A multidimensional model of optimal participation of children with physical disabilities
A multidimensional model of optimal participation of children with physical disabilities
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DOI：
10.3109/09638288.2013.863392
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发表时间：
2014-01-01
影响因子：
2.2
通讯作者：
Chiarello, Lisa A.
中科院分区：
文献类型：
--
作者：
Kang, Lin-Ju;Palisano, Robert J.;Chiarello, Lisa A.
目的：提出身体残疾儿童最佳参与娱乐和休闲活动的概念模型。方法：模型的概念化基于对当代理论和框架、实证研究和作者实践知识的回顾。通过案例场景来说明应用到实践中。结果：该模型提出，娱乐和休闲活动的最佳参与涉及多个维度和参与决定因素的动态相互作用。参与的三个维度是身体参与、社会参与和自我参与。参与的决定因素包括儿童、家庭和环境的属性。假设最佳参与体验会带来长期效益，包括更好的生活质量、更健康的生活方式以及情感和心理健康。结论：考虑最佳参与维度的相关儿童、家庭和环境决定因素应有助于儿童、家庭和卫生保健专业人员确定有意义的目标和结果，并指导创新治疗方法和服务提供方法的选择和实施。
Purpose: To present a conceptual model of optimal participation in recreational and leisure activities for children with physical disabilities. Methods: The conceptualization of the model was based on review of contemporary theories and frameworks, empirical research and the authors' practice knowledge. A case scenario is used to illustrate application to practice. Results: The model proposes that optimal participation in recreational and leisure activities involves the dynamic interaction of multiple dimensions and determinants of participation. The three dimensions of participation are physical, social and self-engagement. Determinants of participation encompass attributes of the child, family and environment. Experiences of optimal participation are hypothesized to result in long-term benefits including better quality of life, a healthier lifestyle and emotional and psychosocial well-being. Conclusion: Consideration of relevant child, family and environment determinants of dimensions of optimal participation should assist children, families and health care professionals to identify meaningful goals and outcomes and guide the selection and implementation of innovative therapy approaches and methods of service delivery.