Evaluation of Psychometric Properties and Factorial Structure of ADHD Module of K-SADS-PL in Children From Rural Kenya

Symon M. Kariuki, Charles R.J.C. Newton, Amina Abubakar, Mary A. Bitta, Rachael Odhiambo, Jacqueline Phillips Owen

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Objective: We determined the reliability of The Kiddie-Schedule for Affective Disorders and Schizophrenia for School-Age Children–Present and Lifetime (K-SADS-PL) for screening and diagnosing ADHD in children. Method: K-SADS-PL was administered to 2,074 children in the community. Psychometric properties, factorial structure, and clinical validity of K-SADS-PL in screening or diagnosis of ADHD were examined. Results: Internal consistency was excellent for items in the screening interview (Macdonald’s Omega [ω] = 0.89; 95% confidence interval [CI] [0.87, 0.94]) and diagnostic supplement (ω = 0.95; 95% CI [0.92, 0.99]). The standardized coefficients for items in the screening interview were acceptable (0.59-0.85), while fit indices for single factorial structure reached acceptable levels. Screening items were associated with high sensitivity (97.8%; 95% CI [97.2, 98.5%]) and specificity (94.0%; 95% CI [93.0, 95.0%]) for diagnosis of ADHD in the supplement. The test-retest and interinformant reliability as measured by intraclass correlation coefficient was good for most of the items. Conclusion: This large study shows that K-SADS-PL can be reliably used to screen and diagnose ADHD in children in Kenya.

Original languageEnglish
Pages (from-to)2064-2071
Number of pages8
JournalJournal of Attention Disorders
Volume24
Issue number14
DOIs
Publication statusPublished - 1 Dec 2020
Externally publishedYes

Keywords

  • K-SADS-PL
  • Kenya
  • attention deficit hyperactivity disorders
  • children
  • psychometric properties

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