ISPCAN Child Abuse Screening Tools Retrospective version (ICAST-R): Delphi study and field testing in seven countries
ISPCAN Child Abuse Screening Tools Retrospective version (ICAST-R): Delphi study and field testing in seven countries
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DOI：
10.1016/j.chiabu.2009.09.005
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发表时间：
2009-11-01
影响因子：
4.8
通讯作者：
Youssef, Randa
中科院分区：
文献类型：
--
作者：
Dunne, Michael P.;Zolotor, Adam J.;Youssef, Randa
目的：为了在一个种族和语言多样的国际儿童保护专家小组中就一个新的调查工具的结构和内容达成共识，以回顾性地衡量虐待儿童的情况，并通过一项针对年轻人的国际实地试验来确定该工具的性能。调查问卷是通过与国际专家的重点小组讨论制定的，然后分两波进行德尔菲研究，以确定项目的感知重要性和可译性。由此产生的调查问卷被翻译成六种语言和现场测试，在7个国家方便的样本的年轻人年龄在18-26岁（N = 842）。结果：来自28个国家的儿童虐待专家提供了输入问卷的开发。就项目草案的列入和排除以及项目的可译性达成了令人满意的一致意见。该工具包括15个关于可能的虐待性身体、性和情感事件的主要问题，以及关于犯罪者特征、行为频率和回忆起的虐待发生的童年时期的后续问题。现场测试显示，每个项目的终生流行率通常超过10%（11/15个项目;范围2.1-49.5%）。内部一致性（Cronbach's alpha）是中等偏高的三个项目子集（0.61和0.82之间）和数据缺失率低（15个项目中的14个小于1.5%）。绝大多数答复者提名的是同龄人和/或成年肇事者（82.3%至98.2%，视项目而定），其中，儿童/青少年同龄人和非家庭成年人（包括情感和身体行为的教师）经常被提名。ICAST-R基于国际专家的共识，翻译清楚，具有令人满意的特性，可作为一种调查工具，用于估计虐待儿童的普遍程度，描述虐待儿童的肇事者和其他背景方面。改进研究实践。虽然核心项目仅限于15种虐待行为，但如果将这些具体行为问题作为关键指标，并纳入地方、国家或区域综合调查，最终调查估计数应具有更大的可比性。(C)2009爱思唯尔有限公司保留所有权利。
Objectives: To gain consensus among an ethnically and linguistically diverse group of international child protection experts on the structure and content of a new survey tool for retrospective measurement of child abuse, and to determine the performance of the instrument through an international field trial with Young adults.Methods: The questionnaire was developed through focus group discussions with international experts, and then subjected to a Delphi study in two waves to determine the perceived importance and translatability of items. The resultant questionnaire was translated into six languages and field tested in seven countries with convenient samples of young adults aged 18-26 years (N = 842).Results: Child maltreatment experts from 28 countries provided input to questionnaire development. Satisfactory agreement on draft item inclusion and exclusion and the translatability of items was gained. The tool includes 15 primary questions about potentially abusive physical, sexual and emotional events, with follow-up questions about perpetrator characteristics, frequency of acts and periods in childhood when the recalled abuse occurred. The field test revealed lifetime prevalence per item usually exceeded 10% (11/15 items; range 2.1-49.5%). Internal consistency (Cronbach's alpha) was moderate to high for each of three item sub-sets (between .61 and .82) and the rates of missing data were low (less than 1.5% for 14 of 15 items). The great majority of respondents nominated either peer and/or adult perpetrators (between 82.3% and 98.2% depending upon the item), and among these, child/adolescent peers and non-family adults (including teachers for emotional and physical acts) were nominated often.Conclusions: The ICAST-R is based on consensus from international experts, translates clearly and has satisfactory properties for adoption as a survey tool to estimate prevalence and describe perpetrators and other contextual aspects of child abuse.This tool can be utilized in a broad range of cultures and languages and may contribute to improved research practice. Although the core items are limited to just 15 acts of maltreatment, if these behaviorally specific questions are adopted as key indicators and incorporated into comprehensive local, national or regional surveys, eventually there should be greater comparability in survey estimates. (C) 2009 Elsevier Ltd. All rights reserved.