The Infant Toddler Activity Card Sort: A Caregiver Report Measure of Children’s Occupational Engagement in Family Activities and Routines

Hoyt, Catherine R.; Fernandez, Jianna; Varughese, Taniya; Grandgeorge, Emma; Manis, Hannah; O’Connor, Kelly; Abel, Regina; King, Allison A.

doi:10.1177/1539449219852030

Cited by 4 publications

(1 citation statement)

References 24 publications

(27 reference statements)

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“…Forty-one items were finalized, respectively. 16,17 In a study by Tyminski et al participants were presented with each card without a written caption and were asked to name the activity depicted. 18 After each response, the participant was verbally given the caption and asked whether they thought it depicted the activity.…”

Section: Content Validity and Face Validitymentioning

confidence: 99%

Activity Card Sort’s existence and execute in various languages and versions: A scoping review

Vetrayan,

Chinchai,

Munkhetvit

et al. 2024

JAMS

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Background: Activity Card Sort (ACS) measures patient activity participation, especially in older adults. It was developed to evaluate instrumental, social, and leisure activities of low and high demand in various populations. Transferring an ACS tool between diverse settings is challenging due to significant socio-economic, linguistic, and environmental impacts. Hence, to tailor ACS tools to a specific society’s socio-cultural context, comprehension of the accessible validated ACS tools and their psychometric attributes is essential. Objective: This scoping review was conducted to explore the availability of the ACS tool and to summarize the psychometric properties, such as the reliability and validity, of different languages and versions of ACS available worldwide. Materials and methods: A search was performed in PubMed, PsycNET, Cochrane, and Embase. Two independent reviewers conducted the screening process and extracted the data. The total sample included 370 articles, of which 26 studies met the inclusion criteria, providing information on psychometric properties. English and non-English versions (Arabic, Dutch, and Spanish) in different populations were included. Results: Among the 26 studies in this review, most ACS studies used the English version (62.5%). All the reported studies revealed “good” internal consistency, in which the Cronbach’s alpha (α) ranges between 0.61 and 0.91. Test-retest reliability was measured using ICC values ranging from 0.78 to 0.98 for numeric data and Kappa statistics for binary data. Two studies used Kappa statistics to test the reliability, which ranged from 0.48 to 0.85 for all domains, indicating moderate to good reliability. Measures of content validation, face validity, concurrent, convergent, and discriminative validity were also reported. Conclusion: Good psychometric properties were reported. No study is available on the Indian population using the ACS tool. Hence, developing and validating an ACS tool for the Tamil Nadu population is needed.

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Section: Content Validity and Face Validitymentioning

confidence: 99%

Activity Card Sort’s existence and execute in various languages and versions: A scoping review

Vetrayan,

Chinchai,

Munkhetvit

et al. 2024

JAMS

View full text Add to dashboard Cite

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Psychometric Properties of the Infant Toddler Activity Card Sort

Hoyt

Chuck

Varughese

et al. 2021

OTJR: Occupational Therapy Journal of Research

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The Infant Toddler Activity Card Sort (ITACS) is a new measure that engages caregivers in goal development by measuring participation in early childhood. Initial evaluation of the ITACS is required to assess its psychometric properties. To evaluate test–retest reliability, concurrent validity, and between-group differences of the ITACS. Caregivers ( N = 208) of children 0–3 years, who were typically developing (TD) or had a developmental delay (DD), completed the ITACS and Pediatric Evaluation of Disability Inventory–Computer Adaptive Test (PEDI-CAT) with repeat assessment after 2 weeks later ( n = 117). The ITACS demonstrated moderate concurrent validity with the PEDI-CAT. Children with DD had significantly more activity concerns on the ITACS than TD. Adequate test–retest reliability was not achieved. The ITACS is a useful tool for identifying caregiver concerns in activity engagement; interventions can be tailored to address concerns and increase participation in childhood routines.

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Activity competence among infants and toddlers with developmental disabilities: Rasch analysis of the Infant Toddler Activity Card Sort (ITACS)

Hoyt

L’Hotta

Bauer

et al. 2021

J Patient Rep Outcomes

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Background Development is rapid in the first years of life. Developmental delays appearing during this critical period have the potential to persist throughout the child’s life. Available standardized assessments for this age record a child’s ability to successfully complete discrete skills but fail to capture whether the child incorporates those skills into daily routines that are meaningful to the child and family. The Infant Toddler Activity Card Sort (ITACS) is a newly developed photograph-based early intervention tool to measure the participation-related concept of activity competence using caregiver report. The purpose of the present study was to use Rasch analysis to determine if ITACS items comprehensively measure the construct of child activity competence. Results A total of 60 child/caregiver dyads participated. The dichotomous caregiver-reported responses (present vs. absent) on the 40 individual ITACS items were used in Rasch analysis, and three iterations of the model were completed. The final model included 51 child/caregiver dyads and 67 ITACS assessments with a good spread of individual ability measure (6.47 logits). All items demonstrated adequate infit except for “sleeping” (range 0.68–1.54). Five items (sleeping, eating at restaurants, brushing teeth, crawling, and interact with pets) demonstrated high Mean Square (MNSQ) outfit statistics and one (take a bath) demonstrated low MNSQ outfit. ITACS items demonstrated a good spread of item difficulty measures (6.27 logits), and a clear ceiling was observed. Three activity items (smiling, breastfeeding, and playing with adults) were rarely endorsed as concerns. The activities most likely to be reported as challenging were “crying/communicating” and “going to school”. Person and item reliability statistics were adequate (0.79 and 0.80, respectively). The separation between individuals and between items were adequate to good (1.96 and 1.99, respectively). Conclusions Findings indicate that ITACS items are measuring a unidimensional construct--activity competence in early childhood. The Rasch analysis of caregiver responses suggest that some activities are more likely to be considered challenging and may be important targets for intervention. These results provide evidence to further validate the ITACS as a caregiver report measure and support its use in the early intervention setting to facilitate caregiver driven goal development.

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The Infant Toddler Activity Card Sort: A Caregiver Report Measure of Children’s Occupational Engagement in Family Activities and Routines

Cited by 4 publications

References 24 publications

Activity Card Sort’s existence and execute in various languages and versions: A scoping review

Activity Card Sort’s existence and execute in various languages and versions: A scoping review

Psychometric Properties of the Infant Toddler Activity Card Sort

Activity competence among infants and toddlers with developmental disabilities: Rasch analysis of the Infant Toddler Activity Card Sort (ITACS)

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