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Titre : | Ride-On Cars With Different Postures and Motivation in Children With Disabilities: A Randomized Controlled Trial (2022) |
Auteurs : | Hsiang-Han Huang ; Ching-Hao Chang ; Wan-Ying Tsai ; Yu-Wen Chu ; Min-Ching Lin ; Chia-Ling Chen |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 76, n° 3, May/June 2022) |
Article en page(s) : | p. 1-10 |
Note générale : | https://doi.org/10.5014/ajot.2022.047035 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Conduite automobile ; Enfants handicapés ; Mobilité ; Motivation ; Posture |
Résumé : |
Importance: A child's independent mobility, environments, and mastery motivation are critical factors during early development.
Objective: To examine the effectiveness of ride-on car (ROC) training with a standing (ROC-Stand) or a sitting posture (ROC-Sit) in enhancing children's mastery motivation and decreasing parenting stress levels. Design: Randomized controlled trial (RCT) with a multiple pretest-posttest design. Setting: Hospital-based environment in northern Taiwan. Participants: Thirty-nine children with disabilities ages 1 to 3 yr were randomly assigned to ROC-Stand (n = 16), ROC-Sit (n = 12), or conventional therapy (control; n = 11). All groups received 2-hr training sessions two times a week for 12 wk and then a 12-wk follow-up period that involved only regular therapy. Measures: Assessments included the Revised Dimensions of Mastery Questionnaire-Chinese version and the Parenting Stress Index. Results: All groups showed significant changes in social persistence with adults, mastery pleasure, and general competence after the intervention. The two ROC training groups showed a significantly greater decrease in parenting stress than the control group. In addition, increased general competence of the ROC-Stand group also strongly correlated with decreased parent-child dysfunctional interaction. Conclusions and relevance: This RCT verifies the effectiveness of ROC training and offers a novel approach to increase children's mastery motivation and decrease parenting stress. What This Article Adds: Providing a large amount of active, exploratory experiences with goal-directed, moderately challenging tasks and cooperation with caregivers may result in the greatest benefits to young children with motor disabilities. |
Disponible en ligne : | Oui |
En ligne : | https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=157383977&lang=fr&site=ehost-live |