Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy
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Aims: To determine if mastery motivation at baseline predicts engagement in two goal-directed upper limb (UL) interventions for children with unilateral cerebral palsy (UCP). Methods: Participants were 44 children with UCP, mean age 7 years 10 months, Manual Ability Classification System level I (N = 23) or II (N = 21). Twenty-six children received intensive novel group-based intervention (Hybrid Constraint Induced Movement Therapy, hCIMT) and 18 received distributed individual occupational therapy (OT). Caregivers completed the Dimensions of Mastery Questionnaire (DMQ) parent-proxy report at baseline. Children's engagement was independently rated using the Pediatric Volitional Questionnaire (PVQ). Associations between children's mastery motivation and engagement were examined using linear regression. Results: Children who received hCIMT had lower DMQ persistence at baseline (p = .05) yet higher PVQ volitional (p = .04) and exploration (p = .001) scores. Among children who received hCIMT, greater object-oriented persistence was associated with task-directedness (β 0.25, p = .05), seeking challenges (β = 0.51, p = .02), exploration (β = 0.10, p = .03), and volitional scores (β = 0.23, p = .01). Conclusion: Despite having lower levels of persistence prior to engaging in UL interventions, children who received hCIMT demonstrated greater engagement in goal-directed tasks than children who received individual OT. Within hCIMT, children's motivational predisposition to persist with tasks manifested in their exploration and engagement in therapy.
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Mastery motivation as a predictor of occupational performance following upper limb intervention for school-aged children with congenital hemiplegiaMiller, L.; Ziviani, J.; Ware, R.; Boyd, Roslyn (2014)© 2014 Mac Keith Press. Aim: To determine the extent to which children's mastery motivation predicts occupational performance outcomes following upper limb intervention (ULI). Method: In this cohort study, participants ...
Mastery motivation: A way of understanding therapy outcomes for children with unilateral cerebral palsyMiller, L.; Ziviani, J.; Ware, R.; Boyd, Roslyn (2015)© 2014 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted. Purpose: To investigate the impact of mastery motivation on occupational performance outcomes immediately following upper limb (UL) ...
INCITE: A randomised trial comparing constraint induced movement therapy and bimanual training in children with congenital hemiplegiaBoyd, Roslyn; Sakzewski, L.; Ziviani, J.; Abbott, D.; Badawy, R.; Gilmore, R.; Provan, K.; Tournier, J.; Macdonell, R.; Jackson, G. (2010)Background: Congenital hemiplegia is the most common form of cerebral palsy (CP) accounting for 1 in 1300 live births. These children have limitations in capacity to use the impaired upper limb and bimanual coordination ...