Skip to main content
Top
Published in: Orphanet Journal of Rare Diseases 1/2022

Open Access 01-12-2022 | Rett Syndrome | Research

The GAIRS Checklist: a useful global assessment tool in patients with Rett syndrome

Authors: Rosa Angela Fabio, Martina Semino, Samantha Giannatiempo

Published in: Orphanet Journal of Rare Diseases | Issue 1/2022

Login to get access

Abstract

Background

Rett Syndrome is a severe, neurodevelopmental disorder mainly caused by mutations in the MECP2 gene, affecting around 1 in 10,000 female births. Severe physical, language, and social impairments impose a wide range of limitations in the assessment of the abilities of Rett patients. This study proposes an analysis and first validation of a Global Assessment and Intervention in Rett syndrome (GAIRS) Checklist for assessing behavioral, intellectual, academic, neuropsychological and psychosocial manifestations in patients with Rett Syndrome. We administered the GAIRS Checklist to 113 Italian patients with Rett Syndrome aged 4–42.

Aims of this study

To examine the psychometric characteristics of the GAIRS Checklist. Moreover, the aim is also to examine the validity of GAIRS with test–retest correlation, convergent validity with similar functional measurements, such as the Vineland scales, and divergent validity with severity of disease scale, such as the RARS scale and severity of neuropsychiatric evaluations.

Results

All 10 subscales of GAIRS were positively and significantly related to each other and to the total GAIRS score, and the subscales showed high levels of Cronbach’s alpha values (from .77 to .95). Principal axis factoring suggested two factors that explain 60% of the variance. Test–retest reliability is 0.82. This means that psychometric properties are reliable. Correlation for Concurrent validity with Vineland score was high and Divergent Validity with RARS was also high.

Conclusion

The GAIRS Checklist used for Rett syndrome is acceptable and feasible to complete assessment in a clinical setting. Moreover, it can detect the complexity of this disease and may suggest the next step in terms of specific training in Rett syndrome.
Literature
2.
go back to reference Fabio RA, Colombo B, Russo S, Cogliati F, Masciadri M, Foglia S, et al. Recent insights into genotype–phenotype relationships in patients with Rett syndrome using a fine grain scale. Res Dev Disabil. 2014;11:2976–86.CrossRef Fabio RA, Colombo B, Russo S, Cogliati F, Masciadri M, Foglia S, et al. Recent insights into genotype–phenotype relationships in patients with Rett syndrome using a fine grain scale. Res Dev Disabil. 2014;11:2976–86.CrossRef
3.
go back to reference Fabio RA, Antonietti A, Castelli I, Marchetti A. Attention and communication in Rett syndrome. Res Autism Spectrum Disord. 2009;2:329–35.CrossRef Fabio RA, Antonietti A, Castelli I, Marchetti A. Attention and communication in Rett syndrome. Res Autism Spectrum Disord. 2009;2:329–35.CrossRef
7.
go back to reference Demeter K. Assessing the developmental level in Rett syndrome: an alternative approach? Eur Child Adolesc Psychiatry. 2000;9:227–33.CrossRef Demeter K. Assessing the developmental level in Rett syndrome: an alternative approach? Eur Child Adolesc Psychiatry. 2000;9:227–33.CrossRef
9.
go back to reference Rodocanachi Roidi ML, Isaias IU, Cozzi F, Grange F, Scotti FM, Gestra VF, et al. A new scale to evaluate motor function in Rett syndrome: validation and psychometric properties. Pediatr Neurol. 2019;100:80–6.CrossRef Rodocanachi Roidi ML, Isaias IU, Cozzi F, Grange F, Scotti FM, Gestra VF, et al. A new scale to evaluate motor function in Rett syndrome: validation and psychometric properties. Pediatr Neurol. 2019;100:80–6.CrossRef
11.
go back to reference Fabio RA, Giannatiempo S, Caprì T. Attention and identification of the same and the similar visual stimuli in Rett Syndrome. Life Span Disabil. 2019;22(1):113–27. Fabio RA, Giannatiempo S, Caprì T. Attention and identification of the same and the similar visual stimuli in Rett Syndrome. Life Span Disabil. 2019;22(1):113–27.
13.
go back to reference Didden HCM, Korzilius HPLM, Smeets EEJ, Green VA, Lang R, Lancioni GE, et al. Communication in individuals with Rett syndrome: an assessment of forms and functions. J Dev Phys Disabil. 2010;22(2):105–18.CrossRef Didden HCM, Korzilius HPLM, Smeets EEJ, Green VA, Lang R, Lancioni GE, et al. Communication in individuals with Rett syndrome: an assessment of forms and functions. J Dev Phys Disabil. 2010;22(2):105–18.CrossRef
14.
go back to reference Antonietti A, Marchetti A, Castelli I, Fabio RA, Lucchini B. Do Rett syndrome persons possess theory of mind? Some evidence from not-treated girls. Life Span Disabil. 2013;16:157–68. Antonietti A, Marchetti A, Castelli I, Fabio RA, Lucchini B. Do Rett syndrome persons possess theory of mind? Some evidence from not-treated girls. Life Span Disabil. 2013;16:157–68.
16.
go back to reference Sigafoos J, Woodyatt G, Tucker M, Roberts-Pennell D, Pittendreigh N. Assessment of potential communicative acts in three individuals with Rett syndrome. J Dev Phys Disabil. 2000;12:203–16.CrossRef Sigafoos J, Woodyatt G, Tucker M, Roberts-Pennell D, Pittendreigh N. Assessment of potential communicative acts in three individuals with Rett syndrome. J Dev Phys Disabil. 2000;12:203–16.CrossRef
17.
go back to reference Battaglia FM, Savoini M. Traduzione e adattamento delle: GMDS-R, Griffiths Mental Development Scale (0–2 anni). Giunti O.S. Firenze; 2007. Battaglia FM, Savoini M. Traduzione e adattamento delle: GMDS-R, Griffiths Mental Development Scale (0–2 anni). Giunti O.S. Firenze; 2007.
18.
go back to reference Holden RH. The Bayley Scales of infant development. In: Buros OK, editor. The seventh mental measurements yearbook, vol. 1. Highland Park: Gryphon Press; 1969. Holden RH. The Bayley Scales of infant development. In: Buros OK, editor. The seventh mental measurements yearbook, vol. 1. Highland Park: Gryphon Press; 1969.
21.
go back to reference Bluma SM. Portage guide to early education. Portage: Cooperative Education Service Agency; 1976. p. 12. Bluma SM. Portage guide to early education. Portage: Cooperative Education Service Agency; 1976. p. 12.
22.
go back to reference Fabio RS, Martinazzoli C, Antonietti A. Costruzione e standardizzazione dello strumento “R.A.R.S.” (Rett Assessment Rating Scale). Ciclo evolutivo e disabilità; 2005. p. 8257–81. Fabio RS, Martinazzoli C, Antonietti A. Costruzione e standardizzazione dello strumento “R.A.R.S.” (Rett Assessment Rating Scale). Ciclo evolutivo e disabilità; 2005. p. 8257–81.
24.
go back to reference Cervi F, Saletti V, Turner K, Peron A, Bulgheroni S, Taddei M, et al. The TAND checklist: a useful screening tool in children with tuberous sclerosis and neurofibromatosis type 1. Orphanet J Rare Dis. 2020;15(1):1–237.CrossRef Cervi F, Saletti V, Turner K, Peron A, Bulgheroni S, Taddei M, et al. The TAND checklist: a useful screening tool in children with tuberous sclerosis and neurofibromatosis type 1. Orphanet J Rare Dis. 2020;15(1):1–237.CrossRef
25.
go back to reference Fabio RA, Antonietti A, Castelli I, Marchetti A. Attention and communication in Rett syndrome. Res Autism Spectrum Disord. 2009;3(2):329–35.CrossRef Fabio RA, Antonietti A, Castelli I, Marchetti A. Attention and communication in Rett syndrome. Res Autism Spectrum Disord. 2009;3(2):329–35.CrossRef
27.
go back to reference Fabio RA, Billeci L, Crifaci G, Troise E, Tortorella G, Pioggia G. Cognitive training modifies frequency EEG bands and neuropsychological measures in Rett syndrome. Res Dev Disabil. 2016;53–54:73–8511.CrossRef Fabio RA, Billeci L, Crifaci G, Troise E, Tortorella G, Pioggia G. Cognitive training modifies frequency EEG bands and neuropsychological measures in Rett syndrome. Res Dev Disabil. 2016;53–54:73–8511.CrossRef
29.
go back to reference Statisticale Package for the Social Sciences for Mac, Version 27.0. Armonk: IBM Corp.; 2020. Statisticale Package for the Social Sciences for Mac, Version 27.0. Armonk: IBM Corp.; 2020.
31.
go back to reference Costello AB, Osborne JW. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Pract Assess Res Eval. 2005;10(1):7. Costello AB, Osborne JW. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Pract Assess Res Eval. 2005;10(1):7.
32.
go back to reference Fabrigar LR, Petty RE. The role of the affective and cognitive bases of attitudes in susceptibility to affectively and cognitively based persuasion. Pers Soc Psychol Bull. 1999;25:91–109.CrossRef Fabrigar LR, Petty RE. The role of the affective and cognitive bases of attitudes in susceptibility to affectively and cognitively based persuasion. Pers Soc Psychol Bull. 1999;25:91–109.CrossRef
33.
go back to reference Velicer WF, Eaton CA, Fava JL. Construct explication through factor or component analysis: a review and evaluation of alternative procedures for determining the number of factors or components. In: Goffin RD, Helmes E, editors. Problems and solutions in human assessment: Honoring Douglas N. Jackson at seventy. Kluwer Academic; 2000. p. 41–71. https://doi.org/10.1007/978-1-4615-4397-8_3.CrossRef Velicer WF, Eaton CA, Fava JL. Construct explication through factor or component analysis: a review and evaluation of alternative procedures for determining the number of factors or components. In: Goffin RD, Helmes E, editors. Problems and solutions in human assessment: Honoring Douglas N. Jackson at seventy. Kluwer Academic; 2000. p. 41–71. https://​doi.​org/​10.​1007/​978-1-4615-4397-8_​3.CrossRef
34.
go back to reference Fabio RA, Magaudda C, Caprì T, Towey GE, Martino G. Choice behavior in Rett syndrome: the consistency parameter. Life Span Disabil. 2018;21(1):47–62. Fabio RA, Magaudda C, Caprì T, Towey GE, Martino G. Choice behavior in Rett syndrome: the consistency parameter. Life Span Disabil. 2018;21(1):47–62.
36.
go back to reference Antonietti A, Castelli I, Fabio RA, Marchetti A. Teoria della Mente nella sindrome di Rett: effetti di un training. Ciclo Evolutivo e Disabilità. 2001;4:301–29. Antonietti A, Castelli I, Fabio RA, Marchetti A. Teoria della Mente nella sindrome di Rett: effetti di un training. Ciclo Evolutivo e Disabilità. 2001;4:301–29.
37.
go back to reference Castelli I, Antonietti A, Fabio RA, Lucchini B, Marchetti A. Do rett syndrome persons possess theory of mind? Some evidence from not-treated girls. Life Span Disabil. 2013;16(2):157–68. Castelli I, Antonietti A, Fabio RA, Lucchini B, Marchetti A. Do rett syndrome persons possess theory of mind? Some evidence from not-treated girls. Life Span Disabil. 2013;16(2):157–68.
38.
go back to reference World Health Organization. International classification of functioning, disability and health: ICF. World Health Organization; 2001. World Health Organization. International classification of functioning, disability and health: ICF. World Health Organization; 2001.
39.
go back to reference Kozloff M, Bates S. A program for families of children with learning and behavior problems. Cogn Behav Ther. 1981;10(1):56–7. Kozloff M, Bates S. A program for families of children with learning and behavior problems. Cogn Behav Ther. 1981;10(1):56–7.
Metadata
Title
The GAIRS Checklist: a useful global assessment tool in patients with Rett syndrome
Authors
Rosa Angela Fabio
Martina Semino
Samantha Giannatiempo
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Rett Syndrome
Published in
Orphanet Journal of Rare Diseases / Issue 1/2022
Electronic ISSN: 1750-1172
DOI
https://doi.org/10.1186/s13023-022-02259-z

Other articles of this Issue 1/2022

Orphanet Journal of Rare Diseases 1/2022 Go to the issue