A Modification to the Assessment of Problem-Solving in Play to Enhance Its Utility: Evaluation of Validity, Responsiveness, and Reliability.

IF 1.3 4区 医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-01 DOI:10.1097/PEP.0000000000001123
Rebecca M Molinini, Natalie A Koziol, Ketaki Inamdar, Claire Rhee, Arya Salgaonkar, Regina T Harbourne, Lin-Ya Hsu, Sarah Westcott Mccoy, Michele A Lobo, James Bovaird, Jennifer Burnsed, Christine Spence, Richard Stevenson, Stacey C Dusing
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Abstract

Purpose: This study investigated the psychometric properties of a 4-second interval scoring modification of the Assessment of Problem-Solving in Play (ie, Assessment of Problem-Solving in Play 4-second interval scoring [APSP-4]).

Methods: A total of 95 children (3-48 months) with or at high risk for neuromotor delay were assessed with the APSP-4 and Bayley Scales of Infant and Toddler Development-III (Bayley). APSP-4 and Bayley cognitive raw scores were compared by age (construct validity) and over time (responsiveness). Twenty percent of videos were scored twice for intra- and interrater reliability.

Results: The APSP-4 demonstrated excellent interrater (intraclass correlations [ICCs] ≥ 0.96) and intrarater (ICCs ≥ 0.99) reliability and performed similar to Bayley cognitive raw scores at different ages ( r s > 0.5), and over time ( r  = 0.81). The motor delay had similar effects on APSP-4 and Bayley scores.

Conclusions: Results support the validity and reliability evidence of the APSP-4 for use over time in tracking problem-solving skills in young children aged 3 to 48 months. Future research investigating clinical implementation of the APSP-4 is needed.

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修改游戏中解决问题的评估以提高其实用性:对有效性、响应性和可靠性的评估。
目的:本研究调查了游戏中解决问题能力评估(即游戏中解决问题能力评估4秒间隔计分法[APSP-4])的心理测量学特性:共对 95 名神经运动发育迟缓或高风险儿童(3-48 个月)进行了 APSP-4 和贝雷婴幼儿发展量表-III(Bayley)评估。APSP-4 和 Bayley 认知原始分数按年龄(结构有效性)和时间(响应性)进行比较。对 20% 的视频进行了两次评分,以确保评分者内部和评分者之间的可靠性:APSP-4显示了极佳的研究者间(类内相关性[ICCs] ≥ 0.96)和研究者内(ICCs ≥ 0.99)可靠性,在不同年龄段(rs > 0.5)和不同时间段(r = 0.81)与Bayley认知原始分数的表现相似。运动延迟对 APSP-4 和 Bayley 分数的影响相似:研究结果支持 APSP-4 的有效性和可靠性,可用于长期跟踪 3 至 48 个月幼儿解决问题的技能。未来还需要对 APSP-4 的临床应用进行研究。
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来源期刊
Pediatric Physical Therapy
Pediatric Physical Therapy PEDIATRICS-REHABILITATION
CiteScore
1.50
自引率
18.80%
发文量
147
审稿时长
>12 weeks
期刊介绍: Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.
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