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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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Adaptation and validation of the disruptive behaviour disorders teacher rating scale as a screening tool for early detection of disruptive behaviour disorders in schools in a lower-middle income setting

Olawunmi Olagundoye
  • Corresponding author
  • Lagos State Health Service Commission, General Hospital Lagos, Department of Family Medicine, 1-3 Broad Street, Lagos Island, Lagos, Nigeria
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/ Alex Igundunasse / Morenike Alugo
Published Online: 2018-01-13 | DOI: https://doi.org/10.1515/ijamh-2017-0134

Abstract

Background

Despite the need to curb the menace resulting from the negative trajectory of disruptive behaviour disorders (DBD) in societies of the world today, there is yet a dearth of locally standardised tools for the early detection of these disorders in Nigeria. This study was aimed at standardising the DBD teacher rating scale (DBD-TRS) to be culturally specific using teachers’ ratings of their students.

Objectives

To establish norm scores for the three categories of DBD on the DBD-TRS, to evaluate the reliability, validity, predictive power, sensitivity and specificity of DBD-TRS items for identifying DBD symptoms amongst children/adolescents between the ages of 4 and 16 years.

Methods

A cross-sectional survey of the five divisions of Lagos was conducted using multi-stage sampling technique. A randomly selected sample of teachers from a selection of regular schools across the five divisions of Lagos retrospectively rated systematically selected samples of their students in absentia; by referring to the names in their class registers for the recently concluded school session. The DBD-TRS and the previously validated strengths and difficulties questionnaire (SDQ) were used for the ratings.

Results

Ratings were completed for 1508 children/adolescents by 197 teachers from 30 regular schools. The norm scores for the three categories of DBD were determined by gender, age, and grade/class. Satisfactory psychometric properties were established for the DBD rating scale. All DBD items had high negative predictive power and positive predictive power, high specificity, and low false positive rates. However, ADHD items had lower PPP (0.23–0.55).

Conclusion

The DBD rating scale demonstrated sufficient technical merits to be used as a preliminary tool for identifying children that may require further clinical evaluation by mental health experts for behavioural disorders.

Keywords: attention deficit hyperactivity disorder; conduct disorders; oppositional defiant disorder; predictive values; screening; secondary prevention

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About the article

Received: 2017-08-02

Accepted: 2017-09-08

Published Online: 2018-01-13


Declaration

Ethics approval and consent to participate: Ethical clearance to conduct this study was obtained from the Health Research and Ethics Committee of the Lagos State University Teaching Hospital, Lagos, Nigeria. Reference number: LREC/06/10/717.

Permission was obtained from the authorities of the schools and informed consent was also obtained from teachers who participated voluntarily in the study. Children and adolescents did not participate in the study; child assent was therefore not indicated. There were no risks whatsoever to the participants and confidentiality was ensured.

Competing interests: The authors declare that they have no competing interests


Citation Information: International Journal of Adolescent Medicine and Health, 20170134, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0134.

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