临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (12): 921-.doi: 10.3969/j.issn.1000-3606.2020.12.010

• 综合报道 • 上一篇    下一篇

中文版小龄发育性协调障碍问卷信效度初步研究

耿姗姗, 戴霄天, 王天景, 崔娓, 花静   

  1. 同济大学附属第一妇婴保健院妇幼保健部(上海 201204)
  • 出版日期:2020-12-15 发布日期:2020-12-18
  • 通讯作者: 花静 电子信箱:szhuaj@hotmail.com
  • 基金资助:
    国家自然科学基金委员会面上项目(No. 81673179);上海市申康医院发展中心适宜技术联合开发推广应用项目(No. SHDC 12016239);上海市营养学会课题(No.SHYY2018102 )

The preliminary study on the reliability and validity of the Chinese version of the little Developmental Coordination Disorder Questionnaire

GENG Shanshan, DAI Xiaotian, WANG Tianjing, CUI Wei, HUA Jing   

  1. Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 201204, China
  • Online:2020-12-15 Published:2020-12-18

摘要: 目的 进行小龄发育性协调障碍问卷(little DCDQ)中文版的信效度评价,为进一步在中国开展DCD的早 期筛查和干预奠定基础。方法 51 110例学龄前儿童纳入研究,Cronbach α系数评价问卷内部一致性,Guttman分半信度 代替重测信度对量表测量的稳定性进行检验。探索性因素分析检验little DCDQ测试的结构效度,以年龄和发育进程问卷 (ASQ-3)为效标量表分析效标相关系数。结果 中文版little DCD内部一致性较高(所有项目Cronbach’ α值均>0.9), Guttman分半系数为0 . 934 , 提示分半信度良好。探索性因素分析提取精细运动、运动控制、一般协调性三个因子累积方 差贡献率为68.290%, 大部分条目因子载荷基本均在0.6以上,提示little DCDQ的结构效度尚可。Little DCDQ 得分与 ASQ- 3各维度(沟通、粗大动作、精细运动、解决问题、个人-社会)具有一定相关性。结论 中文版little DCDQ在小年龄 组的学龄前儿童中应用性良好,可在国内DCD流行病学研究和基层儿保初筛评估中应用。

关键词:  发育性协调障碍; 小龄DCDQ问卷; 信度和效度; 中国

Abstract: Objective The reliability and validity of the Chinese version of the little Developmental Coordination Disorder Questionnaire (little DCDQ) was evaluated to lay a foundation for the early screening and intervention of developmental coordination disorder (DCD) in China. Methods A total of 51110 preschoolers were included in the study. Cronbach’s alpha coefficient was used to evaluate the internal consistency of the questionnaire. The Guttman split-half coefficient replaced instead of test-retest reliability and was used to assess the scale’s stability. The exploratory factor analysis was used to examine the construct validity of the Little DCDQ. Exploratory factor analysis was performed to examine the structural validity of the little DCDQ, and the Age and Stage Questionnaire, Third Edition (ASQ- 3 ) was used as the standard scale to analyze the validity coefficient. Results? Chinese version little DCDQ has high internal consistency (Cronbach’s alpha coefficients of all items were > 0 . 9 ). The Guttman coefficient was 0 . 934 , indicating good split-half reliability. Three factors, “fine motor”, “motion control” and “general coordination”, were extracted by exploratory factor analysis, and contributing rate of cumulative sums of squares was 68 . 290 %. Most of the item factor loads were basically above 0 . 6 , indicating that little DCDQ had a reasonable structural validity. Little DCDQ scores were correlated with various ASQ- 3 dimensions (communication, gross motor, fine motor, problem solving and individual-society). Conclusions The Chinese version of the little DCDQ applied well in younger preschoolers. It could be used in epidemiological study of DCD and as screening tools in child health care department of primary hospitals.

Key words: developmental coordination disorder; little DCDQ; reliability and validity; China