Mezawa Hidetoshi, Aoki Sayaka, Nakayama Shoji F, Nitta Hiroshi, Ikeda Natsuha, Kato Keiko, Tamai Satoshi, Takekoh Makoto, Sanefuji Masafumi, Ohga Shouichi, Oda Masako, Mitsubuchi Hiroshi, Senju Ayako, Kusuhara Koichi, Kuwajima Mari, Koeda Tatsuya, Ohya Yukihiro, Hashimoto Keiji
Developmental Evaluation Center, National Center for Child Health and Development, Tokyo, Japan.
Allergy Center, National Center for Child Health and Development, Tokyo, Japan.
Pediatr Int. 2019 Nov;61(11):1086-1095. doi: 10.1111/ped.13990.
This study assessed the psychometric profile of 10 questionnaires (every 6 months, from 6 to 60 months) from the Japanese translation of the Ages and Stages Questionnaires, third edition (J-ASQ-3).
Data from 439 children in a birth cohort were used to identify the J-ASQ-3 score distribution, establish cut-off scores, and calculate the instrument's internal consistency. Data were also collected from 491 outpatients to examine J-ASQ-3 test-retest reliability and concurrent validity, which was examined using the Kyoto Scale of Psychological Development (KSPD) and the Japanese version of the Denver Developmental Screening Test II (J-Denver II). Both the original and the alternative screening criteria of the ASQ-3 were used (failure in at least one and at least two domains, respectively).
Cronbach's alpha for each J-ASQ-3 subscale on each questionnaire ranged from 0.45 to 0.89. Test-retest reliability was >0.75 for the subscales on almost all questionnaires. Concurrent validity was also adequate. In comparison with the screening results of the KSPD, the overall sensitivity and specificity were 96.0% and 48.8%, respectively, when the ASQ-3 original criterion was used, and 92.1% and 74.9%, respectively, when the alternative criterion was used. In comparison with the screening results of the J-Denver II, the overall sensitivity and specificity were 75.6% and 74.7%, respectively, when the ASQ-3 original criterion was used, and 56.3% and 93.0%, respectively, when the alternative criterion was used.
This study quantified the psychometric profiles of the Japanese translations of 10 ASQ-3 questionnaires. We demonstrated the validity of the J-ASQ-3 and determined new cut-off scores. Further studies with larger samples from a greater range of locations are required to clarify the suitability of this tool for all Japanese children.
本研究评估了《年龄与发育阶段调查问卷》第三版日语翻译版（J-ASQ-3）中10份问卷（每6个月一份，从6个月至60个月）的心理测量学特征。
来自一个出生队列的439名儿童的数据用于确定J-ASQ-3分数分布、建立临界分数并计算该工具的内部一致性。还从491名门诊患者收集数据，以检验J-ASQ-3的重测信度和同时效度，同时效度使用京都心理发展量表（KSPD）和日语版丹佛发育筛查测验第二版（J-Denver II）进行检验。ASQ-3的原始和替代筛查标准均被使用（分别为至少一个领域和至少两个领域未通过）。
每份问卷上每个J-ASQ-3子量表的克朗巴哈系数在0.45至0.89之间。几乎所有问卷的子量表重测信度均>0.75。同时效度也足够。与KSPD的筛查结果相比，使用ASQ-3原始标准时，总体敏感性和特异性分别为96.0%和48.8%，使用替代标准时分别为92.1%和74.9%。与J-Denver II的筛查结果相比，使用ASQ-3原始标准时，总体敏感性和特异性分别为75.6%和74.7%，使用替代标准时分别为56.3%和93.0%。
本研究量化了10份ASQ-3问卷日语翻译版的心理测量学特征。我们证明了J-ASQ-3的有效性并确定了新的临界分数。需要进一步开展研究，从更广泛的地点选取更大样本，以阐明该工具对所有日本儿童的适用性。
