Rah Sung Sil, Hong Soon-Beom, Yoon Ju Young
Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.
Division of Child and Adolescent Psychiatry, Department of Psychiatry, College of Medicine, Seoul National University, Seoul, Korea.
J Korean Acad Child Adolesc Psychiatry. 2023 Apr 1;34(2):141-149. doi: 10.5765/jkacap.230002.
Most developmental screening tests have been built as parent-performed questionnaires. However, they often do not guide parents on how to answer the questionnaire. This study aimed to develop easily applicable parent guidelines.
We implemented the Delphi procedure with 20 panelists. The development of the initial questionnaire was based on the results of two surveys of parents and experts provided by a policy research report that investigated the item adequacy of the Korean Developmental Screening Test. Round one included 33 items comprising all possible measurements in six categories that were identified as difficult to understand or confusing. Round two merged and modified some items and included 32 items. We defined consensus as a median agreement value of one or less and convergence and stability values of 0.5 or less. The subjective usefulness of the parent guidelines was examined based on their previous test experiences.
Consensus was reached after the second round, reflecting the items with the highest level of accuracy in each category. Of the 167 parents who participated in the survey, 113 (67.7%) affirmed the usefulness of the guidelines, while 10 (6.0%) answered that they were not useful. Items that recommended a different scoring strategy in answering the questionnaire from their previous measurements were found to be more useful by the parents.
The parent guidelines, composed of five bullet points, drew on the consensus of the experts. Further studies are required to assess whether these guidelines improve the accuracy of screening tests in clinical settings.
大多数发育筛查测试都是作为家长填写的问卷来设计的。然而，它们常常没有指导家长如何回答问卷。本研究旨在制定易于应用的家长指南。
我们对20名专家小组成员实施了德尔菲法。初始问卷的编制基于一份政策研究报告中对家长和专家的两项调查结果，该报告调查了韩国发育筛查测试的项目适宜性。第一轮包括33个项目，涵盖了被确定为难以理解或容易混淆的六个类别中的所有可能测量指标。第二轮合并并修改了一些项目，包括32个项目。我们将共识定义为中位数一致值为1或更低，收敛值和稳定值为0.5或更低。根据家长之前的测试经验，对家长指南的主观有用性进行了评估。
第二轮后达成了共识，反映了每个类别中准确性最高的项目。在参与调查的167名家长中，113名（67.7%）肯定了指南的有用性，而10名（6.0%）回答说它们没用。家长们发现，那些建议在回答问卷时采用与他们之前测量不同评分策略的项目更有用。
由五个要点组成的家长指南借鉴了专家的共识。需要进一步研究来评估这些指南是否能提高临床环境中筛查测试的准确性。
