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Biomedical subjects

B Blick

Publications and source records attributed to B Blick.

3 recordsLinked to original sources

Motor performance checklist for 5-year-olds: a tool for identifying children at risk of developmental co-ordination disorder.

OBJECTIVE: The aim of this study was to further evaluate the 'Motor Performance Checklist for 5-year-olds', an instrument which had been piloted with some success and reported via this journal in 1996. METHOD: Both validity and reliability in identifying children in most need of paediatric occupational therapy services was assessed. The Motor Performance Checklist was compared against a chosen 'gold standard' test, The Bruininks-Oseretsky test of Motor Proficiency, in a group of 141 5-year-old children. RESULTS: Correlations of 0.72 and 0.85 were found between the tests. The checklist was found to have a sensitivity of 83% and a specificity of 98%. Positive predictive validity was found to be 72% and negative predictive validity 99%. Interrater reliability ranged between 0.79 and 0.99 and intrarater reliability was 0.77. CONCLUSIONS: These results indicate that the Motor Performance Checklist has the potential to assist in identifying children in most need of referral to community occupational therapy services.

Child, Preschool↗

Use of an occupational therapy motor performance checklist by a school health service: a pilot study.

OBJECTIVE: The aim of this pilot study was to assess whether the School Health Service could play a role in identifying the children in most need of community occupational therapy services. METHODOLOGY: A two-tiered referral system, which incorporated a Motor Performance Checklist (MPC) devised by the authors, was used. This checklist consisted of 12 gross and fine motor items and was administered to 123 children in their first year of school. Comparison was made between parent/teacher referrals alone and the two-tiered referral system as measured against a 'gold standard' test (the Bruininks-Oseretsky Test of Motor Proficiency) in a smaller subgroup. RESULTS: Results indicated that the two-tiered referral system incorporating the MPC had a sensitivity of 75% and specificity of 95% while the teacher/parent referrals had a sensitivity of 88% but a low specificity of only 41%. There was no significant difference in sensitivity (z = 0, P > 0.05) but a highly significant difference in specificity (z = 3.56, P < 0.005) between these two systems. CONCLUSIONS: This two-tiered referral system has the potential to impact significantly on paediatric occupational therapy utilization, service delivery and waiting times in the community health setting.

Child, Preschool↗

Using a computer database to record and evaluate a school screening service.

School screening has been taking place in New South Wales since 1907. The need for better monitoring of the school health service to determine the outcome of the screening process has been advocated frequently. This paper reports on the development of a computerized surveillance system which allows school screening to be evaluated on an ongoing basis. The results of the first year's use of the programme on a study population of children first screened in 1989 in a northern metropolitan area of Sydney demonstrate that the system is practical and effective when used by people with little or no prior computer knowledge. It plays a role in both improving follow-up of the screening process and the assessment of the service. The prevalence rate of new defects found was four per 100 children screened. Issues raised about the screening process from the data collected are also discussed.

Child↗