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Reliability and Validity of the Turkish Version of the ABILHAND-Kids Survey in Children with Cerebral Palsy
Ebru Şahin1, Banu Dilek1, Ali Karakaş1
1Department of Physical Medicine and Rehabilitation, Medicine Faculty of Dokuz Eylül University, Izmir, Turkey.
Insights
The Turkish ABILHAND-Kids survey effectively assesses upper extremity function in children with cerebral palsy (CP). This reliable and valid tool aids in evaluating manual ability for Turkish pediatric CP patients.
Area of Science:
- Pediatric Rehabilitation
- Clinical Assessment Tools
- Childhood Neurological Disorders
Background:
- Cerebral palsy (CP) significantly impacts upper extremity function in children.
- Standardized tools are crucial for assessing manual ability in pediatric CP populations.
- The ABILHAND-Kids survey is a recognized measure of upper limb function.
Purpose of the Study:
- To develop and validate a Turkish version of the ABILHAND-Kids Survey.
- To assess the reliability and validity of the Turkish ABILHAND-Kids Survey for children with CP.
- To establish a culturally adapted assessment tool for Turkish pediatric CP patients.
Main Methods:
- Inclusion of 109 pediatric CP patients (mean age 9.3 years).
- Administration of the Turkish ABILHAND-Kids and Manual Ability Classification System (MACS) surveys.
- Reliability testing using internal consistency (Cronbach's α) and test-retest (ICC).
- Validity assessment via Rasch analysis and correlation with MACS levels.
Main Results:
- High test-retest reliability (ICC=0.98) and internal consistency (Cronbach's α=0.94).
- Strong negative correlation between the Turkish ABILHAND-Kids and MACS (r=-0.849, p<0.001).
- Rasch analysis confirmed good item fit, unidimensionality, and model fit.
Conclusions:
- The Turkish version of the ABILHAND-Kids survey demonstrates excellent reliability and validity.
- This adapted tool is suitable for assessing manual ability in Turkish children with CP.
- The study provides a valuable resource for clinicians and researchers working with this population.
Objectives:
The aim of the present study is to develop a Turkish version of the ABILHAND-Kids Survey, which evaluates upper extremity function in children with cerebral palsy (CP), and to carry out a validity and reliability study of the survey for Turkish CP patients.
Materials And Methods:
Between November 2016 and March 2017, a total of 109 pediatric CP patients (62 males, 47 females; mean age 9.3±2.9 years; range, 6 to 15 years) followed in our outpatient clinic were included. The demographic characteristics and type of CP of the patients were recorded. A functional evaluation was made using the ABILHAND-Kids and Manual Ability Classification System (MACS) surveys. The reliability of the surveys was tested based on internal consistency (Cronbach's α) and test-retest (intraclass correlation coefficient [ICC]) methods. The validity of the approach was evaluated using converted scores from an ABILHAND-Kids Rasch analysis and a correlation of the MACS levels.
Results:
The ICC value for the test/retest reliability was 0.98 and internal consistency was 0.94. A strong negative correlation was found between the Turkish version of the ABILHAND-Kids and MACS surveys (r=-0.849; p<0.001). A Rasch analysis indicated good item fit, unidimensionality, and model fit.
Conclusion:
The Turkish version of the ABILHAND-Kids survey is a reliable and valid scale for the assessment of manual ability in Turkish children with CP.
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