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Rehabilitation Practice and Science

Translated Title

學齡前兒童動作發展評估量表之初步研究：開發與驗證

Abstract

Many countries have developed comprehensive developmental motor assessment scale for preschool children (DMASPC). At present, there is no comprehensive gross motor and fine motor assessment scales for preschool children in Taiwan. The purpose of this study is to develop a DMASPC specifically for Taiwanese preschool children. This study is a cross-sectional study. One hundred and seventy-seven children with typical development (91 boys and 86 girls) were enrolled and received the DMASPC test. Fifty-four of the recruited children then received a second DMASPC test within the first week after recruitment, while the other 24 children were randomly selected and received clinical assessment of Peabody Developmental Motor Scales, Second Edition(PDMS-2). The DMASPC is divided into two parts: gross motor and fine motor. The gross motor assessment includes three domains: stability, locomotion and coordination. The fine motor assessment contains three domains: grasp, hand manipulation and visual-motor integration. This study used item response theory to determine the estimation of item difficulty, mean square error, item goodness-of-fit and the revision of the scale. In regards to reliability, Cronbach's α and the intra-class correlation coefficient were used to assess the internal consistency of the scale and the test-retest reliability respectively. In terms of validity, item contents were evaluated based on the expert validity in this study. The PDMS-2 was used as the criterion-related validity and correlation was evaluated using the Pearson correlation coefficient. Participants were classified into six age groups. ANOVA was used to compare the differences between each age group. After deleting items, the gross motor assessment has 108 items and an estimation of overall litem difficulty between -9.024 and 9.59. The fine motor assessment has 111 items and an estimation of overall litem difficulty between -7.056 and 6.85. The reliability results show that the internal consistency ranges from 0.937 to 0.989 and the test-retest reliability ranges from 0.975 to 0.993, indicating satisfactory consistency and stability respectively. In terms of validity, the expert validity is between 0.659 and 1.000 and the criterion-related validity of PDMS-2 is moderately to highly correlated with DMASPC(r= 0.735-0.984, p＜0.01). Comparing the average scores of different age groups, the scores for the gross motor, fine motor and overall motor functions are significantly different between each age group (p ＜0.01). In summary, the DMASPC has good reliability and validity and can distinguish the differences in motor development between age groups. This means that the scale is feasible in clinical practice. This study presents the preliminary results only and verification in the future requires further recruitment of subjects.

Language

Traditional Chinese

First Page

71

Last Page

80

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