Wiseman-Orr M Lesley, Nolan Andrea M, Reid Jacqueline, Scott E Marian
Institute of Comparative Medicine, Department of Veterinary Clinical Studies, Faculty of Veterinary Medicine, University of Glasgow, Glasgow, UK G61 1QH.
Am J Vet Res. 2004 Aug;65(8):1077-84. doi: 10.2460/ajvr.2004.65.1077.
To develop a reliable, validated questionnaire that can be used for the assessment of chronic pain and its impact on health-related quality of life (HRQL) in dogs.
17 owners of dogs that had chronic pain associated with chronic degenerative joint disease and 165 other dog owners.
Psychometric methods were used to identify relevant domains, create an item pool, select and validate items, and construct and preliminarily test a structured questionnaire. Relevant domains were identified through semi structured interviews. Descriptor-generating exercises provided the terms owners used to describe these domains and formed an item pool. A selection from this pool was validated and used to construct a questionnaire that underwent preliminary testing.
The structured questionnaire contained 109 simple, familiar, descriptive terms associated with good health or chronic pain (most describing subtle aspects of behavior that owners interpreted as expressions of subjective experiences of their dogs) for 13 possible HRQL domains. Each descriptor was associated with a 7-point numeric scale.
The questionnaire was intended to facilitate rapid, sensitive, and accurate rating of a comprehensive range of relevant domains by naïve raters with minimal burden on respondents. The principles underlying the development and design of this structured questionnaire offer a novel approach to the proxy measurement of HRQL and changes in HRQL associated with chronic pain for a range of animal species.
This novel approach may be applicable to other nonverbal populations (eg, young children or elderly people with cognitive impairment).
开发一种可靠、经过验证的问卷，用于评估犬类的慢性疼痛及其对健康相关生活质量（HRQL）的影响。
17名患有与慢性退行性关节病相关慢性疼痛的犬只主人以及165名其他犬只主人。
采用心理测量方法来确定相关领域、创建项目池、选择并验证项目，以及构建并初步测试一份结构化问卷。通过半结构化访谈确定相关领域。描述符生成练习提供了主人用于描述这些领域的术语，并形成了一个项目池。从该项目池中选出的内容经过验证后用于构建一份问卷，并进行了初步测试。
结构化问卷包含109个与健康良好或慢性疼痛相关的简单、常见、描述性术语（大多数描述了主人解读为其犬只主观体验表达的行为细微方面），涉及13个可能的HRQL领域。每个描述符都与一个7分数字量表相关联。
该问卷旨在便于未经专业培训的评估者快速、灵敏且准确地对一系列相关领域进行评分，同时尽量减轻受访者的负担。这份结构化问卷的开发和设计所依据的原则为一系列动物物种的HRQL替代测量以及与慢性疼痛相关的HRQL变化提供了一种新方法。
这种新方法可能适用于其他无法言语表达的人群（如幼儿或有认知障碍的老年人）。
