儿童自闭症工具 - 特里万德鲁姆 (CAT-T) - 开发和验证
Babu George1, Madhavi Sukumaran Razeena Padmam2, Muttathu Krishnapanicker Chandrasekharan Nair3
1Developmental & Behavioral Pediatrics, KIMS Health, Thiruvananthapuram, Kerala, India. bgtvpm@gmail.com.
Indian journal of pediatrics
|July 29, 2025
概括
一个新的24项工具,儿童自闭症工具-特里万德鲁姆 (CAT-T),已开发用于诊断在喀拉拉邦的幼儿中自闭症谱系障碍 (ASD). 这种文化上适当的措施证明了ASD诊断的充分有效性和可靠性.
科学领域:
- 儿童心理学 儿童心理学
- 神经发育障碍 神经发育障碍
- 心理测量测量 心理测量测量
背景情况:
- 在幼儿中诊断自闭症谱系障碍 (ASD) 需要文化敏感的工具.
- 现有的诊断措施可能不适合不同的人群,需要开发特定区域的仪器.
- 早期和准确的ASD诊断对于及时干预和改善结果至关重要.
研究的目的:
- 在喀拉拉邦,开发和验证2-6岁儿童ASD的文化适当的诊断工具.
- 确保该措施符合可靠性和有效性的已确定的心理测量标准.
- 为该地区的临床医生和研究人员提供可靠的工具.
主要方法:
- 一项定性研究涉及200名2-6岁的儿童在喀拉拉邦.
- 根据COSMIN协议开发儿童自闭症工具-特里万德鲁姆 (CAT-T).
- 根据已建立的尺度 (CARS,VSMS) 进行验证,并对构造有效性进行探索性因子分析.
主要成果:
- 在因子分析后,完成了24项CAT-T.
- CAT-T与CARS和VSMS分别显示了中度的收和分歧有效性.
- 该工具表现出卓越的测试-重新测试可靠性 (ICC=0.86),评审者之间的可靠性 (ICC=0.89),以及内部一致性 (克朗巴赫的alpha=0.86).
结论:
- 在喀拉拉邦,24项CAT-T是诊断幼儿自闭症的有效和可靠措施.
- 开发的工具解决了该地区对文化相适应的ASD诊断仪器的需求.
- CAT-T提供了强大的心理测量资料,支持其在临床和研究环境中的使用.
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