Ng Lauren C, Kanyanganzi Frederick, Munyanah Morris, Mushashi Christine, Betancourt Theresa S
FXB Center for Health & Human Rights, Harvard School of Public Health, Boston, Massachusetts, United States of America.
Partners in Health/Inshuti Mu Buzima, Rwinkwavu, Rwanda.
PLoS One. 2014 Jun 20;9(6):e100549. doi: 10.1371/journal.pone.0100549. eCollection 2014.
This study developed and validated the Youth Conduct Problems Scale-Rwanda (YCPS-R). Qualitative free listing (n = 74) and key informant interviews (n = 47) identified local conduct problems, which were compared to existing standardized conduct problem scales and used to develop the YCPS-R. The YCPS-R was cognitive tested by 12 youth and caregiver participants, and assessed for test-retest and inter-rater reliability in a sample of 64 youth. Finally, a purposive sample of 389 youth and their caregivers were enrolled in a validity study. Validity was assessed by comparing YCPS-R scores to conduct disorder, which was diagnosed with the Mini International Neuropsychiatric Interview for Children, and functional impairment scores on the World Health Organization Disability Assessment Schedule Child Version. ROC analyses assessed the YCPS-R's ability to discriminate between youth with and without conduct disorder. Qualitative data identified a local presentation of youth conduct problems that did not match previously standardized measures. Therefore, the YCPS-R was developed solely from local conduct problems. Cognitive testing indicated that the YCPS-R was understandable and required little modification. The YCPS-R demonstrated good reliability, construct, criterion, and discriminant validity, and fair classification accuracy. The YCPS-R is a locally-derived measure of Rwandan youth conduct problems that demonstrated good psychometric properties and could be used for further research.
本研究开发并验证了卢旺达青少年品行问题量表（YCPS-R）。通过定性自由列举法（n = 74）和关键 informant 访谈（n = 47）确定了当地的品行问题，并将其与现有的标准化品行问题量表进行比较，用于开发 YCPS-R。12 名青少年和照顾者参与者对 YCPS-R 进行了认知测试，并在 64 名青少年样本中评估了重测信度和评分者间信度。最后，选取 389 名青少年及其照顾者作为有目的样本纳入效度研究。通过将 YCPS-R 得分与品行障碍进行比较来评估效度，品行障碍通过儿童版迷你国际神经精神访谈进行诊断，功能损害得分采用世界卫生组织残疾评定量表儿童版。ROC 分析评估了 YCPS-R 区分有品行障碍和无品行障碍青少年的能力。定性数据表明，当地青少年品行问题的表现与先前的标准化测量不匹配。因此，YCPS-R 完全基于当地的品行问题开发。认知测试表明，YCPS-R 易于理解，几乎无需修改。YCPS-R 具有良好的信度、结构效度、效标效度和区分效度，以及较好的分类准确性。YCPS-R 是一种源自卢旺达当地的青少年品行问题测量工具，具有良好的心理测量特性，可用于进一步研究。
