Patterns and predictors of participation in children and adolescents with spina bifida.

CONCLUSIONS: Our findings highlight the role of intellectual functioning, bowel continence, and the environmental factors in explaining participation of children with SB across different settings and, therefore, demonstrate the need for more supports and environmental modifications (especially for those who have lower level of cognitive abilities), as well as interventions targeting improved bowel continence. Implications for rehabilitation Children with spina bifida had low levels of participation in the community and preschool/school settings. The most important predictors for participation were intellectual abilities, bowel continence, and the environmental factors. Practitioners should pay more attention to environmental modifications (especially for children who have lower level of cognitive abilities) as primary targets of interventions aimed at promoting participation. Strategies to improve bowel continence could improve participation in the preschool/school setting. PMID: 31050564 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research