Measuring movement skill perceptions in preschool children: A face validity and reliability study.

BACKGROUND/AIM: The aim of this study was to determine the face validity and the reliability of a pictorial scale to assess preschool children's perceived movement skills. METHODS: The pictorial scale examines the perceptions of the 12 fundamental movement skills presented in the Test of Gross Motor Development-2 (six locomotor and six object control skills) and six active play skills (e.g. cycling). A total of 91 Australian children aged four to five years from 14 preschools completed the scale on two occasions to determine test-retest reliability. Internal consistency was determined for all 18 items and for each subscale. After the second test, participants were asked open-ended questions to gain insight into their understanding of what was happening in the pictures to determine the face validity. RESULTS: Overall, children demonstrated a better understanding of object control and play skills compared to locomotor skills. Test-retest reliability values were good for object control (intra-class correlation, ICC = 0.75), locomotor (ICC = 0.78), active play skills (ICC = 0.80) and all 18 skills combined (ICC = 0.77). Internal consistency was acceptable for locomotor (Test 1 0.64, Test 2 0.75), object control (0.71, 0.76), active play skills (0.76, 0.74) and for all 18 skills combined (0.88, 0.90). CONCLUSIONS: Overall, this instrument demonstrated an acceptable reliability in preschool children and has provided preliminary information for examining the perceptions of movement skills. This age group presents a key target area for occupational therapists, who can assist preschool children to further develop fundamental movement skills, integrate these skills in their roles and occupations and increase engagement in meaningful physical activity in the long term.

Hearing Loss in Children: Critical Medical Education Delivered as Massive Open Online Course (MOOC).

Purpose: Although early identification of pediatric hearing loss is crucial, a formal online training course has not been freely accessible to a global audience. In response, we created a novel course for health professionals worldwide. Method: Course development occurred from February 2019 to May 2020. Seventeen multidisciplinary experts provided video lectures and demonstrations, including a tour of ear anatomy, operating footage of cochlear implant insertion, and demonstrations of children undergoing hearing testing. Content also included steps for interpreting audiograms, an overview of early screening programs, interviews with Deaf/Hard of Hearing children, and an introduction to public health/educational infrastructure. The course was hosted on Coursera and launched on May 4, 2020. Results: The course was approved for 11.5 Continuing Medical Education (CME) and American Board of Pediatrics Maintenance of Certification (MOC)-Part 2 credits and spanned five modules comprised of 50 video learning segments: 1) Ear Anatomy, 2) Hearing Loss and Assessments, 3) Hearing Loss Diagnosis and Impact on Speech and Language Development, 4) Interventions for Hearing Loss, 5) Pediatric Vestibular System and Balance. Since its launch, 6,556 learners have enrolled and 1,540 have fully completed the course; Fifty percent were 25-34 years old, 62% were female, and 43% were from Asia. Average rating was 4.9/5 (n=180 reviews). Conclusions: We created a freely accessible course for a global audience that provides a broad overview of pediatric hearing loss. Our multidisciplinary approach addresses an educational gap and can serve as a model for developing other online courses.