Assessment tool Summary and Critique: Peabody Developmental Motor Scales-2 Title Authors Year of Latest edition Ages Intended pop/diagnostic groups Purpose Primary Administration Procedure Interpretation Focus Client-centered? Occupation-based? OTPF Domain Peabody Development Motor Scales-2 (PDMS-2) Folio. R., & Fewell, R. 2000; Pro-Ed, publisher Folio. Birth to 6 years All disability groups; can be used with typically developing children Both a norm-referenced and a criteria-referenced, performance-based standardized assessment tool; consists of six subtests that measure fine and gross motor performance in including reflexes (for ages 0-12 months), stationary gross motor skills, locomotion, object manipulation, grasping, and visual-motor integration. Performance -based; Child is asked to perform an number of tasks/skills (test items) and they are rated on their abilities on a 3-pt scale The test kit includes most of the necessary test equipment and supplies, scoring sheets, an examiner’s manual, an item administration manual, a motor development chart, and a programming manual and activity cards. Scoring instructions/guides provided for each item. Examines a child’s fine and gross motor skills; Subtest standard scores and composite standard scores for fine motor, gross motor, and total motor skill are available, as are age-equivalent scores; compares child’s abilities with age matched peers; gives delay in performance; not necessarily diagnostic; can be used to identify children who would benefit from or be eligible for services to help improve motor skills, the severity of motor skill deficits, and what type of motor skill problems are evident Performance-skill based; not occupation-based nor client centered Performance skill-based in that it involves examining gross motor, visual motor and fine motor skills; also examine some motor body functions (reflexes, balance, coordination); used in eval and re-eval phases of OT Process (based on OTPF) OTHER info PSYCHOMETRICS Standardization sample Normative data from 2,003 U.S. children were collected in 1997–1998. Four major U.S. geographic regions were identified as norming sites, and children from 46 states and one Canadian province were included. The normative data were compared with 1997 U.S. Census data and Validity Reliability found to be representative of demographic characteristics to describe children younger than 5 years, including geographic area, gender, race, type of residence (rural versus urban), ethnicity, and socioeconomic status. Overall, the normative data are very impressive, including recent data and a large representative sample of typical children. Normative data for children with specific disabilities are not included. Rationale for the development of test items is described in detail in the manual, with strong theoretical support, and has also been addressed and well researched with the earlier version of the test. Various item analysis techniques were used, including the application of Item Response Theory and logistic regression to analyze differential item functioning, which supported the PDMS-2 content. Age-related trends were established, as the mean PDMS-2 scores increased with age, as would be expected. Confirmatory factor analysis was also used and supported the inclusion of the various subtests within each of the fine and gross motor composites. Concurrent validity was established by correlating PDMS-2 scores of children from the normative sample with their scores on the earlier version of the PDMS-2. Resultant correlations for the fine motor and gross motor composites were strong, 0.84, and 0.91, respectively. PDMS-2 scores also had moderate to strong correlations with scores from the gross and fine motor scales of the Mullen Scales of Early Learning: AGS Edition. PDMS-2 scores could also discriminate children with physical and mental disabilities from those without disabilities. Internal consistency measures using Cronbach’s coefficient alphas ranged from 0.84 to 0.98, indicating that test items measuring the same construct (fine and gross motor skills) were strongly associated with one another. Standard errors of measurement for each of the subtests and composite scores by age group are acceptable. Test-retest reliability was evaluated with two groups of children aged 2 through 11 months (n = 20) and 12 to 17 months (n = 30) with acceptable results, with correlation coefficients ranging from 0.73 to 0.96. Inter-rater reliability for scoring completed protocols has been evaluated, with strong coefficients ranging from 0.96 to 0.98. However, it is believed that discrepancies related to examiner error would more likely occur in the rating of the child’s performance on test items rather than during scoring procedures, which has yet to be tested. CritiqueOverall strong normative data, reliability and validity; plenty of strengths/weaknesses evidence in the test manual Utility Criteria Ease of Learning, Training Ease of Administration prep, time, set- up Information The PDMS-2 is easy to learn, although time and practice are required to become familiar with the administration of the test items. Familiarity of tools/tasks Based on knowledge of child motor skills development; items would be very familiar to most people knowledgeable about child development and typical child activities Reasonable; a little lengthy and takes some time to understand baseline/start items, and when to discontinue (establish ceiling) Once completed would take about 10-15 min to score; easy to learn Layout of protocol Scoring time, ease Cost Critique of Utility It takes about 60 minutes to administer the entire battery, although the administration process may be broken up if necessary. Space for running, ball throwing, and kicking is necessary. Some set up and prep time (10 min). Would need to move through items quickly to keep child engaged. It is relatively expensive, with the test kit costing approximately $540.00, available from www.pearsonassessments.com. Lengthy, but fairly easy to learn; most items enjoyable for child/playful