Ｔｈｅ Ｈｏｍｅ Ｓｃｒｅｅｎｉｎｇ Ｑｕｅｓｔｉｏｎｎａｉｒｅ（ＨＳＱ）による家庭刺激の評価 東京都とデンバー市の比較

Abstract

Home Screening Questionnaire (HSQ) is a parent-answered questionnaire based on the Home Observation for Measurement of the Environment (HOME Inventory and was developed by the JFK Child Development Center, Univ, of Colorado in 1977 to evaluate a child's home environment. The HSQ consists of multiple-choice, fill-in-the blank, and Yes/No questions and each HSQ item which positively contributes to the child's development is counted into a total score. The purpose of the present study was to evaluate whether the HSQ could be used for Tokyo children and to make comparison between child's environment in Tokyo and Denver. The Subjects and Method; The subjects were selected from the visitors to public health centers and well baby clinics in 1982-1983 either in a compulsory health check-up or in voluntary health onsultation. Results; (1) As the first step, answers to the Questionnaire were collected in 1982 from 200 mothers of toddlers and 130 mothers of three years old . All the items and the scores of the HSQ were analized according to the original HSQ manual . Some differences in the norms of the HSQ items were found between Tokyo and Denver. It was found necessary to modify the scoring of 6 of 31 items of HSQ for 0-3 years, and 8 of 34 items for 3-6 years. One item is both ages had to be omitted. (2) As the second step the field trial was conducted in 1983 for 144 mothers of toddlers and 106 mothers of three years old. The HSQ was modified based on the 1982 study. The results demonstrated that this modified form was useful as a screening tool to identify the high risk home environment. Similarities of the norms of the HSQ were found between Tokyo and Denver in 19 of 31 items for 0-3 year HSQ and 14 of 34 items for 3-6 HSQ, but there were also differences in the rest of the items in both age groups . In conclusion, the scoring method of the original HSQ should be modified due to the cultural differences in child rearing behavior and environment between two countries . The meaning of the similarities and differences of the norms of the HSQ scoring between two countries were also discussed. This paper was presented at 10th World Congress of Social Psychiatry, Sept. 4 - 8, 1983, Osaka, Japan