发育筛查量表评价者间信度和共聚效度分析.docVIP

发育筛查量表评价者间信度和共聚效度分析 　　[摘要]目的 分析?l育筛查量表（DST）在婴幼儿发育评估中的可靠性和有效性。方法 选取2016年4月1日～2017年3月31日在贵州省人民医院儿科康复门诊就诊的0～6岁婴幼儿。两名经过严格培训的专业评估师对纳入研究对象进行DST评估，分析其评价者间的信度。纳入研究对象同时进行Peabody运动发育量表评估，该工具作为金标准评估工具，分析DST的共聚效度。结果 共有174患儿（男99例，56.9%）纳入本次研究，年龄为（10.23±9.43）个月。DST中发育商（DQ）得分为（67.83±19.63）分，智商（MI）得分为（61.94±15.90）分，女孩DQ和MI得分均高于男孩，差异有统计学意义（P0.05）。DST各维度得分的组内相关系数（ICC值）为0.76～0.89，提示评估师评分之间具有较好的相关性。Peabody中的粗大运动商（GMQ）、精细运动商（FMQ）、总运动商（TMQ）得分与DST的DQ和MI得分之间的相关系数分别为0.59 vs. 0.57、0.62 vs. 0.68、0.63 vs. 0.64。Peabody中粗大运动中反射、姿势和移动得分与DQ和MI的相关系数分别为0.42 vs. 0.36、0.54 vs. 0.50、0.56 vs. 0.58；精细运动中抓握和视觉运动整合的分与DQ和MI得分的相关系数分别为0.65 vs. 0.70、0.62 vs. 0.68，DST各维度与Peabody精细运动维度相关性最好，与粗大运动维度相关性稍低。结论 DST发育筛查测试量表具有较好的评价者间信度和共聚效度，提示该量表在中国儿童人群中是一个可靠和有效的运动发育筛查工具。 　　[关键词]DST发育筛查；Peabody运动发育量表；筛查；信度和效度 　　[中图分类号] R715.9 [文献标识码] A [文章编号] 1674-4721（2018）4（b）-0004-04 　　Evaluation of the interviewer reliability and copolymerization validity of the development screening test 　　LIU Ye1 LI Jia-qiong2 XIONG Cai-yun2 WANG Yao-zhou2 LUO Lin-yin2 CUI Yu-xia2 ZHOU Hao2▲ 　　1.Department of Ear-Nose-Throat，Guizhou Provincial People′s Hospital，Guizhou Province，Guiyang 550004，China；2.Department of Pediatric Rehabilitation，Guizhou Provincial People′s Hospital，Guizhou Province，Guiyang 550004，China 　　[Abstract]Objective To analyze the reliability and validity of development screening test （DST） in the evaluation of infant development.Methods Infants and children in 0-6 years old who were treated in Department of Pediatric Rehabilitation of Guizhou Provincial People′s Hospital during the period of April 1，2016 to March 31，2017 were selected as the subject of this research.The DSTs of the subject were evaluated by two highly trained professional evaluators to analyze the reliability of their interviewer.The subjects also participated in the Peabody sports development test，which was used as a gold standard assessment tool to analyze the copolymerization validity of DST.Results A total of 174 children （male 99 cases，56.9%） were