Improving the utility of the fine motor skills subscale of the comprehensive developmental inventory for infants and toddlers: a computerized adaptive test

doi:10.1080/09638288.2017.1356385

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Title:	Improving the utility of the fine motor skills subscale of the comprehensive developmental inventory for infants and toddlers: a computerized adaptive test
Authors:	Huang, Chien-Yu Tung, Li-Chen Chou, Yeh-Tai Chou, Willy Chen, Kuan-Lin Hsieh, Ching-Lin
Contributors:	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
Keywords:	Children fine motor skills computerized adaptive test Rasch model developmental delay
Date:	2018-11-06
Issue Date:	2019-11-15 15:48:22 (UTC+8)
Publisher:	TAYLOR & FRANCIS LTD
Abstract:	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.
???metadata.dc.relation.uri???:	http://dx.doi.org/10.1080/09638288.2017.1356385
Relation:	Physician and Sportsmedicine, v.40, n.23, pp.2803-2809
Appears in Collections:	[Dept. of Recreation and Health-Care Management] Periodical Articles

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