Figure 3.

Intervention model for MROCs, displaying nested levels of influence (inspired by Bronfenbrenner [53]). Activity (bolded) is the main focus of MROC interventions because they provide an immediate source of mobility. Increased mobility may more immediately increase participation compared to traditional interventions, where participation is often a downstream effect. The sit-to-stand MROC concurrently targets body structure and function, along with activity. Personal factors (e.g., disability severity, enjoyment of MROC) can influence the relation among child factors. MROC interventions principally aim to impact the child, and ripple outwards, which may result in additional benefits (e.g., child’s increasing mobility improves parents’ perceptions of child’s abilities, so parents provide more opportunities to use the MROC in the community, thereby increasing community engagement and participation).