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Measuring function in young children with impairments.

Paulette M Niewczyk1, Carl V Granger

  • 1Department of Rehabilitative Medicine, Center for Functional Assessment Research, and Uniform Data System for Medical Rehabilitation, University at Buffalo, State University of New York, Buffalo, New York, USA. pniewczyk@udsmr.org

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|February 10, 2010
PubMed
Summary
This summary is machine-generated.

The WeeFIM 0-3 instrument effectively measures function in young children, showing higher scores in unimpaired children. Further studies are needed to assess its reliability and sensitivity over time.

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Area of Science:

  • Pediatric Rehabilitation
  • Developmental Pediatrics
  • Functional Assessment

Background:

  • Early childhood functional assessment is crucial for identifying developmental needs.
  • The WeeFIM 0-3 instrument was developed to evaluate function in children from birth to 3 years.
  • Understanding the psychometric properties of new assessment tools is essential for clinical application.

Purpose of the Study:

  • To evaluate the psychometric properties of the WeeFIM 0-3 instrument.
  • To compare WeeFIM 0-3 scores between children with and without impairments, controlling for age and gender.
  • To assess the internal consistency, validity, and hierarchical structure of the WeeFIM 0-3.

Main Methods:

  • A cross-sectional study was conducted.
  • 173 children with impairments and 354 children without impairments participated.
  • Statistical analyses controlled for age and gender.

Main Results:

  • Children without impairments had significantly higher WeeFIM 0-3 ratings than those with impairments.
  • No significant differences in ratings were found based on gender.
  • The instrument demonstrated high internal consistency, construct validity, predictive validity, and discriminant properties, maintaining a hierarchy of item difficulty.

Conclusions:

  • The WeeFIM 0-3 instrument shows promising psychometric properties for assessing function in young children.
  • Further research is required to establish the instrument's reliability and its sensitivity to change over time.