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Participation of disabled children: how should it be characterised and measured?

Participation of disabled children: how should it be characterised and measured? Purpose. The aim of the paper is to explore the issues involved in measuring children's participation.Method. The concept of participation as encapsulated in the International Classification of Functioning, Disability and Health (ICF) is discussed as it applies to children. The essential components of any measure of children's participation are outlined, including participation essential for normal development and survival, leisure activities, and educational participation. Some existing instruments are briefly reviewed in terms of their coverage of the essential components and the adequacy of their approach to measurement.Results. Key issues regarding the content of an adequate measure of participation include the need to consider the child's dependency on the family, and their changing abilities and autonomy as they grow older. Instruments may be most appropriate where they ask the child directly, implying use of visual as well as verbal presentation. Their focus should be on ‘performance’ such as whether and how often an activity is taken part in, and not incorporate degree of assistance within the measurement scaling.Conclusions. Currently available measures of children's participation all have some limitations in terms of their applicability across impairment groupings, whether the child can directly respond, and in the ICF components covered. The feasibility of developing measurement instruments of children's participation at different ages is discussed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Disability & Rehabilitation Taylor & Francis

Participation of disabled children: how should it be characterised and measured?

8 pages

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References (31)

Publisher
Taylor & Francis
Copyright
© 2006 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted
ISSN
1464-5165
eISSN
0963-8288
DOI
10.1080/09638280500534507
pmid
16966237
Publisher site
See Article on Publisher Site

Abstract

Purpose. The aim of the paper is to explore the issues involved in measuring children's participation.Method. The concept of participation as encapsulated in the International Classification of Functioning, Disability and Health (ICF) is discussed as it applies to children. The essential components of any measure of children's participation are outlined, including participation essential for normal development and survival, leisure activities, and educational participation. Some existing instruments are briefly reviewed in terms of their coverage of the essential components and the adequacy of their approach to measurement.Results. Key issues regarding the content of an adequate measure of participation include the need to consider the child's dependency on the family, and their changing abilities and autonomy as they grow older. Instruments may be most appropriate where they ask the child directly, implying use of visual as well as verbal presentation. Their focus should be on ‘performance’ such as whether and how often an activity is taken part in, and not incorporate degree of assistance within the measurement scaling.Conclusions. Currently available measures of children's participation all have some limitations in terms of their applicability across impairment groupings, whether the child can directly respond, and in the ICF components covered. The feasibility of developing measurement instruments of children's participation at different ages is discussed.

Journal

Disability & RehabilitationTaylor & Francis

Published: Jan 1, 2006

Keywords: Child disability; development; participation; activity

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