Direct Assessment

直接评估
  • 文章类型: Journal Article
    在现实生活中学习人,比如在声乐团体中创作音乐,需要灵活和综合的测量技术。因此,本研究开发了一种基于数字浏览器的调查仪器.它旨在在相关事件发生后立即通过外部控制在参与者的移动设备上无缝引入问题,旨在实现自我管理情境问题的高精度。此外,纳入了与补充测量(此处为眼动追踪和录音)的时间同步.此Web应用程序的数字功能提供方便的集成到日常情况,同步采访多人,收集基于时间的数据。由于基于浏览器的开发界面的众多可能性,各种其他应用领域可以打开。本文的贡献是:-App-解释和提供使用-关于在声乐团体的眼动追踪研究中实施该应用程序的可行性报告。
    Studying people in real-life situations, such as making music in a vocal group, requires flexible and integrative measurement technology. Therefore, a digital browser-based survey instrument was developed for this study. It was designed to seamlessly introduce questions on participants\' mobile devices through external control immediately after relevant events, aiming to achieve high accuracy in self-administered situational questions. In addition, chronological synchronization with supplementary measurements (here eye-tracking and audio recording) was incorporated. Digital features of this web app offer convenient integration into everyday situations, synchronous interviewing of multiple people, and gathering time-based data. Due to the numerous possibilities of the browser-based development interface, various other application areas can be opened up. The contribution of this article is:-App - explanation and offer for use-Feasibility report on the implementation of the app in an eye-tracking study with vocal groups.
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  • 文章类型: Journal Article
    背景:尽管一些现有模型提出注意力可能与安慰剂/nocebo效应密切相关,这方面的实证研究仍然有限和分散。
    目的:本系统综述旨在提供在安慰剂和nocebo程序中直接操纵或评估注意力的研究的包容性概述,以便综合了解该变量在安慰剂/nocebo效应中的作用。重要的是,只有注意力代表安慰剂/nocebo反应的机制或中介的研究,而不是主要结果,包括在内。
    方法:在多个数据库中进行了系统搜索,包括PubMed,Scopus,PsycINFO,WebofScience,和Embase,以确定同行评审的研究。这些研究经过方法学评估和纳入资格标准。
    结果:我们根据重点将12项研究分为三类:(i)直接评估注意力的研究,(Ii)那些直接操纵参与者注意力的人,和(Iii)结合了直接操纵和评估注意力的那些。在所有选定的研究中,注意力充当安慰剂/nocebo反应的机制或媒介,并且不被认为是安慰剂/nocebo操纵的主要结局。
    结论:纳入的研究的综合显示,注意力在安慰剂和nocebo效应中的作用仍然是一个争论的话题,以注意力概念化和测量方式的变化为标志。结果表明,注意有显著的临床意义,特别是通过引导患者专注于愈合的迹象和远离疾病或痛苦的指标来优化治疗效果。为了增进我们的理解,未来的研究应该探索这些注意机制,与神经生理学相关。
    到目前为止,关于注意力在安慰剂/nocebo效应中的作用的实证研究仍然很少且尚无定论。本系统综述的目的是提供直接操纵或评估注意力作为安慰剂/nocebo反应的机制或媒介的研究的概述。同行评审研究经过方法学评估和资格标准,选择了12项研究,并根据其重点分为3类:(i)直接评估注意力的研究,(ii)那些直接操纵参与者注意力的人,和(Iii)结合了直接操纵和评估注意力的那些。纳入研究的综合指出了研究注意力在安慰剂和nocebo效应中的作用的细微差别的方法论方法。以这个变量的概念化和测量方式的变化为标志。总的来说,结果支持安慰剂/nocebo效应并不总是预期的直接副产品,在探索这种关系时,注意力是一个需要考虑的重要因素。特别是,注意力在优化治疗效果方面发挥着重要作用,通过引导患者将注意力转向愈合的迹象,远离疾病或痛苦的指标。
    BACKGROUND: Although some existing models propose that attention may be crucially implicated in placebo/nocebo effects, empirical research on this aspect remains limited and scattered.
    OBJECTIVE: This systematic review aims to provide an inclusive overview of studies that have either directly manipulated or assessed attention within the context of placebo and nocebo procedures so to gain a synthetized picture of the role of this variable in placebo/nocebo effects. Importantly, only studies in which attention represented a mechanism or mediator of the placebo/nocebo response, and not a primary outcome, were included.
    METHODS: A systematic search was conducted across multiple databases, including PubMed, Scopus, PsycINFO, Web of Science, and Embase, to identify peer-reviewed studies. These studies were subjected to methodological evaluation and eligibility criteria for inclusion.
    RESULTS: We identified and classified 12 studies into three categories based on their focus: (i) those that directly assessed attention, (ii) those that directly manipulated participants\' attention, and (iii) those that combined both a direct manipulation and assessment of attention. In all selected studies attention acted as a mechanism or mediator of the placebo/nocebo response, and was not considered a primary outcome of the placebo/nocebo manipulation.
    CONCLUSIONS: The synthesis of the included studies reveals that the role of attention in placebo and nocebo effects is still a topic of debate, marked by variations in how attention is conceptualized and measured. Results suggest that attention has significant clinical implications, particularly in optimizing therapeutic efficacy by directing patients\' focus toward signs of healing and away from indicators of illness or distress. To advance our understanding, future research should explore these attentional mechanisms, in conjunction with neurophysiological correlates.
    To date, empirical research on the role of attention in placebo/nocebo effects remains scarce and inconclusive. The aim of this systematic review is to offer an overview of studies that have either directly manipulated or assessed attention as a mechanism or mediator of placebo/nocebo responses. Peer-review studies were subjected to methodological evaluation and eligibility criteria, and 12 studies were selected and classified into 3 categories based on their focus: (i) those that directly assessed attention, (ii) those that directly manipulated participants’ attention, and (iii) those that combined both a direct manipulation and assessment of attention. The synthesis of the included studies points to the nuanced methodological approaches to the study of the role of attention in placebo and nocebo effects, marked by variations in how this variable is conceptualized and measured. Overall, results support the idea that placebo/nocebo effects are not always a direct byproduct of expectations, with attention acting as an important factor to consider when exploring this relationship. Particularly, attention plays an important role in optimizing therapeutic efficacy by directing patients’ focus toward signs of healing and away from indicators of illness or distress.
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  • 文章类型: Journal Article
    目的:准确评估幼儿的认知发展是发展评估的重要组成部分。直接评估发展技能并不总是可行的,但是关于直接评估和照顾者报告的认知技能之间的一致性的信息有限.与广泛使用的发育测量相比,关于父母报告的发育概况4(DP-4)的准确性的信息有限。贝利婴儿和幼儿发展量表,第四版(Bayley-4)。本研究的目的是评估标准化的父母访谈是否可以有效地识别有认知发育迟缓风险的儿童。
    方法:我们比较了Bayley-4认知和发育概况4(DP-4)在幼儿中的早期发育迟缓进行亲自评估之间的一致性。182名儿童(134名自闭症诊断),年龄6-42个月,完成了两项评估。
    结果:结果显示,Bayley-4认知评分与DP4认知评分具有中等强度的相关性(r=0.70,p<0.001)。DP-4认知上70或69的临界值被确定为基于整体发育延迟或Bayley-4认知的诊断来识别发育延迟的理想选择。
    结论:我们的分析揭示了DP-4和Bayley-4认知评分之间的良好一致性,即使在控制了诸如ASD特征程度之类的混杂变量之后,年龄,和性爱。这些结果表明,照顾者报告措施可以成为评估幼儿的有效和有用的工具,特别是当直接发展评估是不可行的。
    OBJECTIVE: Accurate assessment of cognitive development of young children is a vital component of developmental evaluations. Direct assessment of developmental skills is not always feasible, but there is limited information on the agreement between direct assessment and caregiver-reported cognitive skills. There is limited information regarding the accuracy of the parent-reported Developmental Profile 4 (DP-4) in comparison to the widely-used developmental measure, the Bayley Scales of Infant and Toddler Development, Fourth Edition (Bayley-4). The purpose of the current study was to evaluate whether a standardized parent interview can effectively identify children at risk for cognitive developmental delays.
    METHODS: We compared the agreement between the Bayley-4 Cognitive and the Developmental Profile 4 (DP-4) in young children being evaluated in-person for early developmental delays. 182 children (134 with an autism diagnosis), ages 6-42 months, completed both assessments.
    RESULTS: Results showed that Bayley-4 Cognitive scores had a moderately strong correlation with DP4-Cognitive scores (r = 0.70, p < 0.001). A cutoff of 70 or 69 on the DP-4 Cognitive was determined as ideal for identifying developmental delay based on diagnosis of global developmental delay or the Bayley-4 Cognitive.
    CONCLUSIONS: Our analyses revealed good agreement between DP-4 and Bayley-4 Cognitive scores, even after controlling for confounding variables such as degree of ASD characteristics, age, and sex. These results suggest that caregiver-report measures can be a valid and useful tool in the assessment of young children, particularly when direct developmental assessment is not feasible.
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  • 文章类型: Journal Article
    铅(Pb)和汞(Hg)是神经发育毒物,对认知和行为健康构成风险。鉴于儿童早期对这些金属的脆弱性,了解婴儿期暴露的来源和途径对公共卫生至关重要.在断奶过程中,婴儿可能会通过他们食用的婴儿食品接触金属。我们旨在通过分析157名6岁韩国婴儿食用的288个样本来评估自制断奶食品中的金属暴露,9-,12-,15-,24-27个月。在65%的样品中检测到Pb,水平高达169纳克/克。值得注意的是,58%超过了10ng/g的最高水平(ML),中值浓度为14.7ng/g鲜重。在88%的样品中发现了总汞,中值浓度为4.56ng/g鲜重。估计铅和汞的日摄入量中位数为0.29和0.09μg/kg/d,分别。考虑到铅的基准剂量(EFSA提供的0.5μg/kg/d),据估计,所有年龄组中有94%(暴露幅度<10)与自制婴儿食品消费有关。对于Hg,与汞的临时耐受每周摄入量(WHO为4μg/kg/周)相比,只有6%的风险商超过1。这项研究标志着韩国婴儿通过自制婴儿食品每日铅和汞摄入量的首次直接评估。我们的发现强调了迫切需要提高对通过自制婴儿食品接触金属的认识。
    Lead (Pb) and mercury (Hg) are neurodevelopmental toxicants that pose risks to cognitive and behavioral health. Given early childhood\'s vulnerability to these metals, understanding their sources and pathways of exposure during infancy is crucial for public health. During the weaning process, infants may be exposed to metals through the baby food they consume. We aimed to assess metal exposure through homemade weaning foods by analyzing 288 samples consumed by 157 Korean infants aged 6-, 9-, 12-, 15-, and 24-27 months. Pb was detected in 65 % of samples, with levels reaching up to 169 ng/g. Notably, 58 % exceeded the Maximum Level (ML) of 10 ng/g, with a median concentration of 14.7 ng/g fresh weight. Total Hg was found in 88 % of samples, with a median concentration of 4.56 ng/g fresh weight. Estimated median daily intakes of Pb and Hg were 0.29 and 0.09 μg/kg/d, respectively. Considering a benchmark dose for Pb (0.5 μg/kg/d by EFSA), 94 % (the margin of exposure <10) of all age groups was estimated to have a potential health concern associated with homemade baby food consumption. For Hg, only 6 % exceeded a hazard quotients of 1 compared to a provisional tolerable weekly intake for Hg (4 μg/kg/week by WHO). This study marks the first direct assessment of daily Pb and Hg intake through homemade baby food among Korean infants. Our findings underscore the urgent need for heightened awareness regarding metal exposure through homemade baby food.
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  • 文章类型: Journal Article
    实际实验室技能很少直接评估。为了提高实践技能和评估的描述学习成果之间的建设性一致性,我们开发并测试了显微镜技能认证程序。该程序被嵌入到普通的学习活动中,所以不需要额外的时间。在社会文化学习理论的框架内开发了三种略有不同的协议,并且像技能阶梯一样构建,包括直接的同伴评估和游戏化学习的要素。协议在学生准备认证的方式上略有不同,成就的步数/级别,以及失败的后果。我们在三个不同的学术机构以及11个不同规模和生物学或地质学学术水平的课程中测试了协议。反馈通过在线调查(n=207)或会议后的口头收集。一个协议提供了指导视频作为准备材料。教学视频增加了对任务的理解,但是触觉训练对学习最重要。不管是什么机构,制备类型,和以前的经验水平,认证程序显然使学生更多地参与练习。大多数人报告说,认证程序增加了他们学习的动力,增加了他们感知的学习成果,并且适合评估实践技能。与熟练的学生相比,在练习前没有或几乎没有显微镜经验的学生对认证程序更为积极,当失败产生一些后果时,参与和准备的水平更高。大多数学生觉得被同龄人认证很舒服,但是一些学生对同龄人犯错误表示担忧。提出的认证程序可以很容易地适应评估其他实践技能,经过一些调整,是一种有效的学习评估方法,合并形成性评估和总结性评估。
    Practical lab skills are rarely directly assessed. To improve constructive alignment between the described learning outcomes of practical skills and assessment, we developed and tested a certification procedure for microscopy skills. The procedure was embedded into the ordinary learning activity, so no additional time was needed. Three slightly different protocols were developed within the framework of sociocultural learning theory and built like a skill ladder, including direct peer assessment and elements of gamified learning. The protocols varied slightly in the way students were prepared for the certification, the number of steps/levels of achievement, and the consequences of failing. We tested the protocols at three different academic institutions and within 11 courses of varying sizes and academic levels in biology or geology. Feedbacks were collected through online surveys (n = 207) or orally after sessions. One protocol provided instruction videos as preparation material. Instruction videos provided increased understanding of the task, but tactile training was most important for learning. Regardless of institution, type of preparation, and level of former experience, the certification procedure made students clearly more engaged in the exercise. The majority reported that the certification procedure increased their motivation to learn, increased their perceived learning outcome, and was appropriate for assessing practical skills. Students with no or little experience in microscopy before the exercise were more positive about the certification procedure compared to skilled students, and the level of engagement and preparation was higher when there were some consequences of failing. Most students felt comfortable being certified by peers, but some students expressed concern about peers making mistakes. The presented certification procedure can easily be adapted to assess other practical skills and, with some adjustments, be an efficient method for assessment-as-learning, merging formative- and summative assessment.
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  • 文章类型: Journal Article
    当前的研究检查了父母报告和诊断医生对接受语言的直接评估之间的差异,富有表现力的语言,以及患有自闭症谱系障碍(ASD)和其他延迟的幼儿的精细运动能力。此外,这项研究检查了父母-诊断医生的一致性是否因儿童诊断和出生时性别(SAB)而异.使用来自646名幼儿样本的数据进行了最初的方差混合分析(ANOVA),以检查父母诊断医生的一致性是否因儿童诊断而异。匹配的样本(使用儿童年龄,SAB,然后在每个诊断组中创建非语言IQ),并进行混合方差分析,以检查匹配的诊断子样本的一致性是否相似,以及SAB是否不同。来自完整样本的发现大多重复了先前的研究,这些研究记录了父母报告和直接观察之间的一致性,无论儿童诊断如何。然而,当在匹配的诊断亚组中检查时,观察到更细微的模式。在ASD和ASD特征亚组中,接受语言的父母报告较低,在ASD中,精细运动技能的父母报告低于直接观察。ASD功能,和发育迟缓组。在检查SAB的调节作用时,ASD组儿童仅表达性语言受到影响.结果表明,考虑儿童人口统计学特征的重要性,儿童SAB可能会影响父母的报告和/或诊断医生对表达语言的看法。
    The current study examined differences between parent report and diagnostician direct assessment of receptive language, expressive language, and fine motor abilities in toddlers with autism spectrum disorder (ASD) and other delays. Additionally, this study examined whether parent-diagnostician consistency varied by child diagnosis and sex assigned at birth (SAB). Initial mixed analysis of variances (ANOVAs) were conducted using data from a sample of 646 toddlers to examine whether parent-diagnostician consistency differed by child diagnosis. Matched samples (using child age, SAB, and nonverbal IQ) were then created within each diagnostic group and mixed ANOVAs were conducted to examine if consistency was similar in matched diagnostic subsamples and whether it differed by SAB. Findings from the full sample mostly replicated previous research that has documented consistency between parent report and direct observation regardless of child diagnosis. However, when examined in matched diagnostic subgroups, more nuanced patterns were observed. Parent report of receptive language was lower in ASD and ASD features subgroups and parent report of fine motor skills was lower than direct observation in the ASD, ASD features, and developmental delay groups. When examining the moderating effect of SAB, only expressive language was impacted for children in the ASD group. Results indicate the importance of considering child demographic characteristics and that child SAB may impact parent report and/or diagnostician perception of expressive language.
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  • 文章类型: Journal Article
    This study examined the early pragmatic language skills in typically developing (TD) preschool-age children, children with language impairment (LI) and children with autism spectrum disorder (ASD). Two hundred and sixty-two TD children, 73 children with LI, and 16 children with ASD were compared on early pragmatics through direct assessment (DA). Post hoc analysis revealed that children in two clinical groups displayed significant pragmatic language deficits. Children in the ASD group who were older exhibited comparable degree of impairments as their LI peers, suggesting a relatively stagnant development of pragmatic language skills in children with ASD. Findings also supported the use of DA in identifying pragmatic language deficits, which have implications for the adoption of this assessment approach in clinical settings.
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  • 文章类型: Journal Article
    在过去的15年中,用于评估低收入和中等收入国家幼儿发展的衡量工具激增。本文通过确定一组核心的照顾者报告项目和一组核心的直接评估项目来建立并为文献做出贡献,这些项目测量了4-6岁(48-83个月)儿童的关键发育领域,并在不同的环境中表现出足够的心理测量特性,第一个在这个年龄段的作者\的知识。对12个国家以前的幼儿测量工作的数据进行了统一,这些国家都使用了相同的基本测量工具。数据分析产生了20个照顾者报告项目和84个儿童直接评估项目(分为16项任务),这些项目显示了各国强有力的项目级统计数据,涵盖了早期扫盲领域,早期算术,执行功能,和社会情感能力。接下来的步骤包括将来自其他测量工具的数据和项目添加到相同的分析框架中,并在许多环境和幼儿测量工作中进行现场测试。愿景是针对最终的核心项目集,随着数据收集的指导,管理,和分析,作为全球公益物,以便它们能够(i)为4-6岁儿童的不同幼儿测量工具之间的联系提供起点;(ii)提高测量工作的质量;(iii)促进幼儿测量的扩大。当补充了捕获本地上下文及其测量需求的项目时,这些核心项目应有助于加深对儿童发展基础的普遍和特定环境因素的理解,从而帮助决策者做出决策,确保儿童获得所需的优质幼儿保育和教育,以充分发挥其潜力。
    The last 15 years have seen an explosion of measurement tools for assessing the development of young children in low- and middle- income countries. This paper builds on and contributes to that literature by identifying a core set of caregiver-report items and a core set of direct assessment items that measure key developmental domains for children aged 4-6 (48-83 months) and that demonstrate adequate psychometric properties across diverse contexts, the first in this age group to the authors\' knowledge. Data were harmonized from previous early childhood measurement efforts in 12 countries that all used the same base measurement tool. Data analyses yielded 20 caregiver report items and 84 child direct assessment items (grouped into 16 tasks) that show strong item-level statistics across countries and that cover the domains of early literacy, early numeracy, executive functioning, and social-emotional competencies. Next steps include adding data and items from other measurement tools to the same analytical framework and field testing across a number of contexts and early childhood measurement efforts. The vision is for the resulting core sets of items, along with guidance on data collection, management, and analysis, to serve as global public goods so that they can (i) present a starting point for linking across different early childhood measurement tools for children aged 4-6; (ii) increase quality across measurement efforts; and (iii) facilitate the scale up of early childhood measurement. When supplemented with items that capture local contexts and their measurement needs, these core sets of items should help to advance understanding of universal and context-specific factors that underlie child development and thus help policymakers make decisions that ensure children receive the quality early childhood care and education they need in order to reach their full potential.
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  • 文章类型: Journal Article
    自尊稳定性描述了个人在短时间内经历的自尊水平的波动。近几十年来,自尊稳定性一再被证明是影响心理功能的重要变量。然而,自尊稳定性的衡量标准很少,缺乏有效性。在本文中,我们提出了自尊稳定性量表(SESS),直接评估自尊稳定性的一维和非常简短的量表。在四项研究中(总N=826),我们描述了SESS的发展,并提供了其对个人结果(生活满意度,神经质,和脆弱的自恋)和二元结果(自我和伴侣评级中的关系满意度)通过与现有措施的直接比较。新的SESS被证明是比现有量表更强的预测因子,并且具有超过自尊水平的递增效度。结果还表明,通过Rosenberg自尊量表的多次管理,纵向评估的自尊稳定性的所有横断面指标仅与自尊水平的变异性中度相关。我们讨论这个有效性问题,认为直接和间接评估方法是相关的,然而自尊稳定性的不同方面。
    Self-esteem stability describes fluctuations in the level of self-esteem experienced by individuals over a brief period of time. In recent decades, self-esteem stability has repeatedly been shown to be an important variable affecting psychological functioning. However, measures of self-esteem stability are few and lacking in validity. In this paper, we present the Self-Esteem Stability Scale (SESS), a unidimensional and very brief scale to directly assess self-esteem stability. In four studies (total N = 826), we describe the development of the SESS and present evidence for its validity with respect to individual outcomes (life satisfaction, neuroticism, and vulnerable narcissism) and dyadic outcomes (relationship satisfaction in self- and partner ratings) through direct comparisons with existing measures. The new SESS proved to be a stronger predictor than the existing scales and had incremental validity over and above self-esteem level. The results also showed that all cross-sectional measures of self-esteem stability were only moderately associated with variability in self-esteem levels assessed longitudinally with multiple administrations of the Rosenberg Self-Esteem Scale. We discuss this validity issue, arguing that direct and indirect assessment approaches measure relevant, yet different aspects of self-esteem stability.
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  • 文章类型: Journal Article
    背景:测量儿童早期发育存在独特的挑战。使用两个主要的信息来源:父报告和直接评估。每种方法都有优点和缺点,特别是当用于识别和诊断发育迟缓时。本研究旨在评估父母报告和儿童技能的直接评估之间的一致性,在幼儿有和没有自闭症谱系障碍(ASD)跨接受语言,富有表现力的语言,和精细的运动域。
    方法:109名平均年龄为2岁的儿童进行评估;通过家长报告和直接评估收集儿童技能数据。儿童被分为三组(即,ASD,其他发育障碍,或典型发展)基于DSM-IV-TR诊断。混合设计ANOVA,将数据源作为受试者内部因素,将诊断组作为受试者之间的因素,用于评估协议。然后使用一致性的卡方检验来检查项目级别的对应关系。
    结果:结果表明,父母对语言和精细运动技能的报告与直接评估没有显着差异,这一发现在诊断小组中都有。项目级别分析显示,在大多数重大分歧的情况下,父母报告了目前的技能,但在直接测试中没有看到。
    结论:结果表明,父母通常是幼儿语言和精细运动能力的可靠报告者,即使他们的孩子患有ASD等发育障碍。然而,可以通过使用家长报告和直接评估来获得最完整的图片。
    BACKGROUND: There are unique challenges associated with measuring development in early childhood. Two primary sources of information are used: parent report and direct assessment. Each approach has strengths and weaknesses, particularly when used to identify and diagnose developmental delays. The present study aimed to evaluate consistency between parent report and direct assessment of child skills in toddlers with and without Autism Spectrum Disorder (ASD) across receptive language, expressive language, and fine motor domains.
    METHODS: 109 children were evaluated at an average age of two years; data on child skills were collected via parent report and direct assessment. Children were classified into three groups (i.e., ASD, Other Developmental Disorder, or Typical Development) based on DSM-IV-TR diagnosis. Mixed design ANOVAs, with data source as a within subjects factor and diagnostic group as a between subjects factor, were used to assess agreement. Chi square tests of agreement were then used to examine correspondence at the item level.
    RESULTS: Results suggested that parent report of language and fine motor skills did not significantly differ from direct assessment, and this finding held across diagnostic groups. Item level analyses revealed that, in most cases of significant disagreement, parents reported a skill as present, but it was not seen on direct testing.
    CONCLUSIONS: Results indicate that parents are generally reliable reporters of child language and fine motor abilities in toddlerhood, even when their children have developmental disorders such as ASD. However, the fullest picture may be obtained by using both parent report and direct assessment.
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