目的 对贝莉-Ⅲ婴幼儿发育筛查测试(Bayley-Ⅲ Screening Test)在上海地区的应用效度进行初步分析,探讨其在我国引进的可行性。方法 2017年1－4月采用横断面研究,选取上海市某区0~18月龄婴幼儿共1 073名纳入研究,采用项目水平内容效度指数(I-CVI)、单因素方差分析进行内容效度、效标效度的分析,采用Mann Kendall趋势检验分析得分随月龄的变化趋势,事后两两比较法比较相邻月龄组的得分。结果 5个能区的I-CVI分别为0.920、0.953、0.953、0.963、0.982,平均I-CVI为0.954。ASQ-3(作为校标)三组等级分类中(正常、边缘和异常),认知能力、语言理解、语言表达在边缘组和异常组均低于正常组(P＜0.05),但精细运动和大运动与ASQ-3存在不一致性。各能区得分随月龄呈总体上升趋势(P＜0.05),女童的语言理解得分在第二年龄段较第一年龄段有所下降,但差异无统计学意义(P=0.487)。结论 贝莉-Ⅲ筛查测试的认知、语言理解、语言表达三个能区具有较好的测量效度,精细运动和大运动项目需要修正并进行进一步研究。
Abstract
Objective To preliminarily assess the validity of Bayley-Ⅲ Screening Test in Shanghai,and to discuss the feasibility of its adaption in China . Method A cross-sectional study was conducted in one district in Shanghai and a total of 1 073 infants aged from 0 to 18 months were included from January to April 2017.Item-level content validity index(I-CVI) and one-way ANOVA were used to analyze the content validity and criterion-related validity.The Mann-Kendall trend test was performed to assess trends of behavior development,and post-hos Least Significant Difference test was used to compare the scores of two groups with adjacent age. Results The I-CVIs of the five subtests were 0.920,0.953,0.953,0.963 and 0.982, respectively.The average I-CVI was 0.954.In the three risk categories (normal,emerging and abnormal) of ASQ-3,Bayley-Ⅲ Screening cognitive,receptive communication and expressive communication scores of ASQ-3 emerging and abnormal categories were significantly lower than those of the normal category (P＜0.05).However,the fine motor and gross motor subtests were inconsistent with the ASQ categories.The scores of each subtests showed an increasing trend across age (P＜0.05).But girls′ receptive communication scores decreased in the first two groups with adjacent age without significant difference (P=0.487). Conclusions The cognitive,receptive communication and expressive communication subtests of the Bayley-Ⅲ Screening Test have good validity.However,further research and revision of the fine motor and gross motor subtests is needed.
关键词
贝莉-Ⅲ筛查测试 /
婴幼儿 /
效度
Key words
Bayley-Ⅲ Screening Test /
infant /
validity
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基金
国家自然科学基金面上项目(81673179);上海市申康医院发展中心适宜技术联合开发推广应用项目(SHDC12016239);上海市公共卫生三年行动计划重点学科人才项目(15GWZK0401)
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