Personal, environmental, and family factors of participation among young children

Uzma Williams1, Mary Law1, Steven Hanna1

  • 1CanChild, Institute for Applied Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Insights

This study found that child age and environmental barriers influence participation frequency in young children. Mother

Area of Science:

  • Pediatric Health
  • Child Development
  • Occupational Therapy

Background:

  • Understanding factors influencing participation in young children is crucial for early intervention.
  • Previous research has not extensively examined environmental and population characteristics' impact on home-based participation.

Purpose of the Study:

  • To assess how environmental factors, population characteristics, and service utilization affect participation frequency and involvement at home for children aged 0-5 years.

Main Methods:

  • Structural equation modeling was used to analyze data from 236 parents of children aged 0-5 years via an online survey.
  • Models examined predictors of home participation frequency and involvement, including child's age, sex, complexity, environmental barriers, income, mother's participation, and service utilization.

Main Results:

  • The home involvement model (R²=0.46) explained more variance than the frequency model (R²=0.33).
  • Child's age and environmental barriers predicted participation frequency. Higher child age, lower complexity, and higher mother's participation were linked to greater home involvement.
  • Child's age and complexity influenced service utilization; complexity reduced mother's participation.

Conclusions:

  • Environmental barriers and child complexity significantly impact participation for young children and their mothers.
  • Interventions focusing on reducing environmental barriers and promoting mother's participation may enhance child participation.
  • This study highlights the need for tailored support in Canadian early intervention services.
Abstract

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