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Perceptual and motor skills2021; 128(5); 2117-2131; doi: 10.1177/00315125211036578

Development and Validation of an Instrument to Assess Horseback Mobility in Hippotherapy.

Abstract: Improvement in rider mobility represents an important functional gain for people with disabilities undergoing hippotherapy. However, there is no validated measuring instrument to track and document the rider's progress in riding activities. In this study, we aimed to develop and establish validity evidence for an instrument to assess hippotherapy participants' mobility on horseback. We report on this development through the stages of: (a) content validation, (b) construct validation, (c) inter- and intra-rater reliability and (d) internal consistency analysis. We evaluated its factor structure with exploratory factor analyses, calculated values for inter- and intra-rater reliability using the intra-class correlation coefficient, and calculated its internal consistency using Cronbach's alpha. We followed recommendations by the Guidelines for Reporting Reliability and Agreement Studies. We found good inter-rater reliability (intra-class correlation coefficient - ICC = 0.991-0.999) and good intra-rater reliability (ICC = 0.997-1.0), and there was excellent internal consistency (Cronbach's α = 0.937-0.999). The instrument's factor structure grouped its three domains into one factor. As this instrument is theoretically consistent and has been found to be appropriate and reliable for its intended use, it is now available for the measurement of horseback mobility among hippotherapy riders.
Publication Date: 2021-08-01 PubMed ID: 34338054DOI: 10.1177/00315125211036578Google Scholar: Lookup
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  • Journal Article

Summary

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This research focuses on the development and validation of a new instrument designed to assess the mobility of individuals participating in therapeutic horse riding or “hippotherapy.” The paper outlines the process of creating this tool and testing its effectiveness in accurately measuring improvements in rider movement.

Objective of the Research

The researchers recognized a gap in the field of hippotherapy – the absence of a methodological tool to track and quantify the progress of riders in their mobility. Hippotherapy patients often have disabilities, and an increase in their mobility while riding represents a significant improvement in their condition. However, without a standardized instrument to measure this progress, it is difficult to document and validate it. To fill this gap, the researchers decided to create and validate an instrument that would accurately assess the mobility of hippotherapy participants on horseback.

Development of the Instrument

The researchers followed a rigorous process to develop the instrument:

  • Content validation: This phase involved ensuring that the items on the instrument accurately reflected the content area – in this case, the rider’s mobility on horseback.
  • Construct validation: Here, the researchers tested if the instrument effectively measures the intended construct – rider mobility.
  • Inter- and intra-rater reliability: These tests evaluated if the instrument yielded consistent results when used by different raters (inter-rater reliability) or the same rater at different times (intra-rater reliability).

Evaluation of the Instrument

Once the instrument was developed, the researchers scrutinized it for reliability and internal consistency. The factor structure was evaluated using exploratory factor analysis, which determined how the variables in the instrument linked together. The inter- and intra-rater reliability were calculated using the intra-class correlation coefficient (ICC), which measures the degree of agreement between raters. Internal consistency was assessed using Cronbach’s alpha to measure how closely related a set of items in a group is.

The results showed high inter-rater reliability (ICC = 0.991-0.999) meaning that different raters produced consistent results. Similarly, good intra-rater reliability (ICC = 0.997-1.0) indicated the same rater produced consistent results at different times. The high internal consistency (Cronbach’s α = 0.937-0.999) demonstrated that the instrument’s items were closely interrelated.

Conclusion

In conclusion, the instrument was found to be valid, reliable, and effective in assessing the horseback mobility of hippotherapy riders. Hence, it will be a valuable tool in the future to track patients’ progress, validate therapeutic intervention outcomes, and improve treatments in the field of hippotherapy.

Cite This Article

APA
Prieto AV, Ayupe KMA, Abreu ACA, Filho PJBG. (2021). Development and Validation of an Instrument to Assess Horseback Mobility in Hippotherapy. Percept Mot Skills, 128(5), 2117-2131. https://doi.org/10.1177/00315125211036578

Publication

ISSN: 1558-688X
NlmUniqueID: 0401131
Country: United States
Language: English
Volume: 128
Issue: 5
Pages: 2117-2131

Researcher Affiliations

Prieto, Alessandra V
  • Adapted Motor Activity Laboratory, College of Physical Education, University of Brasília, Brasília, Brazil.
Ayupe, Kênnea Martins Almeida
  • Faculty of Ceilândia, Physical Therapy College, University of Brasília, Brasília, Brazil.
Abreu, Ana C A
  • National Association of Hippotherapy - ANDE - BRASIL, Brasília, Brazil.
Filho, Paulo J B Gutierres
  • Adapted Motor Activity Laboratory, College of Physical Education, University of Brasília, Brasília, Brazil.

MeSH Terms

  • Equine-Assisted Therapy
  • Factor Analysis, Statistical
  • Humans
  • Reproducibility of Results

Citations

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