Measuring physical function in children with airway support: a pilot study using computer adaptive testing.

Abstract:

OBJECTIVE:To assess the responsiveness, examine the scoring range and determine the efficiency of a multidimensional computer adaptive testing version of the Pediatric Evaluation of Disability Inventory (PEDI-MCAT) for children admitted to inpatient pulmonary rehabilitation. METHODS:The PEDI-MCAT was completed by clinician report for 30 infants and children. Mean self-care and mobility admission scores were compared with discharge scores for the total group and two diagnostic sub-groups (prematurity and congenital/neurological conditions). The scoring range of the mobility and self-care scales was examined to determine placement of the scores along the overall PEDI-MCAT scale. Efficiency was determined using an internal clock and average number of items required for score generation. RESULTS:Mean changes for the total group and both sub-groups were significant for both self-care and mobility, except for the prematurity group's mobility scores. Effect sizes were small-to-moderate. Scores for both groups were at the low end of the scoring ranges. Average time to complete the PEDI-MCAT was 1.57 minutes. Average number of items administered was nine for self-care and 11 for mobility. CONCLUSION:The PEDI-MCAT was responsive to change in physical function, although only low-ability items were needed. The PEDI-MCAT can potentially minimize clinician burden in inpatient settings.

journal_name

Dev Neurorehabil

authors

Dumas HM,Rosen EL,Haley SM,Fragala-Pinkham MA,Ni P,O'Brien JE

doi

10.3109/17518420903386179

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

95-102

issue

2

eissn

1751-8423

issn

1751-8431

journal_volume

13

pub_type

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