4.2 Article

The Participation in Childhood Occupations Questionnaire (PICO-Q): A Pilot Study

Journal

PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS
Volume 29, Issue 3, Pages 295-310

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/01942630903028440

Keywords

Family-centered approach; measurement; occupation; participation; reliability; sensory modulation disorder

Funding

  1. Charles E. Smith Family National Institute for Psychobiology in Israel
  2. Levine Center for the Development of Child and Adolescence, Department of Psychology, the Hebrew University of Jerusalem

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There is a need, among practitioners and researchers, for a feasible, user-friendly assessment tool that evaluates overall participation and guides intervention. This paper describes the process of construction and development of the Participation in Childhood Occupations Questionnaire (PICO-Q) and the establishment of its primary psychometric properties. The 22-item instrument measures the level, enjoyment, and frequency of performance for children's participation in daily occupations in a variety of environments. The questionnaire was completed by the mothers of 41 children between the ages of 6 and 10 years (24 children with and 17 children without sensory modulation disorder). Cronbach's alpha varied from .86 to .89, indicating internal consistency of items. Test-retest reliability varied from .69 to .86, indicating that the instrument provides a stable measurement over time. The PICO-Q was found to differentiate between children with and without participation restrictions. The PICO-Q shows initial reliability and validity and has both research and clinical application potential.

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