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12.12 The test-retest reliability of the child SCAT5
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12.12 The test-retest reliability of the child SCAT5
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Journal Article
12.12 The test-retest reliability of the child SCAT5
2024
Overview
ObjectiveTo examine the one-year test-retest reliability of Child SCAT5 scores among middle school student athletes.DesignA prospective cohort study was conducted from August 2017 to May 2019 as part of George Mason University’s Advancing Healthcare Initiatives for Underserved Students (ACHIEVES) Project. Certified athletic trainers administered the Child SCAT5 baseline assessments each year at the beginning of two consecutive sports seasons.SettingMiddle school sports within a large public-school division in Virginia, USA.ParticipantsParticipants were 219 students (ages 11 and 12, M=11.7, SD=0.5; 52.1% girls, 47.9% boys) playing competitive school-sponsored sports during 2017–2018 and 2018–2019 academic years.Outcome MeasuresThe Child SCAT5 is comprised of: Total Symptoms; Symptom Severity; the Standardized Assessment of Concussion-Child Version (SAC-C), which includes Immediate Memory, Digits Backwards, Concentration, and Delayed Recall; and the Modified Balance Error Scoring System (mBESS).Main ResultsThe test-retest reliabilities of each Child SCAT5 component were low to moderate (all p’s<.001): Total Symptoms [ICC=0.53, (95%CI: 0.39,0.64)], Symptom Severity [ICC=0.55, (0.42,0.66)], SAC-C [ICC=0.49, (0.33,0.61)], Immediate Memory [ICC=0.40, (0.22,0.54)], Digits Backwards [ICC=0.50, (0.35,0.62)], Concentration [ICC=0.52, (0.37,0.63)], Delayed Recall [ICC=0.55, (0.41,0.66)], and mBESS [ICC=0.54, (0.40,0.65)]. Reliable change estimates were calculated for each score. Most children (69%–85%) scored within the same normative classification range each year.ConclusionsThe Child SCAT5 scores had low to moderate test-retest reliability. Most children scored within the same normative classification range across the two years. Recommendations for interpreting change on the Child SCAT5 are provided.
Publisher
BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine,BMJ Publishing Group LTD
