Measuring function in young children with impairments
Pediatric Physical Therapy
Purpose: To determine the psychometric properties of a new functional assessment tool, the WeeFIM 0-3 instrument, intended to measure function in young children with physical, cognitive, or developmental impairments from birth to 3 years of age. Specific aims were to determine whether differences exist in WeeFIM 0-3 ratings in children with impairments as compared with those without, controlling for age and gender, and to determine the internal consistency, validity, and hierarchical properties of the instrument. Methods: Cross-sectional study of 173 children with impairments and 354 without impairments. Results: Controlling for age, children without impairments had significantly higher mean WeeFIM 0-3 ratings than children with impairments. There were no differences in mean ratings by gender. The instrument displayed high internal consistency, construct, and predictive validity; maintained a hierarchy of item difficulty; and discriminant properties. Conclusion: Further reliability studies are needed to determine the instrument sensitivity and ability to detect change over time. Copyright © 2010 Section on Pediatrics of the American Physical Therapy Association.
Child, Factor analysis, Functional assessment, Outcome assessment, Psychometrics
Niewczyk, Paulette M. and Granger, Carl V., "Measuring function in young children with impairments" (2010). Articles & Book Chapters. 344.