《中国康复理论与实践》

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (3): 257-264.doi: 10.3969/j.issn.1006-9771.2024.03.002

• 专题 基于ICF测量工具的测量内容与心理测量特性研究 • 上一篇    下一篇

基于ICF儿童发展和适应性行为测量工具的内容和心理测量特性研究

吴亮()   

  1. 陕西省康复医院，陕西西安市 710065
  • 收稿日期:2024-02-05 出版日期:2024-03-25 发布日期:2024-04-01
  • 通讯作者: 吴亮 E-mail:18009185611@163.com
  • 作者简介:吴亮(1980-)，女，汉族，陕西西安市人，副主任医师，中国残疾人康复协会残疾分类研究专业委员会常委，中国心理学会康复心理学专业委员会委员，中国康复医学会言语康复专委会委员，中国康复医学会手功能学会评估学组委员，中国妇幼保健协会儿童康复委员会委员，中国康复医疗机构联盟儿童康复委员会常务委员，陕西省保健协会儿童康复专业委员会常务委员，陕西省康复医学会儿童康复专委会委员，陕西师范大学教育学院校外合作硕士生导师，主要研究方向：脑性瘫痪、精神发育迟滞、语言发育迟缓、孤独症谱系障碍、儿童注意缺陷多动障碍等疾病的早期诊断、评估与康复治疗。
  • 基金资助:
    陕西省重点研发计划项目(2024SF-YBXM-314)

Research on the content and psychometric properties of assessment tools of development and adaptive behaviors in children using ICF

WU Liang()   

  1. Shaanxi Rehabilitation Hospital, Xi'an, Shaanxi 710065, China
  • Received:2024-02-05 Published:2024-03-25 Online:2024-04-01
  • Contact: WU Liang E-mail:18009185611@163.com
  • Supported by:
    Key R&D Program of Shaanxi Province(2024SF-YBXM-314)

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摘要：

目的 探讨儿童发展和适应性行为测量工具的维度和项目，以及心理测量特征。

方法 选择5种常用的标准化儿童发展和适应性行为测量工具，包括儿童残疾评价量表-计算机适应性测试(PEDI-CAT)、文兰适应行为量表(VABS-II)、适应性行为评定系统第三版(ABAS-III)、贝利婴幼儿发展量表第三版(Bayley-III)、诊断适应性行为量表(DABS)，采用用ICF的分类理论与方法、联系规则和编码方法，对其进行维度和项目分析，并探讨心理测量特征。

结果 PEDI-CAT测量项目内容覆盖ICF类目有盥洗自身(d510)、护理身体各部(d520)、如厕(d530)、吃(d550)、喝(d560)、照顾个人的健康(d570)、基本人际交往(d710)、复杂人际交往(d720)、改变身体的基本姿势(d410)、保持一种身体姿势(d415)、精巧手的使用(d440)等。VABS-II测量项目内容覆盖ICF类目有言语表达(d330)、交谈(d350)、盥洗自身(d510)、护理身体各部(d520)、利用交通工具(d470)、获得商品和服务(d620)、基本人际交往(d710)、复杂人际交往(d720)、改变身体的基本姿势(d410)、保持一种身体姿势(d415)等。ABAS-III测量项目内容覆盖ICF类目有言语表达(d330)，交流-接收-非言语讯息(d315)，阅读(d166)，娱乐和休闲(d920)，社区生活(d910)，控制应激和其他心理需求(d240)，照顾个人的健康(d570)，得到、保持或终止一份工作(d845)等。Bayley-III测量项目内容覆盖ICF类目有记忆功能(b144)、思维功能(b160)、言语表达(d330)、精巧手的使用(d440)、步行(d450)、基本人际交往(d710)、进行日常事务(d230)、娱乐和休闲(d920)等。DABS测量项目的内容涉及ICF类目有高水平认知功能(b164)、阅读(d166)、基本经济交易(d860)、基本人际交往(d710)、解决问题(d175)、控制应激和其他心理需求(d240)、进行日常事务(d230)、利用交通工具(d470)等。5种测量工具均属于常模参照测量。PEDI-CAT具有较高的判别效度和可信度，通过计算机自适应测试的方式，能够更精确地评估儿童的功能水平。VABS-II具有较好的信度和效度，有多个版本适用于不同年龄和能力水平。ABAS-III提供广泛的适应性行为测量，有中等至良好的信度和效度。Bayley-III具有优秀的内部一致性信度和重测信度。DABS的效度和信度指标均较高。5种测量工具均有较高的适用性，包括针对不同群体的常模以及不同文化语言的版本等。

结论 5种测量工具项目内容涉及ICF身体功能、活动和参与的多个类目，聚焦于智力、高水平认知功能以及日常生活功能领域。5种工具都属于常模参照测量，均为多维度的结构化测量工具，具有很好的信度、效度和适用性。

关键词: 发展, 适应性行为, 测量工具, 心理测量特性

Abstract:

Objective To analyze the items and psychometric properties of assessment for development and adaptive behavior.

Methods The standardized assessments commonly used in evaluation of children development and adaptive behavior were selected such as Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT), Vineland Adaptive Behavior Scales (VABS-II), Adaptive Behavior Assessment System (ABAS-III), Bayley Scales of Infant and Toddler Development (Bayley-III) and Diagnostic Adaptive Behavior Scale (DABS). Using the ICF's classification framework, linking rules and coding methods, this study conducted a content analysis of the measurement dimensions and items of the five assessments, and explored the psychometric properties.

Results PEDI-CAT items covered ICF categories such as washing oneself (d510), caring for body parts (d520), toileting (d530), eating (d550), drinking (d560), looking after one's health (d570), basic interpersonal interactions (d710), complex interpersonal interactions (d720), changing basic body position (d410), maintaining body position (d415), and fine hand use (d440), among others. VABS-II items covered speaking (d330), conversation (d350), washing oneself (d510), caring for body parts (d520), using transportation (d470), acquisition of goods and services (d620), basic interpersonal interactions (d710), complex interpersonal interactions (d720), changing body position (d410), and maintaining body position (d415). ABAS-III items covered speaking (d330), communicating with-receiving-nonverbal messages (d315), reading (d166), recreation and leisure (d920), community life (d910), handling stress and other psychological demands (d240), looking after one's health (d570), and acquiring, keeping and terminating a job (d845). Bayley-III items covered memory functions (b144), thought functions (b160), speaking (d330), fine hand use (d440), walking (d450), basic interpersonal interactions (d710), carrying out daily routine (d230), and recreation and leisure (d920). DABS items covered higher-level cognitive functions (b164), reading (d166), basic economic transactions (d860), basic interpersonal interactions (d710), solving problems (d175), handling stress and other psychological demands (d240), carrying out daily routine (d230), and using transportation (d470). All the five assessments were norm-referenced measures. PEDI-CAT had high discriminative validity and reliability, with computer-adaptive testing enabling more precise measurement of children's functional levels. VABS-II possessed good reliability and validity, with multiple versions for different age and ability levels. ABAS-III offered a wide range of adaptive behavior measures with medium to good reliability and validity. Bayley-III had excellent internal consistency and test-retest reliability, while DABS showed high validity and reliability indices. The five assessments had high applicability, including norms for different groups and versions for various cultural and language contexts.

Conclusion The items of assessments involves multiple ICF categories at the levels of body functions, and activities and participation, mainly focusing on the areas of intellectual functions, high-level cognitive functions, and ability of daily living. All five assessments are norm-referenced and multidimensional, structured assessment tools with strong reliability, validity and applicability.

Key words: development, adaptive behavior, assessment, psychometric property

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