Measuring Physical Function in Children With Airway Support: A Pilot Study Using Computer Adaptive Testing

Dev Neurorehabil. 2010;13(2):95-102. doi: 10.3109/17518420903386179.

Abstract

Objective: To assess the responsiveness, examine the scoring range and determine the efficiency of a multidimensional computer adaptive testing version of the Pediatric Evaluation of Disability Inventory (PEDI-MCAT) for children admitted to inpatient pulmonary rehabilitation.

Methods: The PEDI-MCAT was completed by clinician report for 30 infants and children. Mean self-care and mobility admission scores were compared with discharge scores for the total group and two diagnostic sub-groups (prematurity and congenital/neurological conditions). The scoring range of the mobility and self-care scales was examined to determine placement of the scores along the overall PEDI-MCAT scale. Efficiency was determined using an internal clock and average number of items required for score generation.

Results: Mean changes for the total group and both sub-groups were significant for both self-care and mobility, except for the prematurity group's mobility scores. Effect sizes were small-to-moderate. Scores for both groups were at the low end of the scoring ranges. Average time to complete the PEDI-MCAT was 1.57 minutes. Average number of items administered was nine for self-care and 11 for mobility.

Conclusion: The PEDI-MCAT was responsive to change in physical function, although only low-ability items were needed. The PEDI-MCAT can potentially minimize clinician burden in inpatient settings.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Computer Simulation*
  • Congenital Abnormalities / physiopathology*
  • Congenital Abnormalities / rehabilitation
  • Disability Evaluation*
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Inpatients
  • Male
  • Neuromuscular Diseases / complications
  • Neuromuscular Diseases / physiopathology*
  • Neuromuscular Diseases / rehabilitation
  • Pilot Projects
  • Pulmonary Ventilation
  • Reproducibility of Results
  • Respiration, Artificial* / methods
  • Respiratory System / physiopathology*
  • Self Care / methods