Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy
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...
| Main Authors: | , , , |
|---|---|
| Format: | Journal Article |
| Published: |
Informa Healthcare
2015
|
| Online Access: | http://hdl.handle.net/20.500.11937/21114 |
| _version_ | 1848750499794255872 |
|---|---|
| author | Miller, L. Ziviani, J. Ware, R. Boyd, Roslyn |
| author_facet | Miller, L. Ziviani, J. Ware, R. Boyd, Roslyn |
| author_sort | Miller, L. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T07:37:49Z |
| format | Journal Article |
| id | curtin-20.500.11937-21114 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:37:49Z |
| publishDate | 2015 |
| publisher | Informa Healthcare |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-211142017-09-13T13:46:49Z Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy Miller, L. Ziviani, J. Ware, R. Boyd, Roslyn 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. 2015 Journal Article http://hdl.handle.net/20.500.11937/21114 10.3109/01942638.2015.1076556 Informa Healthcare restricted |
| spellingShingle | Miller, L. Ziviani, J. Ware, R. Boyd, Roslyn Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy |
| title | Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy |
| title_full | Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy |
| title_fullStr | Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy |
| title_full_unstemmed | Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy |
| title_short | Does Context Matter? Mastery Motivation and Therapy Engagement of Children with Cerebral Palsy |
| title_sort | does context matter? mastery motivation and therapy engagement of children with cerebral palsy |
| url | http://hdl.handle.net/20.500.11937/21114 |