PMID- 23475003 OWN - NLM STAT- MEDLINE DCOM- 20131022 LR - 20191210 IS - 1873-3379 (Electronic) IS - 0891-4222 (Linking) VI - 34 IP - 5 DP - 2013 May TI - Clinimetric properties of the Assessment of Preschool Children's Participation in children with cerebral palsy. PG - 1528-35 LID - S0891-4222(13)00039-5 [pii] LID - 10.1016/j.ridd.2013.01.026 [doi] AB - This study examines the criterion-related validity and clinimetric properties of the Assessment of Preschool Children's Participation (APCP) for children with cerebral palsy (CP). Eighty-two children with CP (age range, two to five years and 11 months) and their caregivers participated in this study. The APCP consists of diversity and intensity scores in the areas of play (PA), skill development (SD), active physical recreation (AP), social activities (SA), and total areas. Tests were administered at baseline and at six-month follow-up. Concurrent and predictive validities were identified by assessing the strength of correlations between APCP scores and criterion-related measures--the 66-item Gross Motor Function Measure (GMFM-66) and Functional Independence Measure for Children (WeeFIM). Responsiveness was measured by standardized response mean (SRM). Minimal detectable change (MDC) at the 95% confidence level (MDC95) and minimal clinically important difference (MCID) were analyzed. The APCP with GMFM-66 and WeeFIM had fair to excellent concurrent validity (r=0.39-0.85) and predictive validity (r=0.46-0.82). The SRM values of the APCP diversity and intensity scales in all areas were 0.8-1.3. The MDC95 and MCID ranges for all areas (i.e., PA, SD, AP, SA, and total areas) were 0.1-0.7 and 0.4-1.2 points for intensity scores, respectively, and 4-17% and 10-19% for diversity scores, respectively. Therefore, the APCP scale was markedly responsive to change. Clinicians and researchers can use these clinimetric APCP data to determine whether a change score represents a "true" or clinically meaningful effect at post-treatment and follow-up. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Chen, Chia-ling AU - Chen CL AD - Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, 5 Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan. clingchen@gmail.com FAU - Chen, Chung-yao AU - Chen CY FAU - Shen, I-hsuan AU - Shen IH FAU - Liu, I-Shu AU - Liu IS FAU - Kang, Lin-ju AU - Kang LJ FAU - Wu, Ching-yi AU - Wu CY LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20130305 PL - United States TA - Res Dev Disabil JT - Research in developmental disabilities JID - 8709782 SB - IM MH - Cerebral Palsy/*physiopathology/*rehabilitation MH - Child, Preschool MH - *Disability Evaluation MH - Female MH - Follow-Up Studies MH - Humans MH - Infant MH - Male MH - Motor Skills/*physiology MH - *Patient Participation MH - *Play and Playthings MH - Predictive Value of Tests MH - Reproducibility of Results MH - Social Behavior EDAT- 2013/03/12 06:00 MHDA- 2013/10/23 06:00 CRDT- 2013/03/12 06:00 PHST- 2012/11/05 00:00 [received] PHST- 2013/01/29 00:00 [revised] PHST- 2013/01/29 00:00 [accepted] PHST- 2013/03/12 06:00 [entrez] PHST- 2013/03/12 06:00 [pubmed] PHST- 2013/10/23 06:00 [medline] AID - S0891-4222(13)00039-5 [pii] AID - 10.1016/j.ridd.2013.01.026 [doi] PST - ppublish SO - Res Dev Disabil. 2013 May;34(5):1528-35. doi: 10.1016/j.ridd.2013.01.026. Epub 2013 Mar 5.