Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.
Child Care Health Dev. 2024 Sep;50(5):e13319. doi: 10.1111/cch.13319.
There is growing interest in client engagement in pediatric rehabilitation. This article investigated the psychometric properties of a measure of service providers' perceptions of the affective, cognitive and behavioural engagement of both children with disabilities and their parents in pediatric rehabilitation therapy sessions.
Test-retest reliability of the Pediatric Rehabilitation Intervention Measure of Engagement-Service Provider version (PRIME-SP) was examined using engagement ratings made by 60 service providers for 77 children and 73 parents. Construct validity was examined using the known-group validity technique, utilizing service providers' ratings of the engagement of parents and their children attending the same session with the service provider. We hypothesized that there would be significantly different, yet moderately correlated engagement ratings for children and their parents.
There was evidence of moderate test-retest reliability for the child ratings, indicative of dynamicity across occasions, but also a degree of consistency, as aligned with our expectations. Service providers' ratings of parent and child engagement were not significantly correlated and paired t-tests indicated significantly higher engagement scores for parents than children.
The study provides preliminary evidence to support the reliability and validity of the PRIME-SP as a tool for service providers to document, reflect on and monitor child and/or parent engagement.
人们对儿童康复中客户参与的兴趣日益浓厚。本文研究了一种衡量服务提供者对残疾儿童及其父母在儿童康复治疗过程中的情感、认知和行为参与的感知的测量工具的心理测量特性。
使用 60 名服务提供者对 77 名儿童和 73 名父母的参与度评分，检验了儿科康复干预措施参与度量表-服务提供者版本（PRIME-SP）的重测信度。采用已知群体有效性技术，利用服务提供者对同一治疗过程中父母和孩子的参与度评分，检验结构有效性。我们假设儿童和其父母的参与度评分会有显著的不同，但具有中度相关性。
儿童评分具有中等程度的重测信度，表明在不同场合具有动态性，但也具有一定的一致性，符合我们的预期。服务提供者对父母和孩子参与度的评分没有显著相关性，配对 t 检验表明父母的参与度评分显著高于孩子。
该研究为 PRIME-SP 作为服务提供者记录、反思和监测儿童和/或父母参与度的工具的可靠性和有效性提供了初步证据。
