Participation in leisure activities from the perception of children with disabilities and their families in Brazil.
Janice Souza Marques, Isabelly Cristina Regalado, Élida Rayanne Viana Pinheiro Galvão and 3 others
PMID 33206199WHAT IT FOUND
Children with disabilities and their families identified environmental barriers as the main obstacle to leisure participation, outweighing physical limitations.
Overprotective family attitudes and inaccessible public spaces were frequent barriers. Family support and adapted environments were the primary facilitators.
Key findings
01Environmental factors were the most significant barriers to participation for both children and families, followed by body functions and structures.
02Overprotection by family members and negative attitudes from peers were cited as major attitudinal barriers, while family support was a key facilitator.
03Physical accessibility issues, such as lack of adapted playgrounds and poor public transport, were prominent environmental barriers.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Participants were recruited exclusively from rehabilitation services, potentially missing children who do not receive such care. The sample was by convenience and may not represent the wider geographical population. The requirement for communication ability meant few children with severe physical disabilities were included. Qualitative design prevents generalization of findings to all children with disabilities.
Declared interests
The authors have no conflicts of interest to declare.
The easy way to misread this
Do not interpret these themes as evidence that specific interventions improve participation. This is a descriptive study of perceptions, not a test of treatment efficacy.