Abstract: Objective To establish a simple scale of family early intervention,through analyzing the family videos to supervise and improve the quality of intervention. Methods The preliminary framework of scale was built through expert discussion and literature review.Then in a three-round Delphi survey,26 experts from 6 provinces completed an internet-based questionnaire to evaluate the degree of importance of the indicators and shared opinions. Results All the 26 experts took part in this study,and the response rate for the questionnaire was 100%.The expert authority coefficient was 0.85,and the expert consensus coefficient of the third round questionnaire was 0.445 (P<0.001).The scale included two parts,one was the video quality including 4 indicators,and the other was the intervention quality including 10 indicators. Conclusion Video feedback can be used to combine the advantages between family and hospital,to monitor the intervention process of high-risk infants at home,to further guide the parents and improve the quality of early intervention.

Key words: high-risk infants, family, early intervention, video-feedback, scale, Delphi technique

摘要： 目的 建立高危儿家庭早期干预简易评估量表,通过评估家庭视频来监测0～6月龄高危儿在家中接受早期干预的过程,以提高家庭早期干预水平。方法 通过文献检索建立量表初步框架,应用德尔菲法(Delphi)对全国6个省市的26位专家进行3轮问卷咨询,对咨询结果进行统计分析并修改量表初步框架,最终形成家庭早期干预视频反馈简易评估量表。结果 3轮问卷的专家积极系数均为100%,专家权威系数为0.85,第3轮问卷的专家协调系数为0.445(P＜0.001)。简易评估量表包括视频拍摄质量和早期干预质量两部分,共14个指标。其中视频拍摄质量4个指标,早期干预质量10个指标,早期干预质量分为A区(3个指标)、B区(4个指标)、C区(3个指标)。结论 视频反馈能够将医院优势和家庭优势相结合,通过评估家庭视频来监测高危儿在家庭中接受早期干预的过程,有利于专业人员对家长进一步指导,进而提高早期干预质量。

关键词: 高危儿, 家庭, 早期干预, 视频反馈, 量表, 德尔菲法