The Turkish Version of the Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) (AHEMD-IS)

January 31, 2022 updated by: Umut Apaydin, Gazi University

Reliability and Validity of the Turkish Version of the Affordances in the Home Environment for Motor Development-Infant Scale and Its Cultural Adaptation in Turkish Population

The Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) is an instrument that assesses the quality and quantity of motor development opportunities available in the home for infants aged 3 to 18 months. Since its initial publication, the AHEMD-IS has grown in popularity as a clinical tool and research criterion. Furthermore, the AHEMD-IS supports the claim that environmental factors can have a positive impact on future motor skills and later cognitive behaviors of infants. Also it is stated that environmental factors are associated with infant motor development and motor abilities. As of writing, it has been translated into eight languages from the original English version and has been reported as valid and reliable in countries such as China, Spain, Lebanon, and Persia. The aim of this study was to produce the Turkish version of the AHEMD-IS and to reveal the validity and reliability of this version.

Study Overview

Detailed Description

The International Classification of Health, Function, and Disability (ICF), developed by the World Health Organization, provides a standard framework for identifying the body functions and structures, activity restrictions, and difficulties in children's participation. One of the major innovations in the ICF is that it introduces an environmental factor classification that enables the identification of environmental barriers and facilitators for both the capacity and performance of activities and tasks in daily life. The physical, social, and behavioral environments in which humans live are shaped by environmental factors. Environmental factors are external to the individual and can have a positive or negative impact on an individual's participation, performance, and body function/structure.

One of the tools that evaluate the environmental home environment is the Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS). The AHEMD-IS is a valuable tool for assessing the home environment, one of the environmental factors affecting infant motor development, and is of considerable research and clinical importance. The importance of this questionnaire is based on evidence not just for the impact of the home environment on motor development, but also on future cognitive and social behaviors. Consequently, this study aimed to translate the original English version into Turkish and to test its psychometric properties for use in children aged 3-18 months. It was aimed to determine whether the translated questionnaire meets the appropriate and necessary standards for measuring the quantity and quality of motor competencies in the home environment of children aged 3-18 month.

Study Type

Observational

Enrollment (Actual)

65

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Ankara, Turkey, 06490
        • Gazi University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

3 months to 1 year (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

The study comprised of term and preterm newborns.

Description

Inclusion Criteria:

  • Children aged 3-18 months

Exclusion Criteria:

  • Children younger than 3 months or older than 18 months
  • Congenital or systemic disease

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Other
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Preterm or term born infants
Premature or term born infants between the aged 3-18 months were recruited in this study.
The Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) is an instrument that assesses the quality and quantity of motor development opportunities available in the home for infants aged 3 to 18 months. In this study, the Turkish version of the AHEMD-IS were constructed. Also, the validity and reliability of this version were examined.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Affordances in the Home Environment for Motor Development (AHEMD-IS)
Time Frame: 2 weeks
The AHEMD-IS is a questionnaire for assessing the home environment of children aged 3 to 18 months. The AHEMD-IS evaluates physical space (inside and outside), variety of stimulation and play materials (gross motor toys and fine motor toys). The scale consists of 41 items in total. For infants aged 3-12 months, the first 32 items are answered. It is stated that the other items are not suitable for babies under 12 months. All substances are applied to infants aged 12-18 months. Questions answered as yes or no are scored as 0 and 1 (0: no, 1: yes). Other questions are scored as 0, 1, 2, 3. For infants up to 12 months, a total of 66 points is obtained. For infants older than 12 months, a total of 93 points is obtained. A higher score indicates better environmental enrichment
2 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Bayley Scales of Infant and Toddler Development -III (Bayley-III):
Time Frame: 2 weeks
The Bayley-III is a widely used test battery to evaluate the cognitive, receptive, and expressive language, and gross and fine motor development in children aged 1-42 months. The cognitive scale in the Bayley-III test battery consists of 91 items. The receptive language scale consists of 49 items and the expressive language scale consists of 48 items. In the motor development section, the gross motor development scale consists of 72 items, and the fine motor development scale consists of 66 items. Items in each section are scored as 1 (can perform the desired skill) and 0 (cannot perform the desired skill). The raw scores obtained from all items are converted into scaled scores ranging from 1 to 19 points. Then, a composite score is obtained according to this scaled score. It is the composite score commonly used in studies. Composite scores range from 40 to 160. A higher score indicates better improvement.
2 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Bulent Elbasan, Prof., Gazi University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 1, 2021

Primary Completion (Actual)

December 30, 2021

Study Completion (Actual)

January 10, 2022

Study Registration Dates

First Submitted

January 14, 2022

First Submitted That Met QC Criteria

January 14, 2022

First Posted (Actual)

January 27, 2022

Study Record Updates

Last Update Posted (Actual)

February 15, 2022

Last Update Submitted That Met QC Criteria

January 31, 2022

Last Verified

January 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • 91610558-604.01.02.

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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