Cross, L. M., Warren-Findlow, J., Bowling, J., Reeve, C. L., & Issel, L. M.
Reimagining the measurement of adverse childhood experiences: A Delphi study to develop ACE dimension items

This study aimed to develop a screening measure which incorporates five common adverse childhood experience (ACE) dimensions for the 10 original ACE domains. We used a Delphi method to collect data from 16 subject matter experts (SMEs) based in the USA, Canada, and the UK. SMEs were asked to determine the relative importance of dimensions, how dimension items and response options should be worded, and how dimensions should be analyzed. SMEs agreed that the five proposed dimensions are relevant for most ACE domains. We created dimension items and response options, and an analysis approach for the dimensions based on SME feedback. Conceptual ACE dimensions appear to be relevant for the measurement of ACEs. More research is needed to quantitatively evaluate different dimension scoring approaches and to develop an overall ACE dimensions score.

Testing, Psychometrics, Methodology in Applied Psychology, 2023, Vol. 30, pp. 259-286, DOI: 10.4473/TPM30.3.2