O'Connor A R, Stephenson T J, Johnson A, Wright S D, Tobin M J, Ratib S, Fielder A R
Division of Child Health, University of Nottingham, UK.
Arch Dis Child. 2004 Sep;89(9):831-5. doi: 10.1136/adc.2003.029470.
Questionnaires are important tools used to gain information about health and level of function in different domains.
To determine the degree of agreement between questionnaires, administered to parents and teachers, and ophthalmic and psychological examinations in a cohort of 309 low birth weight children (<1701 g) at age 10-13 years.
A total of 90.9% of cases showed agreement between the question on distance vision and clinical assessment, and agreement for the near vision question was 83%. However, the correlation on an individual basis was only fair (kappa = 0.46, distance vision) to poor (kappa = 0.2, near vision). The overall agreement for the questions on cognitive ability was better than the correlation, whereas the questions on reading and mathematical ability showed low agreement and low correlation.
Questionnaire assessment of vision and cognitive ability is more suitable for studying the outcome of a large population than for identifying deficits in individuals.
问卷是用于获取不同领域健康和功能水平信息的重要工具。
确定在一个由309名10至13岁低出生体重儿童(<1701克)组成的队列中,向家长和教师发放的问卷与眼科及心理检查之间的一致程度。
总共90.9%的病例在远视力问题与临床评估之间显示出一致性,近视力问题的一致性为83%。然而,个体层面的相关性仅为中等(kappa = 0.46,远视力)至较差(kappa = 0.2,近视力)。关于认知能力问题的总体一致性优于相关性,而关于阅读和数学能力的问题显示出低一致性和低相关性。
问卷对视力和认知能力的评估更适合用于研究大量人群的结果,而非识别个体缺陷。