Individual MABC-3 and DASH-2 Participation Agreement (3-15)

Please note: This form is for parents and caregivers to sign up their children aged 3-15 years. Participants aged 16-25 years can sign themselves up here.

COVID-19 Update

Please bear with us whilst we restart our projects. A member of the Research and Development Team will be in touch to let you know whether your child has been selected to take part.

Please be aware that if your child is selected to take part, the examiner who conducts their session may not be wearing PPE (e.g. a facemask) and you may be asked to complete a COVID declaration.

Stay safe and healthy.

Pearson Clinical Assessment

At Pearson Clinical UK, we develop and distribute assessments for professionals in psychology, allied health, general education, special needs education, and other areas serving people of all ages and cultures.

What is happening?

Pearson Assessment is collecting data for a new project involving the development of the Movement Assessment Battery for Children - Third Edition (MABC-3) and the Detailed Assessment for Speed of Handwriting (DASH-2). For this project, we will measure children's movement ability and handwriting speed. By testing a large number of children, we can understand how children aged 3 to 15 years typically perform. The results from this project will help develop the new assessments. The published assessment will then enable professionals to identify children who require intervention and support with movement activities and handwriting.

We welcome your child's participation in the project.

Please click NEXT at the bottom of the page to continue.

What will the project involve?

If you agree for your child to be involved, Pearson Assessment will first determine whether they fit the criteria for taking part based on the demographic information you provide.

If your child is chosen to take part, we will contact you via email to arrange an assessment session. This should take around 45 minutes, although this will depend on the age and ability of the child. The assessment will take place either at home or at a convenient public location, as a parent/carer you can request to be present during the assessment but this is by no means necessary. The tests will be conducted by a trained professional (with an enhanced DBS check). They will ask your child to complete some movement activities such as throwing, catching and jumping and/or handwriting tasks. In certain circumstances, the examiner may hold the child's hand to assist with balance tasks.

As part of the project, you (or the child themselves if 12+ years) and another adult that knows the child will need to complete a checklist regarding your child's movement abilities. This will be used to help interpret the data collected from your child's assessment. More detail will be given if your child is selected to take part.

A small proportion of participants will be asked to take part in an additional study. This will involve either your child repeating the same assessments or being assessed with a similar assessment. If they are selected to take part in one of these studies, you will be given further information about this at the time.

If you’d like to help:

If you would be happy for your child to take part in our project, please click 'Next' below to complete the form. The demographic information requested is purely to ensure that we have data from a wide variety of people and will not be used for any other purpose.

Data Privacy

All the information you provide will be treated in the strictest confidence. The results of your child's assessment will not be given to any third party. The results will be anonymised and only used for statistical purposes by the research team in order to create comparison scores. We will be unable to give you the results of your child's assessment, as these assessments are still being developed.

Information about the way we will use your/your child's personal information and keep it secure are set out here.

Participation in this research project is entirely voluntary, you would be free to withdraw at any time without giving a reason, resulting in all information provided being destroyed.

Thank you

MABC-3 and DASH-2 Research Team at Pearson Clinical Assessment UK

Any questions? Please email clinicalresearch@pearson.com

Please click NEXT at the bottom of the page to continue and fill in your details.

Child's name* This field is required.

First Name

Last Name

Child's date of birth* This field is required.

Date

Child's Sex* This field is required.At Birth

Female

Male

Prefer not to say

Prefers to self describe

SexPrefer to self describe

Child's ethnicity* This field is required.

White

Black

Asian

Mixed

Other

Ethnicity: OtherPlease indicate your child's ethnicity

Which country of the UK does your child live in?* This field is required.

England

Wales

Northern Ireland

Scotland

What is your child's home Post Code?* This field is required.

Has the child lived in the UK for more than 12 months?* This field is required.

YESNO

Can the child understand English?* This field is required.Follow test instructions and interact with tester

YESNO

Do they wear prescription glasses and/or lenses?* This field is required.

YESNO

Please provide further information here(e.g. state if they require glasses for reading)

Do they require a hearing aid/listening device?* This field is required.

YESNO

Please provide further information here(e.g. state if they wear a hearing aid)

Have they undertaken the MABC-2, or DASH Assessments in the last 6 months?

YESNO

Further Details of AssessmentPlease specify which assessment and reason for testing.

Was your child born prematurely?

YESNO

How many days/weeks prematurely were they born?

Is your child diagnosed with and/or are they receiving services for any of the following?* This field is required.(please tick ALL that apply)

Intellectual Impairment, such that they will not be able to understand or follow assessment instructions e.g drawing a shape

Seizure disorder, and/or has a history of seizures, Epilepsy, Encephalitis

Acquired Central Nervous System disorders such as brain tumor or Traumatic Brain Injury

Juvenile Parkinsonism

Duchenne Muscular Dystrophy

Juvenile Rheumatoid Arthritis (JRA) or Juvenile Idiopathic Arthritis (JIA)

Cerebral Palsy

Major sensory impairment (e.g. visual or hearing impairment)

None of the above

Is the child currently:* This field is required.(Please tick ALL that apply)

admitted to hospital, or psychiatric facility

taking medication like antidepressants, anticonvulsants or antipsychotics

undergoing chemotherapy

None of the above

Has the child been formally diagnosed with a developmental disorder? (please specify)* This field is required.

Attention Deficit Hyperactivity Disorder (ADHD)

Autism Spectrum Disorder (ASD)

Developmental Coordination Disorder (DCD)

Dyspraxia

Dyslexia

None of the above

Other

Please provide further information hereWhat developmental disorder has your child been diagnosed with?

Has the child been formally diagnosed with any type of fine motor or handwriting difficulty* This field is required.

YESNO

Please provide any further details* This field is required.You indicated that the child has been formally diagnosed with a type of fine motor or handwriting difficulty

Does the child have a physical impairment that would preclude them from completing the assessment (e.g. broken limb, minor/major injury)* This field is required.The assessment involves jumping, catching and manipulation of small objects.

YESNO

Please provide any further details* This field is required.You indicated that the child has a physical impairment that would preclude them from completing the assessment

Is the child currently attending an educational institution (nursery, school, college, university)?* This field is required.

YESNO

Please indicate the highest qualification the Child's Mother/Primary Caregiver 1 has attained.* This field is required.This information is purely for statistical purposes to ensure individuals from a wide variety of educational backgrounds are included.

No Qualifications

1+ GSCE/CSE/O-level/O-grade/Standard Grade (any grade)

NVQ Level 1, Foundation GNVQ

5+ GCSEs (Grades A-C)/CSEs (Grade 1)/O-levels/School Certificate/O-grades/Standard Grades

NVQ Level 2, Intermediate GNVQ

1+ A-level/AS-level/Higher Grades/Certificate of Year 6 Grade

2+ A-levels, 4+ AS-levels/Higher Grades/Certificate of Year 6 Grade

NVQ Level 3, Advanced GNVQ

Apprenticeship(s) - Intermediate/Higher/Advanced

First Degree (e.g. BA, BSc)

NVQ Levels 4-5, HNC, HND

Higher Degree (e.g. MA, PhD, PGCE, post-graduate certificate/diplomas)

Other Qualifications (e.g. City of Guilds, RSA/OCR, BTEC/Edexcel)

Not Known

Please indicate the highest qualification the Child's Father/Primary Caregiver 2 has attained.* This field is required.This information is purely for statistical purposes to ensure individuals from a wide variety of educational backgrounds are included.

No Qualifications

1+ GSCE/CSE/O-level/O-grade/Standard Grade (any grade)

NVQ Level 1, Foundation GNVQ

5+ GCSEs (Grades A-C)/CSEs (Grade 1)/O-levels/School Certificate/O-grades/Standard Grades

NVQ Level 2, Intermediate GNVQ

1+ A-level/AS-level/Higher Grades/Certificate of Year 6 Grade

2+ A-levels, 4+ AS-levels/Higher Grades/Certificate of Year 6 Grade

NVQ Level 3, Advanced GNVQ

Apprenticeship(s) - Intermediate/Higher/Advanced

First Degree (e.g. BA, BSc)

NVQ Levels 4-5, HNC, HND

Higher Degree (e.g. MA, PhD, PGCE, post-graduate certificate/diplomas)

Other Qualifications (e.g. City of Guilds, RSA/OCR, BTEC/Edexcel)

Not Known

Approval for Child to Participate* This field is required.Taking part will involve your child being assessed in a physical assessment, and you completing a checklist on their movement abilities and returning this to Pearson. You will also be asked to give a movement checklist to an adult that knows the child to complete. You are consenting for Pearson to use using these (anonymised) responses in their Research Project.

I agree for my child to take part in this research project

Full Name* This field is required.

Email* This field is required.

example@example.com

Phone Number* This field is required.

Signature* This field is required.

Clear

Today's Date* This field is required.

Date

Would you like to be contacted about future opportunities, with no obligation to take part?* This field is required.

YESNO

Who told you about this participation opportunity?* This field is required.If you heard about it from someone working with us, please specify their name. If it was not a person, please write where you heard about it e.g. Pearson Website, Instagram etc.

Thank you for filling in your information!

If you have any further questions about taking part in this research project please contact clinicalresearch@pearson.com.

Individual MABC-3 and DASH-2 Participation Agreement (3-15)