2~6岁儿童沟通功能量表的开发与标准化:基于ICF-CY  

Development and standardrization of communication function scale for two to six years old children using ICF-CY

作　　者：陈思齐 赵航[1] 王洁 夏彬[2] 刘巧云 CHEN Siqi;ZHAO Hang;WANG Jie;XIA Bin;LIU Qiaoyun(Department of Rehabilitation Science,Faculty of Education,East China Normal University,Shanghai 200062,China;East China Normal University Maternity and Infant Health Hospital,Shanghai 200050,China)

机构地区：[1]华东师范大学教育学部康复科学系,上海智能教育研究院,上海市200062 [2]华东师范大学附属妇幼保健院,上海市200050

出　　处：《中国康复理论与实践》2022年第12期1444-1451,共8页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家重点研发计划项目(No.2022YFC2705201);上海市长宁区卫生健康委员会项目(No.2019CNECNUPI05-1);上海市浦江人才计划项目(No.2019PJC033);长宁区科学技术委员会项目(No.CNKW2020Y31)。

摘　　要：目的开发用于评定日常生活中儿童沟通功能的量表。方法基于《国际功能、残疾和健康分类(儿童青少年版)》(ICF-CY)中与沟通功能相关的二级类目,通过结构化访谈法和语义分析,建立适用于儿童沟通功能的测试项目。运用德尔菲法评价和筛选类目及测试项目。通过项目分析和探索性因子分析,进一步筛选测试项目并确定量表结构维度。通过网络发放问卷,返回168份,确定量表的内部一致性信度、分半信度、结构效度和效标关联效度。结果开发了由42项测验组成的儿童沟通功能评定量表,涉及4个分量表,包括前语言沟通(8项)、简单口语沟通(5项)、综合性口语沟通(20项)和图示性符号沟通(9项)。筛选出的测试项目难度适中,且具有较高的鉴别度(0.328~0.936)。量表内部一致性信度(0.897~0.979)和分半信度(0.851~0.952)较高。量表具有较好的结构效度(r=0.536~0.836),量表与皮博迪图片词汇测验的效标关联效度较好(r=0.787,P<0.05)。结论基于ICF-CY开发的儿童沟通功能评定工具,由42项测验题目组成,分为4个分量表,标准化显示有较好的内部一致性信度、分半信度、结构效度和效标关联效度。Objective To develop a scale for assessment of communication functions in children’s daily life.Methods Based on the International Classification of Functioning,Disability and Health-Children and Youth Version(ICF-CY)communication function-related categories,test items applicable to children’s communication function were developed through a structured interview method and linguistic analysis.Delphi method was used to evaluate and select the items.The items were tested by item analysis and exploratory factor analysis to construct the scale structure.The internal consistency reliability,split-half reliability,structural validity,and criterion-related validity of the scales were tested by 168 children through internet.Results A children’s communication function scale consisting of 42 items was developed,involving four subtests,including preverbal communication(8 items),simple oral communication(5 items),comprehensive oral communication(20 items),and pictorial symbolic communication(9 items).The scale was tested with moderately difficult and high discrimination(0.328 to 0.936).The scale had good internal consistency reliability(0.897 to 0.979)and split-half reliability(0.851 to 0.952),as well as structural validity(r=0.536 to 0.836).The total scale score was correlated with the Peabody Picture Vocabulary Test-Revised validity scale(r=0.787,P<0.05).Conclusion The ICF-CY-based scale of communication functions in children’s daily life consisted of 42 items in four subtests.It has shown good consistency reliability,split half reliability,construct validity and criterion-related validity.

关 键 词：国际功能、残疾和健康分类(儿童青少年版) 沟通功能 评定 

分 类 号：R49[医药卫生—康复医学]