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Therefore, knowledge about interactions between these components allows for targeting specific interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study investigated whether participation opportunities (frequency and involvement) for children\/adolescents with Down syndrome (DS) in a realistic environment at their own home are associated with the functional skills related to the domains of <jats:italic>Daily Activities<\/jats:italic>, <jats:italic>Mobility<\/jats:italic>, <jats:italic>Social\/Cognitive<\/jats:italic> and <jats:italic>Responsibility<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an observational study. Forty\u2010eight children\/adolescents with DS participated (mean age: 10.73\u2009\u00b1\u20093.43; <jats:italic>n<\/jats:italic>\u2009=\u200927 females). Participants were evaluated using the Participation and Environment Measure for Children and Youth (PEM\u2010CY) home environment setting (raw frequency and engagement scores) and Pediatric Evaluation of Disability Inventory speedy version (PEDI\u2010CAT\u2010SV) (continuous score).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant and positive correlations were found between the frequency of participation at home with <jats:italic>Daily Activities<\/jats:italic> (ro\u2009=\u20090.320), <jats:italic>Social\/Cognitive<\/jats:italic> (ro\u2009=\u20090.423) and <jats:italic>Responsibility<\/jats:italic> (ro\u2009=\u20090.455). For involvement, significant and positive correlations were found with <jats:italic>Daily Activities<\/jats:italic> (ro\u2009=\u20090.297), <jats:italic>Social\/Cognitive<\/jats:italic> (ro\u2009=\u20090.380) and <jats:italic>Responsibility<\/jats:italic> (ro\u2009=\u20090.380). For the PEDI\u2010CAT\u2010SV <jats:italic>Mobility<\/jats:italic>, no significant correlation was found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Higher frequency and involvement of participation at home are associated with greater functional skills assessed, except for <jats:italic>Mobility<\/jats:italic>. This study provided pioneering insights about the relationships between the level of home participation and functional skills in DS, generating evidence that could guide approaches to participation\u2010focused intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.13197","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T09:34:11Z","timestamp":1699868051000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Association between participation at home and functional skills in children and adolescents with Down syndrome: A cross\u2010sectional study"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7883-3123","authenticated-orcid":false,"given":"Beatriz Helena","family":"Brugnaro","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Child Development Analysis Laboratory (LADI) Federal University of S\u00e3o Carlos (UFSCar)  S\u00e3o Carlos Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olaf","family":"Kraus de Camargo","sequence":"additional","affiliation":[{"name":"CanChild, Department of Pediatrics McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luzia Iara","family":"Pfeifer","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Federal University of S\u00e3o Carlos (UFSCar)  S\u00e3o Carlos Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia Let\u00edcia","family":"Pav\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Prevention and Rehabilitation in Physical Therapy Federal University of Paran\u00e1  Curitiba Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oksana","family":"Hlyva","sequence":"additional","affiliation":[{"name":"CanChild, Department of Pediatrics McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelci Adriana Cicuto Ferreira","family":"Rocha","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Child Development Analysis Laboratory (LADI) Federal University of S\u00e3o Carlos (UFSCar)  S\u00e3o Carlos Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13959"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2013.11.021"},{"issue":"4","key":"e_1_2_11_4_1","first-page":"344","article-title":"Intellectual disability and epilepsy in Down syndrome","volume":"9","author":"Barca D.","year":"2014","journal-title":"Maedica"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/01942638.2015.1130007"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSMBR.910448"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/17446295211032763"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1830439"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1706537"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3138\/ptc-2021-0110"},{"key":"e_1_2_11_11_1","volume-title":"Statistics for social scientists","author":"Cohen L.","year":"1982"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2011.04094.x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12046"},{"key":"e_1_2_11_14_1","volume-title":"Participation and environment measure for children and youth (PEM\u2010CY): Form & User's guide","author":"Coster W.","year":"2014"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1539449220944600"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3233\/PRM-160382"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3233\/PRM-190674"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.11606\/issn.2238-6149.v29i3p237-245"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-019-04036-7"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2011.04107.x"},{"key":"e_1_2_11_21_1","unstructured":"Hulley S. 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