Department of Occupational Therapy, Boston University, Boston, MA 02215, USA.
Dev Med Child Neurol. 2011 Nov;53(11):1030-7. doi: 10.1111/j.1469-8749.2011.04094.x.
The aim of this study was to examine the psychometric properties (reliability and validity) of the Participation and Environment Measure for Children and Youth (PEM-CY).
The PEM-CY examines participation frequency, extent of involvement, and desire for change in sets of activities typical for the home, school, or community. Items in the 'Environment' section examine perceived supports and barriers to participation within each setting. Data were collected via an online survey from caregivers of children and young people, aged 5 to 17 years, with and without a range of different disabilities, residing in the USA and Canada. Caregivers were eligible for inclusion if (1) they identified themselves as a parent or legal guardian of the child who was the focus of the survey; (2) they were able to read English; and (3) their child was between 5 and 17 years old at the time of enrolment.
Data were obtained from 576 respondents. About half were parents of children with disabilities and a little more than half were from Canada. Child mean age was 11 years (SD 3.1y); 54% were male and 46% were female. Internal consistency was moderate to good (0.59 and above) across the different scales. Test-retest reliability was moderate to good (0.58 and above) across a 1- to 4-week period. There were large and significant differences between the groups with and without disabilities on all participation and environment scales. Although there were some significant age differences, they did not follow a consistent pattern.
Results support the use of the PEM-CY for population-level studies to gain a better understanding of the participation of children and young people and the impact of environmental factors on their participation.
本研究旨在检验儿童和青少年参与度和环境测量表（PEM-CY）的心理测量学特性（信度和效度）。
PEM-CY 考察了家庭、学校或社区中典型活动的参与频率、参与程度和改变意愿。“环境”部分的项目考察了每个环境中对参与的感知支持和障碍。数据是通过一项针对美国和加拿大的 5 至 17 岁有或没有各种残疾的儿童和青少年的在线调查收集的。符合条件的照顾者包括：（1）他们将自己认定为被调查儿童的父母或法定监护人；（2）他们能够阅读英语；（3）在注册时，他们的孩子年龄在 5 至 17 岁之间。
从 576 名受访者中获得了数据。大约一半的人是残疾儿童的父母，略多于一半的人来自加拿大。儿童的平均年龄为 11 岁（SD 3.1y）；54%为男性，46%为女性。不同量表的内部一致性为中等至良好（0.59 及以上）。在 1 至 4 周的时间内，重测信度为中等至良好（0.58 及以上）。在所有参与和环境量表上，有残疾和无残疾组之间存在显著差异。尽管存在一些显著的年龄差异，但它们没有遵循一致的模式。
结果支持使用 PEM-CY 进行人群水平的研究，以更好地了解儿童和青少年的参与情况以及环境因素对他们参与的影响。
