中国循证儿科杂志2016，Vol.11Issue(6)：436-440,5.DOI:10.3969/j.issn.1673-5501.2016.06.007
《年龄与发育进程问卷》中文版在高危儿童发育筛查中效度验证
The validity of the Chinese version of ASQ in high risk children
刘仕祺 1武元 1边旸 1李明1
作者信息
- 1. 北京大学第一医院儿科 北京，100034
- 折叠
摘要
Abstract
Objective ASQ-C is a newly introduced and standardized questionnaire for childrenˊs development in China. The validity of ASQ-C was not fully tested . In this study,the Gesell developmental scale was used as a diagnostic scale to test the validity of the ASQ-C in high risk children. Methods The 130 samples were selected in the outpatient of children development, who were evaluated by both ASQ-C and Gesell development scale. Cutoff points for all ASQ-3 age-versions were calculated in two ways and the samples were divided into 2 groups according to the age. The sensitivity,specificity,positive and negative predictive values were calculated. The subscales of ASQ-C were analyzed according to the corresponding scales of Gesell development scale. Results In generally,the coincidence rate was 0. 73,sensitivity and specificity were 72. 5%(95%CI:63% to 82%)and 74. 3%(95%CI:61% to 88%),the PPV and NPV were 86. 8%(95%CI:79% to 94%)and 53. 7%(95%CI:40% to 67%). Using 1 s as the cutoff,the sensitivity and specificity were 92. 5% and 32. 4%,the PPV and NPV were 77. 5%(95%CI:70% to 85%)and 63. 2%(95%CI:41% to 85%). Sensitivity and specificity values were higher for the older age-cohort than for the younger age-cohort. The sensitivity and specificity of the subscale were 46. 6% to 85% and 64. 3% to 93. 7%. Conclusion The ASQ-C was a developmental screening scale,its validity was within acceptable range,but failed to reach the ideal screening scale level. For less than 18 months of high-risk children,using 1s as the cutoff may significantly improve the sensitivity and reduce missed diagnosis.关键词
年龄与发育进程问卷-第3版/Gesell量表/效度/高危儿Key words
Ages and Stages Questionnaire-C/Gesell development scale/Validity/High risk children引用本文复制引用
刘仕祺,武元,边旸,李明..《年龄与发育进程问卷》中文版在高危儿童发育筛查中效度验证[J].中国循证儿科杂志,2016,11(6):436-440,5.
