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Table 4 Area Under the Curve and Classification Accuracy for the DBIS-N, ECBI, and KSADS-PL using two emic assessments as criteria

From: Validation of a cross-cultural instrument for child behavior problems: the Disruptive Behavior International Scale – Nepal version

Local Construct (Criterion) DBIS-N ECBI K-SADS-PL
AUC (95% CI) Classification Accuracy AUC (95% CI) Classification Accuracy AUC (95% CI) Classification Accuracy
Vignette-based behavior problem* 0.83 (0.78–0.88) 76.0% 0.83 (0.78–0.88) 75.2% 0.49 (0.42–0.56) 54.3%
Badmaash (naughty/ disobedient)** 0.85 (0.77–0.93) 90.0% 0.85 (0.78–0.91) 88.8% 0.49 (0.38–0.60) 88.1%**
  1. Abbreviations: DBIS-N Disruptive Behavior International Scale-Nepal, ECBI Eyberg Child Behavior Inventory, K-SADS-PL Kiddie SADS Present and Lifetime, AUC Area Under the Curve
  2. *Children nominated by their parents as having locally defined behavior problems based on vignette description and affirmation of need for support. ** Children identified by their parents as being “definitely” badmaash (translation: naughty/disobedient) and meeting locally defined criteria for functional impairment (i.e. CFIS > 9)
  3. **Highest classification accuracy was at the maximum score, which yielded 0% sensitivity, and 100% specificity