Cetin Sebahat Yaprak, Tonak Hasan Atacan, Kaya Kara Ozgun, Senol Hande, Kara Koray
Department of Physiotherapy and Rehabilitation, Akdeniz University, Antalya, Turkey
Occupational Therapy, University of Health Sciences Hamidiye Faculty of Health Sciences, Uskudar, İstanbul, Turkey.
BMJ Paediatr Open. 2025 Feb 22;9(1):e002879. doi: 10.1136/bmjpo-2024-002879.
The 'Children's Assessment of Participation with Hands (CAP-H)' scale is a parent report questionnaire that can be used to measure participation in life situations that require hand use for children with disabilities. The aim of this study was to examine the reliability of a Turkish version of the CAP-H scale in order to evaluate the hand participation of children with physical disabilities and compare them with typically developing children.
Evaluation was made of a total of 182 physically disabled children (8.53±3.94 years) and 90 typically developing children (9.40±3.04 years). The CAP-H scale was used to evaluate children's hand participation, compare with typically developing children and to examine the reliability of the Turkish version. Cronbach's alpha and intraclass correlation coefficients (ICCs) were evaluated for internal consistency and test-retest reliability, respectively.
Cronbach's alpha value used for all subscores was found to be excellent in all domains for internal consistency (Cronbach's α: 0.84-1). According to the test-retest reliability, it was found to be perfectly reliable in all domains (ICC: 0.81-1). There was a significant difference in all items of CAP-H (p=0.00) except for participation in self-care, frequency of recreational activities and frequency of educational domain in favour of typically developing children.
The results of this study demonstrated that the Turkish translation of CAP-H is a reliable evaluation for children's participation in life requiring hand use. In addition, hand participation of children with physical disabilities is lower compared with typically developing children.
“儿童手部参与评估（CAP - H）”量表是一份家长报告问卷，可用于测量残疾儿童在需要手部使用的生活情境中的参与度。本研究的目的是检验CAP - H量表土耳其语版本的信度，以评估肢体残疾儿童的手部参与情况，并与发育正常的儿童进行比较。
共评估了182名肢体残疾儿童（8.53±3.94岁）和90名发育正常的儿童（9.40±3.04岁）。使用CAP - H量表评估儿童的手部参与情况，与发育正常的儿童进行比较，并检验土耳其语版本的信度。分别评估了Cronbach's α系数和组内相关系数（ICC）以检验内部一致性和重测信度。
所有子分数的Cronbach's α值在所有领域的内部一致性方面都表现出色（Cronbach's α：0.84 - 1）。根据重测信度，在所有领域都发现其具有完美的可靠性（ICC：0.81 - 1）。除了自我护理参与度、娱乐活动频率和教育领域频率外，CAP - H的所有项目在有利于发育正常儿童方面存在显著差异（p = 0.00）。
本研究结果表明，CAP - H的土耳其语翻译对于评估儿童在需要手部使用的生活中的参与度是一种可靠的评估工具。此外，肢体残疾儿童的手部参与度低于发育正常的儿童。
