| Literature DB >> 33854460 |
Catalina Patricia Morales-Murillo1, Pau García-Grau2,3, R A McWilliam4, Ma Dolores Grau Sevilla3.
Abstract
This study evaluated the functioning of children in early childhood education classroom routines, using the 3M Functioning in Preschool Routines Scale. A total of 366 children aged 36 to 70 months and 22 teachers from six early childhood education centers in Spain participated in the study. The authors used the Rasch model to determine the item fit and the difficulty of the items in relation to children's ability levels in this age range. The Rasch Differential Item Functioning (DIF) analysis by child age groups showed that the item difficulty differed according to the children's age and according to their levels of competence. The results of this study supported the reliability and validity of the 3M scale for assessing children's functioning in preschool classroom routines. A few items, however, were identified as needing to be reworded and more difficult items needed to be added to increase the scale difficulty level to match the performance of children with higher ability levels. The authors introduced the new and reworded items based on the results of this study and the corresponding ICF codes per item. Moreover, the authors indicate how to use the ICF Performance Qualifiers in relation to the 3M scale response categories for developing a functioning profile for the child.Entities:
Keywords: Rasch analysis; authentic assessment; child functioning; preschool; reliability; validity
Year: 2021 PMID: 33854460 PMCID: PMC8039286 DOI: 10.3389/fpsyg.2021.615489
Source DB: PubMed Journal: Front Psychol ISSN: 1664-1078
Figure 1Components of child functioning from an ICF and MEISR perspective (McWilliam and Younggren, 2019).
3M mean scores of children.
| 3M total score | 1–4 | 3.39 (0.61) | 1–4 | 2.9 (0.69) | 1–4 | 3.49 (0.45) | 1–4 | 3.67 (0.49) |
Lowest and highest score.
Results of the principal-component analysis of residuals.
| Sophisticated engagement | 1.3, 1.5, 2.1, 2.2, 2.3, 2.4, 4.4, 5.2 | 81% | 1.9 | 0.97 | 6.02 | 0.32 | 0.86 | 2.50 | 0.15 |
| Self-help | 1.1, 1.2, 1.4, 3.1, 3.2, 3.5 | 90% | 1.8 | 0.99 | 9.55 | 0.75 | 0.56 | 1.14 | 0.11 |
| Average engagement | 4.5, 5.1, 5.4, 5.5 | 53% | 1.7 | 0.94 | 3.82 | 0.29 | 0.60 | 1.20 | 0.11 |
| Personal–Social | 2.5, 3.3, 3.4, 4.1, 4.2, 4.3, 5.3 | 75% | 2.0 | 0.97 | 5.33 | 0.22 | 0.78 | 1.88 | 0.09 |
First Rasch model item difficulty and fit analysis.
| 1.1. Uses fork and spoon to stab and scoop food | 244 | −1.21 | 0.15 | 0.95 | 1.07 | 0.56 |
| 1.2. Drinks from cup without spilling content | 258 | −2.03 | 0.18 | 1.02 | 0.47 | |
| 1.3. Initiates communication with peers | 286 | 0.03 | 0.10 | 0.82 | 0.81 | 0.70 |
| 1.4. Clears table after eating (throws away trash/puts away food containers) without been prompted | 227 | 1.20 | 0.10 | 1.15 | 1.25 | 0.67 |
| 1.5. Uses words, signs, and/or gestures to express needs to the teacher and peers | 286 | −0.88 | 0.13 | 1.11 | 0.74 | 0.59 |
| 2.1. Engages in pretend play by acting out scenarios | 332 | −0.03 | 0.09 | 0.72 | ||
| 2.2. Independently chooses and obtains accessible materials | 331 | −0.21 | 0.10 | 0.82 | 0.69 | |
| 2.3. Cooperates with peers while playing (e.g., negotiates roles) | 332 | 0.16 | 0.09 | 0.74 | ||
| 2.4. Talks to peers using understandable language | 332 | 0.10 | 0.09 | 0.96 | 0.94 | 0.68 |
| 2.5. Shows empathy toward other people's feelings | 331 | 0.92 | 0.08 | 1.17 | 1.21 | 0.67 |
| 3.1. Urinates in potty with no accidents | 331 | −1.85 | 0.15 | 1.23 | 0.97 | 0.48 |
| 3.2. Washes his/her hands after using the potty | 331 | 0.77 | 0.08 | 0.40 | ||
| 3.3. Uses zipper, snap, or buttons | 329 | 0.62 | 0.08 | 0.93 | 1.01 | 0.70 |
| 3.4. Dresses and undresses without assistance | 325 | 0.71 | 0.08 | 0.94 | 0.94 | 0.70 |
| 3.5. Goes into bathroom independently or asks for permission by using words or signs | 330 | −1.81 | 0.15 | 0.71 | 0.48 | |
| 4.1. Responds to 3-step instructions from the teacher | 330 | 0.44 | 0.09 | 1.12 | 0.96 | 0.68 |
| 4.2. Makes representational art (draws, paints, or builds things to look like real objects) | 330 | 0.93 | 0.08 | 0.9 | 0.76 | 0.76 |
| 4.3. Uses scissors independently | 331 | 1.12 | 0.08 | 1.15 | 1.12 | 0.72 |
| 4.4. Talks about his or her art product in full sentences | 330 | 0.78 | 0.08 | 0.78 | ||
| 4.5. Waits for his or her turn to use materials without getting upset | 330 | 0.37 | 0.09 | 1.32 | 1.32 | 0.61 |
| 5.1. Attends to teacher when he or she is talking to the group for periods of time longer than 5 min | 331 | 0.16 | 0.09 | 1.24 | 1.2 | 0.60 |
| 5.2. Participates in group activities that involve communication, by using full sentences | 331 | 0.56 | 0.08 | 0.77 | ||
| 5.3. Jumps by lifting both feet from the ground | 331 | −0.34 | 0.10 | 0.98 | 0.93 | 0.64 |
| 5.4. Imitates teacher's gestures and movements while singing songs | 331 | −0.40 | 0.10 | 0.88 | 0.81 | 0.65 |
| 5.5. Follows rules and teacher's requests | 331 | −0.13 | 0.10 | 0.9 | 0.89 | 0.65 |
| Model Mean | 316.4 | 0 | 0.102 | 1.03 | 1.01 | |
| Model SD | 30 | 0.908 | 0.027 | 0.3 | 0.49 | |
Values in boldface are those considered as a misfit in relationship to the 0.7–1.4 range (Handley et al., .
Second Rasch model item difficulty and fit analysis after deleting items 3.2 and 1.2 from the original scale.
| 1.1. Uses fork and spoon to stab and scoop food | 229 | −1.32 | 0.16 | 1.03 | 0.56 | |
| 1.3. Initiates communication with peers | 271 | −0.02 | 0.11 | 0.85 | 0.85 | 0.71 |
| 1.4. Clears table after eating (throws away trash/ puts away food containers) without been prompted | 212 | 1.26 | 0.10 | 1.32 | 0.67 | |
| 1.5. Uses words, signs, and/or gestures to express needs to the teacher and peers | 271 | −0.97 | 0.13 | 1.17 | 0.79 | 0.60 |
| 2.1. Engages in pretend play by acting out scenarios | 317 | −0.10 | 0.10 | 0.73 | ||
| 2.2. Independently chooses and obtains accessible materials | 316 | −0.28 | 0.10 | 0.82 | 0.70 | |
| 2.3. Cooperates with peers while playing (e.g., negotiates roles) | 317 | 0.10 | 0.10 | 0.74 | ||
| 2.4. Talks to peers using understandable language | 317 | 0.04 | 0.09 | 0.99 | 1.07 | 0.69 |
| 2.5. Shows empathy toward other people's feelings | 316 | 0.92 | 0.08 | 1.26 | 1.35 | 0.68 |
| 3.1. Urinates in potty with no accidents | 316 | −2.01 | 0.16 | 1.35 | 1.35 | 0.47 |
| 3.3. Uses zipper, snap, or buttons | 314 | 0.59 | 0.09 | 1.00 | 1.24 | 0.70 |
| 3.4. Dresses and undresses without assistance | 310 | 0.68 | 0.09 | 1.03 | 1.10 | 0.70 |
| 3.5. Goes into bathroom independently or asks for permission by using words or signs | 315 | −1.96 | 0.15 | 0.77 | 0.48 | |
| 4.1. Responds to 3-step instructions from the teacher | 315 | 0.41 | 0.09 | 1.15 | 0.99 | 0.69 |
| 4.2. Makes representational art (draws, paints, or builds things to look like real objects) | 315 | 0.92 | 0.08 | 0.92 | 0.80 | 0.77 |
| 4.3. Uses scissors independently | 316 | 1.13 | 0.08 | 1.21 | 1.26 | 0.73 |
| 4.4. Talks about his or her art product in full sentences | 315 | 0.76 | 0.09 | 0.79 | ||
| 4.5. Waits for his or her turn to use materials without getting upset | 315 | 0.32 | 0.09 | 0.61 | ||
| 5.1. Attends to teacher when he or she is talking to the group for periods of time longer than 5 min | 316 | 0.11 | 0.09 | 1.33 | 1.32 | 0.61 |
| 5.2. Participates in group activities that involve communication, by using full sentences | 316 | 0.53 | 0.09 | 0.70 | 0.77 | |
| 5.3. Jumps by lifting both feet from the ground | 316 | −0.42 | 0.10 | 1.00 | 0.98 | 0.64 |
| 5.4. Imitates teacher's gestures and movements while singing songs | 316 | −0.49 | 0.10 | 0.91 | 0.84 | 0.66 |
| 5.5. Follows rules and teacher's requests | 316 | −0.21 | 0.10 | 0.95 | 0.94 | 0.66 |
| Model Mean | 316.4 | 0 | 0.102 | 1.03 | 1.01 | |
| Model SD | 30 | 0.908 | 0.027 | 0.3 | 0.49 | |
Values in boldface are those considered as a misfit in relationship to the 0.7–1.4 range (Handley et al., .
Figure 2Person-item map of the 3M scale.
Figure 3Category (scale scores) probability curves of the 3M scale.
Item difficulty comparison by age groups.
| Eating | i1.1 | 36–48 | 3 | −2.20 | 0.30 | 4 | −0.83 | 0.20 | −1.36 | 0.36 | −3.73 | 178 | |
| 5 | −1.19 | 0.39 | −1.01 | 0.49 | −2.04 | 144 | 0.0430 | ||||||
| 4 | −0.83 | 0.20 | 5 | −1.19 | 0.39 | 0.35 | 0.44 | 0.81 | 218 | 0.4148 | |||
| i1.3 | 60–72 | 3 | −0.01 | 0.18 | 4 | 0.04 | 0.15 | −0.05 | 0.23 | −0.21 | 224 | 0.8330 | |
| 5 | −0.28 | 0.30 | 0.27 | 0.35 | 0.77 | 160 | 0.4398 | ||||||
| 4 | 0.04 | 0.15 | 5 | −0.28 | 0.30 | 0.32 | 0.33 | 0.96 | 248 | 0.3401 | |||
| i1.4 | 48–60 | 3 | 0.50 | 0.23 | 4 | 1.36 | 0.13 | −0.86 | 0.26 | −3.33 | 172 | 0.0011 | |
| 0.54 | 0.22 | 5 | 1.70 | 0.22 | −1.20 | 0.31 | −3.82 | 110 | |||||
| 4 | 1.36 | 0.13 | 5 | 1.70 | 0.22 | −0.34 | 0.25 | −1.33 | 194 | 0.1837 | |||
| i1.5 | 36–48 | 3 | −1.75 | 0.23 | 4 | −0.46 | 0.17 | −1.29 | 0.29 | −4.48 | 224 | ||
| 5 | −0.91 | 0.36 | −0.83 | 0.43 | −1.96 | 160 | 0.0521 | ||||||
| 4 | −0.46 | 0.17 | 5 | −0.91 | 0.36 | 0.45 | 0.39 | 1.15 | 248 | 0.2508 | |||
| Free play | i2.1 | 42–48 | 3 | −0.08 | 0.15 | 4 | −0.12 | 0.15 | 0.04 | 0.21 | 0.19 | 252 | 0.8502 |
| 5 | −0.17 | 0.24 | 0.10 | 0.28 | 0.34 | 206 | 0.7329 | ||||||
| 4 | −0.12 | 0.15 | 5 | −0.17 | 0.24 | 0.06 | 0.28 | 0.20 | 268 | 0.8445 | |||
| i2.2 | 60–71 | 3 | −0.41 | 0.15 | 4 | −0.16 | 0.22 | −0.25 | 0.22 | −1.14 | 252 | 0.2543 | |
| 5 | −0.28 | 0.25 | −0.13 | 0.29 | −0.46 | 205 | 0.6467 | ||||||
| 4 | −0.16 | 0.15 | 5 | −0.28 | 0.25 | 0.12 | 0.29 | 0.40 | 267 | 0.6924 | |||
| i2.3 | 48–60 | 3 | 0.11 | 0.14 | 4 | 0.08 | 0.15 | 0.03 | 0.21 | 0.15 | 252 | 0.8830 | |
| 5 | 0.09 | 0.22 | 0.02 | 0.27 | 0.08 | 206 | 0.9336 | ||||||
| 4 | 0.08 | 0.15 | 5 | 0.09 | 0.22 | −0.01 | 0.27 | −0.04 | 268 | 0.9709 | |||
| i2.4 | 48–60 | 3 | 0.09 | 0.14 | 4 | −0.12 | 0.15 | 0.21 | 0.21 | 1.00 | 252 | 0.3195 | |
| 5 | 0.24 | 0.22 | −0.14 | 0.26 | −0.56 | 206 | 0.5779 | ||||||
| 4 | −0.12 | 0.15 | 5 | 0.24 | 0.22 | −0.35 | 0.26 | −1.34 | 268 | 0.1808 | |||
| i2.5 | 36–48 | 3 | 0.53 | 0.14 | 4 | 1.35 | 0.12 | −0.82 | 0.18 | −4.47 | 251 | ||
| 5 | 0.46 | 0.20 | 0.07 | 0.25 | 0.29 | 205 | 0.7755 | ||||||
| 4 | 1.35 | 0.12 | 5 | 0.46 | 0.20 | 0.89 | 0.24 | 3.78 | 268 | ||||
| Toileting | i3.1 | 60–72 | 3 | −1.96 | 0.21 | 4 | −2.09 | 0.28 | 0.13 | 0.35 | 0.37 | 205 | 0.7118 |
| 5 | −2.02 | 0.42 | 0.05 | 0.47 | 0.12 | 205 | 0.9080 | ||||||
| 4 | −2.09 | 0.28 | 5 | −2.02 | 0.42 | −0.07 | 0.50 | −0.15 | 268 | 0.8814 | |||
| i3.3 | 48–60 | 3 | 0.83 | 0.14 | 4 | 0.56 | 0.13 | 0.27 | 0.19 | 1.40 | 249 | 0.1623 | |
| 5 | 0.09 | 0.22 | 0.74 | 0.26 | 2.80 | 204 | 0.0055 | ||||||
| 4 | 0.56 | 0.13 | 5 | 0.09 | 0.22 | 0.47 | 0.26 | 1.81 | 267 | 0.0710 | |||
| i3.4 | 48–60 | 3 | 0.96 | 0.14 | 4 | 0.64 | 0.13 | 0.32 | 0.19 | 1.64 | 246 | 0.1014 | |
| 5 | 0.15 | 0.22 | 0.81 | 0.26 | 3.07 | 201 | 0.0025 | ||||||
| 4 | 0.64 | 0.13 | 5 | 0.15 | 0.22 | 0.49 | 0.26 | 1.90 | 265 | 0.0579 | |||
| i3.5 | 36–42 | 3 | −1.79 | 0.20 | 4 | −2.26 | 0.29 | 0.46 | 0.36 | 1.30 | 250 | 0.1954 | |
| 5 | −2.02 | 0.42 | 0.23 | 0.46 | 0.49 | 204 | 0.6275 | ||||||
| 4 | −2.26 | 0.29 | 5 | −2.02 | 0.42 | −0.24 | 0.51 | −0.47 | 268 | 0.6409 | |||
| Art | i4.1 | 48–60 | 3 | 0.49 | 0.14 | 4 | 0.08 | 0.15 | 0.41 | 0.20 | 2.02 | 250 | 0.0448 |
| 5 | 0.84 | 0.19 | −0.35 | 0.24 | −1.50 | 205 | 0.1344 | ||||||
| 4 | 0.08 | 0.15 | 5 | 0.84 | 0.19 | −0.77 | 0.24 | −3.20 | 267 | 0.0015 | |||
| i4.2 | 48–60 | 3 | 1.48 | 0.14 | 4 | 0.46 | 0.13 | 1.03 | 0.20 | 5.20 | 250 | ||
| 5 | 0.91 | 0.19 | 0.57 | 0.24 | 2.40 | 204 | 0.0172 | ||||||
| 4 | 0.46 | 0.13 | 5 | 0.91 | 0.19 | −0.46 | 0.23 | −2.00 | 268 | 0.0465 | |||
| i4.3 | 48–60 | 3 | 2.45 | 0.16 | 4 | 0.40 | 0.14 | 2.05 | 0.21 | 9.63 | 251 | ||
| 5 | 0.54 | 0.20 | 1.91 | 0.26 | 7.36 | 205 | |||||||
| 4 | 0.40 | 0.14 | 5 | 0.54 | 0.20 | −0.14 | 0.24 | −0.58 | 268 | 0.5632 | |||
| i4.4 | 36–48 | 3 | 1.09 | 0.14 | 4 | 0.58 | 0.13 | 0.51 | 0.19 | 2.66 | 250 | 0.0083 | |
| 5 | 0.50 | 0.20 | 0.59 | 0.25 | 2.39 | 204 | 0.0177 | ||||||
| 4 | 0.58 | 0.13 | 5 | 0.50 | 0.20 | 0.08 | 0.24 | 0.32 | 268 | 0.7456 | |||
| i4.5 | 48–60 | 3 | 0.01 | 0.15 | 4 | 0.61 | 0.13 | −0.61 | 0.20 | −3.08 | 250 | 0.0023 | |
| 5 | 0.24 | 0.22 | −0.23 | 0.26 | −0.89 | 204 | 0.3756 | ||||||
| 4 | 0.61 | 0.13 | 5 | 0.24 | 0.22 | 0.37 | 0.25 | 1.49 | 268 | 0.1378 | |||
| Teacher–led activities | i5.1 | 36–48 | 3 | −0.66 | 0.16 | 4 | 0.27 | 0.14 | −0.93 | 0.21 | −4.37 | 251 | |
| 5 | 1.08 | 0.18 | −1.74 | 0.24 | −7.23 | 205 | |||||||
| 4 | 0.27 | 0.14 | 5 | 1.08 | 0.18 | −0.82 | 0.23 | −3.57 | 268 | ||||
| i5.2 | 48–60 | 3 | 0.41 | 0.14 | 4 | 0.60 | 0.13 | −0.19 | 0.19 | −0.97 | 251 | 0.3344 | |
| 5 | 0.58 | 0.20 | −0.17 | 0.25 | −0.70 | 205 | 0.4829 | ||||||
| 4 | 0.60 | 0.13 | 5 | 0.58 | 0.20 | 0.01 | 0.24 | 0.06 | 268 | 0.9509 | |||
| i5.3 | 36–42 | 3 | −0.14 | 0.15 | 4 | −0.82 | 0.18 | 0.68 | 0.24 | 2.85 | 251 | 0.0048 | |
| 5 | −0.42 | 0.25 | 0.28 | 0.30 | 0.93 | 205 | 0.3514 | ||||||
| 4 | −0.82 | 0.18 | 5 | −0.42 | 0.25 | −0.40 | 0.31 | −1.27 | 268 | 0.2047 | |||
| i5.4 | 36–48 | 3 | −0.71 | 0.16 | 4 | −0.24 | 0.16 | −0.48 | 0.23 | −2.11 | 251 | 0.0359 | |
| 5 | −0.55 | 0.26 | −0.16 | 0.31 | −0.53 | 205 | 0.5989 | ||||||
| 4 | −0.24 | 0.16 | 5 | −0.55 | 0.26 | 0.31 | 0.31 | 1.02 | 268 | 0.3107 | |||
| i5.5 | 40–60 | 3 | −0.79 | 0.16 | 4 | 0.19 | 0.14 | −0.98 | 0.22 | −4.52 | 251 | ||
| 5 | 0.09 | 0.22 | −0.89 | 0.28 | −3.20 | 205 | 0.0016 | ||||||
| 4 | 0.19 | 0.14 | 5 | 0.09 | 0.22 | 0.09 | 0.26 | 0.36 | 268 | 0.7227 | |||
Values in bold face are those considered Statistically significant after Bonfenrroni correction (p < 0.0007).
Original items, new items, and ICF codes.
| Eating | 1.1 | Uses fork and spoon to stab and scoop food | Grabs his/her lunch and eats it independently | d550 | Eating |
| 1.2 | Drinks from cup without spilling content | – | d560 | Drinking | |
| 1.3 | Initiates communication with peers | Initiates conversations with peers (i.e., tries to get a peer's attention by calling their name or starting a conversation) | d350 | Conversation | |
| 1.4 | Clears table after eating (throws away trash/puts away food containers) without been prompted | Throws away trash/puts away food containers after eating without been prompted. | d640 | Doing Housework (collecting and disposing garbage) | |
| 1.5 | Uses words, signs, and/or gestures to express needs to the teacher and peers | Uses words, signs, and/or gestures to express needs to the teacher and peers | d330 | Speaking | |
| Free play | 2.1 | Engages in pretend play by acting out scenarios | Engages in pretend play by acting out scenarios | d131 | Learning through actions with objects |
| 2.2 | Independently chooses and obtains accessible materials | Independently chooses and obtains accessible materials | d177 | Making decisions | |
| 2.3 | Cooperates with peers while playing (e.g., negotiates roles) | Cooperates with peers while playing without been prompted (e.g., negotiates roles) | d750 | Informal Social Relationships | |
| 2.4 | Talks to peers using understandable language | Talks to peers using understandable language | d330 | Speaking | |
| 2.5 | Shows empathy toward the feelings of other people | Shows empathy toward the feelings of other people without been prompted | d720 | Complex interpersonal interactions | |
| 2.6 | – | Participates in play by moving (e.g., runs, rides a tricycle, goes down stairs, moves using mobility equipment such as walkers or wheel-chairs) | d435 | Moving objects with lower extremities | |
| 2.6 | – | Participates in play by moving (e.g., runs, rides a tricycle, goes down stairs, moves using mobility equipment such as walkers or wheel-chairs) | d445 | Hand and arm use | |
| 2.7 | – | Participates in games that required coordination and balance (e.g., swings, rides a bicycle, balances in one foot, goes up the slide stares, throws, and catches a ball) | d435 | Moving objects with lower extremities and Moving around | |
| 2.7 | – | Participates in games that required coordination and balance (e.g., swings, rides a bicycle, balances in one foot, goes up the slide stares, throws, and catches a ball) | d455 | Hand and arm use | |
| Toileting | 3.1 | Urinates in potty with no accidents | Goes into the bathroom independently without accidents (e.g., goes to the toilet by him-/herself, wipes by him-/herself, pulls the chain) | d530 | Toileting |
| 3.2 | Washes his/her hands after using the toilet | – | d510 | Washing oneself | |
| 3.3 | Uses zipper, snap, or buttons | Uses zipper, snap, and buttons | d540 | Dressing | |
| 3.4 | Dresses and undresses without assistance | Dresses and undresses without assistance | d540 | Dressing | |
| 3.5 | Goes into bathroom independently or asks for permission by using words or signs | Asks permission to go into the bathroom using words, signs, or gestures | d330 | Speaking | |
| 3.5 | Goes into bathroom independently or asks for permission by using words or signs | Asks permission to go into the bathroom using words, signs, or gestures | d340 | Producing messages in formal sign language | |
| Art | 4.1 | Respond to 3-step instructions from the teacher | Respond to 3-step instructions from the teacher | d310 | Communicating with-receiving-spoken messages |
| 4.2 | Makes representational art (e.g., draws, paints, or builds things to look like real objects) | Makes representational art (e.g., draws, paints, or builds things to look like real objects) | d335 | Producing non-verbal messages | |
| 4.3 | Uses scissors independently | Uses scissors independently | d445 | Hand and arm use | |
| 4.4 | Talks about his or her art product in full sentences | Talks about his or her art product in full sentences | d330 | Speaking | |
| 4.5 | Waits for his or her turn to use materials without getting upset | Waits for his or her turn to use materials without getting upset | d720 | Complex interpersonal interactions | |
| Teacher-led activities | 5.1 | Attends to teacher when he or she is talking to the group for periods of time longer than 5 min | Attends to teacher when he or she is talking to the group from the beginning to the end of the teacher's intervention. | d160 | Focusing attention |
| 5.2 | Participates in group activities that involve communication, by using full sentences | Participates in group activities that involve communication, by using full sentences | d350 | Conversation | |
| 5.3 | Jumps by lifting both feet from the ground | Participates in singing or games by jumping and lifting both feet from the ground | d332 | Singing | |
| d445 | Moving around | ||||
| 5.4 | Imitates teacher's gestures and movements while singing | Imitates teacher's gestures and movements while singing | d130 | Copying | |
| 5.5 | Follows rules and teacher's requests | Is compliant with the classroom rules and teacher's requests | d310 | Communicating with-receiving-spoken messages | |
| 5.6 | – | Participates in conversations by using the past- and future-tense | d350 | Conversation | |
Represent items that have been reworded or added.
Cross-walk between the 3M scale response categories and the ICF performance qualifiers.
| Not yet | 1 | dxxx.4 | Complete difficulty (total,…) | 96–100 |
| Rarely | 2 | dxxx.3 | Severe difficulty (high, extreme,…) | 50–95 |
| Often | 3 | dxxx.2 or dxxx.1 | Moderate (medium, fair,…) or Mild difficulty (slight, low,…) | Moderate (25–49) or Mild (5–24) |
| Almost all the time | 4 | dxxx.0 | No difficulty (none, absent, negligible,…) | 0–4 |