关键词: 家庭早期干预, 家庭视频反馈量表, 信度, 临床应用

Abstract: Objective To study the reliability of Family-Video-Feedback Scale (FVFS), and to explore the clinical application of the scale in early intervention for high-risk infants at 0 to 6 months old. Methods 1) Internal consistency reliability:Totally 130 videos and clinical materials were collected from 130 families accepting intervention guidance in Rehabilitation Department of Children's Hospital from May, 2017 to March, 2018.2) Inter-raters reliability and test-retest reliability:30 high-risk infants and their 60 videos (30 pre-videos and 30 post-videos) were included into study.Two raters evaluated the 30 pre-videos with FVFS and evaluated again after 7 days.The inter-raters reliability and test-retest reliability were represented by interclass correlation coefficient (ICC).3) Clinical application:After evaluated the pre-videos, therapist delivered to parents, and then parents took videos again after adjustment.The score of the pre-videos and post-videos were compared. Results The internal consistency reliability of subscale 1(video quality assessment) was 0.603.The inter-rater reliability (ICC values) of the total score of subscale 1(video quality assessment) was 0.970,and subgroups' ICC values ranged from 0.903 to 0.983.The test-retest reliability of subscale 1(video quality assessment) was 0.966,and subgroups' ICC values ranged from 0.840 to 0.966.The internal consistency reliability of subscale 1(intervention quality assessment) was 0.519.The inter-rater reliability (ICC values) of the total score of subscale 2(intervention quality assessment) was 0.909,and subgroups' ICC values ranged from 0.697 to 1.000.The test-retest reliability of subscale 1(intervention quality assessment) was 0.988,and subgroups' ICC values ranged from 0.869 to 1.000.The mean score of the 30 pre-videos and post-videos on the total score of video quality assessment, intervention quality assessment and the whole scale were 6.57 vs.7.37,12.30 vs.15.79,18.87 vs.23.33,respectively, and the differences were significant(P<0.05). Conclusions The FVFS has high inter-raters reliability and test-retest reliability, with good internal consistency reliability of the video quality assessment and acceptable internal consistency reliability of the intervention quality assessment.It is valuable for clinic to evaluate videos with FVFS to improve the quality of family early intervention.

Key words: family early intervention, Family-Video-Feedback Scale, reliability, clinical application