title: Matrix for assessment of activities and participation: Measuring functioning beyond diagnosis in young children with disabilities.
abstract: OBJECTIVE
  (i) To study the functioning patterns of young children with disabilities compared with typically developing children, using a new ICF-CY based tool--the Matrix for Assessment of Activities and Participation; (ii) study the factors that predict these functioning patterns.
  
  
  METHODS
  The MAAP tool was administered to three groups of children: (i) with autism, (ii) with other types of disabilities and (iii) typically developing.
  
  
  RESULTS
  Cluster analysis showed that children group according to the severity of their functioning profile and not according to the diagnostic category in which they were classified. Multiple regression analysis showed that a model comprising the environmental factors and the level of engagement in different routines of the child is a good predictor of these children's functioning patterns.
  
  
  CONCLUSIONS
  These results support a functional approach to disability instead of the traditional medical model approach, underlining the role of engagement and environment in determining functioning.
authors.affiliation: Faculty of Psychology and Educational Sciences, Porto University , Porto , Portugal.
authors.forename: Susana
authors.initials: S
authors.lastname: Castro
authors.forename: Ana
authors.initials: A
authors.lastname: Pinto
mesh_terms: D001321:Autistic Disorder / Q000523:psychology*; D002648:Child; D002652:Child Behavior / Q000523:psychology*; D002675:Child, Preschool; D019988:Children with Disabilities / Q000523:psychology*; D004777:Environment; D005260:Female; D006801:Humans; D064702:International Classification of Functioning, Disability and Health; D008297:Male; D009483:Neuropsychological Tests / Q000592:standards*; D011594:Psychometrics / Q000295:instrumentation*
keywords: Engagement; ICF-CY; environment; functioning patterns; measure