Development and validation of the Parent-Reported Indicator of Developmental Evaluation for Chinese Children(PRIDE)tool  

作　　者：Sai-Shuang Wu Hao Pan Radley Christopher Sheldrick Jie Shao Xiu-Mei Liu Shuang-Shuang Zheng Sergio Miguel Pereira Soares Lan Zhang Jin Sun Ping Xu Shao-Hong Chen Tao Sun Jin-Wen Pang Ning Wu Yuan-Cong Feng Na-Ren Chen Yun-Ting Zhang Fan Jiang 

机构地区：[1]Department of Developmental and Behavioral Pediatrics,National Children's Medical Center,Shanghai Children's Medical Center,School of Medicine,Shanghai Jiao Tong University,Shanghai,China [2]Radley Christopher Sheldrick,University of Massachusetts,Shrewsbury,MA,USA [3]Department of Child Health Care,Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou,China [4]Developmental and Behavior Pediatrics Department,Fujian Branch of Shanghai Children's Medical Center,Fujian Children's Hospital,Fuzhou,China [5]Max Planck Institute for Psycholinguistics,Nijmegen,Netherlands [6]School of Medicine,Chengdu Women's and Children's Central Hospital,University of Electronic Science and Technology of China,Chengdu,China [7]Dalian Women and Children's Medical Group,Dalian,China [8]Jiangxi Provincial Maternal and Child Health Hospital,Nanchang,China [9]Shanghai Children's Medical Center,Hainan Branch,Sanya,China [10]School of Medicine,Shanghai Jiao Tong University,Shanghai,China [11]Shenzhen Xinzhi Institute of Psychological Assessment Technology,Shenzhen,China [12]Child Health Advocacy Institute,National Children's Medical Center,Shanghai Children's Medical Center,School of Medicine,Shanghai Jiao Tong University,1678 Dongfang Rd,Shanghai 200127,China [13]Department of Developmental and Behavioral Pediatrics,Pediatric Translational Medicine Institute,Shanghai Key Laboratory of Child Brain and Development,National Children's Medical Center,Shanghai Children's Medical Center,School of Medicine,Shanghai Jiao Tong University,1678 Dongfang Rd,Shanghai 200127,China [14]Ministry of Education Shanghai Key Laboratory of Children's Environmental Health,Xinhua Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,China [15]Shanghai Center for Brain Science and Brain-Inspired Technology,Shanghai,China

出　　处：《World Journal of Pediatrics》2025年第2期183-191,共9页世界儿科杂志(英文版)

基　　金：National Natural Science Foundation of China(823B2087);Shanghai Municipal Health Commission(GWVI-11.2-XD16);National Natural Science Foundation of China Joint Fund Project(U23A20170);Shanghai Municipal Health Commission(Child Neurological and Psychological Development Screening and Intervention Project),Shanghai Key Laboratory of Child Brain and Development(24dz2260100).

摘　　要：Background Developmental delay(DD)poses challenges to children's overall development,necessitating early detection and intervention.Existing screening tools in China focus mainly on children with developmental issues in two or more domains,diagnosed as global developmental delay(GDD).However,the recent rise of early childhood development(ECD)concepts has expanded the focus to include not only those with severe brain development impairments but also children who lag in specific domains due to various social-environmental factors,with the aim of promoting positive development through active intervention.To support this approach,corresponding screening tools need to be developed.Methods The current study used a two-phase design to develop and validate the Parent-Reported Indicator of Developmental Evaluation for Chinese Children(PRIDE)tool.In Phase 1,age-specific milestone forms for PRIDE were created through a survey conducted in urban and rural primary care clinics across four economic regions in China.In Phase 2,PRIDE was validated in a community-based sample.Sensitivity and specificity of both PRIDE and Ages and Stages Questionnaires(ASQ)-3 were estimated using inverse probability weights(IPW)and multiple imputation(MI)to address planned and unplanned missing data.Results In Phase 1 involving a total of 1160 participants aged 1 to 48 months,63 items were selected from the initial item pool to create 10 age-specific PRIDE forms.Our Phase 2 study included 777 children within the same age range.PRIDE demonstrated an estimated sensitivity and specificity of 83.3%[95%confidence interval(CI):56.8%–100.0%]and 84.9%(95%CI:82.8%–86.9%)in the identification of DD.Conclusion The findings suggest that PRIDE holds promise as a sensitive tool for detecting DD in community settings.

关 键 词：Community sample-Developmental delay Development and validation-Early childhood development Screening tool 

分 类 号：R749.94[医药卫生—神经病学与精神病学]