Participation in physical play and leisure developing a theory- and evidence-based intervention for children with motor impairments 英文参考文献.docVIP
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Participation in physical play and leisure developing a theory- and evidence-based intervention for children with motor impairments 英文参考文献
Kolehmainenetal.BMCPediatrics2011,11:100
/1471-2431/11/100
STUDY PROTOCOL
OpenAccess
Participationinphysicalplayandleisure:
developingatheory-andevidence-based
interventionforchildrenwithmotorimpairments
NiinaKolehmainen1*,JillianJFrancis2,CraigRRamsay1,ChristineOwen3,LornaMcKee1,MarjolijnKetelaar4and
PeterRosenbaum5
Abstract
Background:Childrenwithmotorimpairments(e.g.difficultieswithmotorcontrol,muscletoneorbalance)
experiencesignificantdifficultiesinparticipatinginphysicalplayandleisure.Currentinterventionsareoftenpoorly
defined,lackexplicithypothesesaboutwhyorhowtheymightwork,andhaveinsufficientevidenceabout
effectiveness.Thisprojectwillidentify(i)the‘keyingredients’ofaneffectiveinterventiontoincreaseparticipation
inphysicalplayandleisureinchildrenwithmotorimpairments;and(ii)howtheseingredientscanbecombinedin
afeasibleandacceptableintervention.
Methods/Design:The project draws on the WHO International Classification of Functioning, Disability and
Health and the UK Medical Research Council guidance for developing ‘complex interventions’.There will be five
steps: 1) identifying biomedical, personal and environmental factors proposed to predict children’ sparticipation
in physical play and leisure; 2) developing an explicit model of the key predictors; 3) selecting intervention
strategies to target the predictors, and specifying the pathways to change; 4) operationalising the strategies in a
feasible and acceptable intervention; and 5) modelling the intervention processes and outcomes within single
cases.
Discussion:Theprimaryoutputfromthisprojectwillbeadetailedprotocolforanintervention.Theintervention,
ifsubsequentlyfoundtobeeffective,willsupportchildrenwithmotordifficultiestoattainlife-longwell-beingand
participationinsociety.Theprojectwillalsobeanexemplarofmethodologyforasystematicdevelopmentofnon-
druginterventionsforchildren.
Background
healthandsocialdifficulties [5,6].Interventionsinearly
Participation,includingengagementinphysicalplayand lifethateffe
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