Administering the PEDI-CAT via telepractice
Special recommendations for administering the PEDI-CAT via telepractice
The PEDI-CAT is a computer adaptive caregiver report which measures Daily Activities, Mobility, Social/Cognitive, and Responsibility. It’s designed for use with children and youth with a variety of physical and/or behavioral conditions. The PEDI-CAT can be administered in a telepractice context by utilizing Pearson’s Q-Global® software system. Details regarding the Q-global system and how it is used are provided on the Q-global product page.
Briefly, the PEDI-CAT can be administered via on-screen administration (OSA) or remote on-screen administration (ROSA). With OSA, the examiner opens the test session on his or her computer and presents items to the informant. With ROSA, the examiner sends an email link to the informant, who opens the test session on his or her computer in a remote setting and completes the items him or herself. The examiner may or may not be present to watch the informant complete the items. ROSA is the simplest method for delivering PEDI-CAT via telepractice, but OSA may be appropriate in situations where the examiner must read the questions aloud and respond on behalf of the informant (e.g., if the informant is visually impaired or unable to read).
Conducting a valid assessment in a telepractice modality requires an understanding of the interaction between a number of complex issues. In addition to the general information on our telepractice overview page noted above, professionals should address five factors (Eichstadt et al. 2013) when planning for administering the PEDI-CAT via telepractice:
Theme-specific information for the PEDI-CAT
Selected research to date
Please refer to the following studies for considerations regarding telepractice:
Butcher, J., Perry, J., & Hahn, J. (2004). Computers in clinical assessment: Historical developments, present status, and future challenges. Journal of Clinical Psychology, 60, 331-345.
Haley S., Coster W., Dumas H., et al. PEDI-CAT: development, standardization and administration manual. Boston (MA): CRECare, LLC; 2012.
Henry, B.W., Block, D.E., Ciesla, J.R., et al. (2017). Clinician behaviors in telehealth care delivery: a systematic review. Advances in health science education, 22, 869–888 (2017). https://doi.org/10.1007/s10459-016-9717-2
Juárez, A. P., Weitlauf, A. S., et al. (2018). Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations. Journal of autism and developmental disorders, 48(8), 2601–2610. https://doi.org/10.1007/s10803-018-3524-y
Luxton, D. D., Pruitt, L. D., & Osenbach, J. E. (2014). Best practices for remote psychological assessment via telehealth technologies. Professional psychology: research and practice, 45(1), 27–35. https://doi.org/10.1037/a0034547
Russell M. et al (2003). Computer-Based Testing and Validity: A Look Back and into the Future. Technology and Assessment Study Collaborative, Boston College.
Conclusion
Provided that you have thoroughly considered and addressed all five themes and the special considerations as listed above, and based on the available research, the examiner should be prepared to observe and comment about the reliable and valid delivery of the test via telepractice. Document in your report that the administration was completed by telepractice. You may use the PEDI-CAT via telepractice without additional permission from Pearson in the following published context:
• PEDI-CAT Q-global On-screen Administration/Remote On-screen Administration and Report
Any other use of the PEDI-CAT via telepractice requires prior permission from Pearson.

A customer reflects on using Q-global digital stimulus books and manuals:
Q-Global has been a great solution for us. Managing testing materials between a variety of sites and districts could be very tricky. The online testing materials have completely resolved any access challenges we faced. Observing and recording the client's response through telepractice continues to require a good deal of coordination- particularly for pointing activities. However, the clinician being able to directly manage test stimuli and present them to the client through screen share technology makes that process much less cumbersome.
Thank you for being so proactive with making your tools accessible to telepractitioners!
Nate Cornish, MS, CCC-SLP
Clinical Director
VocoVision