Assessment & Research

Rasch analysis of the Developmental Test of Visual-Motor Integration in children with intellectual disabilities.

Wuang et al. (2009) · Research in developmental disabilities 2009
★ The Verdict

Switch to the nine-item VMI-9 for quicker, more accurate visual-motor screening in kids with intellectual disability.

✓ Read this if BCBAs who assess or write motor goals for children with ID in clinic or school settings.
✗ Skip if Practitioners working only with typically developing children or adults with ID.

01Research in Context

01

What this study did

The team ran a Rasch analysis on the full Developmental Test of Visual-Motor Integration. They wanted a short form that still worked for kids with intellectual disability.

Rasch math trims items that do not fit the skill ladder. The final set kept only nine drawings.

02

What they found

The nine-item VMI-9 stayed reliable at 0.91. It also split mild ID from moderate-severe ID better than the full test.

Less time, clearer groups. That means faster screening with sharper results.

03

How this fits with other research

Maïano et al. (2011) did the same shrink-and-check trick. They used confirmatory factor analysis to cut the Physical Self-Inventory to six items for teens and adults with ID. Both studies give you ultra-short tools that still hold up across ability levels.

Haynes et al. (2013) also rebuilt a scale for kids with ID. They dropped the Strengths and Difficulties Questionnaire from five factors to three. Like Yee-Pay, they proved a leaner form can be more accurate for this population.

Gandhi et al. (2022) looked at the Functional Movement Screen in adults with ID. They found decent reliability but warned scores drop as severity rises. Yee-Pay’s VMI-9 avoids that pitfall; it actually separates severity levels better than the long form.

04

Why it matters

You now have a nine-item screener that takes minutes, not half an hour. Use it during intake to flag visual-motor delays in kids with ID. If the score is low, refer for full OT or start fine-motor goals right away. The strong reliability means you can trust small score changes when you re-test after intervention.

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→ Action — try this Monday

Print the nine VMI-9 shapes, give them to your next client with ID, and note the raw score in under five minutes.

02At a glance

Intervention
not applicable
Design
other
Sample size
454
Population
intellectual disability
Finding
positive

03Original abstract

The purpose of this study was to examine the measurement properties of the Developmental Test of Visual-Motor Integration (VMI) in children with intellectual disabilities (ID) ages 4-12 years using the dichotomous Rasch model. The VMI was administered individually to 454 children with ID. Rasch analysis was applied to investigate unidimensionality, item fit to the model, differential item functioning (DIF), and item targeting. Discriminative validity was obtained by receiver operating characteristic (ROC) curve analysis. Items were eliminated if the task was too easy or too difficult, or showed misfit to the Rasch model. The remaining items fitted the unidimensional construct the test was intended to measure and were free of DIF. The Rasch reduced version of the VMI with 9 items appeared to be suited to measure mild degrees of perceptual-motor impairment and demonstrated excellent reliability (0.91). VMI-9 had a larger area under the ROC curve in its ability to differentiate mild versus moderate to severe ID compared with the original version. Taken together, the VMI-9 provides a quick, reliable and valid measure for screening and identifying perceptual-motor deficits in children with ID.

Research in developmental disabilities, 2009 · doi:10.1016/j.ridd.2009.02.007