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Published on: July 31, 2017
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.
Objective:
The purpose of this study is to assess the influences of environment, population characteristics, and service utilization on participation frequency and involvement in the home setting among children 0 to 5 years.
Method:
Data were collected from parents of 236 children (mean age 3 years and 5 months, SD = 1.30, girls = 152 and boys = 84) using a children's treatment centre in Ontario through an online survey. Two path models measuring home frequency and home involvement were assessed using structural equation modelling. The exogenous factors in the models included child's age, child's sex, child's complexity, number of environmental barriers, income, mother's participation, and service utilization. In addition to participation as the primary outcome, each model explored predictors of service utilization and mother's participation.
Results:
The involvement model (R2 = 0.46) explained more variance than the frequency model (R2 = 0.33). Age (0.35, P < 0.001) and barriers (0.07, P = 0.001) predicted participation frequency in the home, χ2 (9) = 8.51, P < 0.4, root mean square error of approximation (RMSEA) = 0.00, comparative fit index (CFI) = 1.00. The home involvement model, χ2 (6) = 9.79, P < 0.13, RMSEA = 0.06, CFI = 0.97, showed that increasing age (0.09, P < 0.001), lower complexity (0.13, P = 0.001), and higher mother's participation (0.057, P = 0.001) were significantly related to higher participation. An increase in child's age or complexity significantly influenced service utilization across both models. Complexity reduced mother's participation in both the frequency and involvement models.
Conclusions:
This study is one of the first in Canada to examine participation of young children. The aggregation of each unit factor, particularly barriers and complexity, can accrue a large impact on the child's and mother's participation. The potential to mediate this impact by removing environmental barriers and promoting mother's participation merits further study.
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