在全 ECHO 范围内的不同样本中,不同人口统计因素导致的幼儿行为问题护理人员报告的测量偏差

JCPP advances Pub Date : 2023-09-20 DOI:10.1002/jcv2.12198
Shuting Zheng, Maxwell Mansolf, Monica McGrath, Marie L. Churchill, Traci A. Bekelman, Patricia A. Brennan, Amy E. Margolis, Sara S. Nozadi, Theresa M. Bastain, Amy J. Elliott, Kaja Z. LeWinn, Julie A. Hofheimer, Leslie D. Leve, Brandon Rennie, Emily Zimmerman, Carmen A. Marable, Cindy T. McEvoy, Chang Liu, Alexis Sullivan, Tracey J. Woodruff, Samiran Ghosh, Bennett Leventhal, Assiamira Ferrara, Johnnye Lewis, Somer Bishop, Environmental influences on Child Health Outcomes
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引用次数: 0

摘要

背景 研究和临床实践在很大程度上依赖于照顾者报告的测量方法,如儿童行为检查表 1.5-5 (CBCL/1.5-5),以收集有关儿童早期行为问题的信息并筛查儿童心理变态。研究表明,人口统计学变量会影响看护者对行为问题的评分,但 CBCL/1.5-5 在不同样本中的项目水平功能等同程度尚不清楚。 方法 从环境对儿童健康结果影响项目的 26 个队列中抽取了大量幼儿样本(N = 9087)的 CBCL/1.5-5 项目级数据。采用因子分析和排列组合法对不同儿童(年龄、性别、双语状况和神经发育障碍)和照顾者(性别、教育水平、家庭收入水平、抑郁程度和所使用的语言版本)的特征进行测量不变量(MI)和差异项目功能(DIF)检验。在敏感性分析中对儿童的种族进行了研究。 结果 在内化问题、外化问题和总问题中,发现了对儿童和照料者分组影响最大的 DIF 项目。除去高DIF项目,稳健的项目集显示出良好的可靠性,并与原始的内化量表和总问题量表具有较高的相关性,而外化量表的可靠性较低。CBCL 施测的语言版本、受访者的教育水平和照顾者的性别对内化问题的影响最大,其次是儿童年龄。敏感性分析表明,除社会经济地位外,儿童种族对 DIF 有独特的影响。 结论 CBCL/1.5-5是一种由照料者报告的儿童早期行为问题测量方法,在不同的人口群体中都存在偏差。DIF较少的稳健项目集可以与完整项目集一样测量内化问题和总问题,但外化问题的信度略低,并且可以与完整项目集的度量标准进行交叉,从而可以根据更稳健的项目集计算标准T分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Measurement bias in caregiver-report of early childhood behavior problems across demographic factors in an ECHO-wide diverse sample

Measurement bias in caregiver-report of early childhood behavior problems across demographic factors in an ECHO-wide diverse sample

Background

Research and clinical practice rely heavily on caregiver-report measures, such as the Child Behavior Checklist 1.5–5 (CBCL/1.5-5), to gather information about early childhood behavior problems and to screen for child psychopathology. While studies have shown that demographic variables influence caregiver ratings of behavior problems, the extent to which the CBCL/1.5-5 functions equivalently at the item level across diverse samples is unknown.

Methods

Item-level data of CBCL/1.5-5 from a large sample of young children (N = 9087) were drawn from 26 cohorts in the Environmental influences on Child Health Outcomes program. Factor analyses and the alignment method were applied to examine measurement invariance (MI) and differential item functioning (DIF) across child (age, sex, bilingual status, and neurodevelopmental disorders), and caregiver (sex, education level, household income level, depression, and language version administered) characteristics. Child race was examined in sensitivity analyses.

Results

Items with the most impactful DIF across child and caregiver groupings were identified for Internalizing, Externalizing, and Total Problems. The robust item sets, excluding the high DIF items, showed good reliability and high correlation with the original Internalizing and Total Problems scales, with lower reliability for Externalizing. Language version of CBCL administration, education level and sex of the caregiver respondent showed the most significant impact on MI, followed by child age. Sensitivity analyses revealed that child race has a unique impact on DIF over and above socioeconomic status.

Conclusions

The CBCL/1.5-5, a caregiver-report measure of early childhood behavior problems, showed bias across demographic groups. Robust item sets with less DIF can measure Internalizing and Total Problems equally as well as the full item sets, with slightly lower reliability for Externalizing, and can be crosswalked to the metric of the full item set, enabling calculation of normed T scores based on more robust item sets.

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