Development and clinimetric assessment of a performance-based functional vision tool in visually impaired children

ObjectiveAppropriate functional vision is vital for the development of visually impaired (VI) children. However, the literature currently lacks a performance-based tool for assessing functional vision, unlike the existing self-reported tools. The objective of this study is to develop and conduct a c...

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Main Authors: Fatemeh Ghasemi Fard, Hooshang Mirzaei, Seyed Ali Hosseini, Abbas Riazi, Abbas Ebadi, Narges Hooshmandzadeh
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1275726/full
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author Fatemeh Ghasemi Fard
Fatemeh Ghasemi Fard
Hooshang Mirzaei
Hooshang Mirzaei
Seyed Ali Hosseini
Seyed Ali Hosseini
Abbas Riazi
Abbas Ebadi
Narges Hooshmandzadeh
author_facet Fatemeh Ghasemi Fard
Fatemeh Ghasemi Fard
Hooshang Mirzaei
Hooshang Mirzaei
Seyed Ali Hosseini
Seyed Ali Hosseini
Abbas Riazi
Abbas Ebadi
Narges Hooshmandzadeh
author_sort Fatemeh Ghasemi Fard
collection DOAJ
description ObjectiveAppropriate functional vision is vital for the development of visually impaired (VI) children. However, the literature currently lacks a performance-based tool for assessing functional vision, unlike the existing self-reported tools. The objective of this study is to develop and conduct a clinimetric study on a Performance-Based Functional Vision Tool (PB-FVT) specifically designed for VI children aged 3–7 and 7–10 years old.MethodsThis methodological study was conducted to assess the clinimetric properties of the PB-FVT. The assessment included face validity (evaluated through cognitive interviews and an Impact Score >1.5), content validity (with criteria including content validity ratio >0.63, item content validity index >0.78, scale content validity index or average >0.8, and Kappa value >0.7), criterion validity (assessed through a concurrent test using visual acuity scores), construct validity (utilizing the known group method), relative reliability (measured by the intra-class correlation coefficient), absolute reliability (determined by the standard error of measurement and minimal detectable changes), interpretability, responsiveness, sensitivity, and specificity (analyzed via ROC curve analysis).ResultsThe PB-FVT was developed with 32 items, divided into five components: activities of daily living, instrumental activities of daily living, education, play, and social interaction. The results indicate that the scale demonstrates suitability in terms of validity, reliability, and other measurement characteristics.ConclusionsThe valid and reliable PB-FVT may accurately assess the level of functional vision during early childhood, helping to prevent negative impacts on a child's overall development. By utilizing the PB-FVT, any functional vision impairments can be identified appropriately, enabling the planning and implementation of effective rehabilitation interventions.
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spelling doaj.art-fad1b39ae81445d689429826ca3fb4f92023-11-03T13:55:07ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-11-011110.3389/fped.2023.12757261275726Development and clinimetric assessment of a performance-based functional vision tool in visually impaired childrenFatemeh Ghasemi Fard0Fatemeh Ghasemi Fard1Hooshang Mirzaei2Hooshang Mirzaei3Seyed Ali Hosseini4Seyed Ali Hosseini5Abbas Riazi6Abbas Ebadi7Narges Hooshmandzadeh8Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, IranDepartment of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, IranPediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, IranDepartment of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, IranPediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, IranDepartment of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, IranLow Vision Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran university of Medical Sciences, Tehran, IranBehavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IranDepartment of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, IranObjectiveAppropriate functional vision is vital for the development of visually impaired (VI) children. However, the literature currently lacks a performance-based tool for assessing functional vision, unlike the existing self-reported tools. The objective of this study is to develop and conduct a clinimetric study on a Performance-Based Functional Vision Tool (PB-FVT) specifically designed for VI children aged 3–7 and 7–10 years old.MethodsThis methodological study was conducted to assess the clinimetric properties of the PB-FVT. The assessment included face validity (evaluated through cognitive interviews and an Impact Score >1.5), content validity (with criteria including content validity ratio >0.63, item content validity index >0.78, scale content validity index or average >0.8, and Kappa value >0.7), criterion validity (assessed through a concurrent test using visual acuity scores), construct validity (utilizing the known group method), relative reliability (measured by the intra-class correlation coefficient), absolute reliability (determined by the standard error of measurement and minimal detectable changes), interpretability, responsiveness, sensitivity, and specificity (analyzed via ROC curve analysis).ResultsThe PB-FVT was developed with 32 items, divided into five components: activities of daily living, instrumental activities of daily living, education, play, and social interaction. The results indicate that the scale demonstrates suitability in terms of validity, reliability, and other measurement characteristics.ConclusionsThe valid and reliable PB-FVT may accurately assess the level of functional vision during early childhood, helping to prevent negative impacts on a child's overall development. By utilizing the PB-FVT, any functional vision impairments can be identified appropriately, enabling the planning and implementation of effective rehabilitation interventions.https://www.frontiersin.org/articles/10.3389/fped.2023.1275726/fullvisually impaired childrenoccupational therapy practice framework (OTPF)functional vision tooloccupational therapypediatric
spellingShingle Fatemeh Ghasemi Fard
Fatemeh Ghasemi Fard
Hooshang Mirzaei
Hooshang Mirzaei
Seyed Ali Hosseini
Seyed Ali Hosseini
Abbas Riazi
Abbas Ebadi
Narges Hooshmandzadeh
Development and clinimetric assessment of a performance-based functional vision tool in visually impaired children
Frontiers in Pediatrics
visually impaired children
occupational therapy practice framework (OTPF)
functional vision tool
occupational therapy
pediatric
title Development and clinimetric assessment of a performance-based functional vision tool in visually impaired children
title_full Development and clinimetric assessment of a performance-based functional vision tool in visually impaired children
title_fullStr Development and clinimetric assessment of a performance-based functional vision tool in visually impaired children
title_full_unstemmed Development and clinimetric assessment of a performance-based functional vision tool in visually impaired children
title_short Development and clinimetric assessment of a performance-based functional vision tool in visually impaired children
title_sort development and clinimetric assessment of a performance based functional vision tool in visually impaired children
topic visually impaired children
occupational therapy practice framework (OTPF)
functional vision tool
occupational therapy
pediatric
url https://www.frontiersin.org/articles/10.3389/fped.2023.1275726/full
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