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This study describes the process of item definition and item selection and reports the content validity, reproducibility and consistency of the instrument. In the developmental phase, 15 experienced speech therapists assessed item relevance and descriptions over three <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>elphi rounds. Potential items were selected based on the results from a literature review. At the initial <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>elphi round, 17 potential items were included. After three <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>elphi rounds, 14 items that regarded as providing distinctive value in assessment of mastication (consensus &gt;75%) were included in the <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>astication <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>bservation and <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>valuation instrument. To test item reproducibility and consistency, two experts and five students evaluated video recordings of 20 children (10 children with cerebral palsy aged 29\u201365\u00a0months and 10 healthy children aged 11\u201342\u00a0months) eating bread and a biscuit. Reproducibility was estimated by means of the intraclass correlation coefficient (<jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content>). With the exception of one item concerning chewing duration, all items showed good to excellent intra\u2010observer agreement (ICC students: 0\u00b773\u20131\u00b70). With the exception of chewing duration and number of swallows, inter\u2010observer agreement was fair to excellent for all items (<jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> experts: 0\u00b768\u20131\u00b70 and <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> students: 0\u00b742\u20131\u00b70). Results indicate that this tool is a feasible instrument and could be used in clinical practice after further research is completed on the reliability of the tool.<\/jats:p>","DOI":"10.1111\/joor.12040","type":"journal-article","created":{"date-parts":[[2013,2,28]],"date-time":"2013-02-28T16:19:41Z","timestamp":1362068381000},"page":"336-347","source":"Crossref","is-referenced-by-count":19,"title":["Assessment of mastication in healthy children and children with cerebral palsy: a validity and consistency study"],"prefix":"10.1111","volume":"40","author":[{"given":"L.","family":"Remijn","sequence":"first","affiliation":[{"name":"Department of Child Rehabilitation Rehabilitation Centre Sint Maartenskliniek Nijmegen the Netherlands"},{"name":"Institute of Health Studies HAN University of Applied Sciences Nijmegen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Speyer","sequence":"additional","affiliation":[{"name":"Institute of Health Studies HAN University of Applied Sciences Nijmegen the Netherlands"},{"name":"School of Public Health Tropical Medicine and Rehabilitation Sciences James Cook University Townsville Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. 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