Evaluation of the Brief Problem Checklist: Child and Caregiver Interviews to Measure Clinical Progress
Evaluation of the Brief Problem Checklist: Child and Caregiver Interviews to Measure Clinical Progress
复制标题
DOI：
10.1037/a0019602
复制
发表时间：
2010-08-01
影响因子：
5.9
通讯作者：
Becker, Kimberly D.
中科院分区：
文献类型：
--
作者：
Chorpita, Bruce F.;Reise, Steven;Becker, Kimberly D.
目标：为了支持在治疗期间持续监测儿童反应，我们试图开发一种简单、易于管理、临床相关和心理测量学上合理的措施。方法：我们首先开发了儿童和照顾者形式的12项简短问题清单（BPC）访谈，通过应用项目反应理论和因素分析，以青年自我报告（YSR; Achenbach & Rescorla，2001）和儿童行为清单（CBCL;Achenbach & Rescorla，2001）为样本的2,332名青少年的数据。这些访谈，然后每周通过电话管理的184名7-13岁的男孩和女孩和他们的照顾者参加门诊治疗的种族多样化的临床样本，以检查心理测量学特性和可行性。结果：内部一致性和重测信度良好，因素分析得到1个内部因素和1个外部因素。有效性测试显示，大和显着的相关性与相应的规模上的纸和铅笔管理的CBCL和YSR，以及从结构化诊断面试获得的诊断。BPC访谈的判别效度得到了不同标准的低相关性的支持。最初6个月治疗的纵向数据表明，BPC显著预测儿童症状相关指标的变化。从随机系数增长模型获得的估计值显示，相对于每3个月给予一次的CBCL和YSR，每周给予一次的BPC的斜率可靠性通常较高。结论：考虑到其简洁性和心理测量强度的结合，儿童和照顾者BPC访谈似乎是一个有前途的策略，有效的，持续评估的临床进展过程中的治疗。
Objective: To support ongoing monitoring of child response during treatment, we sought to develop a brief, easily administered, clinically relevant, and psychometrically sound measure. Method: We first developed child and caregiver forms of a 12-item Brief Problem Checklist (BPC) interview by applying item response theory and factor analysis to Youth Self-Report (YSR; Achenbach & Rescorla, 2001) and Child Behavior Checklist (CBCL;Achenbach & Rescorla, 2001) data for a sample of 2,332 youths. These interviews were then administered weekly via telephone to an ethnically diverse clinical sample of 184 boys and girls 7-13 years of age and their caregivers participating in outpatient treatment, to examine psychometric properties and feasibility. Results: Internal consistency and test-retest reliability were excellent, and factor analysis yielded 1 internalizing and 1 externalizing factor. Validity tests showed large and significant correlations with corresponding scales on paper-and-pencil administrations of the CBCL and YSR as well as with diagnoses obtained from a structured diagnostic interview. Discriminant validity of the BPC interviews was supported by low correlations with divergent criteria. Longitudinal data for the initial 6 months of treatment demonstrated that the BPC significantly predicted change on related measures of child symptoms. Estimates obtained from random coefficient growth models showed generally higher slope reliabilities for the BPC given weekly relative to the CBCL and YSR given every 3 months. Conclusions: Given their combination of brevity and psychometric strength, the child and caregiver BPC interviews appear to be a promising strategy for efficient, ongoing assessment of clinical progress during the course of treatment.