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Published on: June 20, 2020
Participation in Everyday Activities of Children with and without Neurodevelopmental Disorders: A Cross-Sectional
Nerea Blanco-Martínez1,2, Laura Delgado-Lobete1, Rebeca Montes-Montes3
1Faculty of Health Sciences, Health Integration and Promotion Research Unit (INTEGRA SAÚDE), University of A Coruña, 15011 A Coruña, Spain.
Insights
Children with neurodevelopmental disorders (NDDs) experience significantly restricted participation in daily activities compared to typically developing peers. Interventions should focus on enhancing participation for these children.
Area of Science:
- Pediatrics
- Developmental Psychology
- Rehabilitation Science
Background:
- Children with neurodevelopmental disorders (NDDs) often face challenges in daily activities, limiting their participation.
- Understanding these participation barriers is crucial for effective support.
Purpose of the Study:
- To compare daily activities participation between children with NDDs and typically developing (TD) children.
- To examine the relationships between participation in various daily contexts.
Main Methods:
- A cross-sectional study involving 20 children with NDDs and 26 TD controls.
- The Child and Adolescent Scale of Participation (CASP) assessed participation in home, community, school, and instrumental activities.
Main Results:
- Children with NDDs showed significantly lower participation across all measured contexts (p < 0.001).
- They had a substantially higher prevalence of moderate to severe participation restrictions (OR = 23.4, p < 0.001).
- Strong associations were observed between participation in different contexts (r = 0.642-0.856).
Conclusions:
- Children with NDDs experience significant restrictions in their daily life participation.
- Intervention strategies must adopt a participation-focused approach for this population.
Abstract:
Children with neurodevelopmental disorders (NDDs) often report significant difficulties performing activities of daily living (ADLs), which may restrict their daily participation. The aim of this study was to investigate the differences in ADLs participation between children with NDDs and typically developing (TD) children, and to explore the associations between different daily participation contexts. A cross-sectional study was conducted that included twenty children with a medical diagnosis of an NDD and 26 sex- and age-matched TD controls. The daily participation across home, community, school, and instrumental living activities was measured using the Child and Adolescent Scale of Participation (CASP). The results show that children with NDDs engaged in lower participation in all CASP contexts (Δ = 1.7-5.5, p < 0.001) and had a significantly higher prevalence of moderate or severe restricted participation than their TD peers (OR = 23.4, 95% CI = 3.6-154.2, p < 0.001). Additionally, a strong association was found between the different contexts of participation (r = 0.642-0.856). Overall, the children with NDDs experienced significant participation restrictions on their daily activities. This study adds to the growing evidence showing that intervention strategies in this population should adopt a participation-oriented approach.
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