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原始简易智力残疾量表及替代模型的验证性因素分析

The Confirmatory Factor Analysis of the Original Brief Intellectual Disability Scale and Alternative Models.

作者信息

Mammen Priya Mary, Asokan Minju K, Russell Sushila, Tsheringla Sherab, Shankar SatyaRaj, C Nair Muttathu K, Sudhakar Russell Paul Swamidhas

机构信息

Department of Psychiatry, Child and Adolescent Psychiatry Unit, Christian Medical College, Vellore, Tamil Nadu, India.

Child Development Centre, Thiruvananthapuram Medical College, Thiruvananthapuram, Kerala, India.

出版信息

Indian J Psychol Med. 2018 Jan-Feb;40(1):29-32. doi: 10.4103/IJPSYM.IJPSYM_155_17.

Abstract

OBJECTIVE

Brief Intellectual Disability Scale (BIDS) is a measure validated for identification of children with intellectual disabilities (IDs) in countries with low disability resources. Following the publication of the exploratory factor analysis of BIDS, the authors have documented the confirmatory factor analysis (CFA) of BIDS in this study.

MATERIALS AND METHODS

A prospective cross-sectional study was conducted to document the CFA of the BIDS. Primary caregivers ( = 124) of children with ID were recruited and rated the BIDS. We used alternative fit indices for the evaluation of comparative fit index (CFI) and root mean square error of approximation (RMSEA) to evaluate the model fit. The 2-index fit strategy was used to select the best factor model.

RESULTS

The model fit index for the original 3-factor model and alternative 2-factor and 1-factor models with 9 items of the BIDS was under identified along with another 3-factor, 7-item model. Another 1-factor, 7-item model was identified but did not satisfy the 2-index fit strategy. A short version of the scale with a 2-factor and 7-item model of BIDS presented the best fit indices of CFI = 0.952 and RMSEA = 0.069.

CONCLUSION

Although the original factor structure of BIDS was not confirmed in this study, another alternative model for the construct validity of BIDS was confirmed. Therefore, the BIDS factor structure has been revised, refined, and trimmed to the final 2-factor, 7-item shorter version. Further documentation of the diagnostic accuracy, validity, and reliability of this shorter version of BDI is recommended.

摘要

目的

简易智力残疾量表(BIDS)是一种经过验证的工具,用于在残疾资源匮乏的国家识别智力残疾(ID)儿童。在发表了BIDS的探索性因素分析之后,作者在本研究中记录了BIDS的验证性因素分析(CFA)。

材料与方法

进行了一项前瞻性横断面研究,以记录BIDS的CFA。招募了智力残疾儿童的主要照顾者(n = 124)并对BIDS进行评分。我们使用替代拟合指数来评估比较拟合指数(CFI)和近似均方根误差(RMSEA),以评估模型拟合。采用双指数拟合策略来选择最佳因素模型。

结果

BIDS的原始三因素模型以及包含9个条目的替代二因素和一因素模型,连同另一个三因素、7个条目的模型,均未得到充分识别。识别出另一个一因素、7个条目的模型,但不满足双指数拟合策略。一个简短版本的量表,即具有二因素、7个条目的BIDS模型,呈现出最佳的拟合指数,CFI = 0.952,RMSEA = 0.069。

结论

尽管本研究未证实BIDS的原始因素结构,但证实了BIDS结构效度的另一种替代模型。因此,BIDS因素结构已被修订、完善并精简为最终的二因素、7个条目的简短版本。建议进一步记录此简短版本BDI的诊断准确性、效度和信度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b37/5795675/127f8a020bf0/IJPsyM-40-29-g002.jpg

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