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儿童孤独症评定量表家长版的信度与效度分析

李亦诚 李天舒 徐敬 周洁 王燕 陶炳铜 孟凡萍 王瑜 蒋泓 陈津津 霍言言 张媛媛 仇晓艳 马晨欢 殷安欣 刘巧云 王健 罗洁鸣

教育生物学杂志2024,Vol.12Issue(6):421-426,6.
教育生物学杂志2024,Vol.12Issue(6):421-426,6.DOI:10.3969/j.issn.2095-4301.2024.06.001

儿童孤独症评定量表家长版的信度与效度分析

Reliability and validity analysis of parental version of childhood autism rating scale

李亦诚 1李天舒 2徐敬 3周洁 4王燕 5陶炳铜 6孟凡萍 7王瑜 8蒋泓 9陈津津 8霍言言 8张媛媛 8仇晓艳 8马晨欢 8殷安欣 9刘巧云 10王健 11罗洁鸣2

作者信息

  • 1. 上海交通大学医学院附属儿童医院上海市儿童医院儿童保健科(中国 上海 200062)||上海交通大学医学院附属第一人民医院(中国 上海 200080)
  • 2. 上海市黄浦区妇幼保健所(中国 上海 200010)
  • 3. 上海市杨浦区妇幼保健所(中国 上海 200082)
  • 4. 上海市普陀区妇婴保健院(中国 上海 200062)
  • 5. 同济大学附属东方医院胶州医院(中国胶州 266318)
  • 6. 南阳市第二人民医院(中国 南阳 473009)
  • 7. 成都西南儿童医院(中国 成都 610047)
  • 8. 上海交通大学医学院附属儿童医院上海市儿童医院儿童保健科(中国 上海 200062)
  • 9. 复旦大学公共卫生学院(中国 上海 200436)
  • 10. 华东师范大学康复科学系(中国 上海 200062)
  • 11. 上海市静安区妇幼保健所(中国 上海 200072)
  • 折叠

摘要

Abstract

Objective To examine the reliability and validity of the parent version of the childhood autism rating scale(CARS).Methods In 3 districts of Shanghai,319 children and their parents were recruited and randomly selected to participate in the study.Based on group discussion and Delphi expert inquiry method,the original version of CARS was annotated to make it easy to understand and suitable to fill out for parents,forming the parent version of CARS.After attending two online classes,parents filled out the scale according to their children's daily performance and completed an online assessment.The discriminant validity,structural validity,criterion-related validity,homogeneity reliability,test-retest reliability,and inter-rater reliability of the scale were statistically tested.Results The item range of discriminant validity for the 15 items of the parent version of CARS was 0.588-0.801.Exploratory factor analysis showed a KMO value of 0.788 and a Bartlett's sphere test with P<0.001.After extracting 4 common factors,the cumulative variance contribution rate was 61.74%,and the factor loading of each item was 0.443-0.801.Confirmatory factor analysis supported the 4-factor model(χ2/df=2.834,RMSEA=0.107,GFI=0.842,CFI=0.814,AGFI=0.774,IFI=0.818,TLI=0.767).The criterion-related validity of the scale was 0.41,0.69,and 0.43(P<0.01)when compared to the modified checklist for autism in toddlers(M-CHAT),autism behavior checklist(ABC),and autism diagnostic observation schedule(ADOS).The Cronbach's α coefficient,split-half reliability,test-retest reliability,and inter-rater reliability of the scale were 0.91,0.90,0.81,and 0.71,respectively.Conclusion The parent version of CARS meets the measurement standards and demonstrates good reliability and validity,making it suitable for early home screening of children with autism spectrum disorder.

关键词

孤独症谱系障碍/早期筛查/儿童孤独症评定量表/家长版/信度/效度

Key words

autism spectrum disorder/early screening/childhood autism rating scale/parental version/reliability/validity

引用本文复制引用

李亦诚,李天舒,徐敬,周洁,王燕,陶炳铜,孟凡萍,王瑜,蒋泓,陈津津,霍言言,张媛媛,仇晓艳,马晨欢,殷安欣,刘巧云,王健,罗洁鸣..儿童孤独症评定量表家长版的信度与效度分析[J].教育生物学杂志,2024,12(6):421-426,6.

基金项目

上海市老龄化和妇儿健康专项计划(2020YJZX0207) (2020YJZX0207)

上海市2022年度"科技创新行动计划"技术标准项目(22DZ2203500) (22DZ2203500)

上海申康医院发展中心示范性研究型医师创新转化能力培训项目医企融合创新成果转化专项(SHDC2022CRD012) (SHDC2022CRD012)

国家重点研发计划"生育健康及妇女儿童健康保障"重点专项(2022YFC2705203) (2022YFC2705203)

上海申康医院发展中心市级医院新兴前沿技术联合攻关项目(SHDC12022114) (SHDC12022114)

上海申康医院发展中心临床创新三年行动计划(SHDC2020CR1047B) (SHDC2020CR1047B)

上海申康医院发展中心2021年临床科技创新项目(SHDC22021305-B) (SHDC22021305-B)

教育生物学杂志

OACSTPCD

2095-4301

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