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How might districts identify local barriers to participation for children with cerebral palsy?

Lookup NU author(s): Brenda Welsh, Emeritus Professor Stephen Jarvis, Donna Hammal, Emeritus Professor Allan ColverORCiD


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Objectives: To explore how data about participation and the local environment might be used to identify barriers to participation for children with cerebral palsy. Methods: Participation is measured at 5 years of age using the six domains of the lifestyle assessment questionnaire. Individual child score profiles are compared with expected patterns from similar children and with the use of relevant services. Average scores for districts are compared with selected local authority performance indicators. Self-completion questionnaires are used to solicit information on barriers from families of children. Results: Individual children who have poorer-than-expected participation scores and those who make less-than-expected use of relevant services can be identified. Children who live in districts with more facilities for the disabled appear to have better social participation scores. Common local barriers as well as specific access problems for individuals are revealed by simple questionnaires to families. Attitudes of strangers and staff in public places, tack of suitable transport and the presence of stairs are important barriers in many settings. Conclusions: Environmental barriers for children with cerebral palsy can be identified and related to their participation. (c) 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.

Publication metadata

Author(s): Welsh B, Jarvis S, Hammal D, Colver A, North England Collaborative Cerebr

Publication type: Article

Publication status: Published

Journal: Public Health

Year: 2006

Volume: 120

Issue: 2

Pages: 167-175

ISSN (print): 0033-3506

ISSN (electronic): 1476-5616

Publisher: WB Saunders Co. Ltd.


DOI: 10.1016/j.puhe.2005.04.006


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