2~6岁儿童沟通功能量表的开发与标准化：基于ICF-CY

doi:10.3969/j.issn.1006-9771.2022.12.009

Abstract

Abstract:

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.

Key words: International Classification of Functioning, Disability and Health-Children and Youth Version, communication function, evaluation

CLC Number:

CHEN Siqi,ZHAO Hang,WANG Jie,XIA Bin,LIU Qiaoyun. Development and standardrization of communication function scale for two to six years old children using ICF-CY[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1444-1451.

Figures/Tables 8

References 32

[1]	The American Speech-Language-Hearing Association (ASHA). Social Communication Disorder[EB/OL]. [2019-08-19]. https://www.asha.org/Practice-Portal/Clinical-Topics/Social-Commu-nication-Disorder/.
[2]	JIJO P M, SREERAJ K, SANDHYA K, et al. Prevalence and causes of communication disorders: a retrospective study from northern Karnataka[J]. Clin Epidemiol Glob Health, 2020, 8(1): 138-141.
[3]	REED V A, TRUMBO S. The relative importance of selected communication skills for positive peer relations: American adolescents' opinions[J]. Commun Disord Q, 2020, 41(3): 135-150.
[4]	PRICE K M, WIGG K G, MISENER V L, et al. Language difficulties in school-age children with developmental dyslexia[J]. J Learn Disabil, 2022, 55(3): 200-212.
[5]	PATEL L, WOLTER-WARMERDAM K, LEIFER N, et al. Behavioral characteristics of individuals with Down syndrome[J]. J Ment Health Res Intellect Disabil, 2018, 11(3): 221-246.
[6]	World Health Organization. International Classification of Functioning, Disability and Health: ICF[R]. Geneva: World Health Organization, 2001.
[7]	邱卓英, 李伦, 陈迪, 等. 基于世界卫生组织国际健康分类家族康复指南研究:理论架构和方法体系[J]. 中国康复理论与实践, 2020, 26(2):125-135.
	QIU Z Y, LI L, CHEN D, et al. Research on rehabilitation guidelines using World Health Organization Family International Classifications: framework and approaches[J]. Chin J Rehabil Theory Pract, 2020, 26(2): 125-135.
[8]	GAN S M, TUNG L C, YEH C Y, et al. ICF-CY based assessment tool for children with autism[J]. Disabil Rehabil, 2013, 35(8): 678-685.
[9]	MCLEOD S, THREATS TT. The ICF-CY and children with communication disabilities[J]. Int J Speech Lang Pathol, 2008, 10(1-2): 92-109.
[10]	庾晓萌, 邱卓英, 李孝洁, 等. 基于世界卫生组织国际分类家族构建儿童交流障碍诊断与干预理论架构与方法[J]. 中国康复理论与实践, 2020, 26(1): 21-27.
	YU X M, QIU Z Y, LI X J, et al. Framework and approach of diagnosis and rehabilitation intervention for children with communication disorders using WHO Family International Classifications[J]. Chin J Rehabil Theory Pract, 2020, 26(1): 21-27.
[11]	谭霞灵, PAUL F, 张致祥, 等. 汉语沟通发展量表使用手册[M]. 北京: 北京大学医学出版社, 2008: 1-8, 53-54.
	TWILA T, PAUL F, ZHANG Z X, et al. Manual of Chinese Communicative Development Inventory[M]. Beijing: Peking University Medical Press, 2008: 1-8, 53-54.
[12]	梁静, 王朝晖. S-S语言发育迟缓评价法与Gesell发育评估量表在幼儿语言评定应用中的对比[J]. 中国儿童保健杂志, 2017, 25(5): 514-516.
	LIANG J, WANG Z H. Comparative study of S-S method and Gesell developmental scale in children's language assessment[J]. Chin J Child Health Care, 2017, 25(5): 514-516.
[13]	MARK L S. VB-MAPP 语言行为里程碑评估及安置程序[M]. 黄伟合,李丹,译. 北京: 北京大学医学出版社, 2014:13-48.
	MARK L S. Verbal Behavior Milestones Assessment And Placement Program VB-MAPP[M]. HUANGW H, LID.trans Beijing: Peking University Medical Press, 2014: 13-48.
[14]	许海燕. «学前儿童语言障碍评量表»的应用研究[J]. 中国儿童保健杂志, 2014, 22(12): 1305-1307.
	XU H Y. Application of the Preschool Children's Language Barrier Rating Scale[J]. Chin J Child Health Care, 2014, 22(12): 1305-1307.
[15]	郑静. 学前儿童语言障碍筛查量表的编制[D]. 上海: 华东师范大学, 2005.
	ZHENG J. The compiling of Language Screen Test of Preschool Children[D]. Shanghai: East China Normal University, 2005.
[16]	刘雪曼, DE VILLIERS J, 宁春岩, 等. "梦想"普通话标准化评估在听障儿童语言测试中的应用[J]. 中华耳科学杂志, 2015, 13(4): 617-622.
	LIU X M, DE VILLIERS J, NING C Y, et al. New language outcome measures for hearing impaired children in Mandarin[J]. Chin J Otol, 2015, 13(4): 617-622.
[17]	WU H, LIU Q, YU B, et al. Psychometric properties of the mandarin clinical evaluation of language for preschooler's core scale[J]. J Commun Disord, 2020, 87: 106000.
[18]	ODDSON B, THOMAS-STONELL N, ROBERTSON B, et al. Validity of a streamlined version of the Focus on the Outcomes of Communication under Six: process and outcome[J]. Child Care Health Dev, 2019, 45(4): 600-605.
[19]	HIDECKER M J C, PANETH N, ROSENBAUM P L, et al. Developing and validating the Communication Function Classification System for individuals with cerebral palsy[J]. Dev Med Child Neurol, 2011, 53(8): 704-710. doi: 10.1111/j.1469-8749.2011.03996.x pmid: 21707596
[20]	WETHERBY A M, ALLEN L, CLEARY J, et al. Validity and reliability of the communication and symbolic behavior scales developmental profile with very young children[J]. J Speech Lang Hear Res, 2002, 45(6): 1202-1218.
[21]	AGHAZ A, KAZEMI Y, KARBASI-AMEL A, et al. Diagnostic accuracy of the children's communication checklist-persian in identifying children with autism spectrum disorder[J]. Int J Pediatr, 2022, 10(2): 15482-15494.
[22]	THOMAS-STONELL N, ODDSON B, ROBERTSON B, et al. Validation of the Focus on the Outcomes of Communication under Six outcome measure[J]. Dev Med Child Neurol, 2013, 55(6): 546-552.
[23]	CUNNINGHAM B J, WASHINGTON K N, BINNS A, et al. Current methods of evaluating speech-language outcomes for preschoolers with communication disorders: a scoping review using the ICF-CY[J]. J Speech Lang Hear Res, 2017, 60(2): 447-464.
[24]	MISHRA A, CEBALLOS V, HIMMELWRIGHT K, et al. Gesture production in toddlers with autism spectrum disorder[J]. J Autism Dev Disord, 2021, 51(5): 1658-1667.
[25]	DOW D, DAY T N, KUTTA T J, et al. Screening for autism spectrum disorder in a naturalistic home setting using the Systematic Observation of Red Flags (SORF) at 18-24 months[J]. Autism Res, 2020, 13(1): 122-133.
[26]	RUIGENDIJK E, FRIEDMANN N. A deficit in movement-derived sentences in German-speaking hearing-impaired children[J]. Front Psychol, 2017, 8: 00689.
[27]	REZAEI M, RASHEDI V, BORHANINEJAD V, et al. Pragmatic skills in children with hearing loss: comparison between cochlear implants and hearing aids users[J]. Indian J Otolaryngol Head Neck Surg, 2022, 74(3): 434-438.
[28]	KOIZUMI M, SAITO Y, KOJIMA M. Syntactic development in children with intellectual disabilities: using structured assessment of syntax[J]. J Intellect Disabil Res, 2019, 63(12): 1428-1440.
[29]	朱琼, 李晓捷, 黄玉柱, 等. 脑性瘫痪儿童听力障碍特点及对发育的影响[J]. 中国康复医学杂志, 2021, 36(11): 1384-1389.
	ZHU Q, LI X J, HUANG Y Z, et al. Characteristics of hearing impairment in children with cerebral palsy and its effect on development[J]. Chin J Rehabil Med, 2021, 36(11): 1384-1389.
[30]	罗业飞, 杜瑶瑶, 徐慧芳, 等. 应用德尔菲法构建青年学生HIV感染风险评估指标体系[J]. 中华流行病学杂志, 2021, 42(11): 1918-1922.
	LUO Y F, DU Y Y, XU H F, et al. Development of risk assessment index system on HIV infection among young students based on Delphi method[J]. Chin J Epidemiol, 2021, 42(11): 1918-1922.
[31]	赵必华, 顾海根. 心理量表编制中的若干问题及题解[J]. 心理研究, 2010, 3(4): 29-33.
	ZHAO B H, GU H G. Some problems and their solutions in the development of mental scales[J]. J Psychol Sci, 2010, 3(4): 29-33.
[32]	刘巧云. 儿童语言康复学[M]. 南京: 南京师范大学出版社, 2021: 173-139.
	LIU Q Y. Intervention for Child Language Disorders[M]. Nanjing: Nanjing Normal University Press, 2021: 173-139.

量表初始维度	二级类目	测验项目举例
理解	b167语言精神功能：b1671语言接收	能对人的声音做出基本的反应，如当有人对孩子说话时，他能转向说话的人或微笑。
	d310交流-接收-口头讯息	能理解2~3个词语组成的简单问题，如听到“你要什么?”时，能看向想要的东西或说出其名称。
	d315交流-接收-非言语讯息	能理解常见的面部表情传达的信息，如高兴的表情、生气的表情、伤心的表情、害怕的表情。
	d320交流-接收-正式手语讯息	能理解正规手语(如中国手语、通用手语、地方手语等)传达的信息。
	d325交流-接收-书面讯息	能认识自己的名字。
表达	b167语言精神功能：b1672语言表达	当有人说话时，能发出语音回应，如妈妈在一旁和儿童说话，儿童能用“呀呀呀”的声音回应。
	d330说	能使用无修饰词的完整句与他人交流，如能主动表达“我喜欢棒棒糖”。
	d331预备说话	有使用口语进行沟通的意图，如在交谈中发出无意义音。
	d332唱	能唱出有旋律的歌曲。
	d335生成非言语讯息	能使用常见的手势传达信息，如离别时，挥手表示再见。
	d340生成正式手语讯息	能使用正规手语(如中国手语、通用手语、地方手语)与他人进行交流。
	d345书面讯息	能独立书写0~9的数字并能被不熟悉他的人所认识。
交谈	d350交谈	在一对一的交谈中，当交谈内容出现歧义时，能主动地解释或要求对方解释。
	d355讨论	在多人讨论中，能兼顾到多人的观点，如能根据多人的观点调整自己的表达。
	d360使用交流设备与技术	能使用通讯设备与他人进行交流，如：使用手机接打电话或收发微信等。

调查项目		n
量表填写人	母亲	241
	父亲	41
	(外)祖父母	2
	姑姑	2
	教师	1
	保姆	1
被试障碍类型	听力障碍	156
	智力障碍	50
	孤独症谱系障碍	48
	脑性瘫痪	20
	其他障碍类型	14
母亲受教育程度	初中及以下	61
	高中(含职高和中专)	61
	大专	59
	本科	86
	研究生及以上	21
父亲受教育程度	初中及以下	67
	高中(含职高和中专)	61
	大专	52
	本科	80
	研究生及以上	28

调查项目		n
量表填写人	母亲	141
	父亲	20
	(外)祖父母	4
	姑姑	1
	教师	1
	医生	1
障碍类型	听力障碍	92
	智力障碍	29
	孤独症谱系障碍	28
	脑性瘫痪	13
	其他障碍类型	6
母亲受教育程度	初中及以下	71
	高中(含职高和中专)	35
	大专	23
	本科	34
	研究生及以上	5
父亲受教育程度	初中及以下	66
	高中(含职高和中专)	41
	大专	22
	本科	34
	研究生及以上	5

检验项目	判别标准	项目
检验项目	判别标准	第二部分第15题	第三部分第3题
难度	大部分项目在0.200~0.800之间	0.693	0.603
鉴别度	最好在0.300以上	0.328	-0.122
CR值	CR ≥ 3.000，且P < 0.05	5.735^a	-2.052^b
与总分的相关	r ≥ 4.000，且P < 0.05	0.286^c	-0.135^d
与分量表分的相关	r ≥4.000，且P < 0.05	0.290^e	-0.062^f
删除项目后α值		0.953	0.968

因子	特征值	变量异值	累加变异量
1	25.960	57.689	57.689
2	4.068	9.040	66.729
3	1.678	3.729	70.458
4	1.194	2.653	73.111

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

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 8

References 32

Related Articles 15

Metrics

Comments

Recommended 0

因子名称	对应ICF-CY的条目	项目数
前语言沟通(因子2)	b167语言精神功能：语言接收	1
	d315交流-接收-非言语讯息	3
	d331预备说话	1
	d335生成非言语讯息	3
简单口头沟通(因子3)	d310交流-接收-口头讯息：简单口头讯息	2
	b167语言精神功能：语言表达	1
	d330说：简单口头讯息	2
综合性口语沟通(因子1)	d310交流-接收-口头讯息：复杂口头讯息	5
	d330说：复杂口头讯息	4
	d350交谈	7
	d355讨论	3
	d360使用交流设备与技术	1
图示性符号沟通(因子4)	d315交流-接收-非言语讯息	4
	d325交流-接收-书面讯息	2
	d335生成非言语讯息	1
	d345书面讯息	2

项目	指标	前语言沟通	简单口语沟通	综合性口语沟通	图示性符号沟通	总量表
内部一致性信度	Cronbach α系数	0.919	0.897	0.978	0.935	0.979
分半信度	Spearman-Brown系数	0.908	0.851	0.952	0.937	0.901

项目	前语言沟通		简单口语沟通		综合性口语沟通		图示性符号沟通
项目	r值	P值	r值	P值	r值	P值	r值	P值
量表总分	0.834	< 0.001	0.813	< 0.001	0.957	< 0.001	0.902	< 0.001
前语言沟通			0.738	< 0.001	0.569	< 0.001	0.536	< 0.001
简单口语沟通					0.662	< 0.001	0.655	< 0.001
综合性口语沟通							0.836	< 0.001

[1]	ZHANG Ruiming, WANG Kai, YIN Rui, WANG Hailiang, MO Yan. Evaluation method of assistance effect of extravehicular activity glove exoskeleton under weightlessness [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 856-861.
[2]	ZHANG Xueru, CHEN Siqi, HU Weibin, LIU Qiaoyun. Comprehensive spoken communication function of children with disabilities based on ICF-CY [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 320-325.
[3]	SONG Beibei, LIU Hui, BAI Kaixiang. Content and psychological measurement index of ICF-CY-based motor function evaluation scale for children and adolescents with disabilities: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 182-192.
[4]	LIU Xiaoxie, CHU Hongling, LIU Mei, GUO Aixin, WANG Siyuan, ZENG Fanshuo, JIANG Shan, XIE Yuxiao, ZHOU Mouwang. Scientific, transparent and applicable rankings of Chinese guidelines and consensus of rehabilitation medicine published in medical journals in 2022 [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1365-1376.
[5]	WANG Xiaohe, XIAO Shuqin, ZHANG Lu. Communication and cooperation within a stroke rehabilitation team: a qualitative research [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1473-1480.
[6]	QIU Zhuoying, KWOK Joseph Kin Fun, SUN Hongwei, WU Shicai, LÜ Jun, YAO Meilin, WANG Guoxiang, QIU Fubing, LU Yan, XU Guangxu, JI Linhong, JING Qi, CHEN Di, HAO Chuanping, LI Anqiao, WANG Shaopu, XIAO Xiaofei. Systematic implementation of World Health Organization rehabilitation competency framework in rehabilitation: conceptual framework, approaches and application [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(3): 265-274.
[7]	DUAN Mingxue, JING Qi, QIU Zhuoying, SUN Hongwei, LI Anqiao, WU Fang, CAI Weiqin, GAO Qianqian, ZHENG Wengui. Performance evaluation of rehabilitation workers using World Health Organization rehabilitation competency framework [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(3): 285-294.
[8]	WANG Longping,YANG Xuening,ZENG Bin,XU Guangqing. Application of six-minute walk test in preoperative evaluation of patients undergoing pulmonary lobectomy [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 242-248.
[9]	YE Lü,WANG Bin. Monitoring and evaluation of health-promoting schools and physical activity from the perspective of health services [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1400-1407.
[10]	FAN Yunyi,ZHENG Xiaoying. Evaluation of precision rehabilitation services for people with disabilities in China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(10): 1117-1125.
[11]	CHEN Lilin,HUANG Mudan,ZHENG Haiqing. Identification and evaluation of post-stroke spasticity: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(1): 62-68.
[12]	CHEN Ping,YIN Zheng,HE Zhi-jie,CHIA Chin-hsuan,JIA Jie,WU Yi,JIANG Hong. Catheter Removal Planning Based on Phased Evaluation for Severe Traumatic Brain Injury: A Case Report [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 864-868.
[13]	Jing-ya LIU,Wen-qiang ZHANG,Xu YANG,Fu-biao HUANG. Effect of Individualized Occupational Therapy on Occupational Performance of Patients with Schizophrenia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 724-729.
[14]	Yang XIE,Zhen-bo CHEN,Ji-gang YANG. Advance in Evaluation Formula of Glomerular Filtration Rate in Patients with Spinal Cord Injury (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(2): 145-149.
[15]	CUI Wei,LI Chun-guang,XU Jia-cheng,HE Liu-jin,SUN Li-ning. Advance in Functional Near-infrared Spectroscopy for Some Neurological Diseases (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 771-774.