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Updated: Aug 14, 2025

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Video-Conference-Based Graphomotor Examination for Children: A Validation Study
Rachel-Tzofia Sinvani1, Yafit Gilboa1
1Hebrew University of Jerusalem, Israel.
Background:
Telehealth can assist with providing accessible pediatric occupational therapy services.
Objectives:
This study aimed to investigate the acceptability, inter-rater reliability, and concurrent validity of the Gilboa Functional Test (GIFT) as a video-conference-based graphomotor examination for children (GIFT-Online).
Methodology:
A community-based sample of 157 children aged 3 to 7 years was screened using the GIFT-Online.
Findings:
Inter-rater reliability was excellent (r = 0.97; p < .001; n = 40). In addition, significant correlations were found between the total GIFT-Online scores and the Developmental Coordination Disorder Questionnaire 2007 (DCDQ'07), the Little DCDQ (LDCDQ) (r = 0.29, p < .001; n = 157), and the Drawing Proficiency Screening Questionnaire (DPSQ) (r = -0.35, p < .001; n = 157); demonstrating construct and concurrent validity. The online assessment was well received by parents and children.
Conclusions:
The GIFT-Online was found to be an acceptable method of assessing graphomotor performance. Our results support the validity and reliability of the GIFT-Online as a screening tool administered remotely, thereby overcoming physical distancing and travel restrictions.
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