@Article{info:doi/10.2196/20172,
author="Tanaka, Masanori
and Saito, Manabu
and Takahashi, Michio
and Adachi, Masaki
and Nakamura, Kazuhiko",
title="Interformat Reliability of Web-Based Parent-Rated Questionnaires for Assessing Neurodevelopmental Disorders Among Preschoolers: Cross-sectional Community Study",
journal="JMIR Pediatr Parent",
year="2021",
month="Feb",
day="4",
volume="4",
number="1",
pages="e20172",
keywords="neurodevelopmental disorders; web-based questionnaire; preschoolers; parents; interformat reliability",
abstract="Background: Early detection and intervention for neurodevelopmental disorders are effective. Several types of paper questionnaires have been developed to assess these conditions in early childhood; however, the psychometric equivalence between the web-based and the paper versions of these questionnaires is unknown. Objective: This study examined the interformat reliability of the web-based parent-rated version of the Autism Spectrum Screening Questionnaire (ASSQ), Attention-Deficit/Hyperactivity Disorder Rating Scale (ADHD-RS), Developmental Coordination Disorder Questionnaire 2007 (DCDQ), and Strengths and Difficulties Questionnaire (SDQ) among Japanese preschoolers in a community developmental health check-up setting. Methods: A set of paper-based questionnaires were distributed for voluntary completion to parents of children aged 5 years. The package of the paper format questionnaires included the ASSQ, ADHD-RS, DCDQ, parent-reported SDQ (P-SDQ), and several additional demographic questions. Responses were received from 508 parents of children who agreed to participate in the study. After 3 months, 300 parents, who were among the initial responders, were randomly selected and asked to complete the web-based versions of these questionnaires. A total of 140 parents replied to the web-based format and were included as a final sample in this study. Results: We obtained the McDonald $\omega$ coefficients for both the web-based and paper formats of the ASSQ (web-based: $\omega$=.90; paper: $\omega$=.86), ADHD-RS total and subscales (web-based: $\omega$=.88-.94; paper: $\omega$=.87-.93), DCDQ total and subscales (web-based: $\omega$=.82-.94; paper: $\omega$=.74-.92), and P-SDQ total and subscales (web-based: $\omega$=.55-.81; paper: $\omega$=.52-.80). The intraclass correlation coefficients between the web-based and paper formats were all significant at the 99.9{\%} confidence level: ASSQ (r=0.66, P<.001); ADHD-RS total and subscales (r=0.66-0.74, P<.001); DCDQ total and subscales (r=0.66-0.71, P<.001); P-SDQ Total Difficulties and subscales (r=0.55-0.73, P<.001). There were no significant differences between the web-based and paper formats for total mean score of the ASSQ (P=.76), total (P=.12) and subscale (P=.11-.47) mean scores of DCDQ, and the P-SDQ Total Difficulties mean score (P=.20) and mean subscale scores (P=.28-.79). Although significant differences were found between the web-based and paper formats for mean ADHD-RS scores (total: t132=2.83, P=.005; Inattention subscale: t133=2.15, P=.03; Hyperactivity/Impulsivity subscale: t133=3.21, P=.002), the effect sizes were small (Cohen d=0.18-0.22). Conclusions: These results suggest that the web-based versions of the ASSQ, ADHD-RS, DCDQ, and P-SDQ were equivalent, with the same level of internal consistency and intrarater reliability as the paper versions, indicating the applicability of the web-based versions of these questionnaires for assessing neurodevelopmental disorders. ",
issn="2561-6722",
doi="10.2196/20172",
url="https://pediatrics.jmir.org/2021/1/e20172",
url="https://doi.org/10.2196/20172",
url="http://www.ncbi.nlm.nih.gov/pubmed/33455899"
}