Post M W, Kuyvenhoven M M, Verheij M J, de Melker R A, Hoes A W
Universiteit Utrecht, vakgroep Huisartsgeneeskunde, Utrecht.
Ned Tijdschr Geneeskd. 1998 Dec 5;142(49):2675-9.
Clinimetric evaluation of the Dutch version of the Functional Status II(R) (FS II), measuring children's behaviour and the effect of disease on it.
Descriptive.
University of Utrecht, department of General Practice Medicine, and Julius Centre for Patient-linked Research.
Parents of children (6 months-11 years of age) with or without asthma were questioned using the Dutch translation of the FS II. Parents of children with asthma and of control children were questioned again using the FS II after 24 hours and after one month. A child version of the FS II, developed by our group, was used for children between 8 and 12 years of age. We tested internal consistency, test-retest reliability, discriminant validity, sensitivity to parents' opinion on presence or absence of health complaints and agreement between the parent and the child version.
The group included 124 parents of asthmatic children and 224 parents of control children, 111 of whom were aged 8-12 years. The parent version of the FS II showed good reliability and validity. Cronbach's alpha, measuring internal consistency, was between 0.66 and 0.90, and the 24-hour test-retest reliability was between 0.83 and 0.92. FS II-scores of children with asthma were significantly lower than those of children in the control group, and scores of children with health complaints were significantly lower than those of children without any health complaints, cross-sectionally as well as longitudinally. Reliability and validity figures of the child version of the FS II were far behind those of the parent version. Scores on the child version were only weakly related to those on the parent version.
The parent version of the Dutch FS II is recommended as a generic measure of functional health status of children for medical research. The child version should be improved first.
对荷兰语版功能状态II（R）（FS II）进行临床计量学评估，该量表用于测量儿童行为以及疾病对其的影响。
描述性研究。
乌得勒支大学全科医学系及朱利叶斯患者关联研究中心。
使用FS II的荷兰语译本对患有或未患哮喘的6个月至11岁儿童的父母进行询问。哮喘患儿的父母及对照儿童的父母在24小时后和1个月后再次使用FS II接受询问。我们小组开发的FS II儿童版用于8至12岁的儿童。我们测试了内部一致性、重测信度、判别效度、对父母关于是否存在健康问题看法的敏感性以及父母版与儿童版之间的一致性。
该组包括124名哮喘患儿的父母和224名对照儿童的父母，其中111名年龄在8至12岁之间。FS II的父母版显示出良好的信度和效度。测量内部一致性的克朗巴哈系数在0.66至0.90之间，24小时重测信度在0.83至0.92之间。哮喘患儿的FS II得分显著低于对照组儿童，有健康问题的儿童得分显著低于无任何健康问题的儿童，无论是横断面还是纵向比较均是如此。FS II儿童版的信度和效度数据远落后于父母版。儿童版得分与父母版得分仅微弱相关。
建议将荷兰语版FS II的父母版作为医学研究中儿童功能健康状况的通用测量工具。儿童版应首先改进。
