Reliability and validity of a measure of service providers' perceptions of child and parent engagement in pediatric rehabilitation therapy sessions

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-08-01 DOI:10.1111/cch.13319

Gillian King, Lisa A. Chiarello, Matthew J. W. McLarnon, Kathleen M. Einarson, Madhu Pinto

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Abstract

Background

There is growing interest in client engagement in pediatric rehabilitation. This article investigated the psychometric properties of a measure of service providers' perceptions of the affective, cognitive and behavioural engagement of both children with disabilities and their parents in pediatric rehabilitation therapy sessions.

Methods

Test–retest reliability of the Pediatric Rehabilitation Intervention Measure of Engagement—Service Provider version (PRIME-SP) was examined using engagement ratings made by 60 service providers for 77 children and 73 parents. Construct validity was examined using the known-group validity technique, utilizing service providers' ratings of the engagement of parents and their children attending the same session with the service provider. We hypothesized that there would be significantly different, yet moderately correlated engagement ratings for children and their parents.

Results

There was evidence of moderate test–retest reliability for the child ratings, indicative of dynamicity across occasions, but also a degree of consistency, as aligned with our expectations. Service providers' ratings of parent and child engagement were not significantly correlated and paired t-tests indicated significantly higher engagement scores for parents than children.

Conclusions

The study provides preliminary evidence to support the reliability and validity of the PRIME-SP as a tool for service providers to document, reflect on and monitor child and/or parent engagement.

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衡量服务提供者对儿童和家长参与儿科康复治疗过程的看法的可靠性和有效性。

背景：人们对儿童康复治疗中客户参与度的关注与日俱增。本文研究了服务提供者对残疾儿童及其家长在儿科康复治疗过程中的情感、认知和行为参与度的心理测量特性：方法：使用 60 名服务提供者对 77 名儿童和 73 名家长的参与度评分，对儿科康复干预参与度测量--服务提供者版（PRIME-SP）的重测可靠性进行了检验。我们采用已知组有效性技术，利用服务提供者对与服务提供者参加同一疗程的家长及其子女的参与度评分，对结构有效性进行了检验。我们假设儿童和家长的参与度评分会有显著差异，但相关性适中：有证据表明，儿童的评分具有适度的重测可靠性，这表明不同场合的评分具有动态性，但也具有一定程度的一致性，这与我们的预期相符。服务提供者对家长和儿童参与度的评分没有明显的相关性，配对 t 检验表明家长的参与度评分明显高于儿童：本研究提供了初步证据，支持 PRIME-SP 作为服务提供者记录、反思和监测儿童和/或家长参与情况的工具的可靠性和有效性。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.