1 State University of New York Upstate Medical University, Syracuse, USA.
2 Massachusetts General Hospital, Boston, USA.
J Atten Disord. 2018 Sep;22(11):1040-1048. doi: 10.1177/1087054714564623. Epub 2015 Jan 9.
Children with ADHD frequently manifest behavioral difficulties in the morning prior to school. We sought to assess the reliability and validity of the Before-School Functioning Questionnaire (BSFQ) as a measure of morning behaviors impaired by ADHD.
We used pre-treatment data from a randomized crossover study of 6- to 12-year-old participants comparing the methylphenidate transdermal delivery system (MTS) with a placebo transdermal system (PTS) for a total of 4 weeks.
The BSFQ investigator-rated scale shows very good internal homogeneity (Cronbach's α = .91), good test-retest reliability ( r = .60), good concurrent validity ( r range = .42-.86), and a strong treatment effect (effect size = -.93). The self-rated BSFQ showed lower levels of reliability and validity.
The investigator-rated BSFQ should be used in future trials of ADHD medications aimed at assessing efficacy in the morning before school.
患有注意缺陷多动障碍（ADHD）的儿童在上学前的早晨经常表现出行为困难。我们试图评估在学校前功能问卷（BSFQ）作为评估 ADHD 导致的早晨行为障碍的测量工具的可靠性和有效性。
我们使用了一项随机交叉研究的治疗前数据，该研究比较了 6 至 12 岁参与者的哌醋甲酯透皮输送系统（MTS）与安慰剂透皮系统（PTS）的治疗效果，共进行了 4 周。
BSFQ 研究者评定量表显示出非常好的内部同质性（Cronbach's α =.91），良好的重测信度（ r =.60），良好的同时效度（ r 范围为.42-.86），以及很强的治疗效果（效应量 = -.93）。自我报告的 BSFQ 显示出较低的可靠性和有效性。
在评估 ADHD 药物在上学前早晨的疗效的未来临床试验中，应使用研究者评定的 BSFQ。
