Environmental impact on young children's participation in home‐based activities

• Published in: Developmental medicine and child neurology 2017-04, Vol.59 (4), p.388-394
• Main Authors: Albrecht, Erin C, Khetani, Mary A
• Format: Article
• Language: English
• Subjects: Activities of Daily Living - psychology; Caregivers - psychology; Child; Child Behavior - psychology; Child, Preschool; Cross-Sectional Studies; Disability Evaluation; Environment; Factor Analysis, Statistical; Female; Home Care Services; Humans; Infant; Infant, Newborn; Male; Original; Social Participation; Surveys and Questionnaires
• ISSN: 0012-1622; 1469-8749
• DOI: 10.1111/dmcn.13360

Aim To test the effect of child, family, and environmental factors on young children's participation in home‐based activities. Method Caregivers of young children were recruited using convenience and snowball sampling. Participants were 395 caregivers of children (222 males, 173 females) aged from 1 month to 5 years and 11 months. Demographic items and the home section of the Young Children's Participation and Environment Measure were administered online, followed by completion of the daily activities, mobility, and social/cognitive domains of the Pediatric Evaluation of Disability Inventory Computer Adaptive Test by telephone interview. Results A structural equation model fitted the data well (comparative fit index=0.91) and explained 31.2% of the variance in perceived environmental support and 42.5% of the variance in home involvement. Functional limitations and performance had an indirect effect on young children's participation through their effect on perceived environmental support. Specifically, fewer functional limitations and higher task performance were associated with greater environmental support, which in turn predicted higher levels of home involvement. Interpretation Results suggest the importance of a young child's functional abilities and task performance on caregiver perceptions of environmental support at home, and the impact of environmental support on a child's participation in home‐based activities during the early childhood period. Results warrant replication with more diverse samples to evaluate model generalizability. What this paper adds The environment significantly affects home participation during early childhood. A child's functional abilities and task performance indirectly affect their home participation. Video Podcast: https://youtu.be/n76DA_Q4nuc