Simeoni M C, Sapin C, Antoniotti S, Auquier P
Laboratoire de Santé Publique, Faculté de Médecine, Marseille, France.
J Adolesc Health. 2001 Apr;28(4):288-94. doi: 10.1016/s1054-139x(00)00198-1.
To examine the relevance of a self-administered multidimensional instrument to the discrimination of illness and health among adolescents in South-eastern France.
We show the results of a self-reported HRQL assessment by the Vécu et Santé Perçue de l'Adolescent (VSP-A) multidimensional questionnaire, conducted on a population of 3061 adolescents. The VSP-A produces a score for each of the seven dimensions (relationships with friends, relationships with parents, school life, inaction, psychological distress, future, and energy/vitality) and a global score. The result is compared with the answers of the parents to the same multidimensional HRQL questionnaire reworded for them (VSP-P) and to the perceived health self-reported by the adolescents on a visual analogue scale (VAS). The adolescents filled both the VSP-A and VAS questionnaires twice at a 1-month interval.
A total of 2941 adolescents completed the questionnaire correctly, and 1760 VSP-P questionnaires were filled out by their parents. The global HRQL score as well as the dimension scores from the parents' assessment were significantly different from those of the adolescents. At the inception, using three approaches (self-reported VAS, VSP-A, and VSP-P), it was possible to discriminate between ill and healthy adolescents. Nevertheless, the VSP-A completed at the inception is the only of the three approaches that can point out the adolescents who will become ill during the following month. Furthermore, the results reported by VSP-A largely agree with literature.
The VSP-A could provide a comprehensive approach of HRQL of young people in both health prevention and the health care system.
研究一种自我管理的多维工具对于法国东南部青少年疾病与健康状况鉴别的相关性。
我们展示了一项由青少年生活与感知健康（VSP-A）多维问卷进行的自我报告健康相关生活质量（HRQL）评估结果，该评估针对3061名青少年群体开展。VSP-A为七个维度（与朋友的关系、与父母的关系、学校生活、无所作为、心理困扰、未来以及精力/活力）中的每一个维度生成一个分数以及一个总体分数。将结果与父母对为他们重新措辞的同一多维HRQL问卷（VSP-P）的回答以及青少年在视觉模拟量表（VAS）上自我报告的感知健康状况进行比较。青少年每隔1个月填写一次VSP-A和VAS问卷。
共有2941名青少年正确完成了问卷，他们的父母填写了1760份VSP-P问卷。父母评估得出的总体HRQL分数以及各维度分数与青少年的分数存在显著差异。一开始，使用三种方法（自我报告的VAS、VSP-A和VSP-P）能够区分患病和健康的青少年。然而，一开始完成的VSP-A是这三种方法中唯一能够指出在接下来一个月内将会患病的青少年的方法。此外，VSP-A报告的结果与文献基本一致。
VSP-A能够在健康预防和医疗保健系统中为年轻人的HRQL提供一种全面的评估方法。
