Article

The objectives of this study were to determine the :
(1) internal consistency and test-retest reliability of the Child Engagement in Daily Life
measure ; (2) construct validity of the measure (known groups methods), that is,
the ability of the measure to discriminate participation in family and
recreational activities and self-care among young children of varying age and
motor ability and between children with and without cerebral palsy, and (3) stability and hierarchical ordering of the items for young children with CP to
devise an interval-level scoring system. METHODS: 429 children with CP and their
parents and 110 parents of children without CP participated in this
methodological study. Parents completed the Child Engagement in Daily Life
measure and therapists assessed the children's gross motor function. Rasch
analysis was used to create an interval-level measure. RESULTS: Children's
frequency in and enjoyment of participation in family and recreational activities
and self-care varied by age and gross motor ability. Internal consistency of the
domains of the measure was high, Cronbach alpha values ranging from 0.86 to 0.91;
test-retest for participation in family and recreational activities was
acceptable, ICC = 0.70, and in self-care was high, ICC = 0.96. The items in the
measure had a good fit and a logical hierarchical ordering. CONCLUSION: Study
results support the validity and reliability of the Child Engagement in Daily
Life measure as an assessment of participation in family and recreational
activities and self-care for young children with CP. IMPLICATIONS FOR REHABILITATION: Participation in family and recreational activities and self-care
for young children with cerebral palsy can be reliably and validly assessed using
the Child Engagement in Daily Life measure. Service providers are encouraged to support young children's participation in family and recreational activities and
self-care.

Langue : ANGLAIS