title: A multidimensional model of optimal participation of children with physical disabilities.
abstract: OBJECTIVE
  To present a conceptual model of optimal participation in recreational and leisure activities for children with physical disabilities.
  
  
  METHODS
  The conceptualization of the model was based on review of contemporary theories and frameworks, empirical research and the authors' practice knowledge. A case scenario is used to illustrate application to practice.
  
  
  RESULTS
  The model proposes that optimal participation in recreational and leisure activities involves the dynamic interaction of multiple dimensions and determinants of participation. The three dimensions of participation are physical, social and self-engagement. Determinants of participation encompass attributes of the child, family and environment. Experiences of optimal participation are hypothesized to result in long-term benefits including better quality of life, a healthier lifestyle and emotional and psychosocial well-being.
  
  
  CONCLUSIONS
  Consideration of relevant child, family and environment determinants of dimensions of optimal participation should assist children, families and health care professionals to identify meaningful goals and outcomes and guide the selection and implementation of innovative therapy approaches and methods of service delivery. Implications for Rehabilitation Optimal participation is proposed to involve the dynamic interaction of physical, social and self-engagement and attributes of the child, family and environment. The model emphasizes the importance of self-perceptions and participation experiences of children with physical disabilities. Optimal participation may have a positive influence on quality of life, a healthy lifestyle and emotional and psychosocial well-being. Knowledge of child, family, and environment determinants of physical, social and self-engagement should assist children, families and professionals in identifying meaningful goals and guiding innovative therapy approaches.
authors: Graduate Institute of Early Intervention, College of Medicine, Chang Gung University , Kwei-Shan, Tao-Yuan , Taiwan .
authors: Lin-Ju
authors: LJ
authors: Kang
authors: Robert J
authors: RJ
authors: Palisano
authors: Gillian A
authors: GA
authors: King
authors: Lisa A
authors: LA
authors: Chiarello
mesh_terms: D002648:Child; D019988:Children with Disabilities; D005260:Female; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008962:Models, Theoretical; D010358:Patient Participation
keywords: Children; conceptual model; participation; physical disabilities