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"Latar belakang: Identifikasi dan deteksi dini gangguan komunikasi pada bayi dan anak membutuhkan alat uji penapisan sahih, andal, mudah diaplikasikan oleh orangtua/ pengasuh. Instrumen CSBS DP ITC adalah alat skrining yang sahih dan andal mendeteksi gangguan komunikasi anak, namun belum diterjemahkan dan diuji kesahihan dan keandalan dalam bahasa Indonesia.Tujuan: Mengetahui kesahihan dan keandalan CSBS DP ITC bahasa Indonesia sebagai alat uji penapisan gangguan komunikasi anak 6-24 bulan.Metode: Penelitian potong lintang di Poliklinik TKPS/ RS Cipto Mangukusumo Jakarta (Februari-Mei 2019) dua tahapan. Tahapan pertama kesahihan interna 2 periode yaitu pertama, adaptasi transkultural kuesioner CSBS DP ITC bahasa asli ke bahasa Indonesia dan kedua, pengujian kuesioner CSBS DP ITC versi bahasa Indonesia kepada 35 orangtua/ pengasuh. Uji kesahihan dianalisis menggunakan Spearman Correlation, uji keandalan dianalisis menggunakan Alpha Cronbach s coefficient. Tahapan kedua kesahihan eksterna, uji diagnostik CSBS DP ITC dibandingkan BSID III skala bahasa sebagai baku emas kepada 147 orangtua/ pengasuh dan 147 anak.Hasil: Kesahihan interna CSBS DP ITC bahasa Indonesia umumnya baik dengan nilai r > 0,3. Keandalan CSBS DP ITC bahasa Indonesia baik dengan Alpha Cronbach s (0,876-0,896). Kesahihan eksterna CSBS DP ITC bahasa Indonesia mendapatkan sensitifitas 71,43% dan spesifisitas 81,48%.Simpulan: Kuesioner CSBS DP ITC bahasa Indonesia terbukti sahih dan andal sebagai alat uji penapisan gangguan komunikasi anak usia 6-24 bulan

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Background: Early identification and detection of communication disorders in children require valid and reliable screening tool that easily to apply. The CSBS DP ITC is a valid and reliable screening tool to detect communication disorder in children, but it has not translated and tested for validity and reliability in Indonesian language.

Objective To find out validity and reliability of CSBS DP ITC Indonesian version as a screening tool for communication disorders in children aged 6-24 months.

Methods: Cross-sectional study was carried out in clinic of Growth Development- Social Pediatric / Cipto Mangukusumo Hospital Jakarta (February - May 2019) in two stages. First stage was internal validity consisting 2 periods, transcultural adaptation from original language to Indonesian and second stage was final Indonesian CSBS DP ITC questionnaire was tested to 35 parents / caregivers. Validity analyzed using Spearman Correlation. Reliability analyzed using Alpha Cronbach s coefficient. Second stage was external validity by compared CSBS DP ITC with BSID III language scale as gold standard to 147 parents / caregivers and 147 children.

Results: Internal validity showed good validity with r > 0.3. Reliability showed good with Alpha Cronbach (0.876-0,896). External validity has 71.43% sensitivity and 81.48% specificity.

Conclusion: Indonesian CSBS DP ITC questionnaire valid and reliable as screening test for communication disorders in children aged 6-24 months."

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Latar belakang: Identifikasi dan deteksi dini keterlambatan perkembangan anak sampai usia 3 tahun membutuhkan alat uji penapisan yang sahih dan andal serta mudah diaplikasikan orangtua. Kesahihan eksterna Ages and Stages Questionnaires-Third Edition (ASQ-3) belum teruji di Indonesia sehingga ASQ-3 belum dapat digunakan secara luas sebagai alat uji penapisan perkembangan anak.

Tujuan: Mengetahui kesahihan eksterna ASQ-3 bahasa Indonesia kelompok usia 24, 30, dan 36 bulan sebagai alat uji penapisan keterlambatan perkembangan anak.

Metode: Uji diagnostik ASQ-3 bahasa Indonesia kelompok usia 24, 30, dan 36 bulan dibandingkan dengan Bayley Scales of Infant Development-III (BSID-III) pada populasi anak sehat maupun yang berisiko keterlambatan perkembangan. Untuk menentukan nilai kesahihan eksterna, dihitung: sensitivitas, spesifisitas, nilai duga positif dan nilai duga negatif.

Hasil: ASQ-3 bahasa Indonesia kelompok umur 24 bulan: sensitivitas dan NDN baik (83,3% dan 91,3%), tetapi spesifisitas dan  NDP kurang baik (65,6% dan 47,6%). ASQ-3 bahasa Indonesia kelompok umur 30 bulan: sensitivitas dan NDN baik (84,6% dan 90,9%), tetapi spesifisitas dan  NDP kurang baik (69% dan 55%). ASQ-3 bahasa Indonesia kelompok umur 36 bulan: spesifisitas cukup baik (78,8%) dan NDN baik (86,7%), tetapi sensitivitas dan  NDP kurang baik (66,6% dan 53,3%).

Kesimpulan: Kesahihan eksterna ASQ-3 bahasa Indonesia kelompok usia usia 24, 30, dan 36 bulan pada penelitian ini cukup sahih sebagai alat uji penapisan keterlambatan perkembangan anak.

 

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Background: Identification of children with developmental disabilities is critical step in providing early intervention services. Ages and Stages Questionnaires third edition (ASQ-3), a parent-report questionnaires has been proven to be a valid and reliable screening test and good psychometric properties. This test has not been external validated before in Indonesia.

Aim: Providing the external validated form of the Indonesian version of the Ages and Stages Questionnaires third edition as an appropriate developmental screening tool for evaluation of 24, 30, and 36 months Indonesian children’s development.

Method: The Indonesian ASQ-3 diagnostic test for the age groups of 24, 30, and 36 months compared with Bayley Scales of Infant Development-III (BSID-III) in the population of healthy children and at risk of developmental delays. To determine the value of external validity, calculated: sensitivity, specificity, positive predictive value and negative predictive value.

Results: ASQ-3 Indonesian 24 month: sensitivity and NDN are good (83.3% and 91.3%), but specificity and NDP are poor (65.6% and 47.6%). ASQ-3 Indonesian 30 months: sensitivity and NDN are good (84.6% and 90.9%), but specificity and NDP are poor (69% and 55%). ASQ-3 Indonesian 36 months: specificity is quite good (78.8%) and NDN is good (86.7%), but sensitivity and NDP are poor (66.6% and 53.3%).

Conclusion: The external validity of ASQ-3 Indonesian 24, 30, and 36 months in this study is quite valid as a screening test for children's development delays.

 

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