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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/32291


    標題: Improving the utility of the fine motor skills subscale of the comprehensive developmental inventory for infants and toddlers: a computerized adaptive test
    作者: Huang, Chien-Yu
    Tung, Li-Chen
    Chou, Yeh-Tai
    Chou, Willy
    Chen, Kuan-Lin
    Hsieh, Ching-Lin
    貢獻者: I Shou Univ, Dept Occupat Therapy
    Natl Taiwan Univ, Coll Med, Sch Occupat Therapy
    Cheng Ching Gen Hosp, Chung Kang Branch, Dept Phys Med & Rehabil
    Chi Mei Med Ctr, Dept Phys Med & Rehabil
    Natl Taiwan Normal Univ, Res Ctr Psychol & Educ Testing
    Chia Nan Univ Pharm, Dept Recreat & Healthcare Management
    Natl Cheng Kung Univ, Coll Med, Dept Occupat Therapy
    Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Dept Phys Med & Rehabil
    Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil
    關鍵字: Children
    fine motor skills
    computerized adaptive test
    Rasch model
    developmental delay
    日期: 2018-11-06
    上傳時間: 2019-11-15 15:48:22 (UTC+8)
    出版者: TAYLOR & FRANCIS LTD
    摘要: Aim: This study aimed at improving the utility of the fine motor subscale of the comprehensive developmental inventory for infants and toddlers (CDIIT) by developing a computerized adaptive test of fine motor skills. Methods: We built an item bank for the computerized adaptive test of fine motor skills using the fine motor subscale of the CDIIT items fitting the Rasch model. We also examined the psychometric properties and efficiency of the computerized adaptive test of fine motor skills with simulated computerized adaptive tests. Results and conclusions: Data from 1742 children with suspected developmental delays were retrieved. The mean scores of the fine motor subscale of the CDIIT increased along with age groups (mean scores = 1.36-36.97). The computerized adaptive test of fine motor skills contains 31 items meeting the Rasch model's assumptions (infit mean square = 0.57-1.21, outfit mean square = 0.11-1.17). For children of 6-71 months, the computerized adaptive test of fine motor skills had high Rasch person reliability (average reliability >0.90), high concurrent validity (rs = 0.67-0.99), adequate to excellent diagnostic accuracy (area under receiver operating characteristic = 0.71-1.00), and large responsiveness (effect size = 1.05-3.93). The computerized adaptive test of fine motor skills used 48-84% fewer items than the fine motor subscale of the CDIIT. The computerized adaptive test of fine motor skills used fewer items for assessment but was as reliable and valid as the fine motor subscale of the CDIIT.
    link: http://dx.doi.org/10.1080/09638288.2017.1356385
    Appears in Collections:[休閒保健管理系(所)] 期刊論文

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