修訂中文兒童口吃嚴重度評估工具

本研究修訂Riley(1994)的口吃嚴重度評估工具第三版(Stuttering Severity Instrument-3, SSI-3)兒童評量部分，以評估說中文兒童之口吃嚴重度。修訂過程如下：1.材料編製：請專人繪製看圖說話的彩色圖片四幅，並改寫適合國小低、中和高年級閱讀短文各兩篇；2.口吃嚴重度區分：依台灣各區人口比例招收學齡前兒童31人和學齡兒童30人，以Riley的施測程序蒐集語言樣本，認定口吃事件，再分別依二組兒童的原始分數建立百分等級對照表，並將嚴重度分為五個等級；3.進行信、效度考驗：信度方面，三個分測驗及總分之評定者內一致性皆達998以上；而評定者間之一致性皆達.936以上。效度方面：口吃與非口吃兒童在三項分測驗與總分上皆達顯著差異。本工具與愛荷華口吃嚴重度量尺的效標關聯效度，二組分別達.98及.95。

關鍵字

口吃者身體伴隨行爲；口吃時長；口吃頻率；口吃嚴重度；中文兒童口吃嚴重度評估工具

並列摘要

The purpose of this study is to revise Riley's (1994) Stuttering Severity Instrument-3 (SSI-3) for the stuttering children aged 3 to13 years old that speak Mandarin in Taiwan. The main tasks had been accomplished as follows: 1. rewriting 6 readings in Chinese and redrawing 4 colorful pictures as stimuli for oral expression, 2. recruiting 31 preschool and 30 school-age stuttering children from four different areas according to the distribution of the population in Taiwan, 3. identifying stuttering frequency, duration, physical concomitants for establishing the normative data of the preschool and the school-age groups, separately, 4. calculating the iritra-and the inter-judge reliability that are above .998, and .93 6, 5. deriving the criterion-related validity from calculating the correlation coefficients between this instrument and The Iowa Scale for Rating Severity of Stuttering that are .98 and .95 for the two groups, respectively, and 6. deriving the significant differences between the stuttering and the nonstuttering children on the stuttering frequency, the duration, the physical concomitants and the total score by t tests. Otherwise, two group norms and stuttering severity levels (very mild, mild, moderate, severe, an d very severe) were offered. This Revised Stuttering Severity Instrument-3 for Mandarin Speaking Children (RSSI-3MSC) may provide an objective and useful tool when researchers and therapists assess the severity of the stuttering children who speak Mandarin.