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. 2022 May 23;102(7):pzac062. doi: 10.1093/ptj/pzac062

Table 2.

Primary Outcome Measures Pertaining to Aim 1a

Measure Administration Time Description Rationale for Use Psychometrics (if Applicable)
Bayley-4b 30–70 min Therapist administered, comprehensive developmental assessment for children aged 16 d to 42 mo
Includes 5 domains:
1. Cognitive
2. Language (receptive and
expressive communication
subdomains)
3. Motor (fine and gross motor
subdomains)
4. Social-emotional
5. Adaptive behavior (including
receptive, expressive, personal,
interpersonal relationships,
play and leisure subdomains)
1. Requires less time to administer
than previous versions
2. Recognizes and scores emerging
behaviors as well as behaviors that
are either mastered or not observed
3. Incorporates caregiver queries into
administration and scoring
Excellent reliability (>.93) of normative sample, increased sensitivity to detect children at risk of delay, and excellent correlation (r >.91) with the previous Bayley-3 version45
CEDL 10 min Caregiver-report measure to describe and evaluate children’s participation in family and recreational activities and self-care (feeding, dressing, bathing, and toileting)
Assesses frequency and enjoyment of participation and the degree to which the child participates in the self-care activities
1. Brevity
2. Ease of administration
3. Focus on caregiver-perceived
constructs of participation
4. Focus on ease of caregiving
Construct validity, internal consistency, and test–retest reliability in young children with CP (GMFCS levels I–V)64
YC-PEM 20 min Caregiver report measure evaluating the level of participation and qualities of the environment in which these activities take place
For children aged 0 to 5 y
Includes 3 sections:
1. Home
2. Daycare/preschool
3. Community
1. Adds multiple contexts of
participation
2. Assesses environmental
supportiveness within context
Construct validity, internal consistency, and test–retest reliability in children with developmental disabilities and delays (including children with CP)47
ALP ~10–20 min Therapist observational measure focused on the process of learning to use a powered mobility device
Defines 8 phases (ranging from novice to expert) within 3 learning stages: explore function (phases 1–3), explore sequence (phases 4–5), explore performance (phases 6–8)
Categories of observation with each phase: attention, activity and movement, understanding of tool use, expressions and emotions, and interaction and communication
1. Brevity
2. Ease of administration
3. Assesses progress of driving
capability throughout learning
among all learner groups
4. Provides facilitating strategies for
learners at each stage
5. Specifically created for powered
mobility device assessment
6. Assists in intervention
decision-making
Good content validity and qualitative credibility, transferability, and dependability for adults and children with disabilities who are learning powered mobility44

a Aim 1: to evaluate a power mobility intervention to promote developmental, activity, and participation outcomes of young children with CP. ALP = Assessment of Learning Powered mobility use; Bayley-3 = Bayley Scales of Infant Development—Third Edition; Bayley-4 = Bayley Scales of Infant Development—Fourth Edition; CEDL = Child Engagement in Daily Life; CP = cerebral palsy; GMFCS = Gross Motor Function Classification System; YC-PEM = Young Children’s Participation & Environment Measure.

b Indicates primary outcome.