The assisting hand assessment: current evidence of validity, reliability, and responsiveness to change
The assisting hand assessment: current evidence of validity, reliability, and responsiveness to change
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DOI：
10.1111/j.1469-8749.2007.00259.x
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发表时间：
2007-04-01
影响因子：
3.8
通讯作者：
Eliasson, Ann-Christin
中科院分区：
文献类型：
--
作者：
Krumlinde-Sundholm, Lena;Holmefur, Marie;Eliasson, Ann-Christin
辅助手评估（AHA）为单侧上肢残疾儿童的手功能评估提供了新的视角。它测量所涉及的手实际用于双手活动的效率，对于这些孩子来说，这可能是他们手部功能的最重要方面。本文的目的是报告概念框架以及措施有效性、可靠性和对变化的响应能力的证据。此前，AHA 已针对 18 个月至 5 岁的儿童进行了评估，并证明了评估者间和评估者内的出色可靠性。本文报告了 AHA 措施的结构有效性和可靠性的进一步证据，涉及偏瘫脑瘫或产科臂丛神经麻痹儿童的更大年龄范围，从 18 个月到 12 岁（平均年龄 4 岁 11 个月 [SD 2 岁 9 摩尔范围 18 个月 - 12 岁 8 个月）。使用 Rasch 测量模型分析了 303 名儿童（170 名男性，133 名女性）的 409 项评估。该分析生成了一个量表，展示了可靠地分离和传播个人能力测量的巨大能力，表明了对变化的敏感性以及从简单到困难的项目层次结构。讨论了物品适合性、年龄和能力测量之间的关系以及辅助手功能的发展等方面。
The Assisting Hand Assessment (AHA) provides a new perspective of hand function evaluation relevant for children with unilateral upper limb disabilities. It measures how effectively the involved hand is actually used for bimanual activity, which, for these children, might be the most important aspect of their hand function. The aim of this paper is to report the conceptual framework and the Evidence for validity, reliability, and responsiveness to change for the measures. Previously, the AHA has been evaluated for children aged 18 months to 5 years and excellent inter- and intrarater reliability was demonstrated. This paper reports further evidence of construct validity and reliability for the AHA measures involving an extended age range of children with hemiplegic cerebral palsy or obstetric brachial plexus palsy from 18 months to 12 years of age (mean age 4y 11mo [SD 2y 9mol range 18mo-12Y 8mo). A Rasch measurement model was used to analyze 409 assessments from 303 children (170 males, 133 females). The analysis generated a scale demonstrating large capacity to reliably separate and spread personal ability measures, indicating sensitivity to change and a hierarchy of the items ranging them from easy to hard. Aspects of item fit, relationship between age and ability measures, and development of assisting hand function are discussed.