Exploring the contributing factors that influence the volition of adolescents with cerebral palsy: A directed content analysis

Abstract

Background: Communication, behavioural disturbances and low motivation influence the functional potential and the effectiveness of interventions in adolescents with cerebral palsy (CP). While the model of human occupation (MOHO) is a conceptual model in occupational therapy, no research on the volition of adolescents with CP in daily activities has been undertaken.

Aim: To explore the elements contributing to the volition of adolescents with CP based on their own experience.

Methods: A qualitative approach using directed content analysis with volition of MOHO as a framework was applied. Semi-structured in-depth interviews were carried out with five adolescents with CP and five parents of the same adolescents.

Results: In this study primary codes were categorized into eight categories: family and community-related values, individual values, individual perceptions of ability level, sense of control over conditions, enjoying performing activities, enjoying interpersonal relationships, physical context features and social context features.

Conclusions: Personal causation in interaction with environmental features is strongly influenced by adolescents' motivation.

Significance: Occupational therapists could improve the motivation of adolescents with CP in interaction with the individual's volition with focussing on self-efficacy for promoting personal causation. Adapting to the physical environment and changing the attitudes of others to these adolescents is necessary.

Keywords: Model of human occupation; environment; interest; motivation; occupational therapy; personal causation; qualitative research; value.