A Modification to the Assessment of Problem-Solving in Play to Enhance Its Utility: Evaluation of Validity, Responsiveness, and Reliability.

Pediatr Phys Ther

Partnership for People with Disabilities, School of Education, Virginia Commonwealth University, Richmond, Virginia (Dr Molinini); Nebraska Center for Research on Children, Youth, Families and Schools, Nebraska Academy for Methodology, Analytics, and Psychometrics, University of Nebraska-Lincoln, Li

Published: October 2024


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Article Abstract

Purpose: This study investigated the psychometric properties of a 4-second interval scoring modification of the Assessment of Problem-Solving in Play (ie, Assessment of Problem-Solving in Play 4-second interval scoring [APSP-4]).

Methods: A total of 95 children (3-48 months) with or at high risk for neuromotor delay were assessed with the APSP-4 and Bayley Scales of Infant and Toddler Development-III (Bayley). APSP-4 and Bayley cognitive raw scores were compared by age (construct validity) and over time (responsiveness). Twenty percent of videos were scored twice for intra- and interrater reliability.

Results: The APSP-4 demonstrated excellent interrater (intraclass correlations [ICCs] ≥ 0.96) and intrarater (ICCs ≥ 0.99) reliability and performed similar to Bayley cognitive raw scores at different ages ( r s > 0.5), and over time ( r  = 0.81). The motor delay had similar effects on APSP-4 and Bayley scores.

Conclusions: Results support the validity and reliability evidence of the APSP-4 for use over time in tracking problem-solving skills in young children aged 3 to 48 months. Future research investigating clinical implementation of the APSP-4 is needed.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11446646PMC
http://dx.doi.org/10.1097/PEP.0000000000001123DOI Listing

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