Development of the Korean Developmental Screening Test for Infants and Children (K-DST)

被引：35

作者：

Chung, Hee Jung ^{[1
]}

Yang, Donghwa ^{[2
]}

Kim, Gun-Ha ^{[3
]}

Kim, Sung Koo ^{[4
]}

Kim, Seoung Woo ^{[5
]}

Kim, Young Key ^{[6
]}

Kim, Young Ah ^{[7
]}

Kim, Joon Sik ^{[8
]}

Kim, Jin Kyung ^{[9
]}

Kim, Cheongtag ^{[10
]}

Sung, In-Kyung ^{[11
]}

Shin, Son Moon ^{[12
]}

Oh, Kyung Ja ^{[13
]}

Yoo, Hee-Jeong ^{[14
]}

Yu, Hee Joon ^{[4
]}

Lim, Seoung-Joon ^{[15
]}

Lee, Jeehun ^{[16
]}

Jeong, Hae-Ik ^{[15
]}

Choi, Jieun ^{[17
]}

Kwon, Jeong-Yi ^{[18
]}

Eun, Baik-Lin ^{[3
]}

机构：

[1] Ilsan Hosp, Dept Pediat, Natl Hlth Insurance Serv, Goyang, South Korea

[2] Yonsei Univ, Severance Childrens Hosp, Dept Pediat, Coll Med, Seoul, South Korea

[3] Korea Univ, Dept Pediat, Coll Med, Seoul, South Korea

[4] Hallym Univ, Dongtan Sacred Heart Hosp, Dept Pediat, Coll Med, Hwasung, South Korea

[5] Ilsan Hosp, Dept Rehabil Med, Natl Hlth Insurance Serv, Goyang, South Korea

[6] Ilsan Hosp, Dept Psychiat, Natl Hlth Insurance Serv, Goyang, South Korea

[7] Yonsei Univ, Human Behav Res Inst, Seoul, South Korea

[8] Keimyung Univ, Dept Pediat, Sch Med, Daegu, South Korea

[9] Catholic Univ Daegu, Dept Pediat, Sch Med, Daegu, South Korea

[10] Seoul Natl Univ, Dept Psychol, Seoul, South Korea

[11] Catholic Univ, Dept Pediat, Coll Med, Seoul, South Korea

[12] Inje Univ, Coll Med, Dept Pediat, Busan Paik Hosp, Busan, South Korea

[13] Yonsei Univ, Dept Psychol, Seoul, South Korea

[14] Seoul Natl Univ, Bundang Hosp, Dept Psychiat, Coll Med, Seongnam, South Korea

[15] Sungkyunkwan Univ, Samsung Med Ctr, Korea Dept Pediat, Sch Med, Seoul, South Korea

[16] Sungkyunkwan Univ, Samsung Med Ctr, Dept Pediat, Sch Med, Seoul, South Korea

[17] Seoul Metropolitan Govt Seoul Natl Univ, Dept Pediat, Boramae Med Ctr, Seoul, South Korea

[18] Sungkyunkwan Univ, Samsung Med Ctr, Dept Phys & Rehabil Med, Sch Med, Seoul, South Korea

来源：

CLINICAL AND EXPERIMENTAL PEDIATRICS | 2020年 / 63卷 / 11期

关键词：

Developmental screening test; Infant and child; Korean Developmental Screening Test for Infants and Children; Standardization; Validation;

D O I：

10.3345/cep.2020.00640

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background: Most developmental screening tools in Korea are adopted from foreign tests. To ensure efficient screening of infants and children in Korea, a nationwide screening tool with high reliability and validity is needed. Purpose: This study aimed to independently develop, standardize, and validate the Korean Developmental Screening Test for Infants and Children (K-DST) for screening infants and children for neurodevelopmental disorders in Korea. Methods: The standardization and validation conducted in 2012-2014 of 3,284 subjects (4-71 months of age) resulted in the first edition of the K-DST. The restandardization and revalidation performed in 2015-2016 of 3.06 million attendees of the National Health Screening Program for Infants and Children resulted in the revised K-DST. We analyzed inter-item consistency and test-retest reliability for the reliability analysis. Regarding the validation of K-DST, we examined the construct validity, sensitivity and specificity, receiver operating characteristic curve analysis, and a criterion-related validity analysis. Results: We ultimately selected 8 questions in 6 developmental domains. For most age groups and each domain, internal consistency was 0.73-0.93 and test-retest reliability was 0.77-0.88. The revised K-DST had high discriminatory ability with a sensitivity of 0.833 and specificity of 0.979. The test supported construct validity by distinguishing between normal and neurodevelopmentally delayed groups. The language and cognition domain of the revised K-DST was highly correlated with the K-Bayley Scales of Infant Development-II's Mental Age Quotient (r=0.766, 0.739), while the gross and fine motor domains were highly correlated with Motor Age Quotient (r=0.695, 0.668), respectively. The Verbal Intelligence Quotient of Korean Wechsler Preschool and Pri-mary Scales of Intelligence was highly correlated with the K-DST cognition and language domains (r=0.701, 0.770), as was the performance intelligence quotient with the fine motor domain (r=0.700). Conclusion: The K-DST is reliable and valid, suggesting its good potential as an effective screening tool for infants and children with neurodevelopmental disorders in Korea.

引用

页码：438 / 446

页数：9

共 23 条

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