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中国学龄前儿童听觉加工评估量表的编制、效度、信度及常模。

The development, validity, reliability, and norm of a preschool auditory processing assessment scale in China.

机构信息

The Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Jiangsu, China.

School of Nursing, Nanjing Medical University, Nanjing, China; The Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Jiangsu, China.

出版信息

Res Dev Disabil. 2022 Sep;128:104272. doi: 10.1016/j.ridd.2022.104272. Epub 2022 Jun 4.

DOI:10.1016/j.ridd.2022.104272
PMID:35671550
Abstract

BACKGROUND

Children with auditory processing deficits may face problems with language, learning, and social communication.

AIMS

To develop a Chinese auditory processing assessment scale for preschool children and establish the norms of the scale.

METHODS AND PROCEDURES

The predictive version of the scale was formed by a literature review, qualitative interviews, expert consultation, and a pre-test with a small sample. Nine kindergartens in Nanjing were selected by a stratified cluster sampling plan. First, 734 children from two kindergartens were selected for the large sample pre-test of the scale. Then, 1526 children from four kindergartens and 1151 children from three kindergartens were selected for the reliability and validity analysis and confirmatory factor analysis, respectively. The standardized norm data of the scale were established based on the 3411 points of scale data of the nine kindergartens. Finally, the clinical usefulness of the scale was analyzed by comparing the results of objective auditory processing tests in children with normal and abnormal auditory processing prompted by the score on the scale.

OUTCOMES AND RESULTS

The preschool auditory processing assessment scale includes 5 dimensions and 30 items. The Cronbach's alpha value of the scale is greater than 0.9. The confirmatory factor analysis results verify that the scale structure is reasonable. The percentile norm of the scale was established. The results of electrophysiological tests of the normal and abnormal auditory processing groups were statistically different (P < 0.05).

CONCLUSIONS AND IMPLICATIONS

The developed preschool auditory processing assessment scale has good reliability and validity. The scale is suitable for clinical application.

摘要

背景

患有听觉处理缺陷的儿童可能在语言、学习和社交沟通方面存在问题。

目的

开发一种用于学龄前儿童的中文听觉处理评估量表,并建立该量表的常模。

方法和程序

通过文献回顾、定性访谈、专家咨询和小样本预测试形成量表的预测版本。采用分层整群抽样方案,在南京选择了 9 所幼儿园。首先,从两所幼儿园中选取 734 名儿童对量表进行大规模预测试。然后,从四所幼儿园中选取 1526 名儿童,从三所幼儿园中选取 1151 名儿童分别进行信度和效度分析及验证性因素分析。根据 9 所幼儿园的 3411 个量表数据,建立量表的标准化常模数据。最后,通过比较量表得分提示的听觉处理正常和异常儿童的客观听觉处理测试结果,分析量表的临床实用性。

结果和结论

学龄前听觉处理评估量表包括 5 个维度和 30 个条目。量表的克朗巴赫 α 值大于 0.9。验证性因素分析结果验证了量表结构合理。建立了量表的百分位常模。正常和异常听觉处理组的电生理测试结果存在统计学差异(P<0.05)。

结论和意义

开发的学龄前听觉处理评估量表具有良好的信度和效度。该量表适用于临床应用。

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