摘要
目的评价儿童运动协调能力成套评估工具第二版（MABC-2）的应用性，为儿童运动协调障碍（DCD）筛查提供有效工具。方法苏州市区15个幼儿园共1823名学龄前儿童纳入研究。采用组内相关系数、Cronach α系数、项目水平内容效度指数、验证性因素分析、ROC曲线分析MABC-2的重测信度、内部一致性信度、内容效度、结构效度。并以发育性协调障碍问卷（DCDQ）为外在效标，利用ROC曲线下面积分析MABC-2效标相关效度。结果除“踮脚走步”、“地毯蹦跳”外其余项目组内相关系数均高于0．9；总cronbach α系数为0．502，去除“描画”和“踮脚走步”2个项目后获得的总Cronbach α系数为0．549。8个测试项目的项目水平内容效度指数分别为1．0、1．0、0．96、1．0、1．0、1．0、0．96、0．96，平均内容效度指数为0．985。MABC-2验证性因素最终模型结果显示，项目的因素载荷除“地毯蹦跳”高于0．4，修正指数小于3．86。此外，修订MABC-2（去除“踮脚走步”、“地毯蹦跳”）总分和DCDQ总分进行ROC曲线下面积的比较，两者差异有统计学意义（x2=110．145，P〈0．001）。结论除内部一致性信度外，MABC-2在国内应用的信效度良好，诊断价值优于DCDQ，但需要对其项目做适当修正。MABC-2不仅可用于日常儿童保健门诊中DCD等疾病筛查，也可应用于DCD大规模流行病学调查。
Objective To assess the application of the Movement Assessment Battery for Children-2 （MABC-2） , to provide valid tools for developmental coordination disorder （DCD） screening. Methods A total number of 1823 preschool children from 15 kindergartens in Suzhou city were included in this study regarding the reliability and validity on MABC-2. Data on test-retest reliability internal consistent reliability, content validity and construct validity were assessed, using methodologies as Intra-class Correlation Coefficient（ICC）, Cronbach a coefficient, Item-level Content Validity Index （I-CVI） and Confirmatory Factor Analysis （CFA）. When the Developmental Coordination Disorder Questionnaire （DCDQ） was considered as the criteria, the criteria-related validity of MABC was assessed, using the area under the ROC curve. Results Results from the study showed that the ICCs of most items were above 0.9 except for ＇Drawing and Walking Heels Raised＇ and ＇Jumping on Mats＇. The total Cronbach ct coefficient was 0.502, with the total Cronbach a coefficient as 0.549 when the two items of ＇Drawing and Walking Heels Raised＇ were deleted. I-CVIs of the eight items were 1.0, 1.0, 0.96, 1.0, 1.0, 1.0, 0.96, 0.96, respectively. The average I-CVI was 0.985. Results from the final CFA model showed that the factor loading of the items was above 0.4 except for the ＇Jumping on Mats＇, while the ＇Modification Index＇ was below 3.84. The areas under ROC curve of the total score on revised-MABC-2 （when the items of ＇Drawing and Walking Heels Raised＇ was deleted） were significantly different from the DCDQ （x2= 110.145, P〈0.001 ）. Conclusion In addition to the internal consistent reliability, the validity and reliability of MABC-2 were fair which could be applied well in China. However, some items of MABC-2 should be revised. MABC-2 could be used to screen the children with motor coordination dysfunction at the health care clinics for children, as well as applied in the large-scale epidemiologic
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2012年第10期1010-1015,共6页
Chinese Journal of Epidemiology
基金
公益性行业科研专项（GYHY201206027）
上海市科学技术委员会科研计划项目（11DZ2260900）
2010年复旦大学优秀博士生科研资助基金
关键词
运动协调能力
应用性
儿童
Motor coordination
Application
Children
