Turkish Version of the Activity Scales for Kids

Study Overview
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Brief Summary
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Children's participation in age-appropriate activities is critical to their overall well-being. Neurodevelopmental disorders cause motor, cognitive, communication, and behavioural problems. Children have restrictions in their ability to participate and engage in activities because of these problems. Children with neurodevelopmental disorders require more parental care and are less likely to participate in activities at home, school, and in the community than their healthy peers. This highlights the significance of evaluating activity restrictions and participation limitations. Our study aims to demonstrate the reliability and validity of the Turkish version of the Activity Scales for Kids (ASK), which assesses children's participation and activity in their daily lives at home, school, and play, as well as cultural sensitivity.

Detailed Description
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Participation in activities is an essential component of maintaining health. The International Classification of Functioning- Child and Youth (ICF-CY) framework includes several components that can be used to determine activity and participation. These components are defined by two terms: capacity and performance. Both capacity and performance are basically measures of capability, even if the performance qualifier is intended as a measure of participation. Performance describes what a person does in their current setting. The current environment brings with it a social context. As a result, performance determines how involved an individual is in his or her living environment and life experience. The ability to do a task or action is known as capacity, which denotes the highest functional level that may be achieved at any moment and in every setting. Capacity is measured in a consistent or standard setting. Therefore, it reflects the individually adjusted ability of the individual. The child's physical and social environment has an impact on their capacity. For instance, while the child can stand up on his own in a standardized clinical setting, he might not be able to do the same after falling during physical exercise in a school context or in public. According to the ICF-CY, disability is not only related to body structure and function but also to activity constraints and participation restrictions in various situations. An objective assessment demonstrates how performance has changed over time and encourages children to enhance their own abilities. These examinations need to meet psychometric standards before being used with children. In addition, the results of research studies provide useful information about the natural developmental steps expected, especially in childhood disability subgroups. There isn't a valid and reliable scale in Turkish literature that assesses children's capacity and performance in activities at home, school, and in play environments. The goals of our research are to demonstrate the reliability and validity of the ASK, a tool that assesses children's participation and activity levels at play, school, and at home. Families and medical professionals will be guided by this scale.

Official Title
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Turkish Adaptation, Validity and Reliability Study of Activities Scales for Kids

Conditions
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Neurodevelopmental Disorders

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 5 years and 15 years; Diagnosed with neurodevelopmental disorders. To have the cognitive ability to answer questions for assessment. Completing the test-retest assessment. To be able to read and speak Turkish Exclusion Criteria: Patients with unmanageable psychological disorders (schizophrenia, bipolar disorder, major depressive disorder) would be excluded from the study.

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Children with special needs Group<br>Children who have diagnosed neurodevelopment disorders including cerebral palsy, autism spectrum disorder, | |
| Control Group<br>Typically developing children | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Activities Scales for Kids | The Activities Scales for Kids scale measures pediatric functionality from the perspective of the children. These are ASK-Performance (ASKp) and ASK-Capacity (ASKc). ach version consists of 30 items, including personal care (3 items), dressing (4 items), other skills (4 items), locomotion (7 items), play (2 items), standing (5 items), and transfers (5 items). ASKc evaluates what the child can do, and ASKp evaluates what the child usually does. A percentage score (with a range of 0-100) is calculated by dividing this average by 4. On this scale, 100% indicates full physical function. | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participation and Environment- Children and Youth | The participation sections included 10 activities in the home setting, five activities in the school setting, and 10 in the community setting. For each activity, the range of participation is daily to never, with scores between 0 and 8; higher scores indicate greater participation. The range of involvement is from very involved to minimally involved, with scores between 1 and 5; higher scores indicate greater involvement. The range of whether change is desired in the child's participation in this kind of activity is no or yes, with scores between 0 and 1. Environmental features supports and barriers (e.g., do the features of the environment help or make it harder?) for the child to participate in activities at home, school, or in a community setting with scores between 1 and 4; increased scores indicate environmental help. | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Activities, Participation, Children