Mari Naaris, Marco Konings, Inti Vanmechelen, Douwe Ravers, Els Ortibus, Elegast Monbaliu
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Inter- and intra-rater reliability of the WST were assessed with intraclass correlation coefficients (ICC) (<i>n</i> = 4).</p><p><strong>Results: </strong>The WST-Q caregiver proxy showed good concurrent validity with WST total scores (<i>r</i> = 0.623, <i>p</i> < 0.001). No acceptable responsiveness was found for the WST-Q caregiver proxy (<i>R</i><sup>2</sup> = 0.317, <i>p</i> = 0.071). Inter-rater reliability for the WST total scores was good (ICC = 0.864, <i>p</i> < 0.001); and intra-rater reliability ranged from good to excellent (Rater 1 ICC = 0.857; Rater 2 ICC = 0.904; Rater 3 ICC = 0.923, all <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The WST-Q caregiver proxy appears to be valid for assessing levels of wheelchair skills in children and young adults with CP, however, it lacks suitability to measure intervention effects due to its poor responsiveness. The WST appears reliable for measuring wheelchair skills in young adults with CP.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7000,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Psychometric Properties of the Wheelchair Skills Test and the Wheelchair Skills Test-Questionnaire: Validity, Reliability, and Responsiveness in Children and Young Adults With Cerebral Palsy-Exploratory Study.\",\"authors\":\"Mari Naaris, Marco Konings, Inti Vanmechelen, Douwe Ravers, Els Ortibus, Elegast Monbaliu\",\"doi\":\"10.1080/01942638.2025.2555273\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To explore the concurrent validity and responsiveness of the Wheelchair Skills Test-Questionnaire (WST-Q) caregiver proxy, and the inter- and intra-rater reliability of the Wheelchair Skills Test (WST) in children and young adults with cerebral palsy (CP).</p><p><strong>Methods: </strong>Concurrent validity and responsiveness of the WST-Q caregiver proxy were assessed in 12 participants with CP (mean age 15 years; SD: 3 years 6 months); power wheelchair users. Concurrent validity of the WST-Q was determined using Pearson's correlation coefficients, and responsiveness with linear regression. Inter- and intra-rater reliability of the WST were assessed with intraclass correlation coefficients (ICC) (<i>n</i> = 4).</p><p><strong>Results: </strong>The WST-Q caregiver proxy showed good concurrent validity with WST total scores (<i>r</i> = 0.623, <i>p</i> < 0.001). No acceptable responsiveness was found for the WST-Q caregiver proxy (<i>R</i><sup>2</sup> = 0.317, <i>p</i> = 0.071). Inter-rater reliability for the WST total scores was good (ICC = 0.864, <i>p</i> < 0.001); and intra-rater reliability ranged from good to excellent (Rater 1 ICC = 0.857; Rater 2 ICC = 0.904; Rater 3 ICC = 0.923, all <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The WST-Q caregiver proxy appears to be valid for assessing levels of wheelchair skills in children and young adults with CP, however, it lacks suitability to measure intervention effects due to its poor responsiveness. The WST appears reliable for measuring wheelchair skills in young adults with CP.</p>\",\"PeriodicalId\":49138,\"journal\":{\"name\":\"Physical & Occupational Therapy in Pediatrics\",\"volume\":\" \",\"pages\":\"1-17\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-09-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physical & Occupational Therapy in Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/01942638.2025.2555273\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physical & Occupational Therapy in Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/01942638.2025.2555273","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
摘要
目的:探讨轮椅技能测验问卷(WST- q)照顾者代理的并发效度和反应性,以及轮椅技能测验(WST)在脑瘫儿童和青年患者(CP)中的信度和信度。方法:对12名CP患者(平均年龄15岁,标准差3年6个月)进行WST-Q照顾者代理的并发效度和反应性评估;电动轮椅使用者。使用Pearson相关系数确定WST-Q的并发效度,并使用线性回归确定响应性。用类内相关系数(ICC)评估WST的组间和组内信度(n = 4)。结果:WST- q照顾者代理量表与WST总分具有良好的并发效度(r = 0.623, p R2 = 0.317, p = 0.071)。结论:WST- q照护者代理量表对于评估儿童和青年CP患者的轮椅技能水平是有效的,但由于其反应性较差,在衡量干预效果方面缺乏适用性。WST在测量年轻CP患者的轮椅技能方面似乎是可靠的。
Psychometric Properties of the Wheelchair Skills Test and the Wheelchair Skills Test-Questionnaire: Validity, Reliability, and Responsiveness in Children and Young Adults With Cerebral Palsy-Exploratory Study.
Purpose: To explore the concurrent validity and responsiveness of the Wheelchair Skills Test-Questionnaire (WST-Q) caregiver proxy, and the inter- and intra-rater reliability of the Wheelchair Skills Test (WST) in children and young adults with cerebral palsy (CP).
Methods: Concurrent validity and responsiveness of the WST-Q caregiver proxy were assessed in 12 participants with CP (mean age 15 years; SD: 3 years 6 months); power wheelchair users. Concurrent validity of the WST-Q was determined using Pearson's correlation coefficients, and responsiveness with linear regression. Inter- and intra-rater reliability of the WST were assessed with intraclass correlation coefficients (ICC) (n = 4).
Results: The WST-Q caregiver proxy showed good concurrent validity with WST total scores (r = 0.623, p < 0.001). No acceptable responsiveness was found for the WST-Q caregiver proxy (R2 = 0.317, p = 0.071). Inter-rater reliability for the WST total scores was good (ICC = 0.864, p < 0.001); and intra-rater reliability ranged from good to excellent (Rater 1 ICC = 0.857; Rater 2 ICC = 0.904; Rater 3 ICC = 0.923, all p < 0.001).
Conclusions: The WST-Q caregiver proxy appears to be valid for assessing levels of wheelchair skills in children and young adults with CP, however, it lacks suitability to measure intervention effects due to its poor responsiveness. The WST appears reliable for measuring wheelchair skills in young adults with CP.
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