Transition-age young adults with cerebral palsy : Level of participation and the influencing factors

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dc.contributor.authorRožkalne, Zane
dc.contributor.authorMukāns, Maksims
dc.contributor.authorVētra, Anita
dc.contributor.institutionDepartment of Doctoral Studies
dc.contributor.institutionStatistics Unit
dc.contributor.institutionDepartment of Rehabilitation
dc.date.accessioned2021-05-13T12:40:01Z
dc.date.available2021-05-13T12:40:01Z
dc.date.issued2019-11
dc.descriptionPublisher Copyright: © 2019 by the authors. Licensee MDPI, Basel, Switzerland.
dc.description.abstractBackground and Objectives: The aim of this study was to identify the level of participation in the context of the developmental transition from adolescence to adult life for young adults with cerebral palsy (CP) and the factors that had an influence on participation. Materials and Methods: Eighty-one young adults (16–21 years old) with CP and with normal or slightly decreased cognitive function participated in this study. Assessments were made using the Rotterdam Transition Profile (RTP) and the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). In the binary regression model, levels of participation (RTP scores) were set as dependents and the level of disability (WHODAS 2.0 scores), age, and level of gross motor function were set as independent variables. Results: In the age group <18 years, in three out of seven RTP domains, less than 10% of participants were in phase 2 (experimenting and orientating toward the future), i.e., finance—7%, housing—7%, sexuality—4%. In the age group ≥18 years, 21% (education and employment), 56% (intimate relationships), and 59% (sexuality) of the participants were in phase 0 (no experience). Higher scores in WHODAS 2.0 domains showed positive associations with RTP domains, i.e., cognition with social activities, mobility with transportation, self-care with sexuality and transportation, and life activities with transportation. Age was positively associated with education and employment, finance, housing, and sexuality. Low motor function according to the Gross Motor Function Classification System (GMFCS) had negative associations with autonomy in social activities, sexuality, and transportation. Conclusions: Young adults with cerebral palsy showed low levels of autonomy in all domains of participation. When addressing a person’s improvement in terms of their participation, the promotion of abilities in cognition, mobility, self-care, and life activities should be attempted. Age and gross motor function influenced autonomy in participation, but not in all domains.en
dc.description.statusPeer reviewed
dc.format.extent920005
dc.identifier.citationRožkalne, Z, Mukāns, M & Vētra, A 2019, 'Transition-age young adults with cerebral palsy : Level of participation and the influencing factors', Medicina (Lithuania), vol. 55, no. 11, 737. https://doi.org/10.3390/medicina55110737
dc.identifier.doi10.3390/medicina55110737
dc.identifier.issn1010-660X
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/4236
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85075115419&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofMedicina (Lithuania)
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCerebral palsy
dc.subjectDevelopmental transition
dc.subjectDisability
dc.subjectParticipation
dc.subjectYoung adults
dc.subject3.1 Basic medicine
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectGeneral Medicine
dc.titleTransition-age young adults with cerebral palsy : Level of participation and the influencing factorsen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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