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Assessment of Preschool Children’s Participation (APCP)
Availability
Please visit this website for more information about the instrument: CanChild_Centre for Childhood Disability Research.
Classification
Supplemental: Cerebral Palsy (CP)
Short Description of Instrument
This test was designed to measure participation of pre-school children ages 2–5 years 11 months in areas of play, skill development, active physical recreation, and social activities; assessment of restricted participation and identification of areas of activity may assist with intervention planning.
Comments/Special Instructions
Internal consistency was moderate to good (.73–.85) for diversity scores and .52–.70 for intensity across the four domains (Law et al., 2012). Construct validity was demonstrated through associations with age, activity level, gross motor functional level and range of activities/frequency of participation (Law et al., 2012). The APCP with GMFM-66 and WeeFIM had fair to excellent concurrent validity (r=0.39–0.85) and predictive validity (r=0.46–0.82) (Chen et al., 2013).
Scoring
Two scores are generated: participation diversity (total number of activities in which a child participates) and participation intensity (average amount of time child spends doing activities in each domain). There are 4 domains; play, skill development, active physical recreation, and social activities. Parent rates activities on a scale of 1–7 to show how often a child participated in the last 4 months.
Rationale/Justification
Although not specific for CP it has been widely used and is considered a thorough measure of different aspects of participation. This is the preschool version of the CAPE (King et al., 2004).
References
Key References:
Petrenchik T, Law M, King G, Hurley P, Forhan M, Kertoy M. Assessment of Preschool Children’s Participation, Hamilton, ON: CanChild Centre for Childhood Disability Research, 2006. [cited 24 June 2016]. Available from: https://www.canchild.ca/
 
Law M, King G, Petrenchik T, Kertoy M, Anaby D. The Assessment of Preschool Children’s Participation: Internal Consistency and Construct Validity, Phys Occup Ther Pediatr. 2012;32(3):272–287.
 
Additional References:
Chen CL, Chen CY, Shen IH, Liu IS, Kang LJ, Wu CY. Clinimetric properties of the Assessment of Preschool Children's Participation in children with cerebral palsy. Res Dev Disab. 2013;34(5):1528–1535.
 
Chiarello LA, Palisano RJ, Orlin MM, Chang H-J, Begnoche D, An M. Understanding Participation of Preschool-Age Children With Cerebral Palsy. J Early Intervention. 2012;34(1):3–19.
 
King G, Law M, King S, Hurley P, Rosenbaum P, Hanna S, Kertoy M, Young N. Children's Assessment of Participation and Enjoyment (CAPE) and Preferences for Activities of Children (PAC) (CAPE/PAC): Pearson; 2004 [cited 2015 24 Nov]. Available from: http://www.pearsonclinical.com/therapy/products/100000481/childrens-assessment-of-participation-and-enjoyment-cape-and-preferences-for-activities-of-children-pac-cape-pac.html.
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