Occupational therapy international
Factors Affecting Occupational Balance Among Iranian Caregivers of Children With Cerebral Palsy: A Cross-Sectional Study
By Hejazi-Shirmard M, Mohammadi H and Pashmdarfard M.
Abstract
Introduction
Children with cerebral palsy (CP) face lifelong motor, functional, and participation challenges, requiring continuous support for daily activities. Although caregiving can enhance family bonds, it often negatively affects caregivers' physical and social well-being, family dynamics, independence, and financial stability. The aim of the present study was to investigate the associations between occupational balance, caregiver burden, and related factors among parents of Iranian children with CP.
Methods
This cross-sectional study recruited 112 informal caregivers of children aged 2-18 years with CP from March to October 2023. Children's functional status was assessed using classification systems for gross motor function (GMFCS), manual ability (MACS), communication function (CFCS), and cognitive status (SPARCLE). Caregivers' burden, quality of life, and occupational balance were evaluated with the Caregiver Difficulties Scale (CDS), WHOQOL-BREF, and OBQ-11, respectively. Moreover, caregivers' psychological well-being was measured through the Perceived Stress Scale (PSS-14) and Hospital Anxiety and Depression Scale (HADS). Data were analyzed using correlation analyses, independent t-tests, one-way ANOVAs, and hierarchical multiple linear regression model.