No additional or current research update to the CHIEF outcome measure was found or made to the original blog post.
The following article utilized the CHIEF outcome assessment
Source: Khetani MA. Validation of environmental content in the Young Children’s Participation and Environment Measure. Arch Phys Med Rehabil. 2015 Feb; 96(2):317-22. doi: 10.1016/j.apmr.2014.11.016
The purpose of this article was to validate the environmental content of the Young Children’s Participation and Environment Measure (YC-PEM). This study utilized the Craig Inventory of Environmental Factors (CHIEF) as a comparison for concurrent validity. Participants were the parent/legal guardians of 395 children both with and without developmental disabilities and delays. Each participant was a caregiver for a child 0- 5 years old whom lived in North America. Participants were recruited by convenience and each filled out both the YC-PEM and the CHIEF-CP online in addition to a demographic form. For the YC-PEM caregivers evaluated their child’s participation in various activities and then evaluated the impact of environmental factors on the child’s participation. The CHIEF-CP inquires about items such as environmental factors that impact a child’s participation in various areas.
In order to evaluate the concurrent validity of the environmental content of the YC-PEM, “YC-PEM and CHIEF-CP items were first mapped to the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) to identify items for pairwise comparison. These pairs were then evaluated utilizing a Pearson and spearman correlational analyses.” “The analysis exhibited a significant association for items in all 5 of the ICF-CY environmental domains and found small to moderate negative associations in 51 out of 66 paired comparisons of the CHIEF-CP and YC-PEM environmental items. “Limitations of this study include the lack of generalizability outside of the U.S. and Canada. Validity of this tool may vary with more diverse populations, as this study’s participants were similar in regards to marital status, education level, and caregiver type (mother). Additionally some environmental areas from the YC-PEM were not included in the CHIEF-CP so they were unable to be validated in this study.
The results of this study provide additional support for the use of the YC-PEM as a valid tool for assessing perceived environmental factors that impact a child’s participation in multiple settings. The more knowledge that can be acquired about environmental barriers to a child’s participation the better these barriers can be addressed and communities can facilitate an environment that is inclusive to participation for all.
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Thank you for the research summary! I had never heard of this outcome measure, but think it could be a very useful when working with children (and their caregivers) in a therapy setting. There has been such a shift from body structure/impairment based therapy to now including more focus on activity and participation limitations, so it makes sense why an outcome measure like this is necessary. This could be a stretch (and I am unsure of the actual questions in the YC-PEM), but I am curious how and if this would differ if filled out by an observer such as the child’s daycare instructor or school teacher due to the difference in environment and participation in a group setting vs. home. I would be interested in knowing if the YC-PEM is limited to parents/legal guardians completing the measure or whether other supervisors qualify as well.