Validity and reliability of the child and adolescent scale of participation (CASP): a systematic review

Authors

  • Elizabeth Roldán González Facultad de ciencias de la salud, Programa de Fisioterapia, Grupo de Investigación FISIOTER. Fundación Universitaria María Cano, Popayán, Colombia https://orcid.org/0000-0002-2307-9351
  • Andry Yasmid Mera Mamián Facultad de Fisioterapia, Universidad CES, Medellín, Colombia.
  • Ana Marcela Bolaños Roldán School of Human Rehabilitation, Physical Therapy Program, Sinergia Research Group. Universidad del Valle, Cali, Colombia https://orcid.org/0000-0002-9222-8541
  • Lina Giccela Suarez Muñoz Faculty of Health Sciences, Physiotherapy Program, FISIOTER Research Group. Fundación Universitaria María Cano, Medellín, Colombia https://orcid.org/0000-0003-3552-5256
  • Paola Andrea García Marín Fundación Universitaria María Cano, Medellín, Colombia

DOI:

https://doi.org/10.47197/retos.v64.109651

Keywords:

social participation, Child Health, Adolescent Health, International Classification of Functioning, Disability and Health, Reproducibility of Results

Abstract

Introducción: la participación se define como el involucramiento voluntario en situaciones de la vida cotidiana. La escala de participación de niños y adolescentes (CASP) se ha utilizado para evaluar este constructo, y se ha reportado su validez y confiabilidad en diversos países.

Objetivo: este estudio analizó la validez y fiabilidad de la escala CASP, identificando sus fortalezas y limitaciones.

Metodología: se realizó una revisión sistemática mediante la búsqueda de información en las bases de datos PubMed, Epistemonikos, Scopus, Science Direct, EBSCO, Wiley, LILACS y WOS. Se incluyeron estudios publicados entre los años 2011 y 2023.

Resultados: los hallazgos revelaron buenas calificaciones en aspectos como comprensibilidad, relevancia y exhaustividad, además de una adecuada consistencia interna y correlación intra e interclase. Se encontró una correlación positiva con otros instrumentos como el inventario de factores del niño y del adolescente (CAFI).

Conclusiones: la escala presenta buenas propiedades psicométricas. Es necesario realizar ajustes para incluir activamente a los infantes y jóvenes, y adaptarla a los contextos considerando la diversidad de factores socioculturales, económicos, educativos y laborales.

Author Biographies

Elizabeth Roldán González , Facultad de ciencias de la salud, Programa de Fisioterapia, Grupo de Investigación FISIOTER. Fundación Universitaria María Cano, Popayán, Colombia

FPhysiotherapist, Magister in Neurorehabilitation. Master in Education. Research Professor, Faculty of Health Sciences, Physiotherapy Program, FISIOTER Research Group. Fundación Universitaria María Cano, Popayán, Colombia

Andry Yasmid Mera Mamián , Facultad de Fisioterapia, Universidad CES, Medellín, Colombia.

Andry Yasmid Mera Mamián

Physiotherapist, Master in Epidemiology, PhD in Epidemiology and Biostatistics. Research professor Faculty of Physiotherapy, Universidad CES, Medellín, Colombia.

Ana Marcela Bolaños Roldán , School of Human Rehabilitation, Physical Therapy Program, Sinergia Research Group. Universidad del Valle, Cali, Colombia

Physiotherapist, Master in Neurorehabilitation. Research Professor, School of Human Rehabilitation, Physiotherapy Program, Sinergia Research Group. Universidad del Valle, Cali, Colombia

Lina Giccela Suarez Muñoz , Faculty of Health Sciences, Physiotherapy Program, FISIOTER Research Group. Fundación Universitaria María Cano, Medellín, Colombia

Physiotherapist, Master in Neurorehabilitation. Research Professor, Faculty of Health Sciences, Physiotherapy Program, FISIOTER Research Group. Fundación Universitaria María Cano, Medellín, Colombia

Paola Andrea García Marín , Fundación Universitaria María Cano, Medellín, Colombia

Bachelor's degree in foreign languages. University of Antioquia.

Language Center Coordinator. Fundación Universitaria Maria Cano. Medellín, Colombia.

References

Almasri, N. A., Palisano, R. J., & Kang, L.-J. (2019). Cultural adaptation and construct validation of the Arabic version of children’s assessment of participation and enjoyment and preferences for activi-ties of children measures. Disability and Rehabilitation, 41(8), 958–965. https://doi.org/10.1080/09638288.2017.1416498

Azimi, P., Shahzadi, S., Mohammadi, H. R., Shahzadi, A., & Montazeri, A. (2019). Monitoring outcomes in children with acquired brain injury: a Persian validation study of Child and Family Follow-up Sur-vey. Journal of Neurosurgical Sciences, 63(3). https://doi.org/10.23736/S0390-5616.16.03137-4

Bedell. (2002a). Measuring Environmental Factors in Children and Youth with Acquired Brain Injuries. (Conference). American Congress of Rehabilitation Medicine, Philadelphia, USA, 17, 15. https://journals.sagepub.com/doi/pdf/10.1177/154596830201600406

Bedell. (2002b). Measuring Social Participation in Children and Youth with Acquired Brain Injuries. (Poster). American Congress of Rehabilitation Medicine, Philadelphia, USA, 17, 2. https://journals.sagepub.com/doi/pdf/10.1177/154596830201600406

Bedell. (2004). Developing a follow-up survey focused on participation of children and youth with ac-quired brain injuries after discharge from inpatient rehabilitation. NeuroRehabilitation, 19, 191–205. https://doi.org/10.3233/NRE-2004-19303

Bedell. (2009). Further validation of the Child and Adolescent Scale of Participation (CASP). Develop-mental Neurorehabilitation, 12(5), 342–351. https://doi.org/10.3109/17518420903087277

Bedell, G. (2011). The Child and Adolescent Scale of Participation (CASP) © Administration and Scor-ing Guidelines THE CHILD AND ADOLESCENT SCALE OF PARTICIPATION (CASP) ©. https://www.uniklinik-duesseldorf.de/fileadmin/Fuer-Patienten-und-Besucher/Kliniken-Zentren-Insti-tute/Kliniken/Klinik_fuer_Allgemeine_Paediatrie_Neonatologie_und_Kinderkardiologie/Versorgungsforschung/Downloads/CASP_scoring_guideline_englisch.pdf

Bedell, G. M., & Dumas, H. M. (2004). Social participation of children and youth with acquired brain in-juries discharged from inpatient rehabilitation: a follow-up study. Brain Injury, 18(1), 65–82. https://doi.org/10.1080/0269905031000110517

Bernard, M., Hoffmann, L., Richter, M., Völlm, C., Seyda, M., Fink, A., & Dawal, B. (2024). A pilot study to develop a participation self-assessment tool for adolescents: The Social Participation Inventory (SPI). Child: Care, Health and Development, 50(1), e13164. https://doi.org/10.1111/cch.13164

Catale, C., Kerrouche, B., Toure, H., Laurent-Vannier, A., Brugel, D., Pineau-Chardon, E., Mariller, A., Benkhaled, O., Kieffer, V., Beauchamp, M., & Chevignard, M. (2014). Validation and assessment of the psychometric properties of the French version of the Child and Adolescent Scale of Participa-tion (CASP) in a sample of children with acquired brain injury. Annals of Physical and Rehabilita-tion Medicine, 57, e341–e342. https://doi.org/10.1016/j.rehab.2014.03.1250

Chamberon, M., Catale, C., Kerrouche, B., Touré, H., Laurent-Vannier, A., Brugel, D., Pineau-Chardon, E., Mariller, A., Benkhaled, O., Kieffer, V., Beauchamp, M., & Chevignard, M. (2016). Validation and psychometric properties of the French version of the Child and Adolescent Scale of Participation (CASP) in a sample of children with acquired brain injury. Annals of Physical and Rehabilitation Medicine, 59, e62. https://doi.org/https://doi.org/10.1016/j.rehab.2016.07.144

Chiarello, L. A., Palisano, R. J., Maggs, J. M., Orlin, M. N., Almasri, N., Kang, L.-J., & Chang, H.-J. (2010). Family Priorities for Activity and Participation of Children and Youth With Cerebral Palsy. Physi-cal Therapy, 90(9), 1254–1264. https://doi.org/10.2522/ptj.20090388

Chien, C. W., Rodger, S., Copley, J., & Mclaren, C. (2014a). Measures of participation outcomes related to hand use for 2- to 12-year-old children with disabilities: a systematic review. Child: Care, Health and Development, 40(4), 458–471. https://doi.org/10.1111/CCH.12037

Chien, C. W., Rodger, S., Copley, J., & Skorka, K. (2014b). Comparative content review of children’s par-ticipation measures using the International Classification of Functioning, Disability and Health-Children and Youth. Archives of Physical Medicine and Rehabilitation, 95(1), 141–152. https://doi.org/10.1016/J.APMR.2013.06.027

De Bock, F., Bosle, C., Graef, C., Oepen, J., Philippi, H., & Urschitz, M. S. (2019). Measuring social partici-pation in children with chronic health conditions: validation and reference values of the child and adolescent scale of participation (CASP) in the German context. BMC Pediatrics, 19(1), 125. https://doi.org/10.1186/s12887-019-1495-6

de Kloet, A. J., Berger, M. A. M., Bedell, G. M., Catsman-Berrevoets, C. E., van Markus-Doornbosch, F., & Vliet Vlieland, T. P. M. (2015). Psychometric evaluation of the Dutch language version of the Child and Family Follow-up Survey. Developmental Neurorehabilitation, 18(6), 357–364. https://doi.org/10.3109/17518423.2013.850749

Dittrich Schmitt, B., Sacramento, A. C., Terezinha Zuchetto, Á., & Oliveira Farias, G. (2022). Socialização de crianças com deficiência em um programa de atividade motora adaptada. Retos, 47, 531–538. https://doi.org/10.47197/retos.v47.94213

Elsman, E. B. M., Koel, M. L. C., van Nispen, R. M. A., & van Rens, G. H. M. B. (2022). Interrater reliability and agreement between children with visual impairment and their parents on participation and quality of life. Acta Ophthalmologica, 100(4), 468–476. https://doi.org/https://doi.org/10.1111/aos.14999

Gobierno de Colombia. (2018). Política Nacional de Infancia y adolescencia. https://www.icbf.gov.co/sites/default/files/politica_nacional_de_infancia_y_adolescencia_2018_-_2030.pdf

Golos, A., & Bedell, G. (2016). Psychometric properties of the Child and Adolescent Scale of Participa-tion (CASP) across a 3-year period for children and youth with traumatic brain injury. Neu-roRehabilitation, 38, 311–319. https://doi.org/10.3233/NRE-161322

Golos, A., & Bedell, G. (2018). Responsiveness and discriminant validity of the Child and Adolescent Scale of Participation across three years for children and youth with traumatic brain injury. De-velopmental Neurorehabilitation, 21(7), 431–438. https://doi.org/10.1080/17518423.2017.1342711

Hwang, A.-W., Liou, T.-H., Bedell, G. M., Kang, L.-J., Chen, W.-C., Yen, C.-F., Chang, K.-H., Liao, H.-F., & Sys-tem, C. T. F. of D. E. (2013). Psychometric properties of the Child and Adolescent Scale of Partici-pation – Traditional Chinese version. International Journal of Rehabilitation Research, 36(3). https://journals.lww.com/intjrehabilres/fulltext/2013/09000/psychometric_properties_of_the_child_and.4.aspx

Imms, C. (2008). Review of the Children’s Assessment of Participation and Enjoyment and the Prefer-ences for Activity of Children. Physical & Occupational Therapy In Pediatrics, 28(4), 389–404. https://doi.org/10.1080/01942630802307135

Instituto Colombiano de Bienestar Familiar. (2018). Abc de la participación de las niñas, niños y ado-lescentes. https://www.icbf.gov.co/system/files/abc_de_participacion_0.pdf

Khetani, M. A., & Coster, W. J. (2018). Social participation. In Willard and Spackmans Occupational Therapy, 13th Edition (pp. 847–864). https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059181198&partnerID=40&md5=5f6ed902b31d7187a5612d6b3cb6a65b

Kim, A.-R., Kim, J.-R., & Park, J.-H. (2019). A Study on Validity and Reliability of the Korean Version the Child and Adolescent Scale of Participation(CASP). Journal of Korean Society of Occupational Therapy, 27(3), 79–90. https://doi.org/10.14519/kjot.2019.27.3.06

McDougall, J., Bedell, G., & Wright, V. (2013). The youth report version of the Child and Adolescent Scale of Participation (CASP): assessment of psychometric properties and comparison with parent re-port. Child: Care, Health and Development, 39(4), 512–522. https://doi.org/https://doi.org/10.1111/cch.12050

Mokkink Cecilia AC Prinsen Donald L Patrick Jordi Alonso Lex M Bouter Henrica CW de Vet Caroline B Terwee Contact LB Mokkink, L. B. (2018). COSMIN manual for systematic reviews of PROMs COS-MIN methodology for systematic reviews of Patient-Reported Outcome Measures (PROMs) user manual. https://cosmin.nl/wp-content/uploads/COSMIN-syst-review-for-PROMs-manual_version-1_feb-2018.pdf

Muñoz Hinrichsen, F. I., Martínez Aros, A. F., & Herrera Miranda, F. (2021). Traducción y adaptación transcultural del cuestionario para niños “Barriers and facilitators of sports in children with phy-sical disabilities (BaFSCH)” para su uso al español en Chile (Transcultural translation and adapta-tion of the questionnaire for chi. Retos, 44, 695–701. https://doi.org/10.47197/retos.v44i0.91377

Nahuelhual, P., Giaconi, C., & Machuca, M. A. (2017). Medición de la participación en niños y adolescen-tes con y sin discapacidad: una revisión sistemática. Revista Chilena de Pediatría, 88(6), 812–819. https://doi.org/10.4067/S0370-41062017000600812

Osorio Ballesteros, A. (2016). La ampliación de la participación infantil en México: Una aproximación sociológica a sus razones, obstáculos y condiciones. Sociológica (México), 31 (87), 111-142. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0187-01732016000100004&lng=es&tlng=es.

Rainey, L., van Nispen, R., van der Zee, C., & van Rens, G. (2014). Measurement properties of question-naires assessing participation in children and adolescents with a disability: a systematic review. Quality of Life Research, 23(10), 2793–2808. https://doi.org/10.1007/s11136-014-0743-3

Renaud, M. I., Lambregts, S. A. M., van de Port, I. G. L., Catsman-Berrevoets, C. E., & van Heugten, C. M. (2020). Predictors of activities and participation six months after mild traumatic brain injury in children and adolescents. European Journal of Paediatric Neurology, 25, 145–156. https://doi.org/10.1016/j.ejpn.2019.11.008

Resch, C., Van Kruijsbergen, M., Ketelaar, M., Hurks, P., Adair, B., Imms, C., De Kloet, A., Piskur, B., & Van Heugten, C. (2020). Assessing participation of children with acquired brain injury and cerebral palsy: a systematic review of measurement properties. Developmental Medicine & Child Neurolo-gy, 62(4), 434–444. https://doi.org/10.1111/dmcn.14465

Rosenfeld, L., Kramer, J. M., Levin, M., Barrett, K., & Acevedo-Garcia, D. (2018). Scoping Review: Social Determinants of Young Children’s Participation in the United States. OTJR: Occupational Therapy Journal of Research, 38(4), 225–234. https://doi.org/10.1177/1539449218784727

Salter, K., Jutai, J., Teasell, R., Foley, N., Bitensky, J., & Bayley, M. (2005). Issues for selection of outcome measures in stroke rehabilitation: ICF activity. Disability and Rehabilitation, 27(6), 315–340. https://doi.org/10.1080/09638280400008545

United Nations Children's Fund. [UNICEF]. (9 September 2019). Adolescent participation and civic engagement. https://www.unicef.org/adolescence/participation

Utepova, A., Aubakirova, S., & Kadyraliyeva, A. (2024). Improving youth well-being and social integra-tion: the role of leisure in organized public spaces in Kazakhstan. Retos, 59, 335–348. https://doi.org/10.47197/retos.v59.107259

World Health Organization. (2001). Clasificación internacional del funcionamiento de la discapacidad y de la salud : CIF : versión abreviada. https://iris.who.int/handle/10665/4336

Ziviani, J., Desha, L., Feeney, R., & Boyd, R. (2010). Measures of Participation Outcomes and Environ-mental Considerations for Children With Acquired Brain Injury: A Systematic Review. Brain Impairment, 11(2), 93–112. https://doi.org/10.1375/brim.11.2.93

Published

2025-03-01

How to Cite

Roldán González, E., Mera Mamián, A. Y., Bolaños Roldán, A. M., Suarez Muñoz, L. G., & García Marín, P. A. (2025). Validity and reliability of the child and adolescent scale of participation (CASP): a systematic review. Retos, 64, 348–366. https://doi.org/10.47197/retos.v64.109651

Issue

Section

Theoretical systematic reviews and/or meta-analysis

Most read articles by the same author(s)