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. 2024 Jul-Aug;28(4):101103.
doi: 10.1016/j.bjpt.2024.101103. Epub 2024 Jul 22.

Participation and environment measure - children and youth: PEM-CY Brazil measurements properties

Kennea Martins Almeida Ayupe  1 , Élida Rayanne Viana Pinheiro Galvão  2 , Ana Paula Martins Cazeiro  3 , Dana Anaby  4 , Rachel Teplicky  5 , Priscila Bianchi Lopes  6 , Thais Massetti  7 , Alyne Kalyane Câmara de Oliveira  8 , Ana Carolina de Campos  9 , Egmar Longo  10
Affiliations

Participation and environment measure - children and youth: PEM-CY Brazil measurements properties

Kennea Martins Almeida Ayupe et al. Braz J Phys Ther. 2024 Jul-Aug.

Abstract

Background: Participation of children with disabilities is an indicator of social inclusion, health, and well-being, and its evaluation needs to be included in the clinical practice of rehabilitation professionals.

Objectives: To investigate the measurement properties of the Participation and Environment Measure - Children and Youth Brazilian version (PEM-CY Brazil).

Methods: We used the PEM-CY to evaluate participation and environment of children with and without disabilities in the home, school, and community settings. Based on COSMIN guidelines, we analyzed two measurement properties: internal consistency for all domains using Cronbach's alpha; and construct (known-groups) validity, i.e., the degree to which instrument scores identify differences between groups. T-tests, Mann-Whitney, or Chi-square tests compared children with and without disabilities.

Results: 101 Brazilian children (mean age=9.31 years) with (n = 62) and without (n = 39) disabilities were included. Internal consistency ranged from appropriate (0.70) to excellent (0.95) for all domains in all settings, except for Resources in the environment of the home setting (0.53). Regarding construct validity, PEM-CY participation scores were significantly different between groups in most domains. Children with disabilities were significantly less involved and participated in a smaller number of activities in all settings, in comparison to those without disabilities. The PEM-CY scores in all settings of the environment were significantly higher in the group of children without disabilities.

Conclusion: Preliminary support was provided for the internal consistency and construct (known-groups) validity of the PEM-CY Brazil to measure participation and the environment in the Brazilian context. The PEM-CY can therefore be used by rehabilitation professionals in Brazil.

Keywords: Child; Environment; Participation; Participation and environment measure; Validation.

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Conflict of interest statement

Conflicts of interest The authors declare no conflicts of interest.

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