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The Home Program Evaluation Questionnaire - HoPE-Q - for Infants with Hemiplegic Cerebral Palsy: Development and
Rena Chamudot1, Varda Gross-Tsur2,3, Roni Horovitz1
1a School of Occupational Therapy Faculty of Medicine , Hebrew University of Jerusalem , Jerusalem , Israel.
Physical & Occupational Therapy in Pediatrics
|June 11, 2019
Summary
A new tool, the Home Program Evaluation Questionnaire (HoPE-Q), effectively measures outcomes for infant hemiplegia home treatment programs. It demonstrates reliability and sensitivity in assessing child function and parent competence.
Area of Science:
- Pediatric Rehabilitation
- Developmental Pediatrics
- Clinical Assessment Tools
Background:
- Home-based treatment programs are crucial for infants with hemiplegia.
- Assessing the effectiveness of these interventions requires reliable outcome measures.
- Existing tools may not adequately capture the multifaceted outcomes of home-based therapies.
Purpose of the Study:
- To develop and validate the Home Program Evaluation Questionnaire (HoPE-Q).
- To assess the psychometric properties of the HoPE-Q for infants with hemiplegia.
- To establish HoPE-Q's suitability as an outcome measure for home intervention effectiveness.
Main Methods:
- The study involved three stages: item construction, reliability/construct validity analysis, and sensitivity testing.
- The HoPE-Q includes pre- and postintervention versions assessing Child's Function, Parents' Competence, Expectations, and Satisfaction.
- Psychometric properties including internal consistency, test-retest reliability, construct validity, and sensitivity to change were evaluated.
Main Results:
- HoPE-Q demonstrated moderate-to-high internal consistency (α = 0.65-0.85).
- High test-retest reliability was found for Child's Function (r=0.75) and Parents' Competence (r=0.76).
- Significant group differences and high sensitivity to change were observed in Child's Function and Parents' Competence (p ≤ 0.001).
Conclusions:
- Preliminary data support the validity and reliability of the HoPE-Q.
- The HoPE-Q is suitable as an outcome measure for home intervention programs in infants with hemiplegia.
- This tool provides a means to examine the effectiveness of such programs.
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