][29][30][33][34][35][36]42 in 11 studies a secondary outcome, 21,24,25,31,32,[37][38][39][40][41]44 and in four studies the primary outcome was unclear. 20,23,26,43 The definition of the measured construct for each included participation measure is provided in Table SIII.…”

Section: Participation Definitionsmentioning

confidence: 99%

“…It was possible to assign all the language themes derived from the text of the included articles to at least one outcome measure, with the exception of the subtheme motivation. Although seven articles described the motivation associated with participation, 27,29,31,[40][41][42][43] none of the chosen outcome measures assessed this theme. The most common theme discussed by the studies and addressed by the chosen outcome measures was activity competence.…”

Section: Participation Definitionsmentioning

confidence: 99%

“…The most common theme discussed by the studies and addressed by the chosen outcome measures was activity competence. Nineteen articles used language related to activity competence 23,25,[27][28][29][30][31][34][35][36][37][38][39][40][41][42][43] and all but five of these studies included a measure of competence. 23,30,40 A further five studies did not use language related to activity competence in the body of the article but included a measure that addressed this theme.…”

Section: Participation Definitionsmentioning

confidence: 99%

“…The studies presented data for children aged 2.5 to 22 years. Studies focused on children with cerebral palsy (seven studies), 24,25,29,32,35,38,43 autism (six studies), 22,28,31,33,34,37 other conditions such as myelomeningocele or haemophilia (six studies), 27,30,39,41,44,45 or included mixed groups (six studies). 20,21,26,36,40,42 The context in which the interventions were implemented included private residences, schools/education centres, and hospitals and community health centres.…”

mentioning

confidence: 99%

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‘Participation’: a systematic review of language, definitions, and constructs used in intervention research with children with disabilities

Imms

Adair

Keen

et al. 2015

Develop Med Child Neuro

307

350

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ICFInternational Classification of Functioning, Disability and Health QOL Quality of life PODCI Pediatric Outcomes Data Collection Instrument RCT Randomized controlled trial AIM Improving participation of children with disabilities is a priority; however, the participation construct lacks clarity. This systematic review investigated how researchers defined 'participation' and the language used in participation intervention research.METHOD Nine health and education databases were searched for intervention studies of children with disabilities that included a participation outcome. Quantitative data were extracted using a customized form, and participation text data were extracted verbatim. Themes were derived using a thematic coding approach. These participation themes were applied to the outcome measures used in the included studies to compare participation language with the methods used to quantify participation changes. RESULTSOf the 2257 articles retrieved, 25 were included in this review. Five participation themes and nine subthemes were developed. Two themes, attendance and involvement, were directly related to the participation construct. Three additional themes described related concepts: preferences, activity competence, and sense of self.INTERPRETATION Attendance and involvement seem to describe the essence of the participation concept. The related themes may provide important avenues to enhance participation outcomes. This review highlighted the need for researchers to define the construct under investigation clearly and select measures carefully, as measurement choice is the mechanism through which the concept is operationalized in research.The publication of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) has resulted in an intensification of international interest in 'participation' as the ultimate health outcome. 1,2 The ICF defines participation as 'involvement in a life situation' 2 participation restriction is defined as 'problems an individual may experience in involvement in life situations'.2 Because there is no universal acceptance of the definition of participation, a discourse in the literature has developed about how to operationalize the concept. 3,4 This is critical, because without clarity about the concept, defining outcome goals and developing scales and measures to assess participation outcomes will remain open to question as to whether the measures are fit for purpose.One part of the complexity of the conceptual issue is the fact that the World Health Organization did not clearly distinguish between activity and participation within their classification system, offering authors four methods for determining when participation rather than activity was being classified.1,2 This lack of distinction provides ample opportunity for varied interpretations of the concept under investigation and hence varied approaches to measurement, 5 leading to imprecision and confusion in what is found and reported.Several authors describe particip...

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Participation Definitionsmentioning

confidence: 99%

Section: Participation Definitionsmentioning

confidence: 99%

Section: Participation Definitionsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

‘Participation’: a systematic review of language, definitions, and constructs used in intervention research with children with disabilities

Imms

Adair

Keen

et al. 2015

Develop Med Child Neuro

307

350

View full text Add to dashboard Cite

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Empowered to Play: A Case Study Describing the Impact of Powered Mobility on the Exploratory Play of Disabled Children

Sonday

Gretschel

2015

Occupation Therapy Intl

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Exploratory play is one of the most vital ways in which children learn about their environment and develop. It is well documented that limited mobility restricts a child's ability to engage in their environment through exploratory play. In this study, a qualitative, collective case study design explored the impact of powered mobility on the exploratory play of two children with physical disabilities. Data were collected from the children, their parents and their siblings through participant observation and in-depth, informal interviews. This paper focuses on two themes: Opportunity to Play revealed how powered mobility increased opportunities for the children to become more actively engaged in exploratory play with others across a wider array of contexts, and My Child was Transformed highlighted significant changes in the affect and motivation of each child, which seemed to be linked to their increased internal control over their play choices. The findings suggest that the provision of powered mobility is a key contributor promoting the participation of physically disabled children in exploratory play. Because of undergraduate curricular constraints, a limitation of this study was that data were only confined to 2 months; affecting the depth of data gained that prolonged engagement would have offered. The study recommends for occupational therapy practice that occupational therapists advocate for easier access to powered mobility through governmental and policy means. The study also recommends further research be conducted on the experiences of the caregivers on how these powered mobility devices have influenced their day-to-day occupations.

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Occupational Therapy

Cermak¹,

Borreson²

2016

Health Care for People With Intellectual and Developmental Disabilities Across the Lifespan

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Powered Mobility and Preschoolers With Complex Developmental Delays

Abstract: For some young children with severe motor impairments and developmental delay, use of a powered mobility device may increase self-initiated movement occurrences during free play.

Cited by 67 publications

References 12 publications

‘Participation’: a systematic review of language, definitions, and constructs used in intervention research with children with disabilities

‘Participation’: a systematic review of language, definitions, and constructs used in intervention research with children with disabilities

Empowered to Play: A Case Study Describing the Impact of Powered Mobility on the Exploratory Play of Disabled Children

Occupational Therapy

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