为有发展需求的儿童提供基于信息和通信技术的评估:儿童大脑平衡器

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL JMA journal Pub Date : 2024-10-15 Epub Date: 2024-08-09 DOI:10.31662/jmaj.2024-0013
Tomoko Sugiyama, Keiji Hashimoto, Nobuyuki Kawate
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摘要

简介本研究考察了基于平板电脑的认知评估应用程序 "儿童大脑平衡器 "在特殊教育系统儿童中的重测可靠性,并通过评估与韦氏儿童智力量表第四版(WISC-IV)的得分一致性收集了初步的有效性证据:共有 36 名接受特殊教育的儿童(7-11 岁)在 1 个多月的时间里完成了 3 次以上的 Balancer 任务。类内相关系数(ICC)有助于分析各阶段的得分可靠性。对每项任务的得分与韦氏指数的一致性进行了评估:在九项任务中,有六项任务的原始分数或年龄调整分数显示出中等至良好的可靠性。全量表智商(FSIQ)、WISC-IV 的综合分数和几项任务的平衡指数分数在三次重复测试中表现出中等到较强的相关性。与 FSIQ 的一致性各不相同;不过,大多数视觉空间/执行任务最初的相关性较好,而言语/工作记忆任务则在第三次测试前趋于一致。基线分数较低的人在重复测试中的一致性有所改善:本研究提供了初步证据,证明儿童脑平衡器在评估接受特殊教育儿童的智力/认知功能方面具有有效性和重复测试可靠性。通过改进和更广泛的测试,可以使这一便捷的工具为评估不同的发展需求提供支持。
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Information and Communication Technology-based Assessment for Children with Developmental Needs: Kids Brain Balancer.

Introduction: This study examined the test-retest reliability of the Kids Brain Balancer, a tablet-based cognitive assessment app, among children in the special education system and gathered preliminary validity evidence by evaluating score agreement with the Wechsler Intelligence Scale for Children, Fourth Edition (WISC-IV).

Methods: A total of 36 children undergoing special education (aged 7-11 years) completed the Balancer tasks more than three times for over 1 month. Intraclass correlation coefficients (ICCs) facilitated the analysis of score reliability across sessions. Score agreement with Wechsler indices were evaluated for each task.

Results: Of the nine tasks, six demonstrated moderate-to-good reliability for raw or age-adjusted scores. The Full-Scale Intelligence Quotient (FSIQ), composite scores on the WISC-IV, and Balancer index scores on several tasks exhibited moderate-to-strong correlations over three repeated test administrations. Agreement with the FSIQ varied; however, most visuospatial/executive tasks initially correlated better, whereas verbal/working memory tasks converged by the third session. Those with lower baseline scores exhibited improvement in agreement over repeat testing.

Conclusions: This study provides initial evidence supporting the validity and test-retest reliability of the Kids Brain Balancer in evaluating intellectual/cognitive functioning among children undergoing special education. Enhancement and wider testing could establish this convenient tool to support evaluation of diverse developmental needs.

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