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Development of an efficient computerized adaptive test measuring children's self-care performance.

Cheng-Te Chen1, Kuan-Lin Chen2, Chien-Yu Huang3

  • 1Institute of Learning Sciences and Technologies, National Tsing Hua University, No. 101, Section 2, Kuang-Fu Rd., Hsinchu 300, Taiwan, ROC.

Research in Developmental Disabilities
|February 4, 2025
PubMed
Summary
This summary is machine-generated.

A new caregiver-report Computerized Adaptive Test for Measuring Children's Self-care Performance (CAT-SC-T) efficiently assesses self-care in children with and without disabilities. This reliable and valid tool uses 10-16 items for accurate performance estimation.

Keywords:
ChildrenComputerized adaptive testSelf-care performance

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Area of Science:

  • Pediatric Health
  • Psychometrics
  • Child Development

Background:

  • The original Computerized Adaptive Test for Measuring Children's Self-care Performance (CAT-SC) utilized an interview approach, limiting its applicability.
  • A need existed for a more accessible and broadly applicable self-care assessment tool for children.

Purpose of the Study:

  • To develop and validate the CAT-SC-T, a caregiver-report version of the CAT-SC.
  • To adapt the CAT-SC for use with both typically developing children and those with disabilities.

Main Methods:

  • A cross-sectional study involving 1289 caregivers of children with and without disabilities.
  • Utilized the original CAT-SC item bank to develop the CAT-SC-T with a caregiver-report format.
  • Employed simulation analyses to determine optimal item administration and stopping rules.

Main Results:

  • The CAT-SC-T item bank comprises 69 unidimensional items.
  • Optimal assessment involves 10-16 items, achieving high reliability (person reliability >0.95 for 83.9% of children).
  • Demonstrated excellent concurrent validity (r=0.99) and good discriminant validity between children with and without disabilities.

Conclusions:

  • The CAT-SC-T is an efficient, reliable, and valid measure of children's self-care performance.
  • The CAT-SC-T is suitable for assessing self-care in a diverse pediatric population, including children with disabilities.
  • This caregiver-report tool enhances the accessibility and utility of the CAT-SC.