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From uncertainty to confidence: parental experiences of a parent-led, coaching-supported, home-based power mobility intervention for young children with cerebral palsy.

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Development and content validation of the power mobility training tool.

Lisa K Kenyon1, John P Farris2, Brett Cain1

  • 1a Department of Physical Therapy , Grand Valley State University , Grand Rapids , MI , USA.

Disability and Rehabilitation. Assistive Technology
|January 27, 2017
PubMed
Summary

The Power Mobility Training Tool (PMTT) aids therapists in creating power mobility programs for children with severe impairments. This validated observational tool helps assess and develop essential mobility skills.

Keywords:
Power mobilitypaediatricstraining tools

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Area of Science:

  • Rehabilitation Science
  • Pediatric Occupational Therapy
  • Assistive Technology

Background:

  • Power mobility devices offer significant functional benefits for children with multiple, severe impairments.
  • Therapists require structured tools to effectively develop and implement power mobility training programs.
  • Existing training approaches may lack standardization and comprehensive content for diverse user needs.

Purpose of the Study:

  • To outline the development and content validation of the Power Mobility Training Tool (PMTT).
  • To create an observational tool assisting therapists in designing power mobility training programs.
  • To support the acquisition of beginning power mobility skills in children with significant physical disabilities.

Main Methods:

  • Literature review and expert therapist consultation informed initial item generation.
  • Clinical trials, expert review, and refinement established item relevance and usability.
  • Content validity was assessed using qualitative and quantitative methods with an international expert panel, calculating Content Validity Ratios (CVR).

Main Results:

  • Ten of the original 19 items met minimum CVR requirements for the final PMTT.
  • Items concerning device maneuvering were consolidated.
  • A new item was added to assess the concurrent use of switches for device operation.

Conclusions:

  • The validated Power Mobility Training Tool (PMTT) can guide therapists in developing effective power mobility interventions.
  • The PMTT supports training for children using joysticks or switches, enhancing functional independence.
  • This tool offers a feasible approach for therapists, particularly those with limited experience, to implement power mobility training as part of a child's care plan.