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

Matthew D. Burkey, Lajina Ghimire, Ramesh P. Adhikari, Brandon A. Kohrt, Mark J.D. Jordans, Emily E. Haroz, Lawrence S. Wissow

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)387-398
Number of pages12
JournalInternational Journal of Culture and Mental Health
Volume9
Issue number4
DOIs
StatePublished - Oct 1 2016

Keywords

  • Disruptive behavior disorders
  • Nepal
  • conduct disorder
  • low-income countries
  • oppositional defiant disorder
  • scale
  • validation

ASJC Scopus subject areas

  • Social Psychology
  • Cultural Studies
  • Psychiatry and Mental health

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