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台湾出生队列试点研究中针对6个月和18个月大儿童的高效发育筛查工具。

Efficient developmental screening instrument for 6- and 18-month-old children in the Taiwan Birth Cohort Pilot Study.

作者信息

Lung For-Wey, Shu Bih-Ching, Chiang Tung-Liang, Lin Shio Jean

机构信息

Department of Medicine, Kaohsiung Armed Forces General Hospital, and Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

Acta Paediatr. 2008 Aug;97(8):1093-8. doi: 10.1111/j.1651-2227.2008.00832.x. Epub 2008 May 7.

Abstract

AIM

To develop an efficient developmental screening instrument for interview purposes.

METHODS

Using random sampling, two groups of babies were selected: The pilot group of 1747 babies was selected for testing of reliability and validity. Another group of 100 babies was selected for testing of the concurrent validity with the second edition of the Bayley Scale of Infant Development. The Taiwan Birth Cohort Study scales include four developmental dimensions: gross motor, fine motor, language/communication (language) and social/self-care ability (social).

RESULTS

In testing the concurrent validity, the structural equation model showed that Taiwan Birth Cohort Study dimensions correlated with the Bayley Scale of Infant Development dimensions. In testing the predictive validity of the Taiwan Birth Cohort Study, the correlation between the 6- and 18-month results of the motor index was 0.29, and the language social index was 0.31.

CONCLUSION

The Taiwan Birth Cohort Study 6- and 18-month scales fulfill the criteria of developmental norm, predictive validity, validity and identification of relative risk for screening instruments. As a self-report checklist, it is economical and efficient, thus, it can be utilized in clinical and community settings.

摘要

目的

开发一种用于访谈目的的高效发育筛查工具。

方法

采用随机抽样,选取两组婴儿:选取1747名婴儿的试点组进行信度和效度测试。另一组100名婴儿用于与贝利婴儿发育量表第二版进行同时效度测试。台湾出生队列研究量表包括四个发育维度:大运动、精细运动、语言/沟通(语言)和社会/自我照顾能力(社会)。

结果

在同时效度测试中,结构方程模型表明台湾出生队列研究维度与贝利婴儿发育量表维度相关。在测试台湾出生队列研究的预测效度时,运动指数6个月和18个月结果之间的相关性为0.29,语言社会指数为0.31。

结论

台湾出生队列研究6个月和18个月量表符合发育常模、预测效度、效度以及筛查工具相对风险识别的标准。作为一份自我报告清单,它经济高效,因此可用于临床和社区环境。

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