Leisure activities of adolescent school students: predictors of participation and interest

Sensory Processing as a Predictor of Leisure Participation in Early Adolescents

Sensory processing may be associated with adolescents’ preferences for different leisure activities. However, knowledge about how different sensory processing patterns may relate to adolescents’ participation in leisure activities is scarce. This study sought to investigate the relationship between sensory processing and leisure participation in early adolescents. Study participants were typical early adolescents aged from 11 to 12 years (mean = 11.88 ± 0.33, n = 140). The Adolescent/Adult Sensory Profile (AASP) and Children’s Assessment for Participation and Enjoyment (CAPE) were used to determine the participants’ sensory processing abilities. Correlational and multiple regression methods were employed to analyze the relationship between sensory processing and leisure participation. There were significant positive relationships between sensory seeking and participation (r = 0.177–0.350, p = 0.000–0.037). There were also significant negative relationships between low registration, sensory sensitivity, and overall participation (r = −0.202, p = 0.017, r = −0.212, p = 0.012). We found that formal activities, skill-based activities, and self-improvement activities were the main distinguishing factors between sensory processing types. Results suggest that sensation seeking and sensory sensitivity from the AASP were predictive of leisure participation. This study provides evidence to inform practices regarding the association of sensory processing and leisure participation and supports the need for assessing sensory processing in early adolescents.

Disability-related-distress in primary school learners with vision impairment due to uncorrected refractive error in KwaZulu-Natal Province, South Africa - a qualitative study

BACKGROUND

Uncorrected refractive error (URE) is a major cause of vision impairment among children that impacts negatively on their lives including distresses. We aim to understand the disability-related distress among vision-impaired children due to URE in rural and semi-rural South Africa using qualitative techniques.

METHODS

Structured focus groups of children (aged 5-12 years old) with normal vision and vision impairment due to URE from four schools in Pinetown, KwaZulu Natal, South Africa, were performed (four mixed-gender group discussions and eight single gender group discussions). We recruited the study participants after the children underwent standardised vision screening. Criterion sampling was used when selecting study participants. The interviews were transcribed to identify meaning units and broken down to condensed meaning units, which were then grouped into megathemes. Themes were then generated.

RESULTS

Thirteen children with normal vision and 63 children with vision impairment due to URE participated in the twelve focus group discussions with 36 boys (47%) and 40 girls (53%). Twelve themes were generated. The megathemes were Loss of Self Confidence (number of themes (n) = 3), Loss of self-worth (n = 3), Loss of interconnection/ interaction with community (n = 2), Humiliation (n = 2) and Discrimination (n = 2).

CONCLUSIONS

We found that vision impairment due to URE can cause distress in different domains in children's life and further grouped them into different themes. The themes will be used for the development of a tool to assess disability-related distress among children with vision impairment due to URE. We also recommend that distresses caused by URE should be taken into consideration when designing eye care programmes for children.

The International Spinal Cord Injury Pediatric Activity and Participation Basic Data Set

Study design

International focus groups.

Objectives

The objective of this project was to develop the International Spinal Cord Injury (SCI) Pediatric Activity and Participation (A&P) Basic Data Set.

Methods

A focus group of experts in pediatric and adult SCI, and contributors of the existing adult International SCI Adult A&P Basic Data Set convened to develop an initial draft of the data set, which was iteratively refined over a 12 month period based on relevant literature and existing outcome measures that evaluate pediatric activity and participation. The draft was reviewed and approved by the larger project working group and then distributed to the International Spinal Cord Society (ISCoS), American Spinal Injury Association (ASIA), and relevant expert groups for review. Feedback received was considered before the final data set was approved.

Results

The International SCI Pediatric A&P Basic Data Set is comprised of 13 variables: administration date, mobility, dressing, feeding, toileting, communication, family outings, spending time with friends, being out with friends, participating in team or club activity, paid work, dating, and physical activity. It is intended for children between 6 and 17 years of age, who have been discharged from initial rehabilitation/hospitalization for a minimum of 3 months.

Conclusion

The International SCI Pediatric A&P Basic Data Set was developed to standardize the recording of a minimal amount of information about activities and participation in children with SCI. Further work on reliability and cultural validation is needed.

Sponsorship

This study was funded by the Rick Hansen Institute, Research Award #G2015-27 (Mulcahey, PI).

The Relationship between Birth Order, Sex, Home Scholarly Culture and Youths’ Reading Practices in Promoting Lifelong Learning for Sustainable Development in Vietnam

Book reading is an important factor contributing to children’s cognitive development and education for sustainable development. However, in a developing country like Vietnam, statistics have reported a low figure in book reading: only 1.2 books a year. This research study used a dataset of 1676 observations of junior high school students from Northern Vietnam to explore students’ reading behavior and its association with demographic factors, and the family’s reading culture. Data analysis suggests the older the student gets, the less inclined they are to read, and being female and having hobbies of low sensory stimulation are linked to higher preference for reading. Regarding scholarly culture at home, students who read more varied types of books and spend more time on books are correlated with higher reading interest. Reading habits are also positively reinforced by the capacity to access books and parental book reading.

Cultural adaptation and construct validation of the Arabic version of children's assessment of participation and enjoyment and preferences for activities of children measures

PURPOSE

To establish the construct validity and internal consistency of the Arabic Children Assessment of Participation and Enjoyment (CAPE) and Preferences for Activities of Children (PAC) and to determine the effects of age, gender, and disability status on diversity and intensity of participation.

METHODS

The World Health Organization guidelines for translation of measures were applied to translate the CAPE and PAC, 75 children with cerebral palsy (mean age = 10.7 ± 2.9 years) and 75 children with typical development (mean age = 10.8 ± 2.7 years) completed the translated measures. The construct validity of the translated measures was demonstrated by principle component analyses in addition to the known-groups method by examining the effects of age, gender, and presence of disability on diversity and intensity scores. The internal consistencies of the extracted components were examined by Cronbach's alpha.

RESULTS

Four components emerged: (1) physical activities; (2) home-based activities; (3) self-improvement activities; and (4) social activities. Cronbach's alpha varied from 0.61 (social activities) to 0.83 (physical activities). Age, gender, and disability were significant determinants of types of activities.

CONCLUSIONS

The Arabic CAPE and PAC are culturally valid in measuring participation of children with or without disabilities in Jordan. The child's age, gender, and disability should be considered to provide participation-based plans of care that are considerate for children and their families. Implications for rehabilitation The Arabic CAPE and PAC are culturally valid measures for participation of children with or without disabilities in Jordan. The Arabic CAPE and PAC measures can guide participation-based plans of care that are meaningful and considerate for children and their families. Child age and gender should be considered to provide appropriate activities and to facilitate participation of children with and without disabilities. Families and service providers in Jordon are encouraged to provide children opportunities to participate in desired physical, self-improvement, and social activities.

The Nature of Leisure in Adolescence: A Focus Group Study

Despite the recognition of leisure as a key concept in occupational therapy, there is limited evidence of the theoretical development of leisure within the occupational therapy literature. The wider literature makes claims about the relationship between leisure and health; however, little empirical support for the influence of leisure on wellbeing is demonstrated. Furthermore, leisure is identified as a dominant cultural context of adolescents.

This study examined adolescents' perceptions of leisure in their daily lives. A sample of 119 students, aged 12 to 18 years and recruited from the general population, participated in a series of focus groups. Content analysis established a functional typology of leisure, which permits the grouping of diverse activities into a small number of comprehensive categories, namely achievement, social and time-out leisure. The affective dimensions of enjoyment and freedom of choice were reported to underpin the concept of leisure. The nature and value of these categories are discussed in the light of their genesis in the views of young people themselves. The implications for occupational therapy are addressed.

The Comparison of Participation in School-Aged Cerebral Palsy Children and Normal Peers: A Preliminary Study

Background

Participation in daily activities during childhood is an important aspect for health and social development.

Objectives

This study was designed to investigate the participation of children with cerebral palsy aged 8 to 14 years, and their normal peers.

Patients and Methods

In this cross-sectional study, 30 children with cerebral palsy, and 30 normal children were selected via the non-probability convenience sampling. Their participation was evaluated with children’s assessment of participation and enjoyment (CAPE) through interviews.

Results

Significant differences were found between the means of the two groups regarding the diversity, intensity, overall participation (P = 0.000) and all types of the activities except the recreational activities. The children with cerebral palsy took part in the skill-based activities and overall activities individually compared to the normal peers. The children with cerebral palsy, in comparison with their normal peers, often performed most of the activities inside the house. The main effect of gender and the interaction between gender and groups were not statistically significant in any of the variables of the CAPE test.

Conclusions

Physical disability can influence the children’s daily activities and socialization. Understanding the participation of physically disabled children can help health care professionals in designing and introducing appropriate treatment according to their needs.

The Association of Childhood Play and Adolescent-Parent Interactions with German Adolescent Leisure Participation

Macrosystem (nation and gender) and microsystem (childhood play and adolescentparent interactions) correlates of adolescent leisure activities (risky, social-romantic, and creative-introspective) were investigated. The respondents included adolescents, ages 15 through 18 years, from the former East Germany (n = 221) and West Germany (n = 443). The leisure activities were each significantly related to both macro and microsystem measures. Higher levels of risky leisure were related to West Germany residency, higher levels of childhood competitive play and creative activities, and lower levels of monitoring. Higherparticipation in social-romantic leisure was related to being female and reporting higher levels of childhood competitive play. Higher levels of creative-introspective leisure were associated with being female, and reporting lower levels of childhood competitive play, higher childhood participation in cultural education and creative activities, and higher levels of shared interests with parents. Some topics forfurther research in the area of adolescent leisure are provided.

Are you doing what you want to do? Leisure preferences of adolescents with cerebral palsy

OBJECTIVE

This study aimed at describing leisure activity preferences of adolescents with cerebral palsy (CP) and their relationship to participation and to identify factors associated with greater interest in particular leisure activities.

METHODS

A cross-sectional design was used. Participants were adolescents (n = 127; 59.5% male; ages 12-19 years old; mean = 15.3; SD = 2.01 years) with CP (GMFCS levels: I 40%, II 33%, III-IV 26%), who could complete the Preferences for Activities of Children (PAC) and other self-report questionnaires.

RESULTS

Social (2.53; 0.38) and active-physical activities were most preferred (2.10; 0.42), and self-improvement activities were least preferred (1.93; 0.49). Preference for certain activities was not strongly associated with actual involvement in these activities. Family activity-orientation, family expressiveness, and adolescent's motivation explained 15% of the variance in preferences for social activities, and 37% of the variance in preferences for self-improvement activities.

CONCLUSION

Family factors, personal factors, and functional abilities influence leisure preferences. Rehabilitation interventions should consider adolescents' preferences and family dynamics to promote leisure participation.

The relationship between children's sensory processing patterns and their leisure preferences and participation patterns

BACKGROUND

Sensory processing patterns may be associated with children's preferences for different activities; however, knowledge about how different sensory processing patterns may relate to children's participation in leisure activities is scarce.

PURPOSE

This study investigated in what leisure activities children with extreme sensory processing patterns participate and if relationships exist between children's sensory processing patterns and their leisure preferences and participation patterns.

METHOD

This correlational study analyzed data from children's Sensory Profiles and reported play and leisure preferences. All 91 children in the sample completed the Children's Assessment for Participation and Enjoyment (CAPE) and the Preferences for Activities of Children (PAC). Parents of children ages 6 to 10 years completed the Sensory Profile, and children ages 11 to 14 years completed the Adolescent/Adult Sensory Profile.

FINDINGS

Children with different sensory processing patterns preferred both similar and distinct leisure activities. Low-registration quadrant summary z scores negatively correlated with CAPE overall diversity scores (rs=-.23, p=.03), sensitivity quadrant summary z scores negatively correlated with preferences for social activities (rs=-.23, p=.03) and preferences for skill-based activities (rs=-.22, p=.04), and avoiding quadrant summary z scores negatively correlated with preferences for social activities (rs=-.26, p=.01).

IMPLICATIONS

Children's sensory preferences are related to leisure preferences and participation.

Participation in Leisure Activities by Children and Adolescents with Juvenile Idiopathic Arthritis

Objective.

To describe leisure activities of children and adolescents with juvenile idiopathic arthritis (JIA) in terms of diversity, intensity, and enjoyment, and to identify potential determinants.

Methods.

One hundred seven children and adolescents aged 8–17 years diagnosed with JIA and their families participated in this cross-sectional study. Participants answered the Children’s Assessment of Participation and Enjoyment, which measures involvement in leisure (recreation, active physical, social, skill-based, self-improvement). Disease characteristics and sociodemographic factors were abstracted from the child’s medical file.

Results.

In terms of intensity, individuals with JIA were more often engaged in informal rather than formal leisure activities [t(106) = 45.5, p < 0.0001]. When intensity scores were compared across activity type, results showed that participants with JIA were most often involved in social and recreational activities (p < 0.001). The level of enjoyment was highest for social activities and lowest for self-improvement activities (p < 0.001). Those with active arthritis displayed less diverse (p = 0.016) and less intense (p = 0.011) participation in active physical activities, and less frequent involvement in informal activities (p = 0.043) compared with those who were asymptomatic.

Conclusion.

Children and adolescents with JIA tend to participate more in sedentary types of activities. Greater disease activity may dissuade children and adolescents from participating in more active pursuits, which places them at greater risk for adopting sedentary lifestyles. The identification of determinants of leisure activities in children and adolescents with arthritis may allow healthcare professionals to assess children’s health needs with more precision and promote a healthier lifestyle.

Participation in Leisure Activities among Canadian Children with Arthritis: Results from a National Representative Sample

OBJECTIVE

To describe the level of participation in leisure activities among children and youth with arthritis, as well as to identify the sociodemographic (age, sex, family income), disease-related (functional limitations, disease duration, pain, medication use, child's need for assistance), and contextual factors (use of rehabilitation services, proximity of local recreation facilities, cost of activities) that may be associated.

METHODS

Data from the Participation and Activity Limitation Survey (PALS) 2006, a Canadian postcensus survey, was analyzed. Bivariate and multivariable linear regression analyses were applied to examine the associations between the sample's level of participation in leisure activities, and sociodemographic, disease-related, and contextual characteristics.

RESULTS

In Canada in 2006, an estimated 4350 children ranging in age from 5 to 14 years were living with arthritis. Fifty-six percent of parents reported that arthritis restricted their child's participation in leisure activities. Bivariate analysis showed that the availability of local recreational facilities, the affordability of activities, and the child not requiring any assistance were all associated (modified Bonferroni correction α < 0.005) with greater participation in various types of leisure activities. Multiple linear regressions showed that higher family income (β 0.47, 95% CI 0.09, 0.85) and greater perceived pain (β 0.59, 95% CI 0.07, 1.10) were positively associated with involvement in informal leisure.

CONCLUSION

Our findings underline the importance of considering contextual factors in developing treatment plans aimed at improving participation in leisure activities among children with arthritis. Future longitudinal studies targeting children living with arthritis could provide pertinent information on participation over fluctuations in disease status.

Leisure in children and adolescents with juvenile idiopathic arthritis: a systematic review

The aim of this systematic review is to describe participation in social and physical leisure activities among children and adolescents with JIA, as well as identify potential determinants of leisure participation.

METHODS

Electronic databases were systematically searched for articles published up until June 2013 pertaining to participation in leisure activities among youth with JIA and other rheumatic diseases. Studies were included if they measured involvement in either social or physical leisure activities. Selection and quality appraisal of articles were completed independently by two authors.

RESULTS

Eight hundred and ninety-three articles were found through electronic and reference search. One hundred and nine full articles were reviewed to assess for eligibility. Twelve articles met inclusion criteria and findings were reviewed. Most focused on describing participation in physical rather than social activities. Results suggest that youth with JIA participated less in both social and physical leisure activities as compared to healthy peers, and those with JIA did not meet national recommendations for physical activity. Potential determinants of leisure participation were socio-demographic (age, sex), anthropometric (height, weight) and disease-related (JIA subtype, disease duration, pain, number of swollen or painful joints, stiffness, fatigue, well-being) factors.

CONCLUSION

Characterization of leisure activity remains limited and mostly focused on physical activity in JIA. Assessment of more comprehensive outcome measures is warranted to obtain a better description of leisure in this population. Evidence of the influence of contextual factors as potential determinants of involvement in leisure among children with pediatric rheumatologic diseases is needed.

Childhood-onset primary generalized epilepsy--impacts on children's preferences for participation in out-of-school activities

The purpose of this study was to compare preferences for participation in out-of-school activities between children with childhood-onset primary generalized epilepsy and their healthy peers. Overall, participants were 56 children aged 6-11 years. The study group included 26 children with childhood-onset primary generalized epilepsy. The controls were 30 healthy children. Parents of all participants completed a demographic and health status questionnaire. All children completed the Preference Assessment of Children (PAC) that profiles the out-of-school activities the child wishes to participate in. Scores are calculated for five activity types, namely, recreational, active physical, social, skill-based, and self-improvement and for two domains of formal and informal activities. Children with generalized epilepsy showed a similar preference for participation in out-of-school activities as did their healthy peers. The study group showed a lower preference for participation in social activities but showed a higher preference for participation in self-improvement activities. In both groups, younger children (aged 6-8 years) showed a lower preference for participation in most PAC scales. Older children (aged 9-11 years) showed a higher preference for participation in social activities. Difference between genders was close to being statistically significant in the skill-based activities (F(1,21)=3.84, p=.06), where girls showed a higher preference compared with boys. Intervention policies need to be undertaken in order to encourage children with epilepsy to participate in activities together with their healthy peers, aiming to enhance the well-being of children with primary generalized epilepsy.

A multidimensional model of optimal participation of children with physical disabilities

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. Implications for Rehabilitation Optimal participation is proposed to involve the dynamic interaction of physical, social and self-engagement and attributes of the child, family and environment. The model emphasizes the importance of self-perceptions and participation experiences of children with physical disabilities. Optimal participation may have a positive influence on quality of life, a healthy lifestyle and emotional and psychosocial well-being. Knowledge of child, family, and environment determinants of physical, social and self-engagement should assist children, families and professionals in identifying meaningful goals and guiding innovative therapy approaches.

Sports game play: a comparison of moderate to vigorous physical activities in adolescents

BACKGROUND

Research suggests participation in sports is an important contributor to overall adolescent physical activity (PA). Sports play has become increasingly important in physical education (PE) classes as a means for promoting healthful and enjoyable PA. Research is needed that investigates physiological and perceptual responses to sport play.

METHODS

We studied 101 (55 males; 46 females, age 11-14) students who participated in flag football (FF), basketball (BB), and flag rugby (FR). Activity counts were collected using accelerometers. Perceived competence and enjoyment were measured using the intrinsic motivation inventory.

RESULTS

Each sport activity produced acceptable levels of activity and positive perceptual responses, but differences among sports were noted. Accelerometry data indicated that FR and BB were more intense than FF (p < .001). Perceptual data indicated participation in FR elicited higher perceptions of competence and greater enjoyment when compared to FF and BB (p < .001).

CONCLUSIONS

Participation in sport activity within middle school PE classes provides excellent opportunities for energy expenditure and positive perceptual responses. Most importantly, FR provides an activity stimulus that has potential benefits both physiologically and psychologically.

Do children participate in the activities they prefer? A comparison of children and youth with and without physical disabilities

Objective:

To assess the discrepancy between the leisure activities children prefer and the leisure activities they actually participate in, for children with and without a physical disability, and to explore how in both groups this is related to age and gender.

Design:

Cross-sectional comparison.

Subjects:

Children with and without physical disabilities that were recruited from schools for special education and regular schools in the Netherlands.

Main measures:

The Children’s Assessment of Participation and Enjoyment (CAPE) and the Preferences for Activities of Children (PAC). A discrepancy score was calculated representing high preference but no participation in the activity in the past four months.

Results:

A total of 141 children (6–18 years) with a physical disability (mean age 12.5, 43% girls, 57% boys) and 156 children without physical disabilities (mean age 11.5, 55% girls,45% boys) were included in the study. There was no significant difference in discrepancy scores between children with and without physical disabilities (informal activities 9.8 ± 5.0 vs. 9.8 ± 4.6, formal activities 6.4 ± 3.4 vs. 6.6 ± 2.8). Discrepancy between preference and performance varied by age and gender for children without disabilities but not for children with disabilities.

Conclusions:

Both groups are equally able to participate in the activities they prefer. Age and gender had a significant effect on the discrepancy scores for children and adolescents without physical disabilities but not for children with physical disabilities.

Determinants of participation in leisure activities among adolescents with cerebral palsy

Studies have identified restrictions in engagement in leisure activities for adolescents with disabilities. Participation is a complex construct and likely influenced by a variety of factors. These potential determinants have not yet been sufficiently explored in the population of adolescents with cerebral palsy (CP). The objective of this study is to estimate the potential influence of adolescent characteristics and environmental factors as determinants of participation in leisure activities for adolescents with CP. A cross-sectional design was used. Participants were adolescents (12-19 years old) with cerebral palsy. Participants were assessed with the Vineland Adaptive Behavior Scale - II, Gross Motor Function Measure, Gross Motor Function Classification System, Manual Ability Classification System and completed the Self-Perception Profile for Adolescents, Dimensions of Mastery Questionnaire, Strengths and Difficulties Questionnaire, Family Environment Scale, the European Child Environment Questionnaire and the Preferences for Activities of Children. The main outcome measure was the Children's Assessment of Participation and Enjoyment. 187 adolescents (age M=15.4; SD=2.2) completed the study. Multivariate models of participation in leisure revealed associations with factors related to the adolescents' functional characteristics and attitudes, the family environment, socioeconomic status, and contextual factors such as school type, and collectively explained from 28% (diversity of skill-based activities) up to 48% (intensity and diversity of self-improvement activities) of the variance in intensity and diversity in five leisure participation domains (diversity: r(2)=.33 recreational; r(2)=.39 active-physical; r(2)=.33 social activities). Adolescent's mastery motivation, self-perception and behavior were individually associated with participation in different activity domains, but did not strongly predict participation within multivariate models, while preferences for activities were strong predictors of participation in all domains, except for skill-based activities. Engagement in different types of leisure activities is important for adolescents' development and well-being. Health care professionals should consider adolescents' and families' characteristics to promote participation in leisure activities.

Comparing participation patterns in out-of-school activities between Israeli Jewish and Muslim children

OBJECTIVES

(1) To compare participation patterns in out-of-school activities of Israeli Jewish and Muslim children in order to better understand the effect of culture on participation.

METHODS AND RESULTS

Participants were 111 Jewish children and 134 Muslim children with typical development, aged between six and 11 years, who completed the CAPE. Muslim children showed significantly higher total participation diversity, and specifically in informal and recreational activities. Muslim children also showed higher participation intensity and higher enjoyment. They performed more activities with someone else and fewer activities in the community. In both cultures, sociodemographic factors including age, gender, parents' education, and familial socioeconomic level were related to the child's participation.

CONCLUSIONS

Children's participation in out-of-school activities may be related to culture, gender, and other sociodemographic factors. Clinicians should integrate cultural values into therapeutic interventions and consider environmental opportunities or barriers when interpreting participation patterns in order to meet the person's needs and optimize intervention outcomes.

Picture me playing-a portrait of participation and enjoyment of leisure activities in adolescents with cerebral palsy

In recent years attention has been paid to the participation levels of children and youth with Cerebral Palsy (CP), particularly the extent to which they have the opportunity to be involved in and enjoy leisure activities. The objective of this study is to describe the level of participation and enjoyment in leisure activities among adolescents with CP and to identify potential differences in participation patterns related to sociodemographic attributes. A cross-sectional design was used. Participants were 175 adolescents 12-20 years old (M=15.3; ±2.2), GMFCS I=55/II=43/III=13/IV=18/V=39 who completed the Children's Assessment of Participation and Enjoyment (CAPE). The types of activities participants engaged in most frequently were social and recreational activities, whereas self-improvement and skill-based activities were least frequent. Social activities were the activities they enjoyed most. In general, participation decreases, as youth grow older. Girls engaged in more self-improvement activities than boys. Adolescents who study in special segregated schools experienced a lower diversity and intensity of engagement in all leisure activity domains. Adolescents who were not ambulatory and those presenting with more severe manual ability limitations participated less in all activity types except skill-based activities. Adolescents with CP place a high value on the ability to engage in activities of their own choosing and on interacting with friends. Engagement in a variety of leisure activities is important for a healthy development. Understanding the leisure patterns and preferences of this population, in addition to the contextual factors, may help in the elaboration of interventions and programs to promote a healthy development for this population.

Can gymnastic teacher predict leisure activity preference among children with developmental coordination disorders (DCD)?

The aims of the study were to analyze: (1) whether significant differences exist between children with typical development and children with developmental coordination disorders (DCD) in their preference to participate in leisure activities (2) whether the teacher estimation of activity form (TEAF) evaluation predicts participation preference. Participants were 68 children, aged 6-9.83 years, 35 diagnosed as DCD by pediatrician and based on the Movement ABC (M-ABC) and 33 children with typical development. The controls were matched by age and gender to the DCD group. The children filled the preference for activities of children (PAC) and their sport teacher completed the TEAF. Significant differences were found between the groups in their participation preference based on the PAC items and subscales as well as in the TEAF scores. Significant correlations were found between the TEAF and PAC subscales. TEAF score significantly predicted children's preference to participate in leisure activities. Study results recommend using the TEAF for screening DCD and to further consider participation issues among children with DCD as a preventive aid for consequently socio-emotional implications of DCD.

Participation in leisure activities and sensory modulation deficiencies of children with atopic dermatitis

AIM

To examine whether the complexity of atopic dermatitis (AD) symptoms and the sensory modulation deficiencies (SMD) that accompany it may limit child's preference to participate in leisure activities.

METHODS

Thirty-seven children diagnosed with AD and 104 healthy peers aged 6-11 years participated in this study. Disease severity was assessed using SCORAD scores. Both groups were compared in regard to their sensory modulation abilities measured by the 'Short Sensory Profile' (SSP) and in regard to their activity preference measured by the 'Preference for Activities of Children' (PAC).

RESULTS

Children with AD showed lower preference to participate in leisure activities as compared with healthy peers (F = 4.63, p < 0.0001). Among children with AD, significant correlations were found between SMD in several modalities and preference to participate in specific leisure activities. No significant correlations were found between AD severity and the child's preferred activities.

CONCLUSIONS

Children with AD may show lower preference to participate in activities in comparison with their typical peers. This lower preference may be impacted by their SMD. Multidisciplinary intervention may be beneficial for children with AD. This intervention should refer to AD symptoms and considers the child's sensory profile and participation in daily living.

Leisure activities preference of Israeli Jewish children from secular versus Orthodox families

AIMS

To compare daily activity preferences of Israeli Jewish Orthodox and secular children in order to better understand the relationship between children's religious background and their participation patterns.

METHODS

Participants were 45 Orthodox and 45 secular Israeli Jewish children, aged 6-10.6 years.

MAJOR FINDINGS

In most PAC scales, the secular children showed a significantly lower preference than the Orthodox children to participate in activities. In both groups, activity preferences were impacted by age and gender. Among the secular group, mother's education level was correlated with a lower preference to participate in active physical activities.

PRINCIPAL CONCLUSIONS

Family religiosity may impact on children's daily activity preferences. Occupational therapists should consider these socio-environmental factors in order to better integrate a child's religious and cultural identity into therapeutic interventions and assist the child in finding a meaningful occupational experience.

Activity preferences and participation of school-age children living in urban and rural environments

ABSTRACT It is important for therapists to be knowledgeable about the impact of the environment on children's participation patterns and activity preferences. This study investigated the activity preference and participation among school-age children living in urban and rural locations. The participation patterns and preferences for activities of 58 typically developing children (32 males and 26 females; response rate of 38.7%) aged 8-12 years were assessed across both urban (n = 24) and rural (n = 34) regions of southwest Victoria, Australia. The participation patterns and preferences for activities were assessed using the Children's Assessment of Participation and Enjoyment and Preferences for Activities of Children (CAPE/PAC). An independent samples t-test was used to determine whether significant differences existed for the CAPE/PAC scores for urban and rurally based children as well as boys and girls. Significant differences were found between the scores of children living in urban and rural areas on the following subscales: CAPE Diversity, CAPE Intensity, CAPE Whom, CAPE Where, PAC Physical Preference, and PAC Social Preference. A significant difference for rural and urban groups was found on the following CAPE activity types: Recreation Diversity, Recreation Intensity, Social Diversity, Social Intensity, Self-Improvement Diversity, and Self-Improvement Intensity. Rurally based children were engaged in a broader range of activities and did so more frequently than urban children. Differences in gender were identified with girls preferring to participate in social and skill-based activities and being more likely to participate with friends or people outside their home. However, there were no significant differences in the participation patterns of boys and girls. Physical, social, and structural aspects of the location where a child lives impact the frequency, type of activities, and whom a child participates with most frequently in out-of-school activities. The activity participation of boys and girls in Australia has become quite similar.

The relationship between sensory processing difficulties and leisure activity preference of children with different types of ADHD

Sensory processing difficulties (SPD) are prevalent among children with ADHD. Yet, the question whether different SPD characterize children with different types of ADHD has not received enough attention in the literature. The current study characterized sensory processing difficulties (SPD) of children with different types of ADHD and explored the relationship between SPD and leisure activity preference. Participants were 58 boys aged 6-10 years: 29 boys with ADHD: 15 with hyperactive-impulsive type and 14 characterized as inattentive. The controls were 29 typical peers. SPD were evaluated by The Short Sensory Profile (SSP) completed by the parents. Participants answered the preference for activities of children (PAC). According the results, SPD were manifested among children with both ADHD types. Children with both ADHD types showed significantly lower preference to participate in leisure activities than the controls. Their lower preference correlated with SPD. The findings suggest that children with different ADHD types may share common SPD, which may negatively impact their activity preference. In this study it seemed that children with ADD were more vulnerable to these impacts. SPD and participation should be considered in evaluation and intervention programs for children with ADHD in order to focus on child's abilities, needs and preferences, and enhance intervention success, child's relationships with peers and child's well-being.

Differences in leisure activities between children with allergic rhinitis and healthy peers

OBJECTIVE

The symptoms of allergic rhinitis (AR) are frequently evoked when individuals with AR perform daily activities. Thus, AR may interfere the optimal participation in daily life, negatively impact the patient's productivity and quality of life (QOL). While most studies refer to adult with AR, this pilot study examined participation of children with AR as expressed in their daily activity preferences.

METHODS

Participants were 31 children with AR and 31 healthy children, aged 5-11 years. All children completed the Preference for Activities of Children (PAC).

RESULTS

Children with AR showed significantly lower preference to participate in skill-based, social and informal activities, as compared to their healthy peers (F(7,53)=2.61, p=0.02, ES-η(2)=0.27). Children with AR showed 5-20% lower preference to participate in activity than their typical peers.

CONCLUSIONS

AR may negatively impact children's preference to participate in daily activities. Treatment of children with AR should consider a multi-disciplinary intervention for encouraging their optimal development, improve their well-being and QOL.

The relationship between Developmental Co-ordination Disorders, child's perceived self-efficacy and preference to participate in daily activities

BACKGROUND

Developmental Co-ordination Disorder (DCD) may negatively impact children's self-efficacy and limit their performance and participation in school as well as in leisure activities performed after school hours. However, a lack of information exists regarding the relationships between DCD, child's self-efficacy and participation. Moreover, the literature about the way children with DCD experience these limitations and report about them is scarce. This study aimed to compare the perceived self-efficacy and the preference to participate in leisure activities of children with DCD and typical peers and to illuminate the relationship between self-efficacy, activity preference and DCD severity.

METHODS

Participants were 37 children with DCD and 37 typical peers, aged 5.08-9.83 years. All children performed the Movement Assessment Battery for Children, the Perceived Efficacy and Goal Setting System and the Preference for Activities of Children.

RESULTS

The scores of the Movement Assessment Battery for Children confirmed the motor gaps between the two groups. Children with DCD scored significantly lower in self-efficacy on all the Perceived Efficacy and Goal Setting System subscales and demonstrated a lower preference to participate in leisure activities according to all scales of the Preference for Activities of Children. The lower their self-efficacy, the lower their motor performance and their preference to participate in activities.

CONCLUSIONS

Children's preference to participate in activities may be limited by motor difficulties, but further hindered by low self-efficacy. Early identification of DCD and associated negative outcomes, also based on child's self-reports, should receive special attention in intervention programmes in order to enhance children's self-confidence, feelings of belonging, optimal development and participation in daily activities.

Employment status and work characteristics among adolescents with disabilities

PURPOSE

Little is known about the work experiences of youth as they transition to adulthood. The purpose of this study is to explore the characteristics associated with disabled youth who are employed and the types of employment they are engaged in.

METHOD

Data were analysed using the 2006 Participation and Activity Limitation Survey. Youth aged 15-29 and 20-24 were selected to explore the characteristics of adolescents who are employed and where they are working (n=2534).

RESULTS

Several differences in who was employed and the characteristics of their employers were noted between the two age groups. Geographic location played a more significant role for employment among youth (15-19 year olds) with mobility impairments compared to other disability types. Employed youth from both age groups had their disability a long time while few people who were recently diagnosed were working. Transportation was a significant predictor of employment for both age groups. Young adults (20-24) worked more hours per week, in different industries, and more of them were self-employed compared to the 15-19 year olds. Employment status and work characteristics also differed by type of disability.

CONCLUSIONS

Rehabilitation and life skills counsellors need to pay particular attention to youth who may need extra help in gaining employment.

Childhood Participation in After-School Activities: What is to be Expected?

Participation is recognised as a key to health and wellbeing and is considered to be a vital part of the development of children and youth. The purpose of this study was to examine the participation patterns of children and adolescents in their time outside formal school. More specifically, the influence of age and gender on after-school participation patterns was explored.

Method:

Three hundred and thirty-two children and adolescents (5 to 18 years old) were divided into five age groups and completed the Children's Assessment of Participation and Enjoyment (CAPE). To test the interaction effect of gender and age on participation measures, ANOVAs were conducted.

Results:

The results indicated differences with moderate to high effect size in participation patterns across age, where a decline in participation was detected as children made the transition to adolescence. Differences with negligible effect size in participation were found between boys and girls in some of the activity types. No interaction effect between age and gender was observed.

Conclusion:

Participation patterns change with age, particularly as children make the transition to adolescence; however, this change does not depend on gender. Intervention strategies might take into account these inherent changes. Future studies might consider additional factors (for example, environment) while examining participation throughout age.

Reliability and Validity of the Children’s Leisure Assessment Scale

OBJECTIVE. We examined the internal consistency and construct validity of the Children’s Leisure Assessment Scale (CLASS), which measures multidimensional participation in children’s and adolescents’ leisure activities.

METHOD. The questionnaire’s content and face validity were first established, followed by a factor analysis of the CLASS’s frequency domain of the responses of 249 children and adolescents. Internal consistency was evaluated for each of the factors, and construct validity was established by examining gender differences.

RESULTS. The factors showed acceptable levels of internal reliability (Cronbach’s α ranged from .57 to .83). We found that girls participated in significantly more self-enrichment activities and instrumental indoor activities, with greater preference. However, boys participated in significantly more games and sports activities.

CONCLUSION. The CLASS shows good internal reliability and may be useful in the future as a clinical and research tool in occupational therapy for evaluating leisure activities among typically developing children and adolescents.

Cultural and Gender Effects on Israeli Children's Preferences for Activities

Background. Knowledge about factors that affect participation, as preference of activities, has major intervention implications. Purpose. To evaluate culture and gender effects on Israeli Jewish and Druze children's preference of activities performed outside mandated school. This study used the “Preference Assessment of Children” (PAC) (King et al., 2004). Findings. On most scales, the Jewish children showed significantly less interest in activities than the Druze children. Among the Jews, girls showed higher preference in most PAC scales than boys while among the Druze girls showed higher preference than the boys only in social skills. Implications. Culture and gender may influence children's preference of activity. More studies should elaborate the knowledge about individuals' preferred activities; understanding the factors that affect these preferences may enhance occupational therapy evaluation and intervention processes. Canadian occupational therapists, as health care professionals in a multicultural society, must develop cultural competency and explore people's experience as cultural beings.

Determinants of functioning of adolescents and young adults with cerebral palsy

PURPOSE

To describe the level of functioning of adolescents and young adults with cerebral palsy (CP) and study determinants of their level of functioning.

METHOD

In the CP Transition study, adolescents and young adults aged 16-20 years, diagnosed with CP without severe learning disabilities (n =103) participated. In this group we assessed subject characteristics, i.e., age, type of CP, gross motor function (GMFCS), level of education as well as outcome measures on functioning in daily activities and social participation (Life Habits questionnaire, Vineland Adaptive Behavior Scale, Functional Independence Measure). Multivariate regression analyses were performed.

RESULTS

About 20-30% of the participants encountered restrictions in daily activities (mobility, self-care, nutrition) and social participation (taking responsibility, community living, leisure activities and employment). The GMFCS level, level of education, and age proved to be important determinants of functioning in daily activities and social participation, explaining 70% and 66% of the variance in outcome respectively.

CONCLUSION

A significant number of adolescents and young adults with CP without severe learning disabilities are restricted in daily activities and social participation. These problems are mainly attributable to restricted gross motor functioning, a low level of education and younger age.

Measuring children's participation in recreation and leisure activities: construct validation of the CAPE and PAC

There is a need for psychometrically sound measures of children's participation in recreation and leisure activities, for both clinical and research purposes. This paper provides information about the construct validity of the Children's Assessment of Participation and Enjoyment (CAPE) and its companion measure, Preferences for Activities of Children (PAC). These measures are appropriate for children and youth with and without disabilities between the ages of 6 and 21 years. They provide information about six dimensions of participation (i.e. diversity, intensity, where, with whom, enjoyment and preference) and two categories of recreation and leisure activities: (i) formal and informal activities; and (ii) five types of activities (recreational, active physical, social, skill-based and self-improvement). This paper presents information about the performance of the CAPE and PAC activity type scores using data from a study involving 427 children with physical disabilities between the ages of 6 and 15 years. Intensity, enjoyment and preference scores were significantly correlated with environmental, family and child variables, in expected ways. Predictions also were supported with respect to differences in mean scores for boys vs. girls, and children in various age groups. The information substantiates the construct validity of the measures. The clinical and research utility of the measures are discussed.

Patterns of participation in recreational and leisure activities among children with complex physical disabilities

Children with physical disabilities are at increased risk of limitations to participation in everyday activities. This study describes research examining the participation of children in day-to-day formal and informal activities (excluding mandated academic schooling). Using the Children's Assessment of Participation and Enjoyment (CAPE) measure, data on participation patterns were collected from 427 children (229 males, 198 females; mean age 10 y [SD 2 y 4 mo]; range 6-14 y) with physical limitations and from their families. The primary types of physical disability in the sample included cerebral palsy, spina bifida, acquired brain injury, and musculoskeletal limitations. Findings indicate a broad range of diversity and intensity of participation, with proportionately greater involvement in informal rather than formal activities. Significant differences in participation and enjoyment were found between males and females, and for children more than 12 years of age. Children's participation was less diverse in families reporting lower income, single-parent status, and lower respondent parent education. These findings provide a foundation for an improved understanding of the participation of children with physical disabilities, which can assist families and service providers in planning activities that fit with their child's preferences and ensure active participation.

Leisure characteristics of the pediatric spinal cord injury population

OBJECTIVE

Despite the fact that play is the foundation for growth and development, little empirical evidence exists about the leisure characteristics of the pediatric spinal cord injury (SCI) population. The purpose of this study is to establish such a basis through the examination of leisure interests, frequency of participation, and satisfaction with activity in children and adolescents with SCI.

METHODS

A Questionnaire with open- and closed-ended questions for 49 recreation activities was administered to a convenience sample of children and adolescents with SCI from Shriners Hospitals for Children, Chicago.

RESULTS

Data from 66 children and adolescents with SCI demonstrated that the higher the intensity level of activity, the lower the participation rate among all injury levels. Subjects with C7-T6 lesions spent the most time engaged in recreational activities and also had the highest number of activities participated in per year. However, those with T7-S4 lesions had significantly more hours spent in high-intensity activities.

CONCLUSION

The goal is for rehabilitation professionals to use this information to further develop treatments and interventions specific for the pediatric SCI population.

Reliability and validity of the Leisure Satisfaction Scale (LSS--short form) and the Adolescent Leisure Interest Profile (ALIP)

This study aimed to evaluate the reliability and validity of the Leisure Satisfaction Scale (LSS short form) and the Adolescent Leisure Interest Profile (ALIP). The LSS and the ALIP are instruments that occupational therapists can use to evaluate the leisure activities that clients enjoy. Evaluation of leisure interest and participation will assist in creating goals for therapy to maximize a client's ability to participate in leisure activities. This study examined the test retest reliability and concurrent validity of the LSS and the ALIP using a sample of 37 adolescents between the ages of 13 and 17 with no known impairments. The assessments were administered individually or in small groups 7 to 17 days apart. Cronbach's alpha was used to determine the internal consistency. Pearson product moment correlations were calculated to examine the test retest reliability of the 60 subscales and the six question totals of the ALIP, as well as for the 6 subscales and total score of the LSS. Concurrent validity was evaluated between the 'How often?' question of the ALIP and the LSS (short form). Based on the study results, the ALIP and the LSS seem to have good test retest reliability levels when used with adolescents with no known physical or mental impairments. The concurrent validity between the two instruments was not supported, with many of the scores indicating only weak or no association to each of the subscales, suggesting that the assessments differ in some fundamental way. However, the evidence of some relationships between subscales may indicate some areas where the ALIP and the LSS are similar.

Development and validation of adolescent-perceived microsystem scales: social support, daily hassles, and involvement

Developed and validated instruments for urban and culturally diverse adolescents to assess their self-reported transactions with family, peer, school, and neighborhood microsystems for the constructs of social support, daily hassles, and involvement. The sample of 998 youth were from schools in three Eastern cities with high percentages of economically disadvantaged youth. Data were collected before and after the transition to junior high school or to senior high school. Blacks constituted 26%, whites 26%, and Latinos 37% of the sample. Factor analyses confirmed and enhanced the hypothesized four-factor microsystem factor structure for support, hassles, and involvement; internal consistency and stability coefficients were consistent with these structures. In general, the microsystem factors were common across gender, ethnicity, and age. However, when group differences did occur on these demographic variables, they tended to validate the salience of microsystem specificity. In contrast to the total scores, the microsystem-specific factors yielded more meaningful and differential information with regard to demographic differences and the mediating processes across a school transition.