Department of Rehabilitation Science, Institute of AI for Education, East China Normal University, Shanghai, P.R. China.
Department of Speech-Language-Hearing Sciences & Disorders, University of KS, Lawrence, KS, USA.
Disabil Rehabil. 2024 Jun;46(11):2433-2440. doi: 10.1080/09638288.2023.2226405. Epub 2023 Jun 30.
This study aimed to evaluate the reliability and validity of the translated Chinese version of the Communication Complexity Scale (C-CCS) in a Chinese sample of preschool-aged children with minimal verbal skills.
A total of 120 children with autism spectrum disorders or children with developmental delays aged 2 to 5 years with minimal verbal skills (i.e., produced less than 20 functional words) were recruited to complete the C-CCS. First, we tested the protocol with 20 children and shortened it based on their results. Second, the interrater reliability, test-retest reliability, and concurrent validity for 100 participants were examined. C-CCS scores were compared with scores from the Chinese Communicative Development Inventories (CCDI) for concurrent validity.
Ten C-CCS interactive scripts were administered to 100 participants. Intraclass correlation coefficients (ICC) between independent observers were high. The ICCs for overall optimal scores, optimal BR scores and optimal JA scores were 0.978, 0.971 and 0.977 respectively. Agreement for scores within scripted opportunities and communication level were high-Kappa coefficients 0.869 and 1.000 respectively. The test-retest reliability was high ( = 0.911). A moderate correlation was found between the C-CCS and the CCDI ( = 0.401).
The results indicate that C-CCS could be used as a measurement tool in research and clinical practice to describe communication levels in children with minimal verbal skills in China.
本研究旨在评估经过翻译和文化调适后的中文版沟通复杂度量表（C-CCS）在有极少量语言表达能力的中国学龄前儿童样本中的信度和效度。
共招募了 120 名患有自闭症谱系障碍或发育迟缓的儿童，年龄在 2 至 5 岁之间，有极少量的语言表达能力（即，说出的功能性词汇少于 20 个），他们需要完成 C-CCS。首先，我们对 20 名儿童进行了测试方案的预试验，并根据他们的结果对方案进行了缩短。其次，对 100 名儿童的评估者间信度、重测信度和同时效度进行了检验。C-CCS 得分与中国沟通发展量表（CCDI）的得分进行了同时效度的比较。
对 100 名参与者进行了 10 个 C-CCS 互动脚本的测试。独立观察者之间的组内相关系数（ICC）较高。整体最佳得分、最佳 BR 得分和最佳 JA 得分的 ICC 分别为 0.978、0.971 和 0.977。脚本内机会和沟通水平的得分之间的一致性较高，Kappa 系数分别为 0.869 和 1.000。重测信度较高（r=0.911）。C-CCS 与 CCDI 之间存在中度相关性（r=0.401）。
结果表明，C-CCS 可以作为一种测量工具在中国用于研究和临床实践中，以描述有极少量语言表达能力的儿童的沟通水平。
