Abstract
Objectives
To identify and critically appraise potential participation measurement tools for
children aged 18 months to 17 years with power mobility (PM) needs.
Data Sources
Searches in 9 electronic databases identified peer-reviewed publications in English
to January 2015, along with hand-searching included bibliographies.
Study Selection
The Preferred Reporting Items for Systematic reviews and Meta-Analyses statement was
followed with inclusion criteria set a priori. Keywords and subject headings included
participation and measurement terms with descriptors of young people who are potential
PM candidates. Publications describing measurement properties of English-language
tools were included if the items included ≥85% content related to participation and
described at least 2 participation dimensions.
Data Extraction
Two reviewers reached consensus after independently screening titles and abstracts,
identifying full-text articles meeting criteria, extracting data, and conducting quality
ratings. Tool descriptions, clinical utility, and measurement properties were extracted.
Study quality and measurement properties were evaluated using the COnsensus-based
Standards for the selection of health Measurement INstruments checklist and the McMaster
Outcome Measures Rating Form.
Data Synthesis
Of 1330 titles identified, 138 peer-reviewed publications met study inclusion criteria.
Fifty tools were identified, of which 20 met inclusion criteria. Evidence supporting
reliability and validity varied considerably. Two tools had responsiveness evidence,
an important measurement property when evaluating change. Quality ratings were strongest
for internal consistency and content validity. Ratings were downgraded because of
small sample sizes and a limited description of missing data or study conditions.
Conclusions
While potential tools emerged (Assessment of Preschool Children's Participation, Preferences
for Activities of Children, Child and Adolescent Scale of Participation, Child Engagement
in Daily Life, Canadian Occupational Performance Measure, Questionnaire of Young People's
Participation), none were judged best suited for use with children having PM needs.
Further empirical studies with this population are needed before recommending use
for PM applications.
Keywords
List of abbreviations:
COPM (Canadian Occupational Performance Measure), COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments), ICF (International Classification of Functioning, Disability, and Health), OMRF (McMaster Outcome Measures Rating Form), PM (power mobility)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 10, 2015
Footnotes
Supported by the Canadian Institutes of Health Research Fellowship Award and the Canadian Occupational Therapy Foundation Blake Medical Scholarship Award.
Disclosures: none.
Identification
Copyright
© 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
