Assessment & Research

Mastery motivation in adolescents with cerebral palsy.

Majnemer et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

Gross motor skill, IQ, and prosocial behaviors predict how long teens with CP stick with tough tasks, so use the DMQ to flag low-persistence kids and give them fast, active, socially-based supports.

✓ Read this if BCBAs who treat adolescents with cerebral palsy in school or clinic settings.
✗ Skip if Clinicians who only serve adults or very young children without CP.

01Research in Context

01

What this study did

The team gave the Dimensions of Mastery Questionnaire to adolescents with cerebral palsy. They wanted to see how much kids enjoyed learning new things and how long they kept trying hard tasks.

They also checked IQ, gross motor skill, and social behaviors. Then they looked for links between these scores and motivation.

02

What they found

Most teens felt strong joy when they succeeded. Persistence, however, varied a lot.

Kids with better gross motor scores, higher IQ, and stronger prosocial skills kept trying longer. Age, sex, and family income did not predict persistence.

03

How this fits with other research

Asano et al. (2025) widen the lens. They show that manual ability level predicts fluid-intelligence growth from age three up. Together the papers tell us that both fine and gross motor skills shape learning paths in CP.

Carter et al. (2011) looked at younger kids and found that milder motor impairment boosts non-verbal scores over time. Annette et al. now add that the same motor link shows up in teenage motivation, not just IQ.

Whittingham et al. (2010) saw motor ability driving social skills in preschool. The new data say the motor link keeps mattering for motivation after puberty.

04

Why it matters

If a teen with CP has low persistence on the DMQ, extra supports are needed right away. Schedule shorter tasks, add brief rest breaks, and use peer models to keep engagement high. Because gross motor skill predicts persistence, work with PT to embed therapy goals inside fun, active games that the teen can already move through. Target social skills too; prosocial teens try harder. These quick steps turn assessment numbers into real session plans.

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→ Action — try this Monday

Run the 10-minute DMQ with your teen clients; if persistence scores are low, chop the next task into three-minute chunks and pair the teen with a supportive peer.

02At a glance

Intervention
not applicable
Design
survey
Sample size
153
Population
other
Finding
not reported

03Original abstract

The aim of this study is to describe motivation in adolescents with cerebral palsy (CP) and factors associated with motivation level. The Dimensions of Mastery Questionnaire (DMQ) measures motivation in mastering challenging tasks and expressive elements. It was completed by 153 parents and 112 adolescents with CP. Adolescents (GMFCS in n=146 - I:50, II:43, III:13, IV:15, V:25) were assessed using the Leiter IQ and Gross Motor Function Measure. Parents completed the Vineland Adaptive Behavior Scale and the Strengths and Difficulties Questionnaire. Motivation scores were highest for mastery pleasure and social persistence with adults and lowest for gross motor and object-oriented persistence. Socio-demographic factors were not strongly correlated with DMQ. Higher gross motor ability (r=0.24-0.52) and fewer activity limitations (r=0.30-0.64, p<.001) were associated with persistence in cognitive, motor and social tasks, but not mastery pleasure. Higher IQ was associated with persistence in object-oriented tasks (r=0.42, p<.001). Prosocial behaviors correlated with high motivation (r=0.39-0.53, p<.001). Adolescents' motivation scores were higher than parents' scores. Adolescents with CP express high mastery pleasure, not related to abilities. High motivation was associated with fewer activity limitations and prosocial behaviors and aspects of family environment. Findings elucidate those at-risk for low motivation, which can influence treatment adherence and participation in challenging but meaningful activities.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2013.07.002