Development and initial validation of the Gilboa functional test (GIFT): A unique measure for preschool graphomotor screening

Abstract

Introduction

Fine motor and graphomotor skills are essential for children’s healthy development, as well as for successful participation in everyday activities. The Gilboa functional test (GIFT) is a newly developed norm-referenced screening instrument for use with children 3–6 years old. The aim of this study was to develop and validate the GIFT as a new measure for preschool graphomotor screening.

Method

A community-based sample of 611 children aged 3–6 years was screened.

Findings

Content validity was established via a panel of experts. The GIFT demonstrated good test–retest (0.95) and inter-rater reliability (0.94), demonstrating good concurrent validity in scores which significantly correlated with the Beery-VMI (r = 0.32, P < 0.05), the Beery-MC (r = 0.33, P < 0.05), the ‘manual dexterity’ subcategory of the movement assessment battery for children (r = –0.364, P < 0.05) and the total score of the developmental coordination disorder questionnaire ’07 (DCDQ’07)/little DCDQ (r = 0.41, P < 0.01). A significant difference in total GIFT scoring was found between children from mainstream versus special education preschools (t = 3.99, P < 0.001).

Conclusion

The GIFT is a unique tool that measures performance skills based on preschool children’s everyday activities. It can be used by paediatric occupational therapists as a first step for early identification of children potentially at risk for graphomotor/fine motor developmental delay.

Keywords

Screening test preschool activities graphomotor fine motor developmental delay

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