Development process of an assessment tool for disruptive behavior problems in cross-cultural settings: the Disruptive Behavior International Scale – Nepal version (DBIS-N). Issue 4 (1st October 2016)

• Record Type: Journal Article
• Authors: Burkey, Matthew D.; Ghimire, Lajina; Adhikari, Ramesh P.; Kohrt, Brandon A.; Jordans, Mark J. D.; Haroz, Emily E.; Wissow, Lawrence S.
• Is Part Of: International journal of culture and mental health. Volume 9:Issue 4(2016)
• Page Start: 387
• Page End: 398
• Publication Date: 2016-10-01
• Subjects: Disruptive behavior disorders -- oppositional defiant disorder -- conduct disorder -- scale -- validation -- Nepal -- low-income countries; Cultural psychiatry -- Periodicals; Psychiatry, Transcultural -- Periodicals; 616.89
• DOI: 10.1080/17542863.2016.1226372
• Languages: English
• ISSNs: 1754-2863

Abstract

ABSTRACT: Systematic processes are needed to develop valid measurement instruments for disruptive behavior disorders in cross-cultural settings. We employed a four-step process in Nepal to identify and select items for a culturally valid assessment instrument: (1) we extracted items from validated scales and local free-list interviews; (2) parents, teachers and peers ( n = 30) rated the perceived relevance and importance of behavior problems; (3) highly rated items were piloted with children ( n = 60) in Nepal;( 4) we evaluated internal consistency of the final scale. We identified 49 symptoms from 11 scales, and 39 behavior problems from free-list interviews ( n = 72). After dropping items for low ratings of relevance and severity and for poor item-test correlation, low frequency and/or poor acceptability in pilot testing, 16 items remained for the Disruptive Behavior International Scale – Nepali version (DBIS-N). The final scale had good internal consistency ( α = 0.86). A 4-step systematic approach to scale development including local participation yielded an internally consistent scale that included culturally relevant behavior problems.