Chinese Journal of Rehabilitation Theory and Practice ›› 2022, Vol. 28 ›› Issue (12): 1444-1451.doi: 10.3969/j.issn.1006-9771.2022.12.009

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

CHEN Siqi1,2,ZHAO Hang1,WANG Jie2,XIA Bin2,LIU Qiaoyun1,2()   

  1. 1. Department of Rehabilitation Science, Faculty of Education, East China Normal University, Shanghai 200062, China
    2. East China Normal University Maternity and Infant Health Hospital, Shanghai 200050, China
  • Received:2022-11-11 Revised:2022-11-19 Online:2022-12-25 Published:2023-01-10
  • Contact: LIU Qiaoyun
  • Supported by:
    National Key Research and Development Program of China(2022YFC2705201);Shanghai Changning District Health Committee Project(2019CNECNUPI05-1);Shanghai Pujiang Talent Plan Project(2019PJC033);Changning District Science and Technology Committee Project(CNKW2020Y31)


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

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