Getting into the game: evaluation of the reliability, validity and utility of the <i>Ignite Challenge</i> scale for school-aged children with autism spectrum disorder

Evaluate reliability, concurrent validity and utility of the <i>Ignite Challenge</i> motor skills measure for children with autism spectrum disorder (ASD). In this measurement study, children completed the <i>Ignite Challenge</i> twice, 1–3 weeks apart. A physiotherapist assessor (one of seven) conducted a child’s test-retest assessments and scored administration ease and child engagement (/10 visual analogue scale). A second assessor rated baseline assessment videos. Validity data (parent-report PEDI-CAT) were collected at baseline. Reliability analysis employed ICCs (95% CI) and evaluated minimum detectable change (MDC₈₀). Pearson’s correlations (r) estimated validity. Forty-seven children with ASD (mean 9.34 years [SD = 2.35]; 10 girls; independent social communication) were tested at baseline; 45 were retested. <i>Ignite Challenge</i> baseline and retest mean scores were 69.0% (SD = 17.1) and 69.5% (SD = 16.6) respectively, with excellent inter-rater/test-retest reliability (ICC = 0.96 [95% CI 0.92, 0.97] and ICC = 0.91 [95% CI 0.84, 0.95]) respectively, and MDC₈₀ = 9.28. Administration ease and child engagement were 6.5/10 (SD = 2.4) and 6.7/10 (SD = 2.2). <i>Ignite Challenge</i> and PEDI-CAT Social/Mobility (<i>n</i> = 45) associations were <i>r</i> = 0.54 and 0.57. Minimal suggestions for measure revisions arose from child/assessor feedback. <i>Ignite Challenge</i> can reliably identify movement strengths and challenges of children with ASD. Use may permit more appropriate evaluation and goal setting within physical activity-based programs. <i>Ignite Challenge</i> is a reliable and valid advanced motor skills measure for children with Autism Spectrum Disorder (ASD), ages 6 years and up.<i>Ignite Challenge</i> can be reliably scored in-person (“live”) even with younger children and those requiring increased assessor attention to optimize engagement.Most children enjoyed playing the <i>Ignite Challenge</i> “mini games”—this positive engagement (“getting into the game”) helps support assessment of their best motor performance abilities.<i>Ignite Challenge</i> identifies motor-related challenges that impact a child’s physical activity participation, and thus informs meaningful goal setting/intervention with children with ASD. <i>Ignite Challenge</i> is a reliable and valid advanced motor skills measure for children with Autism Spectrum Disorder (ASD), ages 6 years and up. <i>Ignite Challenge</i> can be reliably scored in-person (“live”) even with younger children and those requiring increased assessor attention to optimize engagement. Most children enjoyed playing the <i>Ignite Challenge</i> “mini games”—this positive engagement (“getting into the game”) helps support assessment of their best motor performance abilities. <i>Ignite Challenge</i> identifies motor-related challenges that impact a child’s physical activity participation, and thus informs meaningful goal setting/intervention with children with ASD.

本研究旨在评估《Ignite Challenge》运动技能评估工具针对自闭症谱系障碍（Autism Spectrum Disorder，ASD）儿童的信度、同时效度与应用价值。本项测量学研究中，受试儿童先后两次完成《Ignite Challenge》评估，两次评估间隔1至3周。由7名物理治疗师评估员中的1名完成每名儿童的重测评估，并对施测便捷性与儿童参与度进行评分（采用10分量表的视觉模拟评分法（Visual Analogue Scale））。另一名评估员对基线评估的录像进行评分。基线阶段收集同时效度数据，数据来源于家长填写的PEDI-CAT量表。信度分析采用组内相关系数（Intraclass Correlation Coefficient，ICC），以95%置信区间（95% CI）报告结果，并评估了最小可检测变化（MDC₈₀）。采用皮尔逊相关系数（Pearson Correlation Coefficient，r）估算效度水平。47名ASD儿童参与基线评估，平均年龄9.34岁（标准差SD=2.35），其中女童10名，社交沟通能力独立；45名完成重测。《Ignite Challenge》的基线评估与重测平均得分分别为69.0%（SD=17.1）与69.5%（SD=16.6）；评估者间信度与重测信度均表现优异，组内相关系数分别为0.96（95% CI 0.92, 0.97）与0.91（95% CI 0.84, 0.95），最小可检测变化MDC₈₀=9.28。施测便捷性与儿童参与度的平均得分分别为6.5/10（SD=2.4）与6.7/10（SD=2.2）。《Ignite Challenge》与PEDI-CAT社交/运动维度（n=45）的相关系数分别为r=0.54与0.57。来自儿童与评估员的反馈仅提出了少量针对评估工具修订的建议。《Ignite Challenge》能够可靠地识别ASD儿童的运动能力优势与不足，其应用可助力基于体育运动项目的评估与目标设定更具针对性。《Ignite Challenge》是一款针对6岁及以上ASD儿童的可靠且有效的高级运动技能评估工具。即便针对低龄儿童或需要评估员额外关注以提升参与度的儿童，《Ignite Challenge》仍可通过现场（"live"）方式完成可靠评分。多数儿童乐于参与《Ignite Challenge》的"迷你游戏"环节——这种积极参与状态（即"沉浸于游戏中"）有助于评估其最佳运动表现能力。《Ignite Challenge》能够识别影响儿童体育运动参与的运动相关不足，从而为ASD儿童的目标设定与干预方案提供有意义的参考依据。《Ignite Challenge》是一款针对6岁及以上ASD儿童的可靠且有效的高级运动技能评估工具。即便针对低龄儿童或需要评估员额外关注以提升参与度的儿童，《Ignite Challenge》仍可通过现场（"live"）方式完成可靠评分。多数儿童乐于参与《Ignite Challenge》的"迷你游戏"环节——这种积极参与状态（即"沉浸于游戏中"）有助于评估其最佳运动表现能力。《Ignite Challenge》能够识别影响儿童体育运动参与的运动相关不足，从而为ASD儿童的目标设定与干预方案提供有意义的参考依据。

搜集汇总

背景与挑战

背景概述

该数据集评估了Ignite Challenge量表对自闭症谱系障碍（ASD）学龄儿童运动技能的可靠性、有效性和实用性。研究基于47名ASD儿童的测量数据，显示量表具有优秀的测试-重测和评估者间可靠性（ICC值高），并与家长报告的PEDI-CAT量表存在中等相关性，证实其有效性。结论表明，Ignite Challenge能可靠识别ASD儿童的运动挑战，支持在基于体育活动的项目中进行评估和目标设定，提升干预效果。