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Table 4 Facilitators regarding participation in the playground for children with PD

From: Barriers, facilitators and solutions for active inclusive play for children with a physical disability in the Netherlands: a qualitative study

Emotional barrier vs. Physical barrier General inclusion Role of professional
Parents stimulate the child into independence at an early age. (par) General inclusion, inclusive education, and inclusive daycare. (pro, par) Pediatricians write prescriptions for therapy at home. (pro)
The child enjoys playing outside and playing together. (par) A playground is a cozy place with friends. (pro, par) Therapy directed towards participation level and at a functional location.(pro, par)
Parents stimulate the child to stand up for him or herself and be able to cope with negative reactions. (par) Wheelchairs for other children to play with. (par) Therapists who focus on play more and want to find out what motivates a child in play. (par)
Introduction of the playground when the child is young (+/− two years). (pro) Child without disabilities is willing to help a child with a disability. (par)  
Known children, like brothers and sisters, that stimulate outside play. (pro, par) Children who grow up with children with disabilities have a better perspective on children with disabilities. (pro, par)  
An ambulatory companion who facilitates play. (pro, par) Young children are still flexible, therefore more easily familiarized with children with disabilities. (pro)  
Parents do know the importance of (independent) play (par) Children know how to play together. (pro,par)  
Parents know the capabilities of their child. (pro, par) Teacher stimulates inclusive play at school. (par)  
Parents of children with disabilities inspire or inform each other to play outside. (pro, par) No competitive play. (pro)  
Child knows its own capabilities. (pro) Fun play equipment: nest or wheelchair swing or carousel; small field with goals, hills, tunnels, and bridges; interactive elements with sand and water; a fort, ship, or house to play in or under; room for fantasy game; trail for wheelchairs but also bicycles; and steps, etc. (pro, par)  
A positive experience in the playground. (pro)  
Good wheelchair skills. (pro, par)  
Good social skills. (pro, par)  
The child has friends in the neighborhood. (pro)   
There is another child with a disability that plays outside (role model). (par)   
Parents equip their garden as a playground, which attracts other children to come and play. (par)   
Involved neighborhood association.(pro, par)   
Good wheelchair for activities. (pro)   
Indoor playgrounds are much fun. (pro, par)   
  1. Pro Professionals, Par Parents