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[儿童“运动评估量表”应用情况评估]

[Assessment on the application of 'Movement Assessment Battery' for Children].

作者信息

Hua Jing, Wu Zhuo-Chun, Gu Gui-Xiong, Meng Wei

机构信息

Shanghai Centre on Urban Environmental Meteorology, Shanghai 200135, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2012 Oct;33(10):1010-5.

Abstract

OBJECTIVE

To assess the application of the Movement Assessment Battery for Children-2 (MABC-2), to provide valid tools for developmental coordination disorder (DCD) screening.

METHODS

A total number of 1823 preschool children from 15 kindergartens in Suzhou city were included in this study regarding the reliability and validity on MABC-2. Data on test-retest reliability internal consistent reliability, content validity and construct validity were assessed, using methodologies as Intra-class Correlation Coefficient (ICC), Cronbach α coefficient, Item-level Content Validity Index (I-CVI) and Confirmatory Factor Analysis (CFA). When the Developmental Coordination Disorder Questionnaire (DCDQ) was considered as the criteria, the criteria-related validity of MABC was assessed, using the area under the ROC curve.

RESULTS

from the study showed that the ICCs of most items were above 0.9 except for 'Drawing and Walking Heels Raised' and 'Jumping on Mats'. The total Cronbach α coefficient was 0.502, with the total Cronbach α coefficient as 0.549 when the two items of 'Drawing and Walking Heels Raised' were deleted. I-CVIs of the eight items were 1.0, 1.0, 0.96, 1.0, 1.0, 1.0, 0.96, 0.96, respectively. The average I-CVI was 0.985.

RESULTS

from the final CFA model showed that the factor loading of the items was above 0.4 except for the 'Jumping on Mats', while the 'Modification Index' was below 3.84. The areas under ROC curve of the total score on revised-MABC-2 (when the items of 'Drawing and Walking Heels Raised' was deleted) were significantly different from the DCDQ (χ(2) = 110.145, P < 0.001).

CONCLUSION

In addition to the internal consistent reliability, the validity and reliability of MABC-2 were fair which could be applied well in China. However, some items of MABC-2 should be revised. MABC-2 could be used to screen the children with motor coordination dysfunction at the health care clinics for children, as well as applied in the large-scale epidemiologic studies.

摘要

目的

评估儿童运动评估量表第二版(MABC - 2)的应用情况,为发育性协调障碍(DCD)筛查提供有效的工具。

方法

本研究纳入了苏州市15所幼儿园的1823名学龄前儿童,以评估MABC - 2的信效度。采用组内相关系数(ICC)、克朗巴哈α系数、条目水平内容效度指数(I - CVI)和验证性因素分析(CFA)等方法,对重测信度、内部一致性信度、内容效度和结构效度进行评估。以发育性协调障碍问卷(DCDQ)作为标准,采用ROC曲线下面积评估MABC的效标关联效度。

结果

研究表明,除“画圈和足跟抬起行走”及“在垫子上跳跃”外,大多数条目的ICC均高于0.9。总克朗巴哈α系数为0.502,删除“画圈和足跟抬起行走”这两个条目后,总克朗巴哈α系数为0.549。八个条目的I - CVI分别为1.0、1.0、0.96、1.0、1.0、1.0、0.96、0.96,平均I - CVI为0.985。

最终CFA模型结果显示,除“在垫子上跳跃”外,各条目的因子载荷均高于0.4,而“修正指数”低于3.84。修订后的MABC - 2总分(删除“画圈和足跟抬起行走”条目后)的ROC曲线下面积与DCDQ有显著差异(χ(2)=110.145,P < 0.001)。

结论

MABC - 2除内部一致性信度外,效度和信度尚可,在中国有较好的应用前景。然而,MABC - 2的一些条目需要修订。MABC - 2可用于儿童保健门诊筛查运动协调功能障碍儿童,也可应用于大规模流行病学研究。

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