Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context.
Adaptation and standardization of a Western tool for assessing child development in non-Western low-income context.
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DOI：
10.1186/s12889-016-3288-2
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发表时间：
2016-07-28
影响因子：
4.5
通讯作者：
Granitzer M
中科院分区：
文献类型：
--
作者：
Abessa TG;Worku BN;Kibebew MW;Valy J;Lemmens J;Thijs H;Yimer WK;Kolsteren P;Granitzer M
由于缺乏与文化相关的评估工具，人们对埃塞俄比亚等低收入地区儿童的发展概况知之甚少。本研究的目的是对丹佛 II 进行调整和标准化，以评估埃塞俄比亚西南部吉马地区的儿童发展。丹佛 II 中针对文化的测试项目进行了修改。所有测试项目均翻译成两种当地语言后进行了试点和微调。使用 1597 名 4 天至 70.6 个月大的健康儿童，确定每个测试项目的 25%、50%、75% 和 90% 的通过年龄作为里程碑。根据 90% 的通过年龄，对改编版本和 Denver II 的里程碑实现情况进行了比较。检查了改编工具的可靠性。总共调整了 36 个（28.8%）测试项目，大部分来自个人社交领域。两个版本的里程碑达到年龄在 42 个 (34%) 测试项目上存在显着差异。改编后的工具在 123 个 (98%) 项目上具有出色的内部评估者，并且在 119 个 (91%) 项目上具有相当出色的重测可靠性。西方发展评估工具可以可靠地适用于低收入环境。达到里程碑的年龄差异表明，对儿童发展的正确估计需要针对特定人群的标准。
Due to lack of culturally relevant assessment tools, little is known about children’s developmental profiles in low income settings such as Ethiopia. The objective of this study was to adapt and standardize the Denver II for assessing child development in Jimma Zone, South West Ethiopia. Culture-specific test items in Denver II were modified. After translation into two local languages, all test items were piloted and fine-tuned. Using 1597 healthy children 4 days to 70.6 months of age, the 25, 50, 75 and 90 % passing ages were determined for each test item as milestones. Milestones attainment on the adapted version and the Denver II were compared on the 90 % passing age. Reliability of the adapted tool was examined. A total of 36 (28.8 %) test items, mostly from personal social domain, were adapted. Milestones attainment ages on the two versions differed significantly on 42 (34 %) test items. The adapted tool has an excellent inter-rater on 123 (98 %) items and substantial to excellent test-retest reliability on 119 (91 %) items. A Western developmental assessment tool can be adapted reliably for use in low-income settings. Age differences in attaining milestones indicate a correct estimation of child development requires a population-specific standard.