Internal Consistency and Floor/Ceiling Effects of the Gross Motor Function Measure for Use with Children Affected by Cancer: A Cross-Sectional Study. in Current oncology (Toronto, Ont.) / Curr Oncol. 2024 Sep 6;31(9):5291-5306. doi: 10.3390/curroncol31090390.

2024
AOU Città della Salute di Torino

Tipo pubblicazione

Multicenter Study

Autori/Collaboratori (30)Vedi tutti...

Rossi F
Rehabilitation Service, Public Health and Paediatric Sciences Department, A.O.U. Città della Salute e della Scienza-Regina Margherita Children Hospital, 10126 Turin, Italy.
Valle M
Department of Public Health and Pediatrics Sciences, University of Turin, 10124 Turin, Italy.
Galeoto G
Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.

et alii...

Abstract

Children/adolescents with cancer can develop adverse effects impacting gross motor function. There is a lack of gross motor function assessment tools that have been validated for this population. The aim of this multicenter cross-sectional study was to preliminary validate the 88-item Gross Motor Function Measure (GMFM-88) for use in children/adolescents with cancer, exploring internal consistency and floor/ceiling effect. Inclusion criteria regarded children/adolescents diagnosed with cancer on treatment or <1 year off therapy. The internal consistency was assessed using Cronbach's ?, and the floor-ceiling effects were calculated through percentage. This study involved 217 participants with heterogeneous neoplasm conditions. Internal consistency was good, with a Cronbach's ? of 0.989. Floor-ceiling effect analysis reveals that several items obtained a dichotomous scoring distribution in each of the five sub-scales of the GMFM-88. This can be explained by the heterogeneous clinical characteristics of the target population. The preliminary validation of GMFM-88 in a group of children/adolescents affected by cancer suggests that some items are not able to discriminate between different gross motor function levels, and therefore it does not represent an informative tool to measure gross motor function in children with cancer. Future research is needed to define which ones could be more useful for clinical practice.

Accesso banca dati bibliografica

PMID : 39330018

DOI : 10.3390/curroncol31090390

Keywords

Humans; Cross-Sectional Studies; Child; Neoplasms/physiopathology; Male; Female; Adolescent; Child, Preschool; Motor Skills/physiology; Reproducibility of Results; GMFM-88; pediatric oncology; physical therapy; rehabilitative evaluation;