Responsiveness of the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test in measuring functional outcomes for inpatient pediatric rehabilitation.
Responsiveness of the PEDI-CAT Mobility, Daily Activities, and Social/Cognitive domains and Wheelchair subdomain was evaluated for youth admitted to a pediatric post-acute care hospital.



Inpatients ages 2-21 years, with a length of stay of ≥ 5 days and with both admission and discharge scores were included. The difference between mean admission and discharge PEDI-CAT scaled scores were analyzed using paired t-tests. Effect sizes, standard response means (SRMs), and minimal detectable change values were calculated. Score comparison between diagnostic subgroups (Traumatic Brain Injury, Neurological, Orthopedic, Medical) and age groups ( ≤ 5, > 5 but < 13, ≥ 13 years) were evaluated for the Mobility domain.



Sample size differed by domain with 66 Mobility, 30 Daily Activities, 19 Social/Cognitive and 9 Wheelchair subdomain pairs. Significant differences were found for all domains when mean admission and discharge scaled scores were compared. Moderate to large effect sizes and SRMs were found for the Mobility and Daily Activities domains and Wheelchair subdomain. Small effect size but large SRM was found for the Social/Cognitive domain. The Mobility domain was also responsive to changes in all diagnostic and age groups.



The PEDI-CAT was responsive to functional changes for youth discharged from an inpatient pediatric rehabilitation hospital.
Research Center, Franciscan Hospital for Children, Brighton, MA, USA.
Maria A
MA
Fragala-Pinkham
Research Center, Franciscan Hospital for Children, Brighton, MA, USA.
Helene M
HM
Dumas
Research Center, Franciscan Hospital for Children, Brighton, MA, USA.|Physical Therapy Department, Boston Children's Hospital, Boston, MA, USA.
Kelly A
KA
Lombard
Research Center, Franciscan Hospital for Children, Brighton, MA, USA.
Jane E
JE
O'Brien
D000203:Activities of Daily Living; D000293:Adolescent; D000070642:Brain Injuries, Traumatic / Q000503:physiopathology / Q000534:rehabilitation; D002648:Child; D002675:Child, Preschool; D003072:Cognition Disorders / Q000534:rehabilitation; D004185:Disability Evaluation; D019988:Children with Disabilities / Q000534:rehabilitation*; D005260:Female; D050723:Fractures, Bone / Q000503:physiopathology / Q000534:rehabilitation; D006801:Humans; D007398:Interpersonal Relations; D007902:Length of Stay; D008297:Male; D009069:Movement Disorders / Q000534:rehabilitation; D009422:Nervous System Diseases / Q000503:physiopathology / Q000534:rehabilitation; D015397:Program Evaluation; D020127:Recovery of Function / Q000502:physiology; D018401:Sample Size; D016896:Treatment Outcome; D014910:Wheelchairs; D055815:Young Adult
Functional outcomes; PEDI-CAT; inpatient pediatric rehabilitation; pediatric post-acute care