The NeuroRelational Framework Awake States Indicators Checklist: Preliminary Psychometrics for Use in Pediatric Occupational Therapy

This study reports on content validity and interrater reliability of the Awake States Indicators Checklist (ASIC) in pediatrics. NeuroRelational Framework clinicians (n = 16) rated the biobehavioral indicators’ clarity, relevance, and comprehensiveness. Item-level and scale-level content validity index ratings were high. Two interns rated 50 short video clips. Results demonstrated high interrater reliability on arousal states (Cohen’s Kappa = 0.90, p<.001) and acceptable to good across the biobehavioral indicators (45% to 100% agreement, with over 80% agreement in most categories). The ASIC demonstrates good preliminary psychometric properties supporting use in transdisciplinary, transdiagnostic practice. Findings are limited by small samples and lack of diversity.