title: A systematic review of the self-concept of children with cerebral palsy and perceptions of parents and teachers.
abstract: This systematic review aimed to determine if differences exist in how a child with cerebral palsy perceives their self-concept and how the child's abilities, behaviors, and attributes are perceived by their parents and teachers. Articles were identified by searching electronic databases. Two reviewers independently assessed the identified articles against predefined inclusion/exclusion criteria. The quality of included articles was assessed against four criteria of methodological rigor. Data were analyzed using effect sizes, meta-analysis, power calculations and independent t-tests. Three articles were included in the review. Meta-analysis indicated that parents of children with cerebral palsy rated their child's abilities and attributes lower than the child's rating (d = 0.66, 95% confidence interval 0.24-1.08). A second meta-analysis did not find a significant difference between the child's and teacher's ratings (d = 0.60, 95% confidence interval -0.44-1.64). These findings suggest that routine assessment of self-concept in children with cerebral palsy by pediatric physical therapists may enlighten the goal setting process of family-centered practice.
authors.affiliation: Musculoskeletal Research Centre, School of Physiotheraphy, La Trobe University, Victoria, Australia.
authors.forename: Nicole
authors.initials: N
authors.lastname: Dunn
authors.forename: Nora
authors.initials: N
authors.lastname: Shields
authors.forename: Nicholas F
authors.initials: NF
authors.lastname: Taylor
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Dodd
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000523:psychology* / Q000534:rehabilitation; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D005178:Faculty; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents; D012649:Self Concept