Developing and validating the Communication Function Classification System for individuals with cerebral palsy
Aim The purpose of this study was to create and validate the Communication Function Classification System (CFCS) for children with cerebral palsy (CP), for use by a wide variety of individuals who are interested in CP. This paper reports the content validity, interrater reliability, and test–retest...
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Veröffentlicht in: | Developmental medicine and child neurology 2011-08, Vol.53 (8), p.704-710 |
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creator | HIDECKER, MARY JO COOLEY PANETH, NIGEL ROSENBAUM, PETER L KENT, RAYMOND D LILLIE, JANET EULENBERG, JOHN B CHESTER, JR, KEN JOHNSON, BRENDA MICHALSEN, LAUREN EVATT, MORGAN TAYLOR, KARA |
description | Aim The purpose of this study was to create and validate the Communication Function Classification System (CFCS) for children with cerebral palsy (CP), for use by a wide variety of individuals who are interested in CP. This paper reports the content validity, interrater reliability, and test–retest reliability of the CFCS for children with CP.
Method An 11‐member development team created comprehensive descriptions of the CFCS levels, and four nominal groups comprising 27 participants critiqued these levels. Within a Delphi survey, 112 participants commented on the clarity and usefulness of the CFCS. Interrater reliability was completed by 61 professionals and 68 parents/relatives who classified 69 children with CP aged 2 to 18 years. Test–retest reliability was completed by 48 professionals who allowed at least 2 weeks between classifications. The participants who assessed the CFCS were all relevant stakeholders: adults with CP, parents of children with CP, educators, occupational therapists, physical therapists, physicians, and speech–language pathologists.
Results The interrater reliability of the CFCS was 0.66 between two professionals and 0.49 between a parent and a professional. Professional interrater reliability improved to 0.77 for classification of children older than 4 years. The test–retest reliability was 0.82.
Interpretation The CFCS demonstrates content validity and shows very good test–retest reliability, good professional interrater reliability, and moderate parent–professional interrater reliability. Combining the CFCS with the Gross Motor Function Classification System and the Manual Ability Classification System contributes to a functional performance view of daily life for individuals with CP, in accordance with the World Health Organization’s International Classification of Functioning, Disability and Health. |
doi_str_mv | 10.1111/j.1469-8749.2011.03996.x |
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Method An 11‐member development team created comprehensive descriptions of the CFCS levels, and four nominal groups comprising 27 participants critiqued these levels. Within a Delphi survey, 112 participants commented on the clarity and usefulness of the CFCS. Interrater reliability was completed by 61 professionals and 68 parents/relatives who classified 69 children with CP aged 2 to 18 years. Test–retest reliability was completed by 48 professionals who allowed at least 2 weeks between classifications. The participants who assessed the CFCS were all relevant stakeholders: adults with CP, parents of children with CP, educators, occupational therapists, physical therapists, physicians, and speech–language pathologists.
Results The interrater reliability of the CFCS was 0.66 between two professionals and 0.49 between a parent and a professional. Professional interrater reliability improved to 0.77 for classification of children older than 4 years. The test–retest reliability was 0.82.
Interpretation The CFCS demonstrates content validity and shows very good test–retest reliability, good professional interrater reliability, and moderate parent–professional interrater reliability. Combining the CFCS with the Gross Motor Function Classification System and the Manual Ability Classification System contributes to a functional performance view of daily life for individuals with CP, in accordance with the World Health Organization’s International Classification of Functioning, Disability and Health.</description><identifier>ISSN: 0012-1622</identifier><identifier>EISSN: 1469-8749</identifier><identifier>DOI: 10.1111/j.1469-8749.2011.03996.x</identifier><identifier>PMID: 21707596</identifier><identifier>CODEN: DMCNAW</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adults ; Allied Health Personnel ; Cerebral Palsy ; Cerebral Palsy - classification ; Cerebral Palsy - complications ; Cerebral Palsy - diagnosis ; Child ; Child, Preschool ; Children ; Classification ; Communication ; Communication Disorders - diagnosis ; Communication Disorders - etiology ; Communication Skills ; Delphi Technique ; Disability Evaluation ; Female ; Humans ; Interrater Reliability ; Male ; Motor Activity - physiology ; Parent-Child Relations ; Parents ; Psychomotor Performance - physiology ; Reproducibility of Results ; Speech Language Pathology ; Test Construction ; Test Reliability ; Test Validity ; Validity</subject><ispartof>Developmental medicine and child neurology, 2011-08, Vol.53 (8), p.704-710</ispartof><rights>The Authors. Developmental Medicine & Child Neurology © 2011 Mac Keith Press</rights><rights>The Authors. Developmental Medicine & Child Neurology © 2011 Mac Keith Press.</rights><rights>Copyright Blackwell Publishing Ltd. Aug 2011</rights><rights>Mac Keith Press 2011 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5056-b2f0ab9c74992ab73b8e88194bcaf85605d51059860d1377a23dbabe1c1ae5d83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1469-8749.2011.03996.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1469-8749.2011.03996.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ931185$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21707596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HIDECKER, MARY JO COOLEY</creatorcontrib><creatorcontrib>PANETH, NIGEL</creatorcontrib><creatorcontrib>ROSENBAUM, PETER L</creatorcontrib><creatorcontrib>KENT, RAYMOND D</creatorcontrib><creatorcontrib>LILLIE, JANET</creatorcontrib><creatorcontrib>EULENBERG, JOHN B</creatorcontrib><creatorcontrib>CHESTER, JR, KEN</creatorcontrib><creatorcontrib>JOHNSON, BRENDA</creatorcontrib><creatorcontrib>MICHALSEN, LAUREN</creatorcontrib><creatorcontrib>EVATT, MORGAN</creatorcontrib><creatorcontrib>TAYLOR, KARA</creatorcontrib><title>Developing and validating the Communication Function Classification System for individuals with cerebral palsy</title><title>Developmental medicine and child neurology</title><addtitle>Dev Med Child Neurol</addtitle><description>Aim The purpose of this study was to create and validate the Communication Function Classification System (CFCS) for children with cerebral palsy (CP), for use by a wide variety of individuals who are interested in CP. This paper reports the content validity, interrater reliability, and test–retest reliability of the CFCS for children with CP.
Method An 11‐member development team created comprehensive descriptions of the CFCS levels, and four nominal groups comprising 27 participants critiqued these levels. Within a Delphi survey, 112 participants commented on the clarity and usefulness of the CFCS. Interrater reliability was completed by 61 professionals and 68 parents/relatives who classified 69 children with CP aged 2 to 18 years. Test–retest reliability was completed by 48 professionals who allowed at least 2 weeks between classifications. The participants who assessed the CFCS were all relevant stakeholders: adults with CP, parents of children with CP, educators, occupational therapists, physical therapists, physicians, and speech–language pathologists.
Results The interrater reliability of the CFCS was 0.66 between two professionals and 0.49 between a parent and a professional. Professional interrater reliability improved to 0.77 for classification of children older than 4 years. The test–retest reliability was 0.82.
Interpretation The CFCS demonstrates content validity and shows very good test–retest reliability, good professional interrater reliability, and moderate parent–professional interrater reliability. Combining the CFCS with the Gross Motor Function Classification System and the Manual Ability Classification System contributes to a functional performance view of daily life for individuals with CP, in accordance with the World Health Organization’s International Classification of Functioning, Disability and Health.</description><subject>Adolescent</subject><subject>Adults</subject><subject>Allied Health Personnel</subject><subject>Cerebral Palsy</subject><subject>Cerebral Palsy - classification</subject><subject>Cerebral Palsy - complications</subject><subject>Cerebral Palsy - diagnosis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Classification</subject><subject>Communication</subject><subject>Communication Disorders - diagnosis</subject><subject>Communication Disorders - etiology</subject><subject>Communication Skills</subject><subject>Delphi Technique</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Humans</subject><subject>Interrater Reliability</subject><subject>Male</subject><subject>Motor Activity - physiology</subject><subject>Parent-Child Relations</subject><subject>Parents</subject><subject>Psychomotor Performance - physiology</subject><subject>Reproducibility of Results</subject><subject>Speech Language Pathology</subject><subject>Test Construction</subject><subject>Test Reliability</subject><subject>Test Validity</subject><subject>Validity</subject><issn>0012-1622</issn><issn>1469-8749</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFksmO1DAQhi0EYpqBN0DI4jKnBJcdbxcklNlAAxyAs-U4zrRbidNk6Zl-e5xZmuWCfXC5_k-lKvtHCAPJIa13mxwKoTMlC51TApATprXIb5-g1UF4ilaEAM1AUHqEXozjhhDCBC-eoyMKkkiuxQrFU7_zbb8N8RrbWOOdbUNtp-U6rT0u-66bY3Ap00d8Pkd3F5StHcfQPOa_7cfJd7jpBxxiHXahnm074pswrbHzg68G2-JtSu1fomdNOv2rh_MY_Tg_-15eZldfLz6WH64yxwkXWUUbYivt0hia2kqySnmlQBeVs43igvCaA-FaCVIDk9JSVle28uDAel4rdoze39fdzlXna-fjlHow2yF0dtib3gbztxLD2lz3O8OAEal1KnDyUGDof85-nEwXRufb1kbfz6PRRFLGQMB_SaWKtAWViXz7D7np5yGmd0gQSKGF4Al682fnh5YfvywBr-8BPwR3kM8-aQag-O_Jb0Lr9wcdiFmcYzZmMYhZDGIW55g755hbc_q5_LKE7Bc50riH</recordid><startdate>201108</startdate><enddate>201108</enddate><creator>HIDECKER, MARY JO COOLEY</creator><creator>PANETH, NIGEL</creator><creator>ROSENBAUM, PETER L</creator><creator>KENT, RAYMOND D</creator><creator>LILLIE, JANET</creator><creator>EULENBERG, JOHN B</creator><creator>CHESTER, JR, KEN</creator><creator>JOHNSON, BRENDA</creator><creator>MICHALSEN, LAUREN</creator><creator>EVATT, MORGAN</creator><creator>TAYLOR, KARA</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Mac Keith Press</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201108</creationdate><title>Developing and validating the Communication Function Classification System for individuals with cerebral palsy</title><author>HIDECKER, MARY JO COOLEY ; PANETH, NIGEL ; ROSENBAUM, PETER L ; KENT, RAYMOND D ; LILLIE, JANET ; EULENBERG, JOHN B ; CHESTER, JR, KEN ; JOHNSON, BRENDA ; MICHALSEN, LAUREN ; EVATT, MORGAN ; TAYLOR, KARA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5056-b2f0ab9c74992ab73b8e88194bcaf85605d51059860d1377a23dbabe1c1ae5d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adults</topic><topic>Allied Health Personnel</topic><topic>Cerebral Palsy</topic><topic>Cerebral Palsy - classification</topic><topic>Cerebral Palsy - complications</topic><topic>Cerebral Palsy - diagnosis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Classification</topic><topic>Communication</topic><topic>Communication Disorders - diagnosis</topic><topic>Communication Disorders - etiology</topic><topic>Communication Skills</topic><topic>Delphi Technique</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Humans</topic><topic>Interrater Reliability</topic><topic>Male</topic><topic>Motor Activity - physiology</topic><topic>Parent-Child Relations</topic><topic>Parents</topic><topic>Psychomotor Performance - physiology</topic><topic>Reproducibility of Results</topic><topic>Speech Language Pathology</topic><topic>Test Construction</topic><topic>Test Reliability</topic><topic>Test Validity</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HIDECKER, MARY JO COOLEY</creatorcontrib><creatorcontrib>PANETH, NIGEL</creatorcontrib><creatorcontrib>ROSENBAUM, PETER L</creatorcontrib><creatorcontrib>KENT, RAYMOND D</creatorcontrib><creatorcontrib>LILLIE, JANET</creatorcontrib><creatorcontrib>EULENBERG, JOHN B</creatorcontrib><creatorcontrib>CHESTER, JR, KEN</creatorcontrib><creatorcontrib>JOHNSON, BRENDA</creatorcontrib><creatorcontrib>MICHALSEN, LAUREN</creatorcontrib><creatorcontrib>EVATT, MORGAN</creatorcontrib><creatorcontrib>TAYLOR, KARA</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Developmental medicine and child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HIDECKER, MARY JO COOLEY</au><au>PANETH, NIGEL</au><au>ROSENBAUM, PETER L</au><au>KENT, RAYMOND D</au><au>LILLIE, JANET</au><au>EULENBERG, JOHN B</au><au>CHESTER, JR, KEN</au><au>JOHNSON, BRENDA</au><au>MICHALSEN, LAUREN</au><au>EVATT, MORGAN</au><au>TAYLOR, KARA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ931185</ericid><atitle>Developing and validating the Communication Function Classification System for individuals with cerebral palsy</atitle><jtitle>Developmental medicine and child neurology</jtitle><addtitle>Dev Med Child Neurol</addtitle><date>2011-08</date><risdate>2011</risdate><volume>53</volume><issue>8</issue><spage>704</spage><epage>710</epage><pages>704-710</pages><issn>0012-1622</issn><eissn>1469-8749</eissn><coden>DMCNAW</coden><abstract>Aim The purpose of this study was to create and validate the Communication Function Classification System (CFCS) for children with cerebral palsy (CP), for use by a wide variety of individuals who are interested in CP. This paper reports the content validity, interrater reliability, and test–retest reliability of the CFCS for children with CP.
Method An 11‐member development team created comprehensive descriptions of the CFCS levels, and four nominal groups comprising 27 participants critiqued these levels. Within a Delphi survey, 112 participants commented on the clarity and usefulness of the CFCS. Interrater reliability was completed by 61 professionals and 68 parents/relatives who classified 69 children with CP aged 2 to 18 years. Test–retest reliability was completed by 48 professionals who allowed at least 2 weeks between classifications. The participants who assessed the CFCS were all relevant stakeholders: adults with CP, parents of children with CP, educators, occupational therapists, physical therapists, physicians, and speech–language pathologists.
Results The interrater reliability of the CFCS was 0.66 between two professionals and 0.49 between a parent and a professional. Professional interrater reliability improved to 0.77 for classification of children older than 4 years. The test–retest reliability was 0.82.
Interpretation The CFCS demonstrates content validity and shows very good test–retest reliability, good professional interrater reliability, and moderate parent–professional interrater reliability. Combining the CFCS with the Gross Motor Function Classification System and the Manual Ability Classification System contributes to a functional performance view of daily life for individuals with CP, in accordance with the World Health Organization’s International Classification of Functioning, Disability and Health.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21707596</pmid><doi>10.1111/j.1469-8749.2011.03996.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adults Allied Health Personnel Cerebral Palsy Cerebral Palsy - classification Cerebral Palsy - complications Cerebral Palsy - diagnosis Child Child, Preschool Children Classification Communication Communication Disorders - diagnosis Communication Disorders - etiology Communication Skills Delphi Technique Disability Evaluation Female Humans Interrater Reliability Male Motor Activity - physiology Parent-Child Relations Parents Psychomotor Performance - physiology Reproducibility of Results Speech Language Pathology Test Construction Test Reliability Test Validity Validity |
title | Developing and validating the Communication Function Classification System for individuals with cerebral palsy |
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