The Infant Toddler Activity Card Sort: A Caregiver Report Measure of Children's Occupational Engagement in Family Activities and Routines.
Catherine R Hoyt, Jianna D Fernandez, Taniya E Varughese and 5 others
PMID 31161868WHAT IT FOUND
Caregivers of infants and toddlers helped build a picture card set for talking about daily family activities.
Occupational therapists are the intended users, but the measure has not yet been tested in outcome studies.
Key findings
01Caregivers described 336 activities; 61 met the inclusion threshold, and the final validated set contains 40 activity photographs.
02All 10 experts who completed validation were occupational therapists, with an average of 27 years of pediatric practice experience.
03The authors say the study established content validity and that future work is needed to determine the measure's psychometric properties.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The caregiver sample was small and mostly white and highly educated, so the activities may not represent all families. The online survey included a list of activities, which may have made caregivers more likely to endorse listed activities. Caregivers did not validate the photographs, so some images may be unclear in different cultural backgrounds. The study tested content validation only; it did not test broader psychometric properties.
Declared interests
The authors declared no potential conflicts of interest.
The easy way to misread this
Do not treat the ITACS as a proven assessment that predicts progress or guides treatment effectiveness. The paper developed the activity list and validated the photographs with occupational therapists, but it did not test the measure with children or outcomes.