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Inter- and intra-interviewer reliability of Italian version of Pediatric Evaluation of Disability Inventory (I-PEDI)

M Murgia1, A Bernetti2, M Delicata2

  • 1Department of Physical Medicine and Rehabilitation, Azienda Policlinico Umberto I, Rome, Italy.

Annali Di Igiene : Medicina Preventiva E Di Comunita
|February 22, 2018
PubMed

Insights

The Italian version of the Pediatric Evaluation of Disability Inventory (PEDI-I) demonstrates excellent reliability and internal consistency for assessing children with spastic cerebral palsy (CP). This tool is recommended for evaluating treatment effectiveness in pediatric CP patients.

Area of Science:

  • Pediatric rehabilitation
  • Disability assessment
  • Clinical psychometrics

Background:

  • Childhood disabilities incur significant economic costs and impact well-being.
  • The Pediatric Evaluation of Disability Inventory (PEDI) assesses function in children aged 6 months to 7.5 years.
  • The PEDI includes Functional Skills Scales (FSS), Caregiver Assistance Scale (CAS), and Modifications Scale (MS).

Purpose of the Study:

  • To evaluate the measurement properties of the Italian version of the PEDI (PEDI-I).
  • To assess the reliability and internal consistency of PEDI-I in children with spastic cerebral palsy (CP).

Main Methods:

  • Translation and cross-cultural adaptation of the original PEDI into Italian.
  • Evaluation of internal consistency and test-retest reliability.
  • Recruitment of 58 children diagnosed with spastic cerebral palsy.

Main Results:

  • High inter-interviewer and intra-interviewer reproducibility for FSS and CAS domains (Intraclass Correlation Coefficient [ICC] values 0.92–1.00).
  • Excellent internal consistency across PEDI-I domains (Cronbach's alpha 0.94–0.99).
  • Standard Error of Measurement (SEM) values indicate minimal variability in scores.

Conclusions:

  • The PEDI-I exhibits very high reliability and internal consistency for both FSS and CAS domains.
  • PEDI-I is a reliable tool for assessing functional abilities in children with CP.
  • Recommended for evaluating treatment outcomes in pediatric patients with cerebral palsy.
Abstract

Keywords:
Cerebral palsyItalian translation and adaptationPediatric Evaluation Disability InventoryReliability

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