Development of Questionnaire for Parental Acceptability of School-based Depression Symptom Screening
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摘要:
目的 通过德尔菲法编制《学校开展学生抑郁症筛查父母可接受性问卷》，为进一步促进学校开展青少年抑郁筛查提供依据和建议。 方法 包括文献检索和2轮德尔菲专家咨询，通过文献循证初步确定问卷维度和条目。共邀请12位来自全国6个省市的专家参与德尔菲专家咨询，就问卷维度的重要性、问卷条目的重要性与可行性进行意见征询，最终确定问卷的维度与具体条目。 结果 2轮专家回复率均为100%。专家一致性检验系数W=0.22(χ2=63.72，P < 0.01)，提示专家意见具有较高一致性。问卷初稿包括父母对学校开展学生抑郁筛查的认知、对学校开展抑郁筛查结果的反馈与管理认知、对抑郁筛查总体态度、心理健康服务使用4个维度共17项具体条目。通过2轮专家咨询后，最终问卷包括3个一级维度(父母对抑郁症状的相关认知、父母对学校开展抑郁症状筛查的态度和心理健康促进行为)、4个二级维度(父母抑郁症状知识知晓情况、父母对学校抑郁症状筛查的态度、父母对学校抑郁症状筛查的选择偏好和心理健康促进服务的利用情况)，共25项具体条目。 结论 编制的问卷用于评估父母对学校开展抑郁症状筛查可接受性及影响因素，可为心理健康服务提供者后续筛查项目的实施提供支持证据，但仍需要进一步的实证研究。 Abstract:Objective The study aimed to develop Questionnaire for Parental Acceptability of School-based Depression Symptom Screening by Delphi method, so as to provide a reference and suggestions for promoting screening adolescents' depression. Methods The study was conducted through the literature review and two rounds of the Delphi expert consultation. The initial construction of scale dimension and item was conducted through the literature search. A survey of 12 experts from 6 different provinces, cities and regions in China was conducted, and the Delphi technique was used to collect and analyze expert opinions data about the importance and feasibility of questionnaire content. The dimensions and specific items of the questionnaire were finally determinded. Results The response rates were 100% in both rounds of Delphi consultation. Kendall coordination degree W=0.22 (χ2=63.72, P < 0.01), which showed the agreement of expert opinions. The initial scale consisted of 4 dimensions and 17 items, including parental cognition of school-based depression screening, parental cognition of school depression screening results feedback and management, parental attitude of school-based depression screening, parental utilization of mental health services. After two rounds of expert consulattion, the final scale consisted of 3 first-grade dimensions including parental cognition of depression symptom, parental attitude of school-based depression symptom screening and parental mental health promotion behaviour, and also cinsisted of 4 second-grade dimensions including parental knowledge of depression symptom, parental attitude of school-based depression symptom screening, parental choice preference of school-based depression symptom screening, parental utilization of mental health services, which had a total of 25 items. Conclusion The questionnaire is developed for assessing parental acceptability of school-based depression screening and associated factors. The finding will facilitate mental health services providers in the screening implementation, but further empirical research is still needed. -
Key words:
- Depressive disorder /
- Legal guardians /
- Counseling /
- Students
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图 1 《学校开展学生抑郁症筛查父母可接受性问卷》编制过程
Figure 1. Development process of Questionnaire for Parental Acceptability of School-based Depression Sympton Screening
表 1 《学校开展学生抑郁症筛查父母可接受性问卷》各维度重要性的描述性分析
Table 1. Descriptive statistics of the importance of each dimension about Questionnaire for parental Acceptability of School-based Depression Symptom Screening
维度 x±s CV 满分比/% Kendall's W值 P值 父母对抑郁症状的相关认知 4.92±0.29 0.06 91.7 0.21 0.02 父母对学校开展抑郁症状筛查的态度 4.75±0.45 0.10 75.0 0.20 0.01 心理健康促进行为 0.23 0.01 父母对学校开展抑郁症状筛查的选择偏好 4.83±0.39 0.08 83.3 0.24 0.04 心理健康促进服务的利用情况 4.83±0.39 0.08 83.3 0.25 0.03 总问卷 0.22 < 0.01 
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表 2 《学校开展学生抑郁症筛查父母可接受性问卷》相关条目描述性分析
Table 2. Descriptive statistics of the items about Questionnaire for parental Acceptability of School-based Depression Symptom Screening
条目 重要性 可行性 x±s 满分比/% CV x±s 满分比/% CV 父母对抑郁症状的相关认知 抑郁症状均由压力大导致(诱因) 4.58±0.67 67 0.15 4.75±0.45 75 0.10 抑郁症状即心情不好(症状) 4.75±0.45 75 0.10 4.83±0.39 83 0.08 抑郁症状会表现为躯体不适(症状) 4.75±0.62 83 0.13 4.75±0.45 75 0.10 抑郁症状就医无用(应对) 4.92±0.29 92 0.06 4.83±0.39 83 0.08 抑郁症状无法痊愈(认知) 4.67±0.49 67 0.11 4.67±0.49 67 0.11 抑郁症状较为常见(认知) 4.33±0.78 50 0.18 4.58±0.79 75 0.17 识别抑郁症状能力(识别) 4.67±0.65 75 0.14 4.42±0.51 83 0.12 父母对学校开展抑郁症状筛查的态度 提高认知(积极学生) 4.67±0.65 75 0.14 4.58±0.79 75 0.17 提高求助意识(积极学生) 4.92±0.29 92 0.06 4.75±0.62 83 0.13 减少风险(积极学生) 4.67±0.78 83 0.17 4.75±0.62 83 0.13 识别风险学生(积极学校) 4.58±0.51 58 0.11 4.58±0.67 67 0.15 提高服务能力(积极学校) 4.75±0.45 75 0.10 4.75±0.45 75 0.10 恶化心理状况(消极学生) 4.75±0.45 75 0.10 4.67±0.49 67 0.11 误解筛查结果(消极学生) 4.58±0.67 67 0.15 4.75±0.45 75 0.10 标签化(消极学生) 5.00±0.00 100 0.00 4.67±0.49 67 0.11 结果准确性(消极学校) 4.83±0.39 83 0.08 4.67±0.49 67 0.11 隐私保密(消极学校) 4.42±0.67 50 0.15 4.42±0.90 58 0.20 心理健康促进行为 父母对学校开展抑郁症状筛查的选择偏好 是否接受抑郁筛查 4.92±0.29 92 0.06 4.92±0.29 92 0.06 抑郁筛查起始年级 4.67±0.49 67 0.11 4.58±0.67 67 0.15 选择性退出 5.00±0 100 0 4.64±0.67 67 0.15 筛查结果获得 5.00±0 100 0 4.83±0.39 83 0.08 心理健康促进服务的利用情况 学校服务获得(学生) 5.00±0 100 0 4.83±0.39 83 0.08 服务获得(父母) 4.75±0.45 75 0.10 4.58±0.67 67 0.15 抑郁应对认知(父母) 5.00±0 100 0 4.75±0.45 75 0.10 抑郁求助行为(父母) 5.00±0 100 0 4.75±0.45 75 0.10
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