The Associations Between Executive Functions’ Capacities, Performance Process Skills, and Dimensions of Participation in Activities of Daily Life Among Children of Elementary School Age

Effective executive functions (EFs) are crucial for efficient daily functioning. Daily functioning or involvement in life situations is defined as “participation” (International Classification of Functioning, Disability, and Health [ICF]; World Health Organization, 2001). Yet associations between them have been inadequately studied for children. The present study aimed to explore the associations between EFs and child participation. Participants were 60 typically developing children aged 6 to 9 years old and their parents. The children were individually evaluated using five EF cognitive tests. The parents completed three questionnaires: the Children Participation Questionnaire, the Process Skills (the observed executive performance) Questionnaire, and the Environmental Restrictions Questionnaire. Most of the EF scores were associated with the child's age. A unique contribution of executive capacities was found for the “independence” aspect of child participation, though the quantum of contribution was limited compared with the other predictors’ process skills and environmental restrictions. In the context of child participation, EFs should be studied through multivariate analysis, as otherwise, the unique contribution of executive capacities measured by neuropsychological cognitive tests are likely to be ignored. Process skills are crucial for a child's independence and autonomy in daily functioning. These findings are supported by the capacity–performance distinction suggested by the ICF model.

[1]  Mark M. Kishiyama,et al.  Socioeconomic Disparities Affect Prefrontal Function in Children , 2009, Journal of Cognitive Neuroscience.

[2]  S. Rosenblum,et al.  Development and standardization of a "do-eat" activity of daily living performance test for children. , 2010, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[3]  T. Jarus,et al.  Can personal and environmental factors explain dimensions of child participation? , 2011, Child: care, health and development.

[4]  M. B. Jurado,et al.  The Elusive Nature of Executive Functions: A Review of our Current Understanding , 2007, Neuropsychology Review.

[5]  S. Pigott,et al.  The Relationship Between Parental Report on the BRIEF and Performance-Based Measures of Executive Function in Children with Moderate to Severe Traumatic Brain Injury , 2002, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[6]  Stephanie M. Carlson,et al.  Hot and Cool Executive Function in Childhood and Adolescence: Development and Plasticity , 2012 .

[7]  J. Heckman,et al.  A gradient of childhood self-control predicts health, wealth, and public safety , 2011, Proceedings of the National Academy of Sciences.

[8]  R. Barkley,et al.  Impairment in occupational functioning and adult ADHD: the predictive utility of executive function (EF) ratings versus EF tests. , 2010, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[9]  S. Bryson,et al.  Executive function in preschoolers: a review using an integrative framework. , 2008, Psychological bulletin.

[10]  N. Guo,et al.  Executive function deficit in preschool children born very low birth weight with normal early development. , 2011, Early human development.

[11]  H. Jackson,et al.  The assessment of executive functions: coming out of the office , 2004, Brain injury.

[12]  Amanda P. Williford,et al.  The role of executive function in children's competent adjustment to middle school , 2011, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[13]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[14]  Janine M. Rowe.  Occupational Therapy with Children: Understanding Children's Occupations and Enabling Participation , 2008, Occupational therapy in health care.

[15]  M. Regard,et al.  Effect of Drawing Hand and Age on Figural Fluency: A Graphomotor Study with the Five-Point Test in Children , 2009, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[16]  Rune J Simeonsson,et al.  Diagnosis to Function: Classification for Children and Youths , 2005, Journal of developmental and behavioral pediatrics : JDBP.

[17]  O. Bart,et al.  The profile of performance skills and emotional factors in the context of participation among young children with Developmental Coordination Disorder. , 2013, Research in developmental disabilities.

[18]  S. Parush,et al.  Sensory modulation disorder: a risk factor for participation in daily life activities , 2008, Developmental medicine and child neurology.

[19]  R. Schachar,et al.  Is the behavior rating inventory of executive function more strongly associated with measures of impairment or executive function? , 2010, Journal of the International Neuropsychological Society.

[20]  G. Gioia,et al.  TEST REVIEW Behavior Rating Inventory of Executive Function , 2000 .

[21]  C. Hilton,et al.  Out-of-school participation patterns in children with high-functioning autism spectrum disorders. , 2008, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[22]  C. Hughes.  Changes and challenges in 20 years of research into the development of executive functions , 2011 .

[23]  P. Zelazo,et al.  The Potential Benefits of Mindfulness Training in Early Childhood: A Developmental Social Cognitive Neuroscience Perspective , 2012 .

[24]  Grey Giddins,et al.  Statistics , 2016, The Journal of hand surgery, European volume.

[25]  Winifred Schultz-Krohn,et al.  Pedretti's Occupational Therapy: Practice Skills for Physical Dysfunction , 2012 .

[26]  T. Jarus,et al.  Perceived environmental restrictions for the participation of children with mild developmental disabilities. , 2012, Child: care, health and development.

[27]  Beatriz Luna,et al.  Cognitive processes in the development of TOL performance , 2006, Neuropsychologia.

[28]  W. C. Culbertson,et al.  The Tower of London(DX): a standardized approach to assessing executive functioning in children. , 1998, Archives of Clinical Neuropsychology.

[29]  T. Jarus,et al.  Personal and environmental pathways to participation in young children with and without mild motor disabilities. , 2012, Child: care, health and development.

[30]  Michal Shany,et al.  Subtypes of reading disability in a shallow orthography: a double dissociation between accuracy-disabled and rate-disabled readers of Hebrew , 2011, Annals of dyslexia.

[31]  Y. Bar-Haim,et al.  Motor Function and Social Participation in Kindergarten Children , 2006 .

[32]  R. Reitan,et al.  The Trail Making Test as an initial screening procedure for neuropsychological impairment in older children. , 2004, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[33]  K. Stanovich,et al.  Practitioner review: do performance-based measures and ratings of executive function assess the same construct? , 2013, Journal of child psychology and psychiatry, and allied disciplines.

[34]  M. Law,et al.  Participation and enjoyment of leisure activities in school‐aged children with cerebral palsy , 2008, Developmental medicine and child neurology.

[35]  James E. Bartlett,et al.  Organizational research: Determining appropriate sample size in survey research , 2001 .

[36]  Cecil R. Reynolds,et al.  A Model of the Development of Frontal Lobe Functioning: Findings From a Meta-Analysis , 2005, Applied neuropsychology.

[37]  M. Prior,et al.  The relationship between executive function abilities, adaptive behaviour, and academic achievement in children with externalising behaviour problems. , 2002, Journal of child psychology and psychiatry, and allied disciplines.

[38]  J. Piek,et al.  Working memory, processing speed, and set‐shifting in children with developmental coordination disorder and attention‐deficit–hyperactivity disorder , 2007, Developmental medicine and child neurology.

[39]  G. Gioia,et al.  Assessment of executive function in preschool-aged children. , 2005, Mental retardation and developmental disabilities research reviews.

[40]  G. Gioia,et al.  TEST REVIEW Behavior Rating Inventory of Executive Function , 2000 .

[41]  D. Patricia,et al.  The contribution of executive functions to participation in school activities of children with high functioning autism spectrum disorder , 2009 .

[42]  T. Jarus,et al.  Personal and Environmental Factors Predict Participation of Children With and Without Mild Developmental Disabilities , 2013 .

[43]  A. Miyake,et al.  The Nature and Organization of Individual Differences in Executive Functions , 2012, Current directions in psychological science.

[44]  J. Osborne.  Data Cleaning Basics: Best Practices in Dealing with Extreme Scores , 2010 .

[45]  Executive functioning, metacognition, and self-perceived competence in elementary school children: an explorative study on their interrelations and their role for school achievement , 2012 .

[46]  T. Jarus,et al.  Construct-related validity of the Toglia Category Assessment and the Deductive Reasoning test with children who are typically developing. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[47]  P. H. Miller,et al.  Executive Functions after Age 5: Changes and Correlates. , 2009, Developmental review : DR.

[48]  R. Perna,et al.  Executive Functioning and Adaptive Living Skills after Acquired Brain Injury , 2012, Applied neuropsychology. Adult.

[49]  Marianne Regard,et al.  Children's Production on Verbal and Non-Verbal Fluency Tasks , 1982, Perceptual and motor skills.

[50]  T. Jarus,et al.  Development and initial validation of the Environmental Restriction Questionnaire (ERQ). , 2010, Research in developmental disabilities.

[51]  M. Law,et al.  Childhood Participation in After-School Activities: What is to be Expected? , 2010 .

[52]  P. Anderson,et al.  Relationships Between Cognitive and Behavioral Measures of Executive Function in Children With Brain Disease , 2002, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[53]  P. H. Miller,et al.  A developmental perspective on executive function. , 2010, Child development.

[54]  T. Jarus,et al.  Development and initial validation of the Performance Skills Questionnaire (PSQ). , 2010, Research in developmental disabilities.

[55]  M. Law,et al.  Participation in the occupations of everyday life. , 2002, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[56]  Esmeralda Matute,et al.  The Influence of the Parents' Educational Level on the Development of Executive Functions , 2005, Developmental neuropsychology.

[57]  L. Vaughan,et al.  Executive function in daily life: Age-related influences of executive processes on instrumental activities of daily living. , 2010, Psychology and aging.

[58]  B. Pennington,et al.  Validity of the Executive Function Theory of Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review , 2005, Biological Psychiatry.

[59]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[60]  R. Reitan,et al.  Trail Making Test Results for Normal and Brain-Damaged Children , 1971, Perceptual and motor skills.

[61]  G. Gioia,et al.  Contribution of Rating Scales to the Assessment of Executive Functions , 2013, Applied neuropsychology. Child.

[62]  W. Coster,et al.  Measuring participation of children with disabilities: Issues and challenges , 2008, Disability and rehabilitation.

[63]  R. Butler,et al.  Tower of London Test Performance in Children With Poor Arithmetic Skills , 2002, Developmental neuropsychology.

[64]  P. Burgess,et al.  The case for the development and use of “ecologically valid” measures of executive function in experimental and clinical neuropsychology , 2006, Journal of the International Neuropsychological Society.

[65]  D. Edwards,et al.  Development of a performance assessment of executive function: the Children's Kitchen Task Assessment. , 2008, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[66]  L. Westlye,et al.  Neuroanatomical correlates of executive functions in children and adolescents: A magnetic resonance imaging (MRI) study of cortical thickness , 2010, Neuropsychologia.

[67]  恵子 紀国谷.  国際生活機能分類(International Classification of Functioning, Disability and Health: ICF)にみた福祉・保健・医療の専門職協働における連携に関する貢献と課題 , 2007 .

[68]  L. Kenworthy,et al.  Adaptive Skills and Executive Function in Autism Spectrum Disorders , 2002, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[69]  H. Dumas,et al.  Social participation of children and youth with acquired brain injuries discharged from inpatient rehabilitation: a follow-up study , 2004, Brain injury.

[70]  M. T. J. Buñuales,et al.  La clasificación internacional del funcionamiento de la discapacidad y de la salud (CIF) 2001 , 2002 .

[71]  T. Shallice.  Specific impairments of planning. , 1982, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[72]  Gillian King,et al.  Predictors of the Leisure and Recreation Participation of Children With Physical Disabilities: A Structural Equation Modeling Analysis , 2006 .

[73]  Jane Galvin,et al.  Executive skills and their functional implications: Approaches to rehabilitation after childhood TBI , 2009, Developmental neurorehabilitation.

[74]  C. Dissanayake,et al.  The Relationship between Symbolic Play and Executive Function in Young Children , 2011 .