Culturally Appropriate Assessment of Functional Impairment in Diverse Children: Validation of the ADHD-FX Scale With an At-Risk Community Sample

Culturally Appropriate Assessment of Functional Impairment in Diverse Children: Validation of the ADHD-FX Scale With an At-Risk Community Sample
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DOI:
10.1177/1087054714553021
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发表时间:
2017-09-01
影响因子:
3
通讯作者:
Gerdes, Alyson C.
Gerdes, Alyson C.
中科院分区:
医学2区
文献类型:
--
作者:
Haack, Lauren M.;Gerdes, Alyson C.

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目的:为了减少ADHD诊断和治疗在不同文化中的差异,目前的研究试图建立ADHD-FX的初始心理测量和文化特性:一种对不同家庭ADHD相关功能障碍的文化敏感的评估措施。方法:54名拉丁裔学龄儿童的父母(44名母亲和10名父亲)完成了ADHD-FX,以及其他几项评估儿童行为和父母文化适应的措施。结果如下:ADHD-FX表现出足够的可靠性(如内部一致性和重测信度所示),心理测量结构效度(如与理论相关措施的关联所示)和文化效度(如与文化适应措施的关联或缺乏)。结论:最初的心理测量和文化特性表明,ADHD-FX是一种可靠、有效和文化上适当的措施,可以评估与ADHD相关的功能障碍(即,学习成绩、社会能力和家庭关系方面的困难)。
Objective: In an effort to reduce disparities in ADHD diagnoses and treatment across cultures, the current study sought to establish initial psychometric and cultural properties of the ADHD-FX: a culturally sensitive assessment measure of functional impairment related to ADHD for diverse families. Method: Fifty-four Latino parents (44 mothers and 10 fathers) of school-aged children completed the ADHD-FX, as well as several other measures assessing child behavior and parent acculturation. Results: The ADHD-FX demonstrated adequate reliability (as demonstrated by internal consistency and test-retest reliability), psychometric construct validity (as demonstrated by associations with theoretically related measures), and cultural validity (as demonstrated by or lack of associations with acculturation measures). Conclusion: Initial psychometric and cultural properties suggest that the ADHD-FX is a reliable, valid, and culturally appropriate measure to assess functional impairment related to ADHD (i.e., difficulties with academic achievement, social competence, and familial relationships) in an at-risk, school-aged population.