Reliability and validity of the Caregiver Reported Early Development Instruments (CREDI) in impoverished regions of China.

Reliability and validity of the Caregiver Reported Early Development Instruments (CREDI) in impoverished regions of China.
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中国贫困地区照顾者报告早期发展工具(CREDI)的信度和效度

DOI:
10.1186/s12887-020-02367-4
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发表时间:
2020-10-12
期刊:
影响因子:
2.4
通讯作者:
Shi Y
Shi Y
中科院分区:
医学3区
文献类型:
--
作者:
Li Y;Tang L;Bai Y;Zhao S;Shi Y

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背景低收入和中等收入国家非常需要健全的定性和监测工具来评估儿童早期发展成果。尽管有许多工具可以测量婴幼儿的发育状态,但由于时间和金钱成本高昂,它们在大规模研究中的使用仍然受到限制。然而,看护者报告的早期发展工具 (CREDI) 旨在作为人口层面衡量从出生到三岁儿童早期发展的指标,并已在 17 个低收入和中等收入国家使用。本研究旨在检验CREDI在中国的信度和效度,目前尚不清楚。方法对来自城乡社区的946名5~36月龄儿童进行CREDI和ASQ-3样本测试,其中248名儿童进行Bayley-III测试。结果CREDI的内部一致性较高,表明量表内部一致性信度较好。结果还表明,CREDI 与 Bayley-III 量表的同时效度总体较高。普通最小二乘回归结果表明,CREDI在儿童早期发展水平的一些关键预测因子(如家庭刺激)方面与以往广泛使用的工具高度一致。结论本研究的所有结果表明,CREDI可被认为是大规模衡量中国贫困地区儿童早期发展状况的合适工具。
BackgroundThere is a great need in low- and middle- income countries for sound qualitative and monitoring tools assessing early childhood development outcomes. Although there are many instruments to measure the developmental status of infants and toddlers, their use in large scale studies is still limited because of high costs in both time and money. The Caregiver Reported Early Development Instruments (CREDI), however, were designed to serve as a population-level measure of early childhood development for children from birth to age three, and have been used in 17 low- and middle-income countries. This study aimed to examine the reliability and validity of the CREDI in China, which is still unknown.MethodsThe CREDI and the ASQ-3 was administered to a sample of 946 children aged 5–36 months from urban and rural communities, in which 248 children was administered with Bayley-III.ResultsThe internal consistency of the CREDI was high, which indicates that the scale internal consistency reliability is quite good. The results also indicated that the concurrent validity of the CREDI with the Bayley-III scale was high in general. Ordinary least squares regression showed that the CREDI is highly consistent with previous widely used instruments in some key predictors (such as the home stimulation) of early childhood development level.ConclusionsAll the results in the current study indicate that the CREDI may be considered an appropriate instrument to measure early childhood development status on a large scale in impoverished regions of China.
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