The Pediatric Measure of Participation (PMoP) short forms

Area of Science:

• Pediatric rehabilitation
• Outcomes assessment
• Spinal cord injury (SCI) research

Background:

• Assessing participation is crucial for children with spinal cord injury (SCI).
• Existing measures may not be suitable for all clinical situations.
• Development of shorter, validated instruments is needed.

Purpose of the Study:

• To develop and validate short forms (SFs) of participation for child- and parent-reported outcomes in pediatric SCI.
• To create tools that are practical for use in various clinical settings.

Main Methods:

• Multi-center cross-sectional cohort study involving three pediatric orthopedic hospitals.
• Expert panel utilized calibration data from a pediatric computerized adaptive test (CAT) development study.
• Selected items for two domains: self-relevant participation and friends-relevant participation, with child and parent versions.
• Conducted psychometric analyses including reliability, agreement, floor/ceiling effects, and test information function.

Main Results:

• Developed and validated short forms (SFs) for the Pediatric Measure of Participation (PMoP).
• Demonstrated acceptable group reliability (0.74-0.92) and strong agreement (0.89-0.95) between SFs and item banks.
• Reported minimal floor effects and acceptable ceiling effects across SCI severity levels (paraplegia/tetraplegia).

Conclusions:

• The Pediatric Measure of Participation (PMoP) SFs are psychometrically sound.
• These SFs are suitable for assessing participation outcomes in pediatric SCI when CATs are not feasible.