Abstract: Objective To revise "China Developmental Scale for Children" developed by Capital Institute of Pediatrics in 1984.Supplement and perfect the test item and tools to formed the initial scale and standardize the sampling population in Beijing area. Methods Based on the children's neurological cognitive development theory and literature analysis to determine the basic revision method of the scale,the scope of the scale was extended from 0~4 years old to 0~6 years old.The primary database based on a longitudinal observation of 7 children behavior development was set up and justified through clinical verification test.The remaining items were filtered by item test.External expert determined whether adopt the changes.The initial scale was standardization in the sampling population among Beijing area. Results Among 177 original testing item,131 (74.0%) was kept,38 (21.5%) was revised and 8 (4.5%) was discarded.241 of 439 new testing items were kept after clinical verification test and only 87 items remained after item test.Among the remained items,52 were for 4 years old or less and 40 items were extend to 6 years old.The final initial scale contained 261 items. Conclusion The initial scale increase measurement information and with content validity,update check tool novel,it is more suitable for children.

Key words: child, development, scale, revision, validity

摘要： 目的 对首都儿科研究所1984年研发的《中国儿童发育量表》进行修订,并在北京地区的抽样人群中进行标准化。方法 依据儿童认知发育理论及文献分析确定量表修订的基本思路,提出补充、修改和删除项目。在纵向观察7名儿童行为发育基础上建立新增项目初级题库。通过临床验证性测试予以确定;专家对测验项目及内容进行符合性研判以确定是否采纳。形成的初始修订量表在北京地区抽样人群中进行标准化。结果 原量表177项测试项目中,无需修改保留131项占74.0%(131/177),修改完善38项占21.5%(38/177),删除8项占4.5%(8/177)。在新建立项目初级题库中,编制测验项目439项,经临床验证性测试弃除198项占45.1%(198/439),保留241项占54.9%(241/439);再经过项目测试有87项占36.1%(87/241)保留,154项占63.9%(154/241)删除;在删除项目基础上,专家参与编制新项目5项。新增项目共92项占量表35.2%(92/261),最后形成初始修订量表含测验项目261项。结论 初始修订量表优化并增加了测量信息,测验项目具有内容效度。

关键词: 儿童, 发育, 量表, 修订, 效度