What is it about?

We aimed to develop a tool requiring minimal literacy to facilitate parent engagement in early intervention. We identified that a picture based tool would engage parents in conversation about routines to help providers understand the child's overall participation in daily activities. Parents and caregivers of children under 3 years of age told us what their children do on a typical day. We used their responses to identify the most frequently reported activities and matched those activities with photographs. A group of experts in early child development and assessment were asked to evaluate the photographs and corresponding activities which resulted in a set of 40 activities/photographs that are included in the Infant Toddler Activity Card Sort.

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Why is it important?

The Infant Toddler Activity Card Sort provides a validated set of images that can be used by early intervention teams to facilitate goal development and document family-centered outcomes.


I hope this helps readers appreciate the importance of caregiver's perspectives of how their child is functioning within the family routines. Developmental milestones can inform our understanding of a child's capacity, but real-world participation requires integration of skills throughout the day. I anticipate that the Infant Toddler Activity Card Sort can be implemented by early intervention providers to help identify and document important outcomes to the family.

Catherine Hoyt
Washington University in Saint Louis

Read the Original

This page is a summary of: The Infant Toddler Activity Card Sort: A Caregiver Report Measure of Children’s Occupational Engagement in Family Activities and Routines, OTJR Occupational Therapy Journal of Research, June 2019, SAGE Publications,
DOI: 10.1177/1539449219852030.
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