Department of Psychiatry, University of Oxford, UK; Moray House School of Education and Sport, University of Edinburgh, UK.
Childlight - Global Institute for Child Safety, Moray House School of Education and Sport, University of Edinburgh, UK.
Child Abuse Negl. 2022 Dec;134:105869. doi: 10.1016/j.chiabu.2022.105869. Epub 2022 Sep 19.
The International Society for Prevention of Child Abuse and Neglect (ISPCAN) Child Abuse Screening Tool (Children's Version), known as the ICAST-C Version 3, is used widely to assess violence against children, but there is limited psychometric evidence, especially on content validity.
This study aimed to assess the content validity of the ICAST-C with adolescents in Romania, South Africa, and the Philippines.
A purposive sample of adolescents (N = 53, 51 % female) were recruited from urban areas in Romania, the Eastern Cape Province of South Africa, and Metro Manila, Philippines. Semi-structured one-on-one in-depth cognitive interviews sought adolescent perspectives on the relevance, comprehensibility, and comprehensiveness of the ICAST-C. Data were analysed using template analysis.
The ICAST-C was broadly perceived to be relevant and comprehensive in measuring violence against children in all study locations. However, there were issues with the comprehensibility of the measure, described at three levels: interpreting items, undertaking coherent elaborations of relevant behaviors and places, and generating a coherent response to the questions.
Suggestions to revise the ICAST-C include, among others, adding a practice or how-to section on answering the survey, clarifying the intent of questions, especially on neglect and sexual abuse, emphasizing that questions cover all locations, and asking more positive questions. Pilot studies testing the content validity and cultural appropriateness are needed as a matter of practice in large self-report surveys.
国际防止虐待与忽视儿童协会（ISPCAN）儿童虐待筛查工具（儿童版），即 ICAST-C 版本 3，被广泛用于评估针对儿童的暴力行为，但该工具的心理测量学证据有限，尤其是在内容效度方面。
本研究旨在评估罗马尼亚、南非和菲律宾青少年对 ICAST-C 的内容效度。
从罗马尼亚、南非东开普省和菲律宾马尼拉大都会的城市地区招募了一个有目的的青少年样本（N=53，51%为女性）。采用半结构式一对一深入访谈的方式，了解青少年对 ICAST-C 的相关性、理解性和全面性的看法。使用模板分析对数据进行分析。
在所有研究地点，ICAST-C 被广泛认为是衡量儿童暴力的相关性和全面性的工具。然而，在理解性方面存在一些问题，表现在三个层面：解释项目、对相关行为和地点进行连贯的阐述，以及对问题做出连贯的回应。
建议修订 ICAST-C，包括添加一个关于回答调查的实践或操作指南部分、澄清问题的意图，特别是关于忽视和性虐待的问题、强调问题涵盖所有地点，并提出更多积极的问题。在大规模自我报告调查中，需要进行内容效度和文化适宜性的试点研究，这是实践中的一个重要问题。
