THE MINI-ASSISTING HAND ASSESSMENT: A TEST TO MEASURE HOW YOUNG CHILDREN WITH UNILATERAL CEREBRAL PALSY USE THEIR AFFECTED HAND DURING BIMANUAL PLAY
The Mini-Assisting Hand Assessment (Mini-AHA) is a new version of the Assisting Hand Assessment (AHA), developed for young children with unilateral cerebral palsy (CP) aged 8-18 months. Like the AHA, the Mini-AHA involves a video-recorded play session using carefully selected toys that provoke bimanual hand use. Twenty object related actions of the affected hand are then scored on a 4 point rating scale.
The course teaches the reliable use of the Mini-Assisting Hand Assessment in three steps: The first step involves a two-day workshop where participants will learn about the constructs underlying the Mini-AHA, test procedures including the new play session and test items, and will practice test scoring. A Mini-AHA manual with detailed scoring criteria and a computer-based scoring form will be provided. Following the course, in the second step, participants will be required to score four test cases, with feedback provided regarding the results. In the third step the participants will create their own test kit according to instructions given during the course and conduct their own Mini-AHA play sessions to be sent to the course instructors. Feedback on the selected toys and the play session will be provided in the final certification procedure. Some further scoring may be necessary.
Day 1, 9 a.m. – 5 p.m.
- Introduction to the AHA concept and construct
- Theoretical background of the Mini-AHA
- Mini-AHA test items
- Scoring of children
- The Mini-AHA test kit and play session
Day 2, 9.a.m – 4 p.m.
- Psychometric properties
- Scoring of children
- Interpret and communicate the outcome
- Using the outcome to guide intervention
- Certification procedure
On completion of the course participants will be able to:
- Demonstrate how to select appropriate toys for a Mini-AHA play session
- Demonstrate the set-up and video-recording of the session and how toys are used to provoke bimanual play in young children
- Produce reliable scores according to the criteria in the manual
- Understand the constructs upon which the Mini-AHA is based and describe early psychometric evidence
- Interpret and communicate outcomes from the testing procedures
- Greaves S, Imms C, Dodd K, Krumlinde-Sundholm L. Development of the Mini-Assisting Hand Assessment: evidence for content and internal scale validity. DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY 2013 55;11 1030-1037
- Greaves S, Imms C, Krumlinde-Sundholm L, Dodd K, Eliasson AC. Bimanual behaviours in children aged 8-18 months: A literature review to select toys that elicit the use of two hands. RESEARCH IN DEVELOPMENTAL DISABILITIES 2012 33;1 240-250
- Greaves S, Imms C, Dodd K, Krumlinde-Sundholm L. Assessing bimanual performance in young children with hemiplegic cerebral palsy: a systematic review. DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY 2010 52;5 413-421