Validation of the Simplified Chinese Psychoeducational Profile Third Edition in Mainland China.
Lu Yu, Xiaoqin Zhu, Daniel T L Shek and 3 others
PMID 30542942WHAT IT FOUND
After Mandarin and everyday-item changes, the Simplified Chinese PEP-3 gave stable scores and was related to other child-development measures, so it can help therapists profile strengths and weaknesses in Mandarin-speaking children with ASD in mainland China.
It does not prove treatment works.
Key findings
01The PEP-3 was adapted for Mandarin-speaking children in mainland China by changing Cantonese wording and replacing culturally unfamiliar objects.
02The adapted test showed stable scores across repeated testing, agreement between raters, and expected relationships with other developmental and autism measures.
03Children with typical development scored higher than children with ASD on the Performance Test, while boys and girls with ASD scored similarly.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
All children with ASD were recruited from one well-known child development center in Guangzhou, so the results may not apply to children with ASD across mainland China. The study did not measure intelligence or other possible concurrent diagnoses, so group differences may reflect unmeasured factors. The Caregiver Report was not tested for stability over time or agreement between different caregivers. The validity comparisons used older Western measures, so some correlations may not capture subtle ASD symptoms. The factor model had an RMSEA of 0.16, above the 0.10 threshold the paper says it used. Some items skewed strongly, and seven items were excluded from inter-rater reliability calculations.
Declared interests
The Heep Hong Society funded the study. It also converted the Cantonese version to Simplified Chinese, reviewed the translation, and trained the testers.
The easy way to misread this
Do not treat the Simplified Chinese PEP-3 as a standalone diagnostic test or as proof that an intervention works. It was validated as an assessment profile, and the paper says it can be used with other diagnostic tools.