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发展一种用于学龄前儿童早期读写技能的简短筛查工具。

Development of a Brief Screening Tool for Early Literacy Skills in Preschool Children.

机构信息

Developmental-Behavioral Pediatrics, Department of Pediatrics, University of California (S Iyer), Los Angeles; Department of Pediatrics, Northwestern University Feinberg School of Medicine (SPBerger), Chicago, Ill.

Graduate School of Public Health, San Diego State University (D Do).

出版信息

Acad Pediatr. 2019 May-Jun;19(4):464-470. doi: 10.1016/j.acap.2018.11.008. Epub 2018 Nov 16.

Abstract

BACKGROUND

Preschool children develop early literacy skills (ELS) needed for reading acquisition. Screening for delayed ELS could trigger interventions to prevent reading problems.

OBJECTIVE

To develop a brief screening test for ELS delays, the Early Literacy Skills Assessment Tool (ELSAT).

METHODS

This study included 4-year-old, typically developing, English language-predominant children attending preschool. The ELSAT comprised 63 items relating to 3 main ELS domains and was piloted with 21 children. After we excluded items that were nondiscriminatory, 57 items remained and were administered to 96 children. Items were compared with reference measures of ELS (Get Ready to Read-Revised), and language (Peabody Picture Vocabulary Test-4 and Phonological Awareness from the Comprehensive Test of Phonological Processing-2). Within-domain reliability was calculated for each of the 3 ELS domains and item correlations between all ELSAT items and the reference measures were calculated.

RESULTS

A final set of 10 items was retained that represented all 3 ELS domains and that maximized correlations with reference measures. Cronbach alpha for the refined 10-item ELSAT was 0.868; correlations between individual items and a composite of the reference measures ranged from 0.409 to 0.617 (all Ps < .01). In a receiver operating characteristic curve analysis, a cut-off score of ≤5 predicted a below-average score for any of the reference measures with sensitivity of 90%, specificity of 71.4%, and area under the curve of 0.872.

CONCLUSIONS

The 10-item ELSAT shows strong psychometric properties and with further validation may prove valuable in screening preschool children for ELS delays.

摘要

背景

学龄前儿童发展出阅读习得所需的早期读写技能(ELS)。对 ELS 延迟的筛查可以触发干预措施,以预防阅读问题。

目的

开发一种用于 ELS 延迟的简短筛查测试,即早期读写技能评估工具(ELSAT)。

方法

本研究纳入了在幼儿园就读的 4 岁、典型发育、以英语为主的儿童。ELSAT 由 63 个与 3 个主要 ELS 领域相关的项目组成,并对 21 名儿童进行了试点。在排除了无区别性的项目后,剩下 57 个项目,对 96 名儿童进行了测试。这些项目与 ELS 的参考测量值(准备好阅读-修订版)和语言(Peabody 图片词汇测试-4 和综合语音处理测试-2 的语音意识)进行了比较。计算了每个 ELS 领域的内部可靠性,以及所有 ELSAT 项目与参考测量值之间的项目相关性。

结果

保留了一套最终的 10 个项目,这些项目代表了所有 3 个 ELS 领域,并最大限度地与参考测量值相关。经过修正的 10 项 ELSAT 的 Cronbach alpha 为 0.868;单个项目与参考测量值综合得分的相关性范围为 0.409 至 0.617(均 P <.01)。在受试者工作特征曲线分析中,≤5 的截断分数预测任何参考测量值的得分均低于平均水平,其灵敏度为 90%,特异性为 71.4%,曲线下面积为 0.872。

结论

10 项 ELSAT 具有很强的心理测量学特性,经过进一步验证,可能有助于筛查学龄前儿童的 ELS 延迟。

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