09 Body image in youth and adolescents with CP living in Ontario
Bibliographic record
Abstract
Abstract Background Body image research in young people with physical disabilities like cerebral palsy (CP) has received very little attention. Body image is a central theme in adolescence, and one may hypothesize that being a youth with CP would weigh particularly heavily on a child’s self-perception. Objectives The goal of this pilot project is to understand the perspectives of children and adolescents with CP (of all communication abilities and GMFCS levels) to learn about their perspective on body image. Design/Methods Our study includes quantitative data (using the KIDSCREEN-52 questionnaire) of quality of life (QOL) measures, along with qualitative interview data summarized with thematic analysis. Our data is augmented with input from siblings (without CP) of our primary participants to represent a control group in the same family unit. Results Twelve youths with CP (7 male, 5 female) filled out questionnaires and sat for an interview. The portion of the questionnaire that was most valuable for our interpretation focused on self-perception, with a higher score representing a more positive body image. The average score among our participants with CP was 17.93 / 25 (SD 4.73), and for those without CP; 18.62 / 25 (SD 5.45). Other differences included higher scores for males compared to females, and higher scores for those ≤13yo compared to 14-18yo. Interviews with participants uncovered themes of functional capability, the wish to reduce burden on family members, pride in the CP identity, and mixed desirability of media representation. Conclusion Within our study bounds, there is greater difference between age groups and genders than there is between those with CP and not. Interviews reveal the recurring theme of functional capacity connected to positive self-image, which may be considered justification for interventions. This data provides positive insight from youth with CP, and simultaneously could relieve the concerns of caregivers who may feel that a child with CP is especially vulnerable to negative self-image.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".