Standardized assessments in pediatrics

Question 1

Describe some of the purposes of doing standardized assessments on children?

Answer 1

screening to determine who needs further assessment, diagnosis, determine placement or eligibility for services, plan intervention and goals, determine progress (reevaluation), research, determine efficacy of programming

Question 2

t/f. most assessments are standardized on disabled populations

Answer 2

false, most are not standardized on disabled populations

Question 3

t/f, do not use test items to develop goals for a patient

Answer 3

true, goals should be function based!!

Question 4

What are three things that make a good standardized test?

Answer 4

1. tests what you wish to test (ICF level of fxn and domains)
2. appropriate for child (age-appropriate, diagnosis appropriate, developmentally and functionally appropriate)
3. good psychometric properties

Question 5

What are some standardized assessments that fall under body structure and function?

Answer 5

3 min walk test, faces pain scale, BOT-2, MABC-2, PBS, VMI, SIPT, Sensory profile

Question 6

What are some examples of activities (limitation) in children?

Answer 6

mobility/walking, fine motor, self care, play, learning

Question 7

What test psychometric compares child’s performance to a normal standard?

Answer 7

discriminative

Question 8

What test psychometric compares a child’s performance with previous performance on the same measure?

Answer 8

evaluative

Question 9

What test psychometric forecasts future outcomes, behaviors or prognosis?

Answer 9

predictive

Question 10

t/f, discriminative tests are not sensitive to effects of therapy

Answer 10

true, not used to track change or to detect change with therapeutic intervention

Question 11

What type of general standardized tests are discriminative and must be administered, scored and interpreted properly?

Answer 11

norm referenced

Question 12

What type of tests are a series of skills organized in functional or developmental areas and skill mastery is more important than variability of scores?

Answer 12

criterion referenced

Question 13

T/F, you want to use criterion referenced tests to track progress in patients

Answer 13

true, are sensitive to effects of instruction/intervention

Question 14

What statistical term describes the degree to which all test items are measuring the same concept?

Answer 14

internal consistency

Question 15

t/f, chronbach’s alpha number closer to 0 is better for internal consistency

Answer 15

False, closer to 1 is a better number/value

Question 16

What reliability term refers to the range which you are confident a true/accurate value falls under?

Answer 16

standard error of measure

Question 17

t/f, a high SEM indicates improved confidence regarding score accuracy

Answer 17

false, a low SEM indicates this

Question 18

Which term describes the ability to detect abnormality or dysfunction?

Answer 18

sensitivity

Question 19

Which term describes the ability of the test to detect normality or absence of dysfunction with few false positives?

Answer 19

specificity

Question 20

Which term describes the ability to detect change?

Answer 20

scalability

Question 21

What does the basal level mean?

Answer 21

item preceding the first failed item (entry point)

Question 22

What does the ceiling level mean?

Answer 22

item representing the most difficult success

Question 23

What type of score is helpful to track a child’s progress across time?

Answer 23

scaled scores