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Psychometric Testing of the Activity Measure for Post-Acute Care (AM-PAC) in the Pediatric Acute Care Setting
Katherine Denlinger1, Daniel L Young, Meghan Beier
1Department of Physical Therapy (Dr Denlinger and Ms Quinn), Johns Hopkins Children's Center, Baltimore, Maryland; Departments of Physical Medicine and Rehabilitation (Drs Young, Beier, Hoyer, and Kudchadkar and Mr Friedman), Division of General Internal Medicine, Department of Medicine (Dr Hoyer), Outcome After Critical Illness and Surgery (OACIS) Group (Drs Hoyer and Kudchadkar), Anesthesiology and Critical Care Medicine (Dr Kudchadkar), and Pediatrics (Dr Kudchadkar), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Physical Therapy (Dr Young), University of Nevada Las Vegas, Las Vegas, Nevada.
Purpose:
To determine interrater reliability and construct validity of the Activity Measure for Post-Acute Care (AM-PAC) Inpatient "6-clicks" Short Forms for children in acute care.
Methods:
Eight physical therapists (PTs) scored the AM-PAC Basic Mobility, 30-second walk test (30SWT), and Timed Up and Go (TUG) for 54 patients (4-17 years); 6 occupational therapists (OTs) scored the AM-PAC Daily Activity and handgrip dynamometry for 50 patients (5-17 years). Correlations between the AM-PAC Basic Mobility, 30SWT, and TUG and between the Daily Activity AM-PAC and handgrip dynamometry were calculated for evidence of construct validity.
Results:
Interrater reliability for the AM-PAC was excellent for PTs and OTs. Validity was strong to moderate for Basic Mobility when compared with the 30SWT and TUG. Daily Activity had weak correlation with mean left handgrip strength and no correlation with mean right handgrip strength.
Conclusions:
AM-PAC Short Forms have acceptable psychometrics for use among children in acute care.
