Gross Motor Family Report: Refinement and evaluation of psychometric properties.
Dev Med Child Neurol
; 2024 Jul 30.
Article
en En
| MEDLINE
| ID: mdl-39080984
ABSTRACT
AIM:
To refine the Gross Motor Family Report (GM-FR) using parents' input and to evaluate its psychometric properties.METHOD:
In this measurement study, 12 parents of children and adolescents with cerebral palsy (CP), aged 2 to 18 years, classified in all levels of the Gross Motor Function Classification System (GMFCS), were interviewed about their experience completing the GM-FR (content validity). Parents' feedback was used to refine the measure which was then completed by 146 families to evaluate internal consistency, and discriminative and concurrent validity. Forty-six parents completed the GM-FR again, 7 to 30 days later, to evaluate test-retest reliability.RESULTS:
GM-FR scoring, pictures, descriptions, and the total number of items were revised based on parents' feedback. The GM-FR version 2.0 demonstrated high internal consistency (Cronbach's α = 0.99), no floor/ceiling effects, and excellent test-retest reliability (intraclass correlation coefficient = 0.99). GM-FR scores discriminated between GMFCS levels (p < 0.05) and were strongly negatively correlated with GMFCS level (r = -0.92; p < 0.001). GM-FR scores correlated positively and strongly with the Gross Motor Function Measure-66 (r = 0.94; p < 0.001) and the Pediatric Evaluation of Disability Inventory - Computer Adaptive Test mobility domain (r = 0.93; p < 0.001).INTERPRETATION:
Active participation of families in the GM-FR's development facilitated creation of a family-friendly instrument. This study provides strong evidence of reliability and validity to support GM-FR use in clinical practice and research for assessing gross motor performance of children and adolescents with CP.
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1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Dev Med Child Neurol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Brasil