Speltz M L, Gonzales N, Sulzbacher S, Quan L
University of Washington School of Medicine, Seattle.
J Pediatr Psychol. 1990 Jun;15(3):373-83. doi: 10.1093/jpepsy/15.3.373.
There is a need for practical and cost-effective measures of the behavioral characteristics that predict subsequent injury in children. Previous research has focused on the predictive power of child problem behavior (e.g., hyperactivity, aggression, noncompliance) and has found reliable, but relatively weak associations with injury frequency. In an effort to improve upon this level of prediction using child behavioral measures, a care-giver report checklist of specific "risky" behaviors was developed for toddlers and preschoolers, called the Injury Behavior Checklist (IBC). A preliminary test of the reliability and validity of this instrument was undertaken in a sample of middle-class families (N = 253). Results indicated that the IBC has acceptable reliability (internal consistency = .87; 1-month test-retest correlation = .81) and is able to significantly discriminate children with two or more injuries from those with one or none (p less than .001). Multiple regression analyses indicated that the IBC was a better predictor of injury than parent-reported levels of child problem behavior using the Conners Parent Rating Scale.
需要有实用且经济高效的措施来衡量那些能预测儿童后续受伤情况的行为特征。以往的研究聚焦于儿童问题行为（如多动、攻击、不顺从）的预测能力，并发现其与受伤频率存在可靠但相对较弱的关联。为了通过儿童行为测量来提高预测水平，针对学步儿童和学龄前儿童开发了一份特定“危险”行为的照顾者报告清单，即伤害行为清单（IBC）。在一个中产阶级家庭样本（N = 253）中对该工具的信度和效度进行了初步测试。结果表明，IBC具有可接受的信度（内部一致性 = 0.87；1个月重测相关系数 = 0.81），并且能够显著区分有两处或更多处受伤的儿童与有一处或没有受伤的儿童（p小于0.001）。多元回归分析表明，与使用康纳斯父母评定量表由父母报告的儿童问题行为水平相比，IBC是更好的伤害预测指标。
