Psychometric Evaluation and Developmental Validity of the Turkish Child Oral and Motor Proficiency Scale (ChOMPS)

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Abstract Aim: Oral motor skills are vital for feeding, swallowing, and speech, forming the basis for a child’s nutrition and communication. Accurate assessment of these skills is essential for identifying developmental delays and planning early interventions. However, standardized and psychometrically sound tools in Turkish are limited. This study aimed to evaluate the reliability, validity, and developmental validity of the Turkish translation of the Children’s Oral and Motor Proficiency Scale (ChOMPS) for children aged 6 months to 6 years, providing a reliable tool for clinical and developmental use. Material and Methods: The ChOMPS was translated into Turkish using standardized forward–backward translation and expert review. Content validity was evaluated by ten pediatric rehabilitation specialists using the Item Content Validity Index (I-CVI) and modified kappa statistics. Psychometric analyses were conducted with 199 children (162 typically developing, 37 with cerebral palsy). Statistical analyses included Cronbach’s alpha, item–total correlations, test–retest reliability (intraclass correlation coefficients, ICC), receiver operating characteristic (ROC) analysis, known-group validity, and developmental validity based on the Ages and Stages Questionnaire–Turkish (ASQ-TR). Results: The Turkish ChOMPS demonstrated excellent psychometric properties. Internal consistency was high (α_total = 0.987; subscales = 0.979–0.983), and test–retest reliability confirmed temporal stability (ICC = 0.903–0.933). Content validity was excellent (Ave-CVI = 0.99; k* = 0.99). ROC analysis showed strong diagnostic accuracy (AUC = 0.90, cut-off ≤ 71, sensitivity = 97.3%, specificity = 72.2%). The scale differentiated children with cerebral palsy from typically developing peers (p < 0.001, Cohen’s d = 1.55–2.33) and showed developmental progression across ASQ-TR domains (p < 0.001). Conclusion: The Turkish ChOMPS is a reliable, valid, and developmentally sensitive tool for assessing oral motor and feeding proficiency in early childhood. It can be effectively used for clinical screening and developmental evaluation.
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Psychometric Evaluation and Developmental Validity of the Turkish Child Oral and Motor Proficiency Scale (ChOMPS) | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Psychometric Evaluation and Developmental Validity of the Turkish Child Oral and Motor Proficiency Scale (ChOMPS) Büşra Küka, Aymen Balıkçı, Sevda Asqarova, Teresa May-Benson This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7944541/v2 This work is licensed under a CC BY 4.0 License Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Abstract Aim: Oral motor skills are vital for feeding, swallowing, and speech, forming the basis for a child’s nutrition and communication. Accurate assessment of these skills is essential for identifying developmental delays and planning early interventions. However, standardized and psychometrically sound tools in Turkish are limited. This study aimed to evaluate the reliability, validity, and developmental validity of the Turkish translation of the Children’s Oral and Motor Proficiency Scale (ChOMPS) for children aged 6 months to 6 years, providing a reliable tool for clinical and developmental use. Material and Methods: The ChOMPS was translated into Turkish using standardized forward–backward translation and expert review. Content validity was evaluated by ten pediatric rehabilitation specialists using the Item Content Validity Index (I-CVI) and modified kappa statistics. Psychometric analyses were conducted with 199 children (162 typically developing, 37 with cerebral palsy). Statistical analyses included Cronbach’s alpha, item–total correlations, test–retest reliability (intraclass correlation coefficients, ICC), receiver operating characteristic (ROC) analysis, known-group validity, and developmental validity based on the Ages and Stages Questionnaire–Turkish (ASQ-TR). Results: The Turkish ChOMPS demonstrated excellent psychometric properties. Internal consistency was high (α_total = 0.987; subscales = 0.979–0.983), and test–retest reliability confirmed temporal stability (ICC = 0.903–0.933). Content validity was excellent (Ave-CVI = 0.99; k* = 0.99). ROC analysis showed strong diagnostic accuracy (AUC = 0.90, cut-off ≤ 71, sensitivity = 97.3%, specificity = 72.2%). The scale differentiated children with cerebral palsy from typically developing peers (p < 0.001, Cohen’s d = 1.55–2.33) and showed developmental progression across ASQ-TR domains (p < 0.001). Conclusion: The Turkish ChOMPS is a reliable, valid, and developmentally sensitive tool for assessing oral motor and feeding proficiency in early childhood. It can be effectively used for clinical screening and developmental evaluation. Pediatrics ChOMPS oral motor development feeding evaluation reliability validity Full Text Additional Declarations The authors declare no competing interests. Supplementary Files Table1.docx Cite Share Download PDF Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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motor skills are vital for feeding, swallowing, and speech, forming the basis for a child\u0026rsquo;s nutrition and communication. Accurate assessment of these skills is essential for identifying developmental delays and planning early interventions. However, standardized and psychometrically sound tools in Turkish are limited. This study aimed to evaluate the reliability, validity, and developmental validity of the Turkish translation of the Children\u0026rsquo;s Oral and Motor Proficiency Scale (ChOMPS) for children aged 6 months to 6 years, providing a reliable tool for clinical and developmental use.\u003c/p\u003e\u003ch2\u003eMaterial and Methods:\u003c/h2\u003e\u003cp\u003eThe ChOMPS was translated into Turkish using standardized forward\u0026ndash;backward translation and expert review. Content validity was evaluated by ten pediatric rehabilitation specialists using the Item Content Validity Index (I-CVI) and modified kappa statistics. Psychometric analyses were conducted with 199 children (162 typically developing, 37 with cerebral palsy). Statistical analyses included Cronbach\u0026rsquo;s alpha, item\u0026ndash;total correlations, test\u0026ndash;retest reliability (intraclass correlation coefficients, ICC), receiver operating characteristic (ROC) analysis, known-group validity, and developmental validity based on the Ages and Stages Questionnaire\u0026ndash;Turkish (ASQ-TR).\u003c/p\u003e\u003ch2\u003eResults:\u003c/h2\u003e\u003cp\u003eThe Turkish ChOMPS demonstrated excellent psychometric properties. Internal consistency was high (α_total\u0026thinsp;=\u0026thinsp;0.987; subscales\u0026thinsp;=\u0026thinsp;0.979\u0026ndash;0.983), and test\u0026ndash;retest reliability confirmed temporal stability (ICC\u0026thinsp;=\u0026thinsp;0.903\u0026ndash;0.933). Content validity was excellent (Ave-CVI\u0026thinsp;=\u0026thinsp;0.99; k* = 0.99). ROC analysis showed strong diagnostic accuracy (AUC\u0026thinsp;=\u0026thinsp;0.90, cut-off \u0026le;\u0026thinsp;71, sensitivity\u0026thinsp;=\u0026thinsp;97.3%, specificity\u0026thinsp;=\u0026thinsp;72.2%). The scale differentiated children with cerebral palsy from typically developing peers (p\u0026thinsp;\u0026lt;\u0026thinsp;0.001, Cohen\u0026rsquo;s d\u0026thinsp;=\u0026thinsp;1.55\u0026ndash;2.33) and showed developmental progression across ASQ-TR domains (p\u0026thinsp;\u0026lt;\u0026thinsp;0.001).\u003c/p\u003e\u003ch2\u003eConclusion:\u003c/h2\u003e\u003cp\u003eThe Turkish ChOMPS is a reliable, valid, and developmentally sensitive tool for assessing oral motor and feeding proficiency in early childhood. 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