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Clinimetric properties of participation measures for 5‐ to 13‐year‐old children with cerebral palsy: a systematic review
Author(s) -
Sakzewski Leanne,
Boyd Roslyn,
Ziviani Jenny
Publication year - 2007
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.2007.00232.x
Subject(s) - goal attainment scaling , cerebral palsy , psychology , recreation , inclusion (mineral) , reliability (semiconductor) , physical therapy , occupational therapy , quality of life (healthcare) , gerontology , activities of daily living , clinical psychology , developmental psychology , medicine , rehabilitation , social psychology , power (physics) , physics , quantum mechanics , political science , law , psychotherapist
This study systematically reviewed the validity, reliability, sensitivity to change, and clinical utility of measurements of participation for children with cerebral palsy. Sixteen measures were identified and seven met the inclusion criteria of having 30% content measuring participation, for use with children aged 5 to 13 years with physical disability, and were condition specific. The Children's Assessment of Participation and Enjoyment (CAPE) assessed participation in leisure and recreation, while the School Function Assessment (SFA) and School Outcome Measure addressed participation in the school environment. The Assessment of Life Habits for Children (LIFE‐H) measured participation in home, school, and community life, and the Children Helping Out: Responsibilities and Expectations assessed children's participation in household duties. The Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) were individualized tools used to evaluate goal achievement. Results showed most instruments had adequate reliability and validity. The COPM and GAS were the only measures that reported adequate responsiveness to detect clinically significant change. Limited data are currently available to determine the responsiveness of the CAPE, LIFE‐H, and SFA. A combination of assessments is required to capture participation of children in home, school, and community environments.