Application and item responsiveness study of Children Neuropsychological and Behavioral Scale-Revision 2016 based on the modified Delphi method

JIN Na; LI Na; NIE Liwei; LI Yan; DONG Huiyan; CAO Jianguo; LI Yueping; ZHANG Shuyi; TANG Yanhong; GAO Ying; YANG Ning; ZHANG Yanhua; SONG Bing; HUAN Peng; LIU Qinghua; HUA Li; QIU Jing; YU Jing; ZHANG Qing; JIN Chunhua

doi:10.11852/zgetbjzz2026-0822

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (8) : 868-873. DOI: 10.11852/zgetbjzz2026-0822

Digital Rehabilitation and Childhood Neurodevelopment

Application and item responsiveness study of Children Neuropsychological and Behavioral Scale-Revision 2016 based on the modified Delphi method

JIN Na¹, LI Na¹, NIE Liwei², LI Yan³, DONG Huiyan⁴, CAO Jianguo⁵, LI Yueping⁶, ZHANG Shuyi⁷, TANG Yanhong⁸, GAO Ying⁹, YANG Ning¹⁰, ZHANG Yanhua¹¹, SONG Bing¹², HUAN Peng¹³, LIU Qinghua¹⁴, HUA Li¹⁵, QIU Jing¹⁶, YU Jing¹⁷, ZHANG Qing¹⁸, JIN Chunhua¹

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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.

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child healthcare / modified Delphi method / Children Neuropsychological and Behavioral Scale-Revision 2016 / responsiveness

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JIN Na, LI Na, NIE Liwei, LI Yan, DONG Huiyan, CAO Jianguo, LI Yueping, ZHANG Shuyi, TANG Yanhong, GAO Ying, YANG Ning, ZHANG Yanhua, SONG Bing, HUAN Peng, LIU Qinghua, HUA Li, QIU Jing, YU Jing, ZHANG Qing, JIN Chunhua. Application and item responsiveness study of Children Neuropsychological and Behavioral Scale-Revision 2016 based on the modified Delphi method[J]. Chinese Journal of Child Health Care. 2026, 34(8): 868-873 https://doi.org/10.11852/zgetbjzz2026-0822

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