非語文學習障礙篩選量表編製研究

Development of a Screening Checklist for Nonverbal Learning Disabilities

10.6172/BSE200811.3303005

單延愷(Ian-Kai Shan)；洪儷瑜(Li-Yu Hung)；陳心怡(Hsin-Yi Chen)

非語文學習障礙 ； 學習障礙 ； 篩選量表 ； learning disabilities ； nonverbal learning disabilities ； screening checklist ； checklist design

特殊教育研究學刊

33卷3期（2008 / 11 / 20）

95 - 123

繁體中文

非語文學習障礙(nonverbal learning disabilities, NLD)是學習障礙的一種亞型，由於缺乏相關的評估工具，因而限制了NLD 的研究以及鑑定實務工作。本研究之目的為編製一份「非語文學習障礙篩選量表」(Screening Checklist for Nonverbal Learning Disabilities, SCNLD)，並進行信度與效度之檢驗，以期能篩選出NLD之學生。165位國小普通班四至六年級學生以及7位NLD臨床模擬個案參與SCNLD量表之編製，953位普通班學生參與SCNLD先驗常模之建立，以及32位經鑑輔會鑑定的學習障礙個案（17位語文類型與15位非語文類型）參與SCNLD效度之分析。SCNLD原始題目為60題，由家長填答，經項目分析、因素分析、以及題目間的相關分析後，刪減題目為52題，包括社會人際、動作協調、以及知覺組織等三個分量表。在信度方面，SCLND分量表以及全量表之Cronbach α係數在.88~.96之間，在間隔兩個月的重測信度中，SCLND分量表以及全量表前後測之相關係數位於.74~.83之間，內在等級相關係數位於.85~.90之間。在效度方面，無論是在SCNLD全量表或各分量表分數的比較，或是達到切截分數的人數比較，非語文類型學障學生均明顯高於語文類型學障學生，同時在「接受者操作特徵」(receiver operating characteristic, ROC)曲線下面積結果也顯示SCLND對於NLD具有良好的診斷價值。本研究編製的SCLND具有滿意的信度與效度，ROC曲線也支持SCLND的診斷敏感度以及特異度。

Nonverbal Learning Disabilities (NLD) are one of the subtypes of learning disabilities. The purpose of this study was to develop a ”Screening Checklist for Nonverbal Learning Disabilities” (SCNLD) in order to find which students have NLDs. The checklist was designed by analyzing 165 Grade 4-6 normal students and 7 analogue NLD clinical cases. Based on item analysis, factor analysis and correlation analysis, 52 items were selected for a checklist with 3 subscales or dimensions: social-interpersonal, motor- coordination, and perceptual-organization dimensions. In the reliability test, the Cronbach α coefficient was .88 to .96 and the test-retest coefficient was .74 to .83. As for test validity in terms of cut-off score, the normative data was established for 953 Grade 4-6 students, and the cut-off score was 41. 32 students with learning disabilities (17 verbal- type and 15 nonverbal-type) then participated in validation of the SCNLD. The mean score on the SCNLD, as well as the number of students who reached the SCNLD cut-off score, were higher for nonverbal-type learning-disabled students, and the receiver-operated characteristic (ROC) curve indicated that this SCNLD can be a good diagnostic tool. The reliability and validity of the SCNLD were satisfied, and the ROC curve supported the sensitivity and specificity of this Screening Checklist.

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