Selvaag A M, Ruperto N, Asplin L, Rygg M, Landgraf J M, Forre Ø, Flatø B
National Hospital, Department of Rheumatology, Oslo, Norway.
Clin Exp Rheumatol. 2001 Jul-Aug;19(4 Suppl 23):S116-20.
We report herein the results of the cross-cultural adaptation and validation into the Norwegian language of the parent's version of two health related quality of life instruments. The Childhood Health Assessment Questionnaire (CHAQ) is a disease specific health instrument that measures functional ability in daily living activities in children with juvenile idiopathic arthritis (JIA). The Child Health Questionnaire (CHQ) is a generic health instrument designed to capture the physical and psychosocial well-being of children independently from the underlying disease. The Norwegian CHAQ and CHQ have already been published and therefore they were fully revalidated in this study. A total of 148 subjects were enrolled: 88 patients with JIA (6% systemic onset, 45% polyarticular onset, 10% extended oligoarticular subtype, and 39% persistent oligoarticular subtype) and 60 healthy children. The CHAQ clinically discriminated between patients with various JIA subtypes, with the systemic, polyarticular and extended oligoarticular subtypes having a higher degree of disability, pain, and a lower overall well-being when compared to those with persistent oligoarticular arthritis. Also the CHQ clinically discriminated between healthy subjects and JIA patients, with the systemic onset, polyarticular onset and extended oligoarticular subtypes having a lower physical and psychosocial well-being when compared to their healthy peers. In conclusion the Norwegian version of the CHAQ-CHQ is a reliable, and valid tool for the functional, physical and psychosocial assessment of children with JIA.
我们在此报告两种与健康相关的生活质量工具家长版的跨文化调适及挪威语验证结果。儿童健康评估问卷（CHAQ）是一种针对疾病的健康工具，用于测量幼年特发性关节炎（JIA）患儿日常生活活动中的功能能力。儿童健康问卷（CHQ）是一种通用健康工具，旨在独立于潜在疾病来获取儿童的身体和心理社会健康状况。挪威语版的CHAQ和CHQ已发表，因此在本研究中对它们进行了全面的重新验证。共招募了148名受试者：88名JIA患者（6%为全身型起病，45%为多关节型起病，10%为扩展性少关节型亚型，39%为持续性少关节型亚型）和60名健康儿童。CHAQ在临床上能够区分不同JIA亚型的患者，与持续性少关节型关节炎患者相比，全身型、多关节型和扩展性少关节型亚型患者的残疾程度更高、疼痛更严重，总体健康状况更低。CHQ在临床上也能区分健康受试者和JIA患者，与健康同龄人相比，全身型起病、多关节型起病和扩展性少关节型亚型患者的身体和心理社会健康状况更低。总之，挪威语版的CHAQ-CHQ是评估JIA患儿功能、身体和心理社会状况的可靠且有效的工具。
