开发和验证中国儿童发展评估的家长报告指标 (PRIDE) 工具
Sai-Shuang Wu1, Hao Pan1, Radley Christopher Sheldrick2
1Department of Developmental and Behavioral Pediatrics, National Children's Medical Center, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
World journal of pediatrics : WJP
|February 23, 2025
概括
一个新的工具,即中国儿童发育评估的家长报告指标 (PRIDE),对早期发现幼儿发育迟缓有希望. 这种查工具可以帮助识别需要干预的儿童,以获得更好的发育结果.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 发育迟缓 (DD) 对儿童发展构成重大挑战,需要早期发现和干预策略.
- 目前在中国的查工具主要用于识别全球发育迟缓 (GDD),重点关注多个领域受损儿童.
- 新兴的早期儿童发展 (ECD) 概念扩大了范围,包括具有特定领域延迟的儿童,强调积极发展的干预.
研究的目的:
- 开发和验证一种新的查工具,即中国儿童发育评估的家长报告指标 (PRIDE).
- 为中国儿童量身定制的PRIDE创建特定年龄的查表.
- 评估PRIDE工具在社区环境中识别发育迟缓时的敏感性和特异性.
主要方法:
- 为了开发和验证PRIDE工具,采用了两阶段的研究设计.
- 第1阶段是通过在中国各个初级保健机构进行调查,创建特定年龄的里程碑表.
- 第二阶段在社区样本中验证了PRIDE,将其性能与年龄和阶段问卷 (ASQ) -3进行比较,使用先进的统计方法来检查缺少的数据.
主要成果:
- 第1阶段成功开发了10个特定年龄的PRIDE表单,从最初的63个项目中,基于1岁至48个月的1160名儿童的数据.
- 第二阶段,涉及777名儿童,表明PRIDE在检测发育迟缓时,估计达到83.3%的灵敏度和84.9%的特异性.
- 在研究年龄范围内,PRIDE工具在识别发育迟缓的儿童方面表现强.
结论:
- 父母报告的中国儿童发育评估指标 (PRIDE) 显示出作为敏感查工具的巨大潜力.
- PRIDE是中国社区中早期发现发育迟缓的一个有前途的工具.
- 这些发现支持使用PRIDE来促进及时干预和促进儿童积极的发育轨迹.
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