Validity, reliability and Turkish adaptation of Preschool Activity Card Sort in autism spectrum disorder


Dincer B. Y., Aran O. T., Sahin S.

CHILD NEUROPSYCHOLOGY, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1080/09297049.2025.2471855
  • Dergi Adı: CHILD NEUROPSYCHOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, EMBASE, Linguistics & Language Behavior Abstracts, MEDLINE, Psycinfo
  • Hacettepe Üniversitesi Adresli: Evet

Özet

PurposeThe Preschool Activity Ranking (PACS) is a tool that measures preschool children's activity participation by focusing on the frequency and extent of their participation. This study aims to assess the validity and reliability of the Preschool Activity Card Sort (PACS) by conducting a Turkish cultural adaptation of the scale in children diagnosed with autism spectrum disorder (ASD). MethodsThis study was conducted with a prospective cross-sectional study design. Participants included parents of 70 children with ASD (study group) and 27 typically developing children (control group) aged between 3 and 6 years old. Validity was analyzed using construct validity, while reliability was examined through internal consistency and test-retest methods. ResultsResults showed that the control group scored significantly higher than the study group in all sub-scales of the PACS (p < 0.01). Additionally, a statistically significant correlation was found between the PACS and the Canadian Occupational Performance Measure (COPM) in all sub-domains except for the household chores sub-domain. The PACS demonstrated high internal consistency (Cronbach Alpha's = 0.94) and excellent time invariance ICC coefficients for the self-care, social mobility, leisure time (low physical requirement), social interaction, housework, and education sub-domains. For the leisure time (high physical requirement) subdomain, the PACS demonstrated good reliability (ICC = 0.85). ConclusionOverall, the Turkish version of the PACS was found to be a valid and reliable tool for evaluating activity participation in children with ASD.