Mini-MACS: development of the Manual Ability Classification System for children younger than 4 years of age with signs of cerebral palsy
Mini-MACS: development of the Manual Ability Classification System for children younger than 4 years of age with signs of cerebral palsy
复制标题
DOI：
10.1111/dmcn.13162
复制
发表时间：
2017-01-01
影响因子：
3.8
通讯作者：
Krumlinde-Sundholm, Lena
中科院分区：
文献类型：
--
作者：
Eliasson, Ann-Christin;Ullenhag, Anna;Krumlinde-Sundholm, Lena
目的 开发迷你手动能力分类系统（Mini-MACS），并评估当 4 岁以下儿童由父母和治疗师进行评级时，其评级的有效性和可靠性。 方法 Mini-MACS 是通过对 MACS 进行调整而创建的。该开发涉及试点项目、专家组内的共识讨论以及创建 Mini-MACS 测试版本，并对其内容有效性和参与者间可靠性进行评估。一名家长和两名职业治疗师对 61 名年龄在 12 至 51 个月（平均年龄 30.2 个月 [SD 10.1]）有脑瘫症状的儿童进行了方便样本分类，共进行了 64 项评估。使用组内相关系数 (ICC) 和一致百分比来评估家长和治疗师评分之间的一致性。 结果 MACS 中五个级别的第一句保留，但 Mini-MACS 中的其他描述进行了调整，以便与较年轻的年龄组更相关。父母和治疗师之间的 ICC 为 0.90（95% 置信区间 [CI] 0.79-0.92），两位治疗师之间的 ICC 为 0.97（95% CI 0.78-0.92）。大多数家长和治疗师发现 Mini-MACS 中的描述合适且易于理解。解释 Mini-MACS 似乎适用于 1 至 4 岁的儿童。
AIM To develop the Mini-Manual Ability Classification System (Mini-MACS) and to evaluate the extent to which its ratings are valid and reliable when children younger than 4 years are rated by their parents and therapists.METHOD The Mini-MACS was created by making adjustments to the MACS. The development involved a pilot project, consensus discussions within an expert group, and the creation of a test version of the Mini-MACS that was evaluated for content validity and interrater reliability. A convenience sample of 61 children with signs of cerebral palsy aged 12 to 51 months (mean age 30.2 mo [SD 10.1]) were classified by one parent and two occupational therapists across a total of 64 assessments. Agreement between the parents' and therapists' ratings was evaluated using the intraclass correlation coefficient (ICC) and the percentage of agreement.RESULTS The first sentence of the five levels in the MACS was kept, but other descriptions within the Mini-MACS were adjusted to be more relevant for the younger age group. The ICC between parents and therapists was 0.90 (95% confidence interval [CI] 0.79-0.92), and for the two therapists it was 0.97 (95% CI 0.78-0.92). Most parents and therapists found the descriptions in the Mini-MACS suitable and easy to understand.INTERPRETATION The Mini-MACS seems applicable for children from 1 to 4 years of age.