A Water Orientation Evaluation Tool for Children with Autism Spectrum Disorders: Development and Pilot on Feasibility, Reliability, and Validity
摘要
Motor impairments affect about 80% of children with autism spectrum disorders (ASD), making aquatic interventions potentially beneficial for motor development. To better tailor interventions, the Wot-ASD, an observation instrument for water-related motor skills in children with ASD, was developed. In a pilot study, feasibility, reliability, and validity were evaluated.
MethodsThe first stage of development involved mastering an existing instrument based on the Halliwick program. In stage 2, items were operationalised based on observed behaviours. Stage 3 validated the content with feedback from six experts.
Stages 4 and 5 established scalability, interrater reliability, internal consistency and validity. A convenience sample was utilised to provide a preliminary psychometric evaluation of the Wot-ASD. The instrument’s feasibility was evaluated across all sub-studies.
ResultsThe Wot-ASD was developed with four subscales, each corresponding to a learning phase, to assess 25 items covering 22 activities. Expert feedback supported the validity of the Wot-ASD, noting that it accurately and comprehensively assesses water adjustment skills. Preliminary results showed adequate internal consistency for all items (ICC > .81), and scale consistency with H ≥ .5 for both items and subscales, and interrater reliability was supported by a Cronbach’s Alpha > .91 for 23 items.
ConclusionsThis pilot evaluation of the Wot-ASD provides preliminary evidence for the feasible, reliable, and content validity when evaluating water-related motor skills in children with ASD.