華語嬰幼兒溝通發展量表之編製與應用

The Standardization and Application of Mandarin-Chinese Communicative Developmental Inventory for Infants and Toddlers

劉惠美(Huei-Mei Liu) ； 曹峰銘(Feng-Ming Tsao)

《中華心理衛生學刊》 23卷4期 (2010/12) Pp. 503-534

https://doi.org/10.30074/FJMH.201012_23(4).0001

摘要

研究目的：發展一套符合心理計量標準，且適用於國內語言環境的「華語嬰幼兒溝通發展量表」，以評量嬰幼兒語言與溝通發展，做為早期篩選語言發展遲緩的參考。研究方法：參照「MacArthur-Bates Communicative Development Inventory」的架構，結合華語溝通發展的文獻，以家長報告與結構化量表的方式蒐集8-36個月華語嬰幼兒溝通發展資料，並編製成量表。嬰兒版評量8-16個月嬰兒的溝通手勢動作和詞彙理解／表達能力，幼兒版評量16-36個月幼兒的詞彙和語法表達能力。研究結果：經初試和預試，分層隨機選取台灣地區共2654名嬰幼兒，以月齡為單位，建立各年齡組溝通發展的百分等級常模。信度考驗顯示，本量表具有頗佳的隔週再測信度、觀察者間信度及內部一致性。在效度部分，各項發展分數隨年齡增長而增加，且與「嬰幼兒綜合發展測驗」之語言分量表和實驗室觀察之問也有不錯的同時效標關聯效度，其追蹤六個月的預測效度也不錯。研究結論：整體而言，本量表具有篩選早期語言發展遲緩幼兒的臨床價值，也對檢視嬰幼兒語言發展理論具有重要貢獻。

關鍵字

嬰幼兒 ； 語言發展 ； 溝通發展 ； 家長報告

並列摘要

The primary goal of this study was to develop an age-appropriate tool (Mandarin-Chinese Communicative Development Inventory, MCDI) for assessing the language and communication development of Mandarin-speaking infants and toddlers aged from 8 to 36 months in Taiwan. Methods: The adaptation of the MCDI (Taiwan version) was based on the structure of the MacArthur-Bates Communicative Development Inventory for English-speaking children. The technique of parental report was applied to describe the developmental course and individual variability in core features of language and communication development. This inventory consisted of 2 separate forms. The MCDI/Words and Gestures (Infant Form), which is designed for 8- to 16-month-old infants, assesses vocabulary comprehension/production, phrase comprehension and the use of communication gestures. The MCDI/Words and Sentences (Toddler Form), which is designed for 16- to 36-month-old toddlers, assesses vocabulary production and syntactic complexity. Results: Various precautions were taken during the course of item collection, item analysis, pilot testing, standardization, reliability and validity testing to assure the psychometric properties of this inventory. The month-to-month norm data were collected from a stratified random sample of 2,654 8-36 month-old children in Taiwan. The results of the reliability and validity analyses demonstrated this inventory meets the psychometric criteria, which include a high one-week test-retest reliability, inter-rater reliability, internal consistency, criterion related validity (with the language subscale of the Comprehensive Developmental Inventory for Infants and Toddlers, CDIIT, and laboratory observations), and 6-month predictive validity. Conclusions: This cost-effective inventory with adequate psychometric properties can serve as a clinically valuable tool to screen and identify infants and toddlers with language developmental delay. In addition, results of this study contribute to assessment of theoretical issues in early language development.

並列關鍵字

infants and toddlers ； language development ； communication development ； parental report

參考文獻

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