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Development and evidence of validity for the Children's Hand-use Experience Questionnaire (CHEQ)

AIM: To describe the development of the Children's Hand-use Experience
Questionnaire (CHEQ), and investigate the evidence of its validity based on test
content and internal structure of the three scales in it.
METHOD: The selection
of items and questions was based on a literature review, expert opinion, and
interviews with families. Data on the final questionnaire were collected from 86
children and adolescents (42 males, 44 females) aged 6 to 18 years (mean 12 y, SD
3 y), with unilateral cerebral palsy, upper limb reduction deficiency, or
obstetric brachial plexus palsy. RESULTS: After item reduction and evaluation,
CHEQ was designed to include 29 bimanual activities, each rated on three scales
of perceived efficacy of the grasp, time taken to perform the activity, and
degree of feeling bothered. The appropriateness of the included activities was
confirmed by their reported relevance and bimanual nature. The internal structure
of the scales was confirmed by Rasch analysis. INTERPRETATION: CHEQ can be used
to assess children and adolescents with a unilateral hand dysfunction on their
experiences of using the affected hand to perform bimanual tasks. In clinical
work, CHEQ has the potential to become a useful tool for treatment planning and
follow-up.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2011 Mac Keith
Press.

Langue : ANGLAIS

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