• Mary A Khetani, James E Graham, Patricia L Davies, Mary C Law, and Rune J Simeonsson.
• Department of Occupational Therapy, Colorado State University, Fort Collins, CO. Electronic address: mary.khetani@colostate.edu.
• Arch Phys Med Rehabil. 2015 Feb 1;96(2):307-16.

ObjectiveTo evaluate the psychometric properties of the newly developed Young Children's Participation and Environment Measure (YC-PEM).DesignCross-sectional study.SettingData were collected online and by telephone.ParticipantsConvenience and snowball sampling methods were used to survey caregivers of children (N=395, comprising children with [n=93] and without [n=302] developmental disabilities and delays) between the ages of 0 and 5 years (mean age±SD, 35.33±20.29 mo) and residing in North America.InterventionsNot applicable.Main Outcome MeasuresThe YC-PEM includes 3 participation scales and 1 environment scale. Each scale is assessed across 3 settings: home, daycare/preschool, and community. Data were analyzed to derive estimates of internal consistency, test-retest reliability, and construct validity.ResultsInternal consistency ranged from .68 to .96 and .92 to .96 for the participation and environment scales, respectively. Test-retest reliability (2-4 wk) ranged from .31 to .93 for participation scales and from .91 to .94 for the environment scale. One of 3 participation scales and the environment scale demonstrated significant group differences by disability status across all 3 settings, and all 4 scales discriminated between disability groups for the daycare/preschool setting. The participation scales exhibited small to moderate positive associations with functional performance scores.ConclusionsResults lend initial support for the use of the YC-PEM in research to assess the participation of young children with disabilities and delays in terms of (1) home, daycare/preschool, and community participation patterns; (2) perceived environmental supports and barriers to participation; and (3) activity-specific parent strategies to promote participation.Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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