Reliability of the Indonesian version of the School-Years Screening Test for Evaluation of Mental Status-Revised as a cognitive screening tool for children
Abstract: Developmental and
behavioral problems are among the most common conditions of childhood. These
problems affect 12−16% of children in the United States and 13−18% of children
in Indonesia. Early detection of developmental deficits among children requires
clinicians to screen with accurate tools. Cognitive function screening in
children has been increasingly used in many clinical and educational settings.
The School-Years Screening Test for Evaluation of Mental Status-Revised
(SYSTEMS-R) is becoming a widely-used, reliable, and valid cognitive screening
tool for children aged 4−15 years. Prior to our study, there was no Indonesian
language version of the SYSTEMS-R.
Objective To determine the reliability of the Indonesian translation of
the SYSTEMS-R.
Methods A cross-sectional study was conducted in children aged 4−15 years
who understood the Indonesian language and did not have neurologic or
communication impairments. Data were analysed to determine reliability
(internal consistency and inter-rater reliability) of the Indonesian version of
SYSTEMS-R. Internal consistency was determined using Cronbach’s alpha formula.
Internal consistency is a reflection of inter-item correlation and
item-to-total correlation. Inter-rater reliability was determined using the
Bland-Altman method.
Results This study was conducted on 133 children aged 4−15 years in a
kindergarten, elementary, junior high, and senior high school in Bandung. The
Indonesian version of SYSTEMS-R had significant internal consistency (Cron
bach’s alpha 0.936−0.941), and the scores obtained by two raters had good
agreement (difference within mean + 1.96 SD).
Conclusion The Indonesian version of SYSTEMS-R is reliable for use as a
cognitive screening tool for Indonesian children.
Author: Ferriandis Harsono,
Purboyo Solek, Kusnandi Rusmil
Journal Code: jpkedokterangg160056
