Slomine Beth S, Grasmick Paige H, Suskauer Stacy J, Salorio Cynthia F
Department of Neuropsychology.
Sinai Hospital of Baltimore.
Rehabil Psychol. 2016 Aug;61(3):328-35. doi: 10.1037/rep0000096. Epub 2016 May 19.
In a pediatric rehabilitation setting, monitoring recovery of cognitive skills is challenging due to diversity in age and brain injury severity. The Cognitive and Linguistic Scale (CALS) is a measure with promising psychometric properties that was designed for inpatient pediatric rehabilitation care. This study re-examines the reliability and validity of the CALS in a larger, independent sample.
Two hundred fifty-eight children (2-21 years) who were consecutively admitted to an inpatient brain injury facility between 2008 and 2014 for a first inpatient rehabilitation admission following a traumatic or acquired brain injury were included. Both CALS and Functional Independence Measure for Children (WeeFIM) were examined at admission and discharge. CALS scores by age groups (preschool-aged, school-aged, adolescents, or young adults), gender, and etiology (acquired vs. traumatic brain injury) and in two subgroups.
The internal consistency of the CALS was high. Total CALS score and individual item scores improved significantly between admission and discharge for children of all age groups, both genders, both traumatic and acquired etiologies, and in subgroups with limited responsiveness and no change on the WeeFIM cognitive domain. No age group had a floor or ceiling effect. Correlations with the WeeFIM were high. Factor analysis revealed 2 factors (basic responding and higher-level cognitive skills).
The CALS has strong psychometric properties across a wide range of ages, brain injury etiologies, and cognitive severity. The CALS can be used to track cognitive and linguistic recovery in children, adolescents, and young adults with brain injury during inpatient rehabilitation. (PsycINFO Database Record
在儿科康复环境中，由于年龄和脑损伤严重程度的差异，监测认知技能的恢复具有挑战性。认知与语言量表（CALS）是一种具有良好心理测量特性的测量工具，专为儿科住院康复护理设计。本研究在一个更大的独立样本中重新检验了CALS的信度和效度。
纳入2008年至2014年间因创伤性或获得性脑损伤首次住院康复而连续入住脑损伤住院设施的258名儿童（2至21岁）。在入院和出院时对CALS和儿童功能独立性测量量表（WeeFIM）进行评估。按年龄组（学龄前、学龄期、青少年或青年）、性别、病因（获得性与创伤性脑损伤）以及两个亚组分析CALS评分。
CALS的内部一致性较高。所有年龄组、男女两性、创伤性和获得性病因的儿童，以及在WeeFIM认知领域反应有限且无变化的亚组中，CALS总分和各项目得分在入院和出院之间均有显著改善。没有年龄组出现地板效应或天花板效应。与WeeFIM的相关性较高。因子分析揭示了两个因子（基本反应和高级认知技能）。
CALS在广泛的年龄、脑损伤病因和认知严重程度范围内具有强大的心理测量特性。CALS可用于跟踪脑损伤儿童、青少年和青年在住院康复期间的认知和语言恢复情况。（PsycINFO数据库记录）
