A Qualitative Observation Tool for Folding, Writing, and Cutting in School-Aged Children: Hands-On!

IF 2.3 3区医学 Q2 REHABILITATION

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-11-25 DOI:10.1177/00084174251397726

Leila Faber, Esther Hartman, Dagmar F A A Derikx, Maaike G A Steggink, Suzanne Houwen, Marina M Schoemaker

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引用次数: 0

Abstract

Background. Fine motor skills such as folding, writing, and cutting are daily activities of children, yet reliable, valid tools to qualitatively assess these skills remain limited. Purpose. To develop the Hands-On! observation tool and evaluate its reliability and validity in assessing fine motor skills in 5- to 10-year-old children. Method. Hands-On! was created using literature review and expert feedback to determine intratask components for folding, writing, and cutting. The sample included 178 typically developing children (M_age 8.06 ± 1.58 years, 47.8% boys). Inter- and intraobserver reliability were measured, alongside concurrent (duration and errors DCDDaily) and construct validity (age, sex) for each task. Findings. Moderate to very strong interobserver (folding 84.5%-84.9%, writing 81.8%-86.0%, cutting 75.4%-83.8%) and intraobserver reliability (folding 92.8%, writing 91.7%, cutting 93.7%) were found. Concurrent validity was supported by moderate to strong correlations between qualitative scores for folding (ρ_duration = 0.624, ρ_folds = -0.441) and cutting (ρ_duration = 0.335, ρ_errors = 0.377) with DCDDaily metrics, though no significant correlation was found for writing. Construct validity was supported for folding and cutting, with age and sex explaining 22.1% and 14.1% of the variance. Conclusion. Hands-On! is a reliable and valid qualitative observation tool for assessing fine motor skills in children, enhancing assessment practices, and informing effective interventions.

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学龄儿童折叠、书写和切割的定性观察工具：动手！

背景。诸如折叠、书写和切割等精细运动技能是儿童的日常活动，然而可靠、有效的定性评估这些技能的工具仍然有限。目的。培养动手能力！运用观察工具评估5 ~ 10岁儿童精细运动技能的信效度。方法。动手!使用文献回顾和专家反馈来确定折叠、书写和切割的内部任务组件。样本包括178名典型发育儿童（年龄8.06±1.58岁，男孩47.8%）。测量了观察者间和观察者内部的信度，以及每个任务的并发度（持续时间和错误DCDDaily）和结构效度（年龄，性别）。发现。观察者间（折叠84.5% ~ 84.9%，书写81.8% ~ 86.0%，切割75.4% ~ 83.8%）和观察者内信度（折叠92.8%，书写91.7%，切割93.7%）均为中等至非常强。折叠（ρduration = 0.624, ρfolds = -0.441）和切割（ρduration = 0.335, ρerrors = 0.377）的定性得分与DCDDaily指标具有中到强的相关性，但与写作的相关性不显著。折叠和切割的结构效度得到支持，年龄和性别分别解释22.1%和14.1%的方差。结论。动手!是一种可靠和有效的定性观察工具，用于评估儿童精细运动技能，加强评估实践，并告知有效的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie REHABILITATION-

CiteScore

2.80

自引率

11.10%

发文量

审稿时长

>12 weeks

期刊介绍： The Canadian Journal of Occupational Therapy was first published in September 1933. Since that time, it has fostered advancement and growth in occupational therapy scholarship. The mission of the journal is to provide a forum for leading-edge occupational therapy scholarship that advances theory, practice, research, and policy. The vision is to be a high-quality scholarly journal that is at the forefront of the science of occupational therapy and a destination journal for the top scholars in the field, globally.