Article

OBJECTIVE: To describe the development of the Children's Assessment of
Participation with Hands, a parent-report questionnaire that assesses children's
participation in life situations requiring hand use specifically, and to
investigate its construct validity (using Rasch analysis and known-group
comparison) and reliability (test-retest reliability and internal consistency).
DESIGN: Cross-sectional, validation, and test-retest studies. SETTING: Schools.
PARTICIPANTS: Parents/caregivers (N=202) reported on their children aged 2 to 12
years with (n=97) and without disabilities (n=105). INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURE: The Children's Assessment of Participation with
Hands was developed based on a content review of existing children's
participation measures and literature, expert review, and pilot testing. The
Children's Assessment of Participation with Hands included 37 items measuring
participation diversity, frequency, independence, and desire for change in
specific hand-use life situations across 4 domains of self-care, recreation,
education, and domestic life and community. RESULTS: Evidence for construct
validity of the Children's Assessment of Participation with Hands domains was
established through Rasch analysis (after removing 2 misfitting items from the
recreational domain and 1 item from the domestic life and community domain).
Differences in summary scores of each domain between children with and without
disabilities were also significant (P<.01). Test-retest reliability of the
Children's Assessment of Participation with Hands was moderate to high
(intraclass correlation coefficients, .69-.96), except for the desire for change
dimension scale of the recreational domain (.40). Internal consistency was varied
across the dimensions/domains. CONCLUSIONS: Results provide preliminary evidence
for the construct validity and reliability of the Children's Assessment of
Participation with Hands that could be used in clinical and research settings to
gain a specific understanding of the impact of children's hand-use difficulties
on their participation in life situations requiring hand use.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS