Evidence map›Paper›PMID 32982842›Full record

ArticleFrontiers in psychology2020

The Feasibility of the Full and Modified Versions of the Alarm Distress Baby Scale (ADBB) and the Prevalence of Social Withdrawal in Infants in Nepal.

Manjeswori Ulak, Suman Ranjitkar, Merina Shrestha, Hanne C Braarud, Ram K Chandyo, Laxman Shrestha, Antoine Guedeney, Tor A Strand, Ingrid Kvestad

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Article in Frontiers in psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Manjeswori UlakChild Health Research Project, Department of Pediatrics, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Suman RanjitkarChild Health Research Project, Department of Pediatrics, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Merina ShresthaChild Health Research Project, Department of Pediatrics, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Hanne C BraarudRegional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway.
Ram K ChandyoDepartment of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
Laxman ShresthaChild Health Research Project, Department of Pediatrics, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Antoine GuedeneyDepartment of Child and Adolescent Psychiatry, Hospital Bichat-Claude Bernard, Université de Paris, Paris, France.
Tor A StrandCentre for International Health, University of Bergen, Bergen, Norway.
Ingrid KvestadRegional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSustained social withdrawal in infancy may have organic and nonorganic causes and could hinder normal development. The Alarm Distress Baby (ADBB) scale is a widely validated screening tool of social withdrawal in children 2-24 months. The aim of the current study was to evaluate the full and modified ADBB in Nepalese infants in a community-based study.

methodsWe enrolled 600 infants who were video recorded during a pediatric examination. The 36 infants first enrolled were scored by an expert rater, and the subsequent 64 infants were scored by two trained staff with the full ADBB scale. Of the 600 enrolled infants, 597 videos (including the 100 infants scored with the full ADBB) were scored with the modified ADBB (m-ADBB) scale by the trained staff, with 7% double scoring. We measured the interrater agreement and psychometric properties of both scales.

resultsIn the 64 infants scored with the full ADBB by two raters, the concordance correlation coefficients (CCCs) indicated poor interrater agreement. For the m-ADBB, the CCCs were better indicating acceptable agreement between raters. The greatest lower bound (GLB) for reliability coefficient for the full ADBB scored by an expert rater indicated good internal consistency, whereas the GLB coefficient for the m-ADBB indicated poorer internal consistency. The Spearman correlation coefficient between the total scores of the two versions was 0.82 (

conclusionOur findings suggest that the m-ADBB is an acceptable approach to achieve adequate interrater agreement in a large community-based study in Nepal. Results indicate high prevalence of social withdrawal in this population. There are, however, uncertainties on the internal consistency of the scales in this setting, and the validity of the scales needs to be investigated further. More effective training strategies for administration and additional cultural-specific instructions could be important measures to explore before implementing the scale further in this setting.

Indexed as

ADBBfeasibilityinfantNepalsocial withdrawal

Identifiers

PMID32982842
PMCPMC7479187

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.