Environmental impact on young children's participation in home-based activities.
Erin C Albrecht, Mary A Khetani
PMID 27988938WHAT IT FOUND
Caregivers who saw their home environment as more supportive reported greater child involvement in home activities.
Functional limitations and performance were linked to involvement mainly through perceived support, not directly.
Key findings
01Perceived home environmental support linked child functional limitations and functional performance to home involvement, while direct effects were not found.
02Child age and family income were not significant predictors of perceived environmental support or home involvement.
03The model could not be tested reliably for disability status because the disability subgroup had 93 children.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The sample was recruited by convenience and snowball sampling and was mostly Caucasian and higher income, so the results may not apply to more diverse families. The study was cross-sectional, so it cannot show that environmental support caused greater home involvement. The disability subgroup had 93 children, so the model could not be tested reliably for children with disabilities. The home frequency dimension did not fit well, so the findings apply to involvement rather than how often activities occurred. Participation and environmental support were both reported by caregivers using the same questionnaire, which may inflate associations.
Declared interests
The supplied text does not report a funding or conflict-of-interest declaration. The publication type lists non-U.S. government research support.
The easy way to misread this
Do not conclude that changing the home environment will increase a child's involvement. The study was cross-sectional and caregiver-reported, so it cannot show that environmental support caused greater participation.