A new screening tool for determining occupational therapy needs in hospitalized children with cancer: a validity and reliability study
Abstract
UNLABELLED: Determining the occupational therapy needs of hospitalized children with cancer is important. The present study was conducted to evaluate the validity, reliability, and clinical utility of a 25-item checklist developed to quickly and accurately identify occupational therapy needs in pediatric cancer. This cross-sectional methodological study included 402 children with cancer (aged 6-17 years). Construct validity was evaluated using exploratory factor analysis with the unweighted least squares method based on a tetrachoric correlation matrix. Internal consistency reliability was assessed using Kuder-Richardson 20 (KR-20) and McDonald's Omega (ω) coefficients. Clinical utility and known-groups validity were examined via quartile analysis and the Kruskal-Wallis H test. Regarding construct validity, parallel analysis and Scree Plot evaluation confirmed a strong unidimensional structure measuring the general occupational therapy needs construct, replacing the initial multidimensional assumptions. The checklist demonstrated excellent internal consistency (KR-20 = 0.881, ω = 0.888). Known-groups validity analysis revealed significant differences among diagnostic groups (p = 0.005). Post hoc tests indicated that the central nervous system and solid organ tumors group had significantly higher occupational therapy needs compared to the bone and soft tissue tumors group (p = 0.004). Regarding clinical utility, quartile analysis effectively classified patients into low,…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 402 participants or records.
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