Riley Anne W, Forrest Christopher B, Starfield Barbara, Rebok George W, Robertson Judith A, Green Bert F
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Med Care. 2004 Mar;42(3):210-20. doi: 10.1097/01.mlr.0000114909.33878.ca.
Valid, comprehensive instruments to describe, monitor, and evaluate health from childhood through adolescence are almost nonexistent, but are critical for health resource planning, evaluation of policy, preventive, and clinical interventions, and understanding trajectories of health during this important period of life.
The objectives of this study were to describe the development, testing, and final versions of the Parent Report Form of the Child Health and Illness Profile-Child Edition (CHIP-CE/PRF), designed to measure the health of children 6 to 11 years old from the caregiver perspective.
Parents (N=1049) completed a version of the CHIP-CE/PRF in 4 locations in the United States, either in clinic waiting rooms or their homes. They differed in race/ethnicity, socioeconomic level, and native language.
The Parent CHIP-CE is feasible; parents with a 5th-grade reading level complete the 76-item PRF in 20 minutes. Its domains (Satisfaction, Comfort, Risk Avoidance, Resilience, and Achievement) measure structurally distinct, interrelated aspects of health. Domain reliability is high: internal consistency=0.79-0.88; retest reliability (ICC)=0.71-0.85. Validity is supported. The scale scores are sensitive to predicted age, gender, and socioeconomic status differences in health.
The CHIP-Child Edition/Parent Report Form is a psychometrically sound, conceptually based measure of child health that works well in diverse populations. It produces scores that parallel those of children on the CHIP-CE/CRF and adolescents on the CHIP-AE and allows health to be consistently assessed from childhood through adolescence. It should meet many needs for describing, monitoring, and understanding child health and evaluating outcomes of interventions.
从童年到青春期描述、监测和评估健康状况的有效、全面的工具几乎不存在，但对于卫生资源规划、政策评估、预防和临床干预以及了解生命中这一重要时期的健康轨迹至关重要。
本研究的目的是描述儿童健康与疾病概况儿童版家长报告表（CHIP-CE/PRF）的开发、测试和最终版本，该报告表旨在从照顾者的角度衡量6至11岁儿童的健康状况。
1049名家长在美国4个地点的诊所候诊室或家中完成了CHIP-CE/PRF的一个版本。他们在种族/民族、社会经济水平和母语方面存在差异。
家长版CHIP-CE是可行的；五年级阅读水平的家长在20分钟内完成76项的PRF。其领域（满意度、舒适度、风险规避、恢复力和成就）衡量健康状况在结构上不同但相互关联的方面。领域信度很高：内部一致性=0.79-0.88；重测信度（ICC）=0.71-0.85。效度得到支持。量表分数对预测的年龄、性别和社会经济地位的健康差异敏感。
CHIP儿童版/家长报告表是一种基于概念的儿童健康测量工具，心理测量学上合理，在不同人群中效果良好。它产生的分数与CHIP-CE/CRF上的儿童以及CHIP-AE上的青少年的分数相似，并允许从童年到青春期持续评估健康状况。它应该满足描述、监测和了解儿童健康以及评估干预结果的许多需求。
