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Article

Spanish Cultural Adaptation and Inter-Rater Reliability of the Revised Knox Preschool Play Scale

Publicated to:Children (Basel). 10 (6): 965- - 2023-06-01 10(6), DOI: 10.3390/children10060965

Authors: Serrada-Tejeda, Sergio; Perez-de-Heredia-Torres, Marta; Knox, Susan H; Sanchez-Herrera-Baeza, Patricia; Martinez-Piedrola, Rosa M; Obeso-Benitez, Paula; Santos-del-Riego, Sergio

Affiliations

Rey Juan Carlos Univ, Dept Phys Therapy Occupat Therapy Rehabil & Phys, Ave Atenas S-N, Alcorcon 28922, Spain - Author
Therapy Act, Tarzana, CA 91356 USA - Author
Univ A Coruna, Dept Phys Therapy Med & Biomed Sci, La Coruna 15001, Spain - Author

Abstract

Background: The Revised Knox Preschool Play Scale (RKPPS) is a comprehensive assessment test that observes the level of play development; however, there is no culturally adapted version available with stable psychometric values that would allow its widespread use and provide objective information during clinical evaluations. Methods: Cross-cultural adaptation included direct and retrospective translations, along with cognitive interviews with pediatric occupational therapists to analyze the comprehensibility of the translation. In addition, a final phase of linguistic revision was carried out to determine the grammatical and semantic fit of the adapted version. Finally, inter-rater reliability was analyzed in a sample of typically developing children aged four to six years old. Results: The processes of translation and back-translation, cognitive interview, and linguistic review determined an adequate grammatical and semantic equivalence to the Spanish cultural context. Almost perfect agreement, with values between 0.82 and 0.94, was obtained for items and play dimensions, indicating that the precision of the measurements between both evaluators was excellent. Conclusions: The cross-culturally adapted version of the RKPPS meets the necessary adjustments for the sociocultural context and can be used in the clinical practice of occupational therapy.

Keywords

AgreementArticleAssessmentChildChildhoodChildhood playChildrenClinical practiceCultural adaptationFemaleHumanHuman experimentHuman tissueInterrater reliabilityInterviewMaleOccupational therapistOccupational therapyPreschool childRetrospective studyRevised knox preschool play scaleVersion

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Children (Basel) due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2023, it was in position 69/186, thus managing to position itself as a Q2 (Segundo Cuartil), in the category Pediatrics. Notably, the journal is positioned en el Cuartil Q2 para la agencia Scopus (SJR) en la categoría Pediatrics, Perinatology and Child Health.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.13, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-26, the following number of citations:

  • Scopus: 1

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-26:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 8 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

    It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

    • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

    Leadership analysis of institutional authors

    This work has been carried out with international collaboration, specifically with researchers from: United States of America.

    There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Serrada Tejeda, Sergio) .

    the author responsible for correspondence tasks has been Pérez de Heredia Torres, Marta.