Molinini Rebecca M, Koziol Natalie A, Tripathi Tanya, Harbourne Regina T, McCoy Sarah Westcott, Lobo Michele A, Bovaird James, Dusing Stacey C
Motor Development Lab, Virginia Commonwealth University, Richmond, Virginia, USA.
Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, Nebraska, USA.
Phys Occup Ther Pediatr. 2021;41(4):390-409. doi: 10.1080/01942638.2020.1865501. Epub 2021 Feb 1.
There is a lack of evidence-based tools for measuring problem-solving in young children with motor delays. The purpose of this study was to evaluate the construct validity and responsiveness of the Assessment of Problem-Solving in Play.
125 young children (10.72, SD 2.62 months) with mild, moderate, and severe motor delays were assessed with the Bayley Scales of Infant and Toddler Development, Third Edition Cognitive Scale and the Assessment of Problem-Solving in Play up to 4 times over 12 months. The baseline and change over time assessment scores were compared.
The Assessment of Problem-Solving in Play was strongly, positively correlated with the Bayley Scales of Infant and Toddler Development, Third Edition Cognitive Scale raw scores at baseline (=.83, <.001) and for changes in scores across time (=.64, <.001). On average, participants demonstrated positive change in problem-solving scores across time. Participants with severe motor delay scored lower at baseline and changed less as compared to other participants.
Results provide evidence for the construct validity and responsiveness of the Assessment of Problem-Solving in Play scores in quantifying problem-solving in young children with motor delays 7-27 months of age.
缺乏用于测量运动发育迟缓幼儿问题解决能力的循证工具。本研究旨在评估游戏中问题解决能力评估工具的结构效度和反应性。
对125名年龄在7至27个月、存在轻度、中度和重度运动发育迟缓的幼儿，使用贝利婴幼儿发展量表第三版认知量表和游戏中问题解决能力评估工具进行评估，在12个月内评估多达4次。比较基线和随时间变化的评估分数。
游戏中问题解决能力评估工具与贝利婴幼儿发展量表第三版认知量表的基线原始分数（r =.83，p <.001）以及随时间的分数变化（r =.64，p <.001）呈强正相关。平均而言，参与者在问题解决分数上随时间呈现积极变化。与其他参与者相比，重度运动发育迟缓的参与者在基线时得分较低，变化也较小。
研究结果为游戏中问题解决能力评估工具分数在量化7至27个月运动发育迟缓幼儿的问题解决能力方面的结构效度和反应性提供了证据。
