目的 改良更新儿童神经心理行为检查量表(2016版)条目内容,澄清量表使用疑惑,为量表优化和临床应用提供科学依据。方法 2024年10—12月期间,采用改良德尔菲法开展三轮专家函询,通过组建专家团队、设计问卷、多轮征询及数据统计分析,评估量表项目合理性及应用问题。结果 三轮专家积极系数分别为 94.74%、95.12%、100.00%,权威系数分别为 0.81、0.83、0.84,均达到较高水平;第二轮函询肯德尔和谐系数为 0.701(P＜0.01),专家意见协调性良好;三轮函询后,问卷各题目变异系数均＜25%,符合通过标准。“穿扣项目采用黑红混合纽扣”评价结果的意见更统一(通过率81.82%,变异系数15.91%);24 图指认项目中砚台、管钳需替换为儿童熟悉图片,替换图片首选勺子、叉子(通过率82.05%)。结论 儿童神经心理行为检查量表(2016版)函询项目设计科学合理,专家高度认可其应用价值,研究结果可为量表改良提供参考依据。
Abstract
Objective To revise and update selected item contents of the Children Neuropsychological and Behavioral Scale-Revision 2016 (CNBS-R2016),and to clarify practical concerns regarding its use,so as to provide scientific reference for scale refinement and clinical application. Methods From October to December 2024, a modified Delphi method was used to conduct three rounds of expert consultation. By establishing an expert panel, designing questionnaires, carrying out multiple rounds of consultation, and performing statistical analyses, the rationality of scale items and issues related to scale application were evaluated. Results The expert response rates in the three rounds were 94.74%, 95.12%, and 100.00%, and the authority coefficients were 0.81, 0.83, and 0.84, respectively. In the second round, Kendall's coefficient of concordance was 0.701 (P<0.01), indicating good agreement among experts. After three rounds of consultation and revision, the coefficients of variation for the relevant items were all below 25%, meeting the passing standard. Greater agreement was reached on the use of mixed black-and-red buttons in the button-threading task (approval rate: 81.82%; coefficient of variation: 15.91%). In the 24-picture identification task, experts suggested replacing the inkstone and forceps with pictures more familiar to children, preferably a spoon and a fork (approval rate: 82.05%). Conclusion The consultation items designed for the CNBS-R2016 are scientifically sound and reasonable, and experts highly recognize its application value, which may provide a reference for further refinement of the scale.
关键词
儿童保健 /
改良德尔菲法 /
儿童神经心理行为检查量表(2016版) /
反应度
Key words
child healthcare /
modified Delphi method /
Children Neuropsychological and Behavioral Scale-Revision 2016 /
responsiveness
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基金
首都儿科研究所临床培育专项(LCYJ-2025-39)
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