Personal and Environmental Factors Associated with Leisure Participation Among Children and Adolescents with Juvenile Idiopathic Arthritis

Sabrina Cavallo¹, Annette Majnemer², Ciarán M. Duffy³ and Debbie Ehrmann Feldman⁴, ¹École de Santé Publique, Université de Montréal, Montreal, QC, Canada, ²School of Physical and Occupational therapy, McGill University, Montreal, QC, Canada, ³Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, ON, Canada, ⁴School of Rehabilitation, Université de Montréal, Montreal, QC, Canada

Meeting: 2015 ACR/ARHP Annual Meeting

Date of first publication: September 29, 2015

Keywords: Participation and juvenile idiopathic arthritis (JIA)

Session Information

Date: Tuesday, November 10, 2015

Title: Pediatric Rheumatology - Clinical and Therapeutic Aspects Posters (ARHP): Pediatrics

Session Type: ACR Poster Session C

Session Time: 9:00AM-11:00AM

Background/Purpose: To identify potential disease-related, personal and environmental factors associated with leisure in children and adolescents with juvenile idiopathic arthritis (JIA) according to the International Classification of Functioning, Disability and Health for Children and Youth framework.

Methods: One hundred and seven children and adolescents (8-17 years) diagnosed with JIA followed at the Montreal Children’s Hospital, McGill University Health Center completed the Children’s Assessment of Participation and Enjoyment (CAPE). The CAPE measures involvement in leisure (recreation, active physical, social, skill-based, self-improvement). The disease characteristics related to JIA were abstracted from the child’s medical file (JIA sub-type, active joint count, age of diagnosis), pain perception and functional status were obtained through self-report. Participants with JIA and their parents completed a series of questionnaires to gather information on the child’s mastery motivation, self-concept, activity preference, and perceived social support. Parents completed questionnaires on socio-demographic data, as well as on family function and environmental barriers. Hierarchical regression analysis was used to explore factors associated with leisure in children and adolescents with JIA.

Results: Personal (age, sex, preferences for activities, motivation for gross motor tasks) and environmental (cultural background, maternal education, median household neighborhood income) factors were important in explaining leisure participation for different types of activities. Overall, included variables explained between 10.8% (self-improvement) and 29.7% (active physical) of the adjusted total variance.

Conclusion: Leisure participation in JIA is a complex phenomenon that may be explained by a multitude of factors related to the child, the family and the environment. Identification of these variables may help rehabilitation professionals ascertain those with JIA who are at greater risk for decreased participation in leisure, as well as tailor safe and effective treatment strategies to meet the child’s and family’s needs.

Disclosure: S. Cavallo, None; A. Majnemer, None; C. M. Duffy, None; D. Ehrmann Feldman, None.

To cite this abstract in AMA style:

Cavallo S, Majnemer A, Duffy CM, Ehrmann Feldman D. Personal and Environmental Factors Associated with Leisure Participation Among Children and Adolescents with Juvenile Idiopathic Arthritis [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/personal-and-environmental-factors-associated-with-leisure-participation-among-children-and-adolescents-with-juvenile-idiopathic-arthritis/. Accessed .

« Back to 2015 ACR/ARHP Annual Meeting

ACR Meeting Abstracts - https://acrabstracts.org/abstract/personal-and-environmental-factors-associated-with-leisure-participation-among-children-and-adolescents-with-juvenile-idiopathic-arthritis/