Article

AIM: To develop the Mini-Manual Ability Classification System (Mini-MACS) and to
evaluate the extent to which its ratings are valid and reliable when children
younger than 4 years are rated by their parents and therapists. METHOD: The
Mini-MACS was created by making adjustments to the MACS. The development involved
a pilot project, consensus discussions within an expert group, and the creation
of a test version of the Mini-MACS that was evaluated for content validity and
interrater reliability.
A convenience sample of 61 children with signs of
cerebral palsy aged 12 to 51 months (mean age 30.2mo [SD 10.1]) were classified
by one parent and two occupational therapists across a total of 64 assessments.
Agreement between the parents' and therapists' ratings was evaluated using the
intraclass correlation coefficient (ICC) and the percentage of agreement.
RESULTS: The first sentence of the five levels in the MACS was kept, but other
descriptions within the Mini-MACS were adjusted to be more relevant for the
younger age group. The ICC between parents and therapists was 0.90 (95%
confidence interval [CI] 0.79-0.92), and for the two therapists it was 0.97 (95%
CI 0.78-0.92). Most parents and therapists found the descriptions in the
Mini-MACS suitable and easy to understand. INTERPRETATION: The Mini-MACS seems
applicable for children from 1 to 4 years of age.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS