Assessment & Research

Comparing participation in physical recreation activities between children with disability and children with typical development: A secondary analysis of matched data.

Woodmansee et al. (2016) · Research in developmental disabilities 2016
★ The Verdict

Kids with disabilities pick fewer physical play types and play them less often, so let them choose the activity and the buddy.

✓ Read this if BCBAs writing community-based recreation goals for school-age clients.
✗ Skip if Clinicians who only run seated DTT sessions with no leisure component.

01Research in Context

01

What this study did

Woodmansee et al. (2016) asked parents about the physical play their kids do after school. They compared kids with any disability to kids without disabilities who were the same age, sex, and race.

The team used a survey called CAPE. It lists 55 physical activities like biking, swimming, or tag. Parents said how often, where, and with whom their child did each one.

02

What they found

Kids with disabilities joined fewer kinds of play and did them less often. They were also less likely to pick the ones they said they liked best or to play alone.

In short, the gap is not just about ability. Choice and company matter too.

03

How this fits with other research

Shields et al. (2015) saw the same drop in activity variety one year earlier. Both studies used CAPE and matched kids, so the finding is not a fluke.

Pan (2008) and Jean-Arwert et al. (2020) used wrist-worn counters instead of surveys. They also found kids with autism move less than peers, showing the gap holds when you measure with gadgets.

Miltenberger et al. (2013) looked at both counters and surveys. The counters said kids with autism got the same exercise minutes, but parents still reported fewer kinds of activities. This looks like a clash, yet it only shows that total minutes and activity variety are different things. Carmen’s study lines up with the parent half of G’s data: fewer types, less choice.

04

Why it matters

When you write a recreation goal, do not just target minutes of movement. Ask the child what they like and who they want with them. Then build those exact activities into the plan. A solo scooter ride or a preferred dance video game counts as much as PE time.

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→ Action — try this Monday

Open the CAPE or a simple preference list, let your client circle three favorite active play ideas, and schedule one for this week.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
326
Population
mixed clinical, neurotypical
Finding
negative
Magnitude
medium

03Original abstract

BACKGROUND: Facilitating participation in physical recreation among children with disability is an increasingly important aim of paediatric rehabilitation. AIM: To compare the extent (diversity and frequency), context (where and companionship), experience (enjoyment) and preference for participation in physical recreation activities outside-of-school between children with disability and children with typical development. METHODS AND PROCEDURES: One hundred and sixty-three children with physical, intellectual, sensory or multiple disabilities (67 girls; mean age 10.8 yr) were matched with 163 children with typical development for age, sex, geographical location and socioeconomic status. Participation in 16 physical recreation activities (including walking, cycling, team sports) was compared between these two groups using non-parametric statistics and relative risk ratios. OUTCOMES AND RESULTS: There were significant differences between the groups in 14 activities. A lower percentage of children with disability reported participating in 5 physical recreation activities. A higher percentage of children with disability reported not participating in their preferred activities. Children with disability were less likely to participate on their own in some day-to-day physical recreation activities such as walking and cycling. CONCLUSIONS AND IMPLICATIONS: Differences between the groups related to the context (companionship) and preference for participation. Understanding and addressing these differences may enhance participation among children with disability.

Research in developmental disabilities, 2016 · doi:10.1016/j.ridd.2015.12.004