贝莉-Ⅲ婴幼儿发育筛查测试在上海地区应用效度初步分析

doi:10.11852/zgetbjzz2018-26-10-05

中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (10): 1060-1063.DOI: 10.11852/zgetbjzz2018-26-10-05

贝莉-Ⅲ婴幼儿发育筛查测试在上海地区应用效度初步分析

林森然^1,2, 李筠^1,2, 杨青³, 曹志娟¹, 古桂雄^1,2, 花静¹

1 同济大学附属第一妇婴保健院,上海 201204;
2 苏州大学附属儿童医院,江苏苏州 215000;
3 上海市松江区妇幼保健所,上海 201600

收稿日期:2017-12-21 发布日期:2018-10-10 出版日期:2018-10-10
通讯作者: 花静,E-mail:szhuaj@hotmail.com;古桂雄,E-mail:szggx000@163.com
作者简介:林森然(1991-),女,山东人,儿科学硕士研究生在读,主要研究方向为儿童保健。
基金资助:
国家自然科学基金面上项目(81673179);上海市申康医院发展中心适宜技术联合开发推广应用项目(SHDC12016239);上海市公共卫生三年行动计划重点学科人才项目(15GWZK0401)

Preliminary analysis on the validity of Bayley-Ⅲ Screening Test in Shanghai

LIN Sen-ran^1,2, LI Yun^1,2, YANG Qing³, CAO Zhi-juan¹, GU Gui-xiong^1,2, HUA Jing¹

1 Shanghai First Maternity and Infant Hospital,Tongji University School of Medicine,Shanghai 201204,China;
2 Children′s Hospital of Soochow University,Suzhou,Jiangsu 215000,China;
3 Songjiang Maternity and Infant Hospital,Shanghai 201600,China

Received:2017-12-21 Online:2018-10-10 Published:2018-10-10
Contact: HUA Jing,E-mail:szhuaj@hotmail.com; GU Gui-xiong,E-mail:szggx000@163.com

摘要/Abstract

摘要： 目的对贝莉-Ⅲ婴幼儿发育筛查测试(Bayley-Ⅲ Screening Test)在上海地区的应用效度进行初步分析,探讨其在我国引进的可行性。方法 2017年1－4月采用横断面研究,选取上海市某区0~18月龄婴幼儿共1 073名纳入研究,采用项目水平内容效度指数(I-CVI)、单因素方差分析进行内容效度、效标效度的分析,采用Mann Kendall趋势检验分析得分随月龄的变化趋势,事后两两比较法比较相邻月龄组的得分。结果 5个能区的I-CVI分别为0.920、0.953、0.953、0.963、0.982,平均I-CVI为0.954。ASQ-3(作为校标)三组等级分类中(正常、边缘和异常),认知能力、语言理解、语言表达在边缘组和异常组均低于正常组(P＜0.05),但精细运动和大运动与ASQ-3存在不一致性。各能区得分随月龄呈总体上升趋势(P＜0.05),女童的语言理解得分在第二年龄段较第一年龄段有所下降,但差异无统计学意义(P=0.487)。结论贝莉-Ⅲ筛查测试的认知、语言理解、语言表达三个能区具有较好的测量效度,精细运动和大运动项目需要修正并进行进一步研究。

关键词: 贝莉-Ⅲ筛查测试, 婴幼儿, 效度

Abstract: Objective To preliminarily assess the validity of Bayley-Ⅲ Screening Test in Shanghai,and to discuss the feasibility of its adaption in China . Method A cross-sectional study was conducted in one district in Shanghai and a total of 1 073 infants aged from 0 to 18 months were included from January to April 2017.Item-level content validity index(I-CVI) and one-way ANOVA were used to analyze the content validity and criterion-related validity.The Mann-Kendall trend test was performed to assess trends of behavior development,and post-hos Least Significant Difference test was used to compare the scores of two groups with adjacent age. Results The I-CVIs of the five subtests were 0.920,0.953,0.953,0.963 and 0.982, respectively.The average I-CVI was 0.954.In the three risk categories (normal,emerging and abnormal) of ASQ-3,Bayley-Ⅲ Screening cognitive,receptive communication and expressive communication scores of ASQ-3 emerging and abnormal categories were significantly lower than those of the normal category (P＜0.05).However,the fine motor and gross motor subtests were inconsistent with the ASQ categories.The scores of each subtests showed an increasing trend across age (P＜0.05).But girls′ receptive communication scores decreased in the first two groups with adjacent age without significant difference (P=0.487). Conclusions The cognitive,receptive communication and expressive communication subtests of the Bayley-Ⅲ Screening Test have good validity.However,further research and revision of the fine motor and gross motor subtests is needed.

Key words: Bayley-Ⅲ Screening Test, infant, validity

中图分类号:

R179

林森然, 李筠, 杨青, 曹志娟, 古桂雄, 花静. 贝莉-Ⅲ婴幼儿发育筛查测试在上海地区应用效度初步分析[J]. 中国儿童保健杂志, 2018, 26(10): 1060-1063.

LIN Sen-ran, LI Yun, YANG Qing, CAO Zhi-juan, GU Gui-xiong, HUA Jing. Preliminary analysis on the validity of Bayley-Ⅲ Screening Test in Shanghai[J]. journal1, 2018, 26(10): 1060-1063.

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贝莉-Ⅲ婴幼儿发育筛查测试在上海地区应用效度初步分析

Preliminary analysis on the validity of Bayley-Ⅲ Screening Test in Shanghai

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