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Procedures

CONCURRENT VALIDITY OF THE PSYMARK SHAPES TEST AND THE VMI

Randy Fall, Azusa Pacific University

CASP, 2025

Abstract

Background

The Problem

The Developmental Test of Visual Motor Integration (VMI) was a critical step forward in visual-motor assessment in its time, adding developmentally relevant scoring criteria and standardization.

Current visual-motor measures have significant scoring limitations

For example, the Developmental Test of Visual Motor Integration (VMI) scores each item 1 or 0, based on 3-7 criteria. The test produces only a single overall score.

Some of the scoring requires precise measurements that practitioners often estimate (e.g., angle 60 degrees or less, horizontal axis between 170 degrees and 190 degrees)

Objectives

  • Electronic tests are becoming more common
  • Important to know how computerized visual-motor tests relate to traditional pencil-and-paper tests.
  • Visual-motor is implicated in a wide variety of disorders, including learning disabilities, autism, Parkinson’s, Alzheimer’s, intellectual disability, ADHD, and more (Fall, Silberman, Khudaverdyan & Helm-Stevens, 2018)

Bernstein study (2025)

  • Pearson Correlations
  • Shapes first, p=.56
  • VMI first, p=.44
  • Age 5-8.58, p=.40
  • Age 8.58-17, p=.21

Conclusion

Concurrent Validity – Younger Sample

Current Progress

Standardization has been completed for 4-8 year olds.

Standardization is underway for 9-12 year olds

Psymark Shapes is currently being studied in doctoral dissertation studies at two universities

Psymark Shapes is in use by teachers at several districts as a screener for 4-6 year olds

Occupational Therapists and teachers have found it particularly useful, even before standardization, for progress monitoring.

  • 51 children 5-17 years old
  • 53% male, 47% female
  • 88% White, 82% right-handed

  • Shapes Accuracy composite compared to Beery VMI raw scores

Using a smaller subset of the overall sample limited to14 children ages 4-6 years old, the overall accuracy score of the Shapes test was found to have a Pearson correlation of .64 with the VMI raw score.

  • This sample, while very small, was used because it demonstrated much greater variance among the VMI scores, with raw scores ranging from 9-17.

Traditional paper-and-pencil measures of visual-motor functioning have significant limitations in reliability of scoring, construct validity and interpretability of scores. This study reports results of an investigation of a concurrent validity study of visual-motor assessment on the iPad, the Psymark Shapes Test, to the Developmental Test of Visual-Motor Integration, 6th Edition (VMI).

Findings of this study and one other current study indicate moderate correlations between the VMI and the Shapes test. Ceiling issues on both tests, a low ceiling on the VMI and high ceiling on the Shapes test appeared to affect the results.

Current study (2025)

The Psymark Shapes accuracy score is a combinations of component scores. Each item is scored for:

Rotation

Scale

Line consistency

Noise

The Accuracy score is a combination of these four component scores, averaged across items.

The VMI score is a raw score count, a sum of 1 or 0 scoring of each item.

Concurrent Validity - Correlation

Using a combined sample of 65 young children and adults, the Shapes overall accuracy score of the Shapes test was found to have a Pearson correlation of .76 with the VMI raw score.

Concurrent Validity – Ceiling Effects

The VMI has a significant ceiling for adults.

80% of adults in our sample earned raw scores between 27 and 30, that is, within three points of the highest possible score.

This ceiling clearly limits the variance within the VMI, limiting the meaning of criterion-related validity measures for adult populations

Moderate correlations between the Psymark Shapes test and the VMI. Some of the difference in the tests outcomes appears to be due to differences in the approach to scoring.

The VMI scores items 1 or 0, and produces a single summary score. Items are scored zero for particular errors

The Psymark Shapes test scores each item for rotation, line precision, scale, and noise. It also collects data on lifts, contact time, speed and line consistency

Ceiling effects on both tests. The VMI has a low ceiling for adults. 80% of adults in the sample scored 27-30 out of 30 possible.

The Psymark Shapes test has some very difficult items that are beyond the ceiling for children.

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