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Paediatric Rehabilitation Ingredients Measure: a new tool for identifying paediatric neurorehabilitation content

Lookup NU author(s): Dr Rob ForsythORCiD, Dr Andrew Golightly, Emeritus Professor Lindsay MarshallORCiD



This is the authors' accepted manuscript of an article that has been published in its final definitive form by Wiley-Blackwell, 2018.

For re-use rights please refer to the publisher's terms and conditions.


AIM To develop an instrument (Paediatric Rehabilitation Ingredients Measure [PRISM]) for quantitative estimation of contents of interdisciplinary neurorehabilitation for use in studies of relationships between rehabilitation treatment delivered and severity-adjusted outcomes after acquired brain injury (ABI). METHOD The measure was developed using an ingredients–mediators–outcomes model consistent with the International Classification of Functioning, a literature review, and other current initiatives in the development of rehabilitation treatment taxonomies, with item codevelopment in workshops with rehabilitation professionals. Interrater reliability was assessed in inpatient and residential paediatric rehabilitation settings. RESULTS Although sometimes an initially unfamiliar perspective on rehabilitation practice, PRISM’s acceptability amongst professionals was excellent. Internal consistency of scores was sometimes an issue for users unfamiliar with the tool; however, this improved with practice and interrater reliability (assessed by Kendall’s W) was good. The tool was felt to have particular value in facilitating interdisciplinary communication and working. Modifications to the design of the tool have improved internal consistency. INTERPRETATION PRISM supports identification of the ‘active ingredients’ of an interdisciplinary rehabilitation package and facilitates interdisciplinary communication. It also has potential as a research tool examining relationships between rehabilitation delivered and severity-adjusted outcomes observed after paediatric ABI.

Publication metadata

Author(s): Forsyth R, Young D, Kelly G, Davis K, Dunford C, Golightly A, Marshall L, Wales L

Publication type: Article

Publication status: Published

Journal: Developmental Medicine and Child Neurology

Year: 2018

Volume: 60

Issue: 3

Pages: 299-305

Print publication date: 01/03/2018

Online publication date: 21/12/2017

Acceptance date: 16/11/2017

Date deposited: 19/12/2017

ISSN (print): 0012-1622

ISSN (electronic): 1469-8749

Publisher: Wiley-Blackwell


DOI: 10.1111/dmcn.13648


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