一种新的用于早期干预的手段-目的问题解决评估工具：有效性、可靠性和敏感性评估。
A Novel Means-End Problem-Solving Assessment Tool for Early Intervention: Evaluation of Validity, Reliability, and Sensitivity.
机构信息
Department of Physical Therapy (Drs Cunha and Lobo), Biomechanics and Movement Science Program, University of Delaware, Newark, Delaware; Department of Psychological Science (Dr Babik), Boise State University, Boise, Idaho; Nebraska Center for Research on Children, Youth, Families and Schools (Drs Koziol and Bovaird and Mr Nord), University of Nebraska-Lincoln, Lincoln, Nebraska; Department of Rehabilitation Medicine (Drs Hsu and Westcott-McCoy), University of Washington, Seattle, Washington; Department of Physical Therapy (Dr Harbourne), Duquesne University, Pittsburgh, Pennsylvania; Department of Physical Therapy (Dr Dusing), Virginia Commonwealth University, Richmond, Virginia.
出版信息
Pediatr Phys Ther. 2021 Jan 1;33(1):2-9. doi: 10.1097/PEP.0000000000000761.
PURPOSE
To evaluate validity, reliability, and sensitivity of the novel Means-End Problem-Solving Assessment Tool (MEPSAT).
METHODS
Children with typical development and those with motor delay were assessed throughout the first 2 years of life using the MEPSAT. MEPSAT scores were validated against the cognitive and motor subscales of the Bayley Scales of Development. Intra- and interrater reliability, developmental trends, and differences among groups were evaluated.
RESULTS
Changes in MEPSAT scores positively related to changes in Bayley scores across time for both groups of children. Strong intra- and interrater reliability was observed for MEPSAT scoring across all children. The MEPSAT was sensitive to identify change across time and differences in problem-solving among children with varying levels of motor delay.
CONCLUSIONS
The MEPSAT is supported by validity and reliability evidence and is a simple tool for screening early problem-solving delays and evaluating change across time in children with a range of developmental abilities. What this adds to the evidence: The novel MEPSAT is supported by validity and reliability evidence. It is sensitive to detect problem-solving differences among young children with varying motor ability and to capture changes in problem-solving across time. It requires minimal equipment and time to administer and score and, thus, is a promising tool for clinicians to screen for early problem-solving delays or to track intervention progress in young children with or at risk for problem-solving delays.
目的
评估新型手段-目的问题解决评估工具（MEPSAT）的有效性、可靠性和敏感性。
方法
使用 MEPSAT 对具有典型发育和运动发育迟缓的儿童进行评估，贯穿其生命的头 2 年。MEPSAT 评分与贝利发育量表的认知和运动分量表进行验证。评估了内部和外部评分者的可靠性、发展趋势以及组间差异。
结果
对于两组儿童，MEPSAT 评分的变化与随时间推移的贝利评分的变化呈正相关。对于所有儿童，MEPSAT 评分的内部和外部评分者可靠性均较强。MEPSAT 能够敏感地识别随时间的变化以及具有不同运动迟缓程度的儿童在问题解决方面的差异。
结论
MEPSAT 具有有效性和可靠性证据支持，是一种用于筛查早期问题解决延迟以及评估具有不同发育能力的儿童随时间变化的简单工具。
新增内容
新型 MEPSAT 具有有效性和可靠性证据支持。它能够敏感地检测具有不同运动能力的幼儿在问题解决方面的差异，并捕捉随时间的问题解决变化。它需要最少的设备和时间进行管理和评分，因此是临床医生筛查早期问题解决延迟或跟踪有或有问题解决延迟风险的幼儿干预进展的有前途的工具。
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