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在父母筛查工具中评估幼儿发育功能:拉施模型的应用

Assessing early childhood developmental functioning in the parental screening tool: an application of the Rasch model.

作者信息

Ráczová Lucia, Urbánek Tomáš, Jurišová Erika, Popelková Marta, Sollár Tomáš

机构信息

Department of Psychological Sciences, Faculty of Social Sciences and Health Care, Constantine The Philosopher University in Nitra, Nitra, Slovakia.

Institute of Applied Psychology, Faculty of Social Sciences and Health Care, Constantine The Philosopher University in Nitra, Nitra, Slovakia.

出版信息

Front Psychol. 2025 May 20;16:1441174. doi: 10.3389/fpsyg.2025.1441174. eCollection 2025.

DOI:10.3389/fpsyg.2025.1441174
PMID:40463304
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12129896/
Abstract

OBJECTIVES

Ensuring rapid and efficient detection of developmental difficulties in early childhood necessitates aligning screening tools with the timing of preventive examinations in each country, emphasizing the need for quick and effective unidimensional screening methods.

AIM

This study aims to assess the scalability and unidimensionality of developmental functioning in two- and three-year-old children using Guttman scaling and the Rasch model.

METHODS

The anonymized data from 1,640 children aged 26 to 44 months, whose caregivers completed the S-PMV11 method, were gathered from routine pediatric preventive check-ups via the National Database.

RESULTS

The findings indicate the effective scalability of developmental functioning using the Guttman approach, thus enabling the early identification of children at risk. Additionally, the Rasch model confirms the unidimensionality of developmental functioning, highlighting the importance of early intervention addressing.

CONCLUSION

Despite the instrument's construct validity, significant concerns arise regarding its ability to capture children with borderline developmental functioning. These concerns could be addressed and improved by simply organizing the items by difficulty level in the pediatric response sheet, allowing the pediatrician to effectively identify any early signs of developmental issues.

摘要

目标

要确保快速有效地检测幼儿期的发育困难,就需要使筛查工具与每个国家预防性检查的时间安排保持一致,这凸显了快速有效的单维筛查方法的必要性。

目的

本研究旨在使用古特曼量表法和拉施模型评估2岁和3岁儿童发育功能的可扩展性和单维性。

方法

通过国家数据库从常规儿科预防性检查中收集了1640名年龄在26至44个月的儿童的匿名数据,这些儿童的照顾者完成了S-PMV11方法。

结果

研究结果表明,使用古特曼方法可有效评估发育功能的可扩展性,从而能够早期识别有风险的儿童。此外,拉施模型证实了发育功能的单维性,突出了早期干预的重要性。

结论

尽管该工具具有结构效度,但对于其识别边缘发育功能儿童的能力仍存在重大担忧。通过在儿科反应表中按难度级别简单地组织项目,这些担忧可以得到解决和改善,从而使儿科医生能够有效地识别任何发育问题的早期迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/12129896/6bf77712ec56/fpsyg-16-1441174-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/12129896/368ff751b0ad/fpsyg-16-1441174-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/12129896/6bf77712ec56/fpsyg-16-1441174-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/12129896/368ff751b0ad/fpsyg-16-1441174-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/12129896/6bf77712ec56/fpsyg-16-1441174-g002.jpg

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