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

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...

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Publicado en:Developmental Neurorehabilitation Vol. 13; no. 2; pp. 95 - 103
Autores principales: Dumas HM, Rosen EL, Haley SM, Fragala-Pinkham MA, Ni P, O'Brien JE
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2010
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Measuring physical function in children with airway support: a pilot study using computer adaptive testing.
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          Dumas HM
          Rosen EL
          Haley SM
          Fragala-Pinkham MA
          Ni P
          O'Brien JE
        affil: Franciscan Hospital for Children, Research Center, Boston, MA USA
      sug:
        subj:
          Computerized Adaptive Testing Utilization
          Functional Assessment Methods
          Rehabilitation, Pediatric
          Rehabilitation, Pulmonary In Infancy and Childhood
          Respiration, Artificial In Infancy and Childhood
          Adolescence
          Adult
          Chi Square Test
          Child
          Child, Preschool
          Clinical Assessment Tools
          Convenience Sample
          Descriptive Statistics
          Effect Size
          Female
          Funding Source
          Human
          Infant
          Infant, Newborn
          Inpatients
          Male
          Massachusetts
          P-Value
          Paired T-Tests
          Pilot Studies
          Self Care
          Adolescent: 13-18 years
          Adult: 19-44 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Infant, Newborn: birth-1 month
          Female
          Male
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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