Purpose: Parent engagement (PE) is crucial to achieving positive outcomes in pediatric rehabilitation. Measuring its characteristics may help healthcare professionals enhance PE. This study aims to translate into Italian and to validate the PRIME P scale, a tool useful for measuring PE in pediatric rehabilitation. Methods: The cross-cultural translation followed recent guidelines. Caregivers (n = 124) were recruited from two Italian pediatric rehabilitation services. Participants completed the scale twice within 15 days. Internal consistency, test-retest reliability, and construct validity (via exploratory factor analysis) were analyzed. Associations between participants’ characteristics and scale scores were also investigated. Results: The IT-PRIME P exploratory factor analysis identified a two-dimensional structure: “Predisposition to treatment” and “Collaboration”. The IT-PRIME P showed adequate internal consistency (Dimension 1: α = 0.87 - Dimension 2: α = 0.80) and good test-retest reliability (Dimension 1: ICC = 0.711; Dimension 2: ICC = 0.845). Correlations and regression analyses identified associations between the “Collaboration” dimension and the variables “child’s age” and “type of therapy” (p < 0.05) and “parent’s presence” (p < 0.05; β = 1.21; 95% CI = 0.04–2.38). Conclusions: The PRIME-P IT demonstrates adequate psychometric properties, consistent with those of the original PRIME-P scale. These findings support its use for assessing PE in pediatric rehabilitation settings.
Pediatric rehabilitation intervention measure of engagement—parent version (PRIME P): cross-cultural translation into Italian and validation
Massari, Ermelinda;Ippolito, Giorgia;Catalano, Alberto
2026-01-01
Abstract
Purpose: Parent engagement (PE) is crucial to achieving positive outcomes in pediatric rehabilitation. Measuring its characteristics may help healthcare professionals enhance PE. This study aims to translate into Italian and to validate the PRIME P scale, a tool useful for measuring PE in pediatric rehabilitation. Methods: The cross-cultural translation followed recent guidelines. Caregivers (n = 124) were recruited from two Italian pediatric rehabilitation services. Participants completed the scale twice within 15 days. Internal consistency, test-retest reliability, and construct validity (via exploratory factor analysis) were analyzed. Associations between participants’ characteristics and scale scores were also investigated. Results: The IT-PRIME P exploratory factor analysis identified a two-dimensional structure: “Predisposition to treatment” and “Collaboration”. The IT-PRIME P showed adequate internal consistency (Dimension 1: α = 0.87 - Dimension 2: α = 0.80) and good test-retest reliability (Dimension 1: ICC = 0.711; Dimension 2: ICC = 0.845). Correlations and regression analyses identified associations between the “Collaboration” dimension and the variables “child’s age” and “type of therapy” (p < 0.05) and “parent’s presence” (p < 0.05; β = 1.21; 95% CI = 0.04–2.38). Conclusions: The PRIME-P IT demonstrates adequate psychometric properties, consistent with those of the original PRIME-P scale. These findings support its use for assessing PE in pediatric rehabilitation settings.
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