Article

OBJECTIVE: To evaluate the readability, comprehension and response processes of
test items designed to measure activity performance and participation by children
with spinal cord injury (SCI). METHODS: Eleven parents and 33 children
participated. Descriptive statistics were used to calculate frequency of problems
based on age, grade, domain and response scale. Agreement was evaluated by
weighted kappa coefficient values. RESULTS: Most (54%) of the problems were due
to reading/comprehension, with the majority by children 8 years of age or younger
(56%) who had not completed 2nd grade (51%). Agreement between child-parent
reports ranged from poor-good, with strongest agreement for mobility items and
weak agreement for chores, self-care and participation. CONCLUSION: Children with
SCI 8 years of age and older who have competed 2nd grade are able to read,
understand and respond to items associated with activity performance and
participation.

Langue : ANGLAIS