目的 筛选我国儿童发育里程碑评价指标, 构建适用于中国的儿童发育筛查量表。方法 采用专家咨询法, 通过确定咨询专家、设计咨询表征求意见及整理分析初步筛选出我国儿童发育里程碑的评价指标。结果 在全国范围内17位专家参与咨询, 专家权威系数均在0.8以上, 专家权威程度的均值为0.89。筛选出满足均数≥4, 变异系数<0.25的儿童发育里程碑指标327条, 涉及大运动、精细运动、认知、语言、社交及情绪5个能区。结论 本次研究咨询的专家具有较好的代表性, 指标筛选的一致度高, 初步建立了儿童发育里程碑评价指标体系, 为进一步开发儿童发育评估工具奠定了基础。
Abstract
Objective To screen the milestone evaluation indicators for Chinese children's development, and to build a screening scale suitable for Chinese children development.Method The main evaluation indicators of children's development milestone were selected by expert consultation method, and the primary evaluation system was established. Results A total of 17 experts participated in the consultation, the authority coefficient (Ca) of experts was above 0.8, and the average authority degree of experts was 0.89.Finally 327 indicators meeting the developmental milestones of children with mean value≥4 and coefficient of variation＜0.25 were preliminarily selected, involving five energy areas of gross motor, fine motor, cognitive, language, social interaction and emotion. Conclusions Experts consulted in this study are well representative, with a high degree of consistency in indicator selection.The evaluation index system of Chinese children's development milestones has been preliminarily established.
关键词
儿童发育 /
里程碑 /
发育评价 /
专家咨询
Key words
children's development /
milestone /
development evaluation /
expert consultation
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Ngoun C, De Mey P, Baesel K, et al.Cambodian Developmental Milestone Assessment Tool (cDMAT):Performance reference charts and reliability check of a tool to assess early childhood development in Cambodian children [J].Early Hum Dev, 2020, 141:104934.
[2] Fink G, McCoy DC, Yousafzai A.Contextual and socioeconomic variation in early motor and language development [J].BMJ Arch Dis Child, 2019:1-7.
[3] Silva HP, Lehoux P, Hagemeister N.Developing a tool to assess responsibility in health innovation:results from an international delphi study [J].Health Policy Techn, 2018, 7(4):388-396.
[4] Hasson F, Keeney S, McKenna H.Research guidelines for the Delphi survey technique[J].J Adv Nurs, 2000, 32(4):1008-1015.
[5] 郑逸飞, 严娟, 顾民.基于专家咨询法的多学科联合诊疗模式评价指标的构建[J].医学与社会, 2019, 32(1):75-78.
[6] 杨玉凤.我国儿童早期发展面临的挑战[J].中国儿童保健杂志, 2016, 24(3):225-227.
[7] 杨玉凤.大力创新我国儿童早期发展的优化模式 [J].中国儿童保健杂志, 2018, 26(1):1-6.
[8] 世界卫生组织, 联合国儿童基金会, 世界银行.养育照护促进儿童早期发展-从帮助儿童生存发展到实现人力健康和潜能的框架[R].日内瓦:世界卫生组织, 2018:47.
[9] 黎海芪.实用儿童保健学[M].北京:人民卫生出版社, 2016:189-206.
[10] Flostranda A, Pittb L, Bridsonb S.The Delphi technique in forecasting-A 42-year bibliographic analysis(1975-2017) [J].Technol Forecast Soc, 2020150:119773.
[11] Avella JR .Delphi panels:research design, procedures, advantages, and challenges [J].Int J Dr Stud, 2016(11):305-321.
[12] Cramer CK, Epstein JB, Sheps SB, et al.Modified Delphi survey for decision analysis for prophylaxis of post-radiation osteonecrosis [J].Oral Oncol, 2002, 38(6):574-583.
[13] 张妍, 蒋泓, 史慧静, 等:应用Delphi法构建0～6岁儿童家长的健康素养评价指标体系[J].中国妇幼保健, 2017, 32(23):5809-5812.
[14] 孙振球.医学统计学[M].3版.北京:人民卫生出版社, 2010:434.
基金
中国疾控中心妇幼保健中心科技创新与发展项目(2019KJ05)
PDF(654 KB)
