Article

Play is vital for development. Infants and children learn through
play. Traditional standardized developmental tests measure whether a child
performs individual skills within controlled environments. Play-based assessments
can measure skill performance .The
purpose of this study was to systematically review reliability, validity, and
responsiveness of all play-based assessments that quantify motor and cognitive
skills in children from birth to 36 months of age. DATA SOURCES: Studies were
identified from a literature search using PubMed, ERIC, CINAHL, and PsycINFO
databases and the reference lists of included papers. STUDY SELECTION: Included
studies investigated reliability, validity, or responsiveness of play-based
assessments that measured motor and cognitive skills for children to 36 months of
age. DATA EXTRACTION: Two reviewers independently screened 40 studies for
eligibility and inclusion. The reviewers independently extracted reliability,
validity, and responsiveness data. They examined measurement properties and
methodological quality of the included studies. DATA SYNTHESIS: Four current
play-based assessment tools were identified in 8 included studies. Each
play-based assessment tool measured motor and cognitive skills in a different way
during play. Interrater reliability correlations ranged from .86 to .98 for motor
development and from .23 to .90 for cognitive development. Test-retest
reliability correlations ranged from .88 to .95 for motor development and from
.45 to .91 for cognitive development. Structural validity correlations ranged
from .62 to .90 for motor development and from .42 to .93 for cognitive
development. One study assessed responsiveness to change in motor development.
LIMITATIONS: Most studies had small and poorly described samples. Lack of
transparency in data management and statistical analysis was common. CONCLUSIONS:
Play-based assessments have potential to be reliable and valid tools to assess
cognitive and motor skills, but higher-quality research is needed. Psychometric
properties should be considered for each play-based assessment before it is used
in clinical and research practice.
CI - (c) 2015 American Physical Therapy Association.

Langue : ANGLAIS