Development process of an assessment tool for disruptive behavior problems in cross-cultural settings: the Disruptive Behavior International Scale - Nepal version (DBIS-N).


Journal Article

Systematic processes are needed to develop valid measurement instruments for disruptive behavior disorders (DBDs) in cross-cultural settings. We employed a four-step process in Nepal to identify and select items for a culturally valid assessment instrument: 1) We extracted items from validated scales and local free-list interviews. 2) Parents, teachers, and peers (n=30) rated the perceived relevance and importance of behavior problems. 3) Highly rated items were piloted with children (n=60) in Nepal. 4) We evaluated internal consistency of the final scale. We identified 49 symptoms from 11 scales, and 39 behavior problems from free-list interviews (n=72). After dropping items for low ratings of relevance and severity and for poor item-test correlation, low frequency, and/or poor acceptability in pilot testing, 16 items remained for the Disruptive Behavior International Scale-Nepali version (DBIS-N). The final scale had good internal consistency (α=0.86). A 4-step systematic approach to scale development including local participation yielded an internally consistent scale that included culturally relevant behavior problems.

Full Text

Duke Authors

Cited Authors

  • Burkey, MD; Ghimire, L; Adhikari, RP; Kohrt, BA; Jordans, MJD; Haroz, E; Wissow, L

Published Date

  • 2016

Published In

Volume / Issue

  • 9 / 4

Start / End Page

  • 387 - 398

PubMed ID

  • 28093575

Pubmed Central ID

  • 28093575

International Standard Serial Number (ISSN)

  • 1754-2863

Digital Object Identifier (DOI)

  • 10.1080/17542863.2016.1226372


  • eng

Conference Location

  • England