The participation in childhood occupations questionnaire (PICO-Q): A pilot study

Tami Bar-Shalita, Aviva Yochman, Tanya Shapiro-Rihtman, Jean Jacques Vatine, Shula Parush*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


There is a need, among practitioners and researchers, for a feasible, user-friendly assessment tool that evaluates overall participation and guides intervention. This paper describes the process of construction and development of the Participation in Childhood Occupations Questionnaire (PICO-Q) and the establishment of its primary psychometric properties. The 22-item instrument measures the level, enjoyment, and frequency of performance for children's participation in daily occupations in a variety of environments. The questionnaire was completed by the mothers of 41 children between the ages of 6 and 10 years (24 children with and 17 children without sensory modulation disorder). Cronbach's alpha varied from. 86 to. 89, indicating internal consistency of items. Testretest reliability varied from. 69 to. 86, indicating that the instrument provides a stable measurement over time. The PICO-Q was found to differentiate between children with and without participation restrictions. The PICO-Q shows initial reliability and validity and has both research and clinical application potential.

Original languageAmerican English
Pages (from-to)295-310
Number of pages16
JournalPhysical and Occupational Therapy in Pediatrics
Issue number3
StatePublished - 2009

Bibliographical note

Funding Information:
Funding for this project was supported in part by the Charles E. Smith Family National Institute for Psychobiology in Israel and by the Levine Center for the Development of Child and Adolescence, Department of Psychology, the Hebrew University of Jerusalem.


  • Family-centered approach
  • Measurement
  • Occupation
  • Participation
  • Reliability
  • Sensory modulation disorder


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