Room of Physical Therapy, Chung Shan Medical University Hospital, Taichung, Taiwan.
Disabil Rehabil. 2013 Apr;35(8):678-85. doi: 10.3109/09638288.2012.705946. Epub 2012 Aug 16.
The objectives of this study was to develop an International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY) based questionnaire for children with autism, investigate the inter-rater reliability of the questionnaire and assess functional performance in children with autism.
The ICF-CY based questionnaire for children with autism comprised 118 items was designed with reference the ICF-CY structure. The study protocol was divided into two parts. In the first part, the inter-rater reliability of the questionnaire was investigated using information from 26 children (aged 3-6 years) with autism and using the intra-class correlation coefficients to estimate reliability. The second part of the study aimed to assess functional performance of another independent sample (136 children, aged 3-6 years) utilizing the questionnaire. Mean scores were compared by nonparametric statistic.
The inter-rater reliability for each domains of the questionnaire was found to be moderate to high (intra-class correlation coefficients ranged from 0.72 to 0.97). Children with autism had major problems in voice and speech functions. They had high dependency when executing individual activities of learning and applied knowledge. They also required maximal assistance while engaging in social activities related to conversation and major life categories.
This preliminary study shows that ICF-CY based questionnaire has good reliability and can reflect the functional profile of preschool children with autism. However, further study is needed to confirm other psychometric characteristics.
本研究旨在开发一种基于《国际功能、残疾和健康分类儿童和青少年版》（ICF-CY）的自闭症儿童问卷，调查该问卷的评分者间信度，并评估自闭症儿童的功能表现。
本研究参考 ICF-CY 结构设计了一个包含 118 个项目的基于 ICF-CY 的自闭症儿童问卷。研究方案分为两部分。在第一部分中，使用来自 26 名（年龄 3-6 岁）自闭症儿童的信息，采用组内相关系数来评估信度，调查了问卷的评分者间信度。研究的第二部分旨在使用问卷评估另一组独立的（136 名，年龄 3-6 岁）自闭症儿童的功能表现。采用非参数统计方法比较平均得分。
问卷各领域的评分者间信度被认为是中度到高度（组内相关系数范围为 0.72 至 0.97）。自闭症儿童在声音和言语功能方面存在严重问题。他们在执行学习和应用知识的个人活动时高度依赖。在参与与对话和主要生活类别相关的社交活动时，他们也需要最大程度的帮助。
这项初步研究表明，基于 ICF-CY 的问卷具有良好的信度，能够反映学龄前自闭症儿童的功能状况。然而，需要进一步研究来确认其他心理测量学特征。
