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Participation of children with ABI and the relationship with discharge functional status
Wendy Shuhua Foo1, Jane Galvin, Joy Olsen
1School of Occupational Therapy, Latrobe University, Melbourne, Australia.
Insights
Children’s functional status post-rehabilitation did not correlate with their participation in daily life after paediatric acquired brain injury (ABI). Further research is needed to understand participation barriers.
Area of Science:
- Pediatric Rehabilitation
- Neuroscience
- Child Development
Background:
- Paediatric acquired brain injury (ABI) significantly impacts children's functional abilities and participation in life.
- Assessing functional status at discharge is crucial for predicting post-rehabilitation outcomes.
- Understanding the link between functional status and participation is vital for effective intervention planning.
Purpose of the Study:
- To examine the relationship between functional status at discharge from inpatient rehabilitation and participation in home, school, and community settings.
- To identify potential factors influencing participation in children with ABI.
- To inform therapeutic strategies for improving life participation post-ABI.
Main Methods:
- A cohort of school-aged children with ABI was studied.
- Functional status data was collected from hospital records.
- The Child and Adolescent Scale of Participation (CASP) was used to assess participation levels in 28 families.
Main Results:
- No statistically significant correlation was found between children's functional status at discharge and their participation levels.
- This suggests that functional status measures may not fully capture a child's ability to participate in daily life.
Conclusions:
- The findings raise questions about the sensitivity of functional status and participation measures.
- Therapists should consider that high functional performance at discharge does not guarantee age-expected participation.
- Environmental and individual factors crucial for participation must be addressed in service planning for children with ABI.
Aims:
To investigate the relationship between children's functional status at discharge from inpatient rehabilitation and participation in home, school and community life following paediatric acquired brain injury (ABI).
Methods:
The Child and Adolescent Scale of Participation (CASP) was mailed to 60 families of school-aged children who had sustained an ABI. Functional status data was obtained from the hospital database. Twenty-eight families participated in the study.
Results:
No statistically significant correlations between functional status at discharge and participation levels were found.
Conclusions:
The lack of correlation raised questions regarding the sensitivity of the PEDI and the CASP. Therapists should consider the implication that children who perform well in functional tasks on the PEDI at discharge may not necessarily participate at age-expected levels upon return home. Environmental and child factors that hinder or support participation, such as physical infrastructure and impairments resulting from paediatric ABI, need to be considered when planning services.
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