英文摘要 |
The use of Taipei Preschooler Developmental Checklist 2nd version (TaipeiⅡ) for early detection of developmental delay for children has been conducted for many years in Taiwan. However, the information of its predictive validity was unknown. Purpose: to investigate the predictive validity of the TaipeiⅡ on the adaptive behavior problem at school age. Methods: The original dataset for developing the TaipeiⅡ was investigated. Children who had been screened with one subscale of the TaipeiⅡ at 4-, 5-, or 6-year age, entered the primary school (grade 1-3) at the beginning of 2007 and living in Taipei area were the target population. We successfully followed up 310 children. The name, birth date, telephone of the target children were used to match the dataset of the Special Education Information Network to obtain the information of special educationneeds. For those who did not use special education resources, the Vineland Adaptive Behavior Scale (VABS) was used to define the problem of adaptive behaviors. Two predictive criteria were used to analyze the predictive validities of the TaipeiⅡ. Criteria I was students under special education or regular class students with percentile rank of VABS less than 16 (including both suspect and definite adaptive problems) and CriteriaⅡ was students under special education or regular class students with percentile rank of VABS less than 5 (definite adaptive problems only). The predictive validity indices included: the area under the receiver operating characteristic curve (AUC), sensitivities, specificities, multilevel likelihood ratios and the correlation coefficients between TaipeiⅡ scores and VABS total scores. Results: The predictive validities of the TaipeiⅡ on school adaptive problem were acceptable with AUC=0.82-0.95 (p<0.001). The positive likelihood ratios of TaipeiⅡ with multiple cutoff strategies were greater than 20 indicating high diagnostic impact. Using cut-off strategy B (failure item numbers of 2 or 1 failure star item) to predict adaptive problems at school age, positive likelihood ratios were 5.1-7.5 and negative likelihood ratios of 0.08-0.48. The TaipeiⅡ scores were significantly correlated with the VABS standard scores (rs=0.50-0.57). Our result indicate that the predictive validities of TaipeiⅡ subscales for children aged 4-6 year were acceptable. The multiple likelihood ratios of multiple cutoff points could help clinicians make clinical decision more precisely. |