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
Hauptverfasser: 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
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container_end_page 710
container_issue 8
container_start_page 704
container_title Developmental medicine and child neurology
container_volume 53
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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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. 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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. 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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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