Levy-Dayan Hana, Josman Naomi, Rosenblum Sara
Ministry of Education, Northern District, 15 Palyam Blvd, Haifa 33095, Israel.
The Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Mount Carmel, Haifa 3498838, Israel.
Children (Basel). 2023 Mar 5;10(3):514. doi: 10.3390/children10030514.
This preliminary study aims to demonstrate the reliability and validity of the adapted Do-Eat Basic activities of daily living (BADL) assessment for children with autism spectrum disorder (ASD). Participants were 53 children ages 6-10 years: 17 diagnosed with high-severity ASD (HS-ASD) and 16 with low-severity ASD according to the DSM-5 and based on the CARS-2, and 20 controls with typical development. Measurement tools were the adapted Do-Eat Washy (Washy), Participation in Childhood Occupations Questionnaire (PICO-Q), and Pediatric Evaluation of Disability Inventory (PEDI). The Washy domains exhibited high internal consistency (α = 0.841-0.856). Significant differences were found between the HS-ASD and other groups in the Washy domains, exhibiting discriminant validity. The Washy convergent and concurrent validity indicated good results. A highly substantial negative correlation was shown between the Washy and three PICO-Q ADL difficulty-in-performance items ( < 0.001): bathing (-0.550), hygiene (-0.571), and handwashing (-0.733). The Washy performance scores and the PEDI total score demonstrated a strong correlation. ( = 0.799, < 0.001). Primary results indicate that, following further research on larger representative samples, the Washy may be a reliable and valid tool for assessing BADL among children with ASD.
这项初步研究旨在证明针对自闭症谱系障碍（ASD）儿童改编的“饮食日常生活基本活动”（BADL）评估的可靠性和有效性。参与者为53名6至10岁的儿童：根据《精神疾病诊断与统计手册》第5版（DSM - 5）并基于儿童孤独症评定量表第二版（CARS - 2），其中17名被诊断为高严重程度ASD（HS - ASD），16名被诊断为低严重程度ASD，另外20名是发育正常的对照组。测量工具包括改编后的“饮食洗漱”（Washy）、儿童职业参与问卷（PICO - Q）和儿童残疾评定量表（PEDI）。Washy各领域表现出较高的内部一致性（α = 0.841 - 0.856）。在Washy各领域中，HS - ASD组与其他组之间存在显著差异，显示出判别效度。Washy的收敛效度和同时效度表明结果良好。Washy与PICO - Q中三项ADL执行困难项目之间呈现高度显著的负相关（<0.001）：洗澡（-0.550）、卫生（-0.571）和洗手（-0.733）。Washy的表现得分与PEDI总分显示出强相关性（= 0.799，<0.001）。初步结果表明，在对更大规模代表性样本进行进一步研究之后，Washy可能是评估ASD儿童BADL的可靠且有效的工具。
