Habilitation & Health, Region Västra Götaland, Lövängsvägen 3, 549 49, Skövde, Sweden; Department of Health Sciences, Lund University, Box 117, 221 00, Lund, Sweden.
RISE Research Institutes of Sweden AB, Sven Hultins Plats 5, 412 58, Gothenburg, Sweden.
J Bodyw Mov Ther. 2024 Apr;38:464-473. doi: 10.1016/j.jbmt.2024.01.004. Epub 2024 Jan 20.
Persons on the autism spectrum exhibit poorer body awareness than neurotypical persons. Since movement quality may be regarded as an expression of body awareness, assessment of movement quality is important. Sound assessments of measurement properties are essential if reliable decisions about body awareness interventions for persons on the autism spectrum are to be made, but there is insufficient research.
To assess measurement properties of the Body Awareness Scale Movement Quality (BAS MQ) in an autism and a neurotypical reference group.
Persons on the autism spectrum (n=108) and neurotypical references (n=32) were included. All were assessed with BAS MQ. Data were analyzed according to the Rasch model.
BAS MQ was found to have acceptable unidimensionality, supported by the fit statistics. The hierarchical ordering showed that coordination ability was the most difficult, followed by stability and relating. Response category functioning worked as intended for 19 out of 23 items. There were few difficult items, which decreased targeting. Reliability measures were good. BAS MQ discriminated between the autism and the reference groups, with the autism group exhibiting poorer movement quality, reflecting clinical observations and previous research.
BAS MQ was found to have acceptable measurement properties, though suffering from problems with targeting item difficulty to person ability for persons on the autism spectrum. The BAS MQ may, along with experienced movement quality, contribute to clinically relevant information of persons on the autism spectrum, although we encourage refinements and further analyses to improve its measurement properties.
自闭症谱系障碍患者的身体意识比神经典型患者差。由于运动质量可以被视为身体意识的一种表现,因此评估运动质量很重要。如果要对自闭症谱系障碍患者的身体意识干预措施做出可靠的决策,就必须对测量特性进行可靠的评估,但目前这方面的研究还不够充分。
评估自闭症和神经典型参考组中身体意识量表运动质量(BAS MQ)的测量特性。
纳入自闭症患者(n=108)和神经典型参考者(n=32)。所有参与者均接受 BAS MQ 评估。根据 Rasch 模型进行数据分析。
BAS MQ 具有可接受的单维性,拟合统计数据也支持这一点。层次排序显示,协调能力是最难的,其次是稳定性和相关性。23 个项目中的 19 个项目的反应类别功能符合预期。困难项目较少,降低了目标人群的针对性。可靠性测量指标良好。BAS MQ 可区分自闭症组和参考组,自闭症组的运动质量较差,反映了临床观察和先前的研究结果。
BAS MQ 具有可接受的测量特性,但对于自闭症患者,其项目难度与个体能力的匹配存在问题。BAS MQ 可能与经验丰富的运动质量一起,为自闭症谱系障碍患者提供具有临床意义的信息,尽管我们鼓励进一步改进和分析以提高其测量特性。