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Department of Rehabilitation Medicine

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Determinants of Self Care Ability of Young Children with Cerebral Palsy: A Prospective Cohort Study


Bartlett DJ, Chiarello LA, McCoy SW, Palisano RJ, Rosenbaum PL, Jeffries L, LaForme Fiss A, Wilk P



Publication Info:

Developmental Neurorehabilitation, 17(6):402-413


OBJECTIVE: To test a model of child, family and service determinants of self-care participation of children with cerebral palsy (CP), grouped by Gross Motor Function Classification System levels (I-II and III-V).
METHODS: Participants were a convenience sample of 429 children (242 males) with CP, aged 18-60 months. Data on impairments and gross motor function were collected by reliable therapists; parents provided information about children's health conditions and adaptive behaviour. Seven months later parents reported on family life and services received. One year after study onset, parents documented children's self-care participation. Data from two groups of children were analysed using structural equation modelling.
RESULTS: The model explained a significant proportion of the variance of self-care participation, with higher motor function, fewer health conditions and higher levels of adaptive behaviour being associated with greater self-care participation.
CONCLUSION: Supporting children's gross motor function, health and adaptive behaviour may optimize self-care participation.

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