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[Reliability and validity of warning signs checklist for screening psychological, behavioral and developmental

X N Huang1, Y Zhang, W W Feng

  • 1Section of Health and Nutrition and Water, Environment and Sanitation, United Nations Children's Fund, Beijing 100600, China.

Zhonghua Er Ke Za Zhi = Chinese Journal of Pediatrics
|June 9, 2017
PubMed

Insights

This study validated a warning signs checklist for early childhood developmental problems. The checklist demonstrated good reliability and validity, making it suitable for community-based screening.

Area of Science:

  • Child Development
  • Developmental Psychology
  • Public Health Screening

Background:

  • Early identification of developmental problems in children is crucial for timely intervention.
  • Existing screening tools require validation for diverse populations and settings.
  • The National Health and Family Planning Commission (NHFPC) developed a warning signs checklist for early childhood development.

Purpose of the Study:

  • To evaluate the reliability and validity of the NHFPC warning signs checklist.
  • To determine the screening effectiveness of this checklist for early childhood developmental problems.

Main Methods:

  • Stratified random sampling of 2,110 children aged 0-6 years across 11 Chinese provinces.
  • Assessed test-retest and interrater reliability of the warning signs checklist.
  • Evaluated criterion validity using the Age and Stage Questionnaire (ASQ) and Gesell Development Diagnosis Scale (GESELL).

Main Results:

  • The checklist showed good test-retest and interrater reliability (≥0.7).
  • Consistency with ASQ (Kappa=0.63) and GESELL (sensitivity=82.2%, specificity=77.7%) indicated good criterion validity.
  • Screening positive rates varied from 10.8% to 26.2%, with a median testing time of 1 minute.

Conclusions:

  • The NHFPC warning signs checklist meets basic requirements for psychological screening scales.
  • The checklist is reliable, valid, quick to administer, and easy to use.
  • It is suitable for screening psychological and behavioral problems in early childhood, particularly in community settings.

Keywords:
Child developmentMultiphasic screeningReliabilityValidity

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