Chan Kitty S, Mangione-Smith Rita, Burwinkle Tasha M, Rosen Mayde, Varni James W
RAND Corporation, Health Program, Santa Monica, California, USA.
Med Care. 2005 Mar;43(3):256-65. doi: 10.1097/00005650-200503000-00008.
We sought to assess the reliability and validity of the PedsQL 4.0 SF15, a shortened version of the 23-item PedsQL 4.0 Generic Core Scales, which is a pediatric health-related quality of life (HRQoL) instrument, and the PedsQL 3.0 SF22 Asthma Module, a short-form of the PedsQL 3.0 Asthma Module.
The PedsQL 4.0 SF15 and the PedsQL 3.0 SF22 Asthma Module were administered by telephone to 125 adolescents (aged 12-18) and 338 parents of children with asthma (aged 2-11). Healthy (n = 451) and chronically ill (n = 422) children, matched by age, respondent status, and ethnicity to the asthma sample, provided data for selected validity tests.
The Total Score from the PedsQL 4.0 SF15 and the Asthma Symptoms scale and Treatment Problems scale from the PedsQL 3.0 SF22 Asthma Module were sufficiently reliable for group comparisons (alpha > or = 0.70 across all age groups) in the asthma sample. The PedsQL 4.0 SF15 and the PedsQL 3.0 SF22 Asthma Module were able to distinguish between children of different clinical status and correlated as expected with measures of productivity and family functioning in the asthma sample. The psychometric properties of the PedsQL 4.0 SF15 were generally comparable to those of the original instrument.
The Total Score of the PedsQL 4.0 SF15 and the Asthma Symptoms scale of the PedsQL 3.0 SF22 Asthma Module demonstrated the best reliability and validity and should be suitable for group-level comparisons of generic and asthma-specific HRQoL in clinical research studies of children with asthma.
我们旨在评估儿童生活质量量表4.0简版15项(PedsQL 4.0 SF15,它是23项儿童生活质量量表4.0通用核心量表的简化版本,是一种与儿童健康相关的生活质量(HRQoL)工具)以及儿童生活质量量表3.0简版22项哮喘模块(PedsQL 3.0 SF22哮喘模块,是儿童生活质量量表3.0哮喘模块的简版)的信度和效度。
通过电话对125名青少年(12 - 18岁)和338名哮喘患儿的父母(2 - 11岁)进行儿童生活质量量表4.0简版15项和儿童生活质量量表3.0简版22项哮喘模块的测评。按年龄、应答者状态和种族与哮喘样本相匹配的健康儿童(n = 451)和慢性病患儿(n = 422)为选定的效度测试提供了数据。
在哮喘样本中,儿童生活质量量表4.0简版15项的总分以及儿童生活质量量表3.0简版22项哮喘模块的哮喘症状量表和治疗问题量表在所有年龄组中进行组间比较时具有足够的信度(α≥0.70)。儿童生活质量量表4.0简版15项和儿童生活质量量表3.0简版22项哮喘模块能够区分不同临床状态的儿童,并且在哮喘样本中与生产力和家庭功能的测量指标呈现出预期的相关性。儿童生活质量量表4.0简版15项的心理测量特性总体上与原始工具相当。
儿童生活质量量表4.0简版15项的总分以及儿童生活质量量表3.0简版22项哮喘模块的哮喘症状量表表现出最佳的信度和效度,应适用于哮喘患儿临床研究中一般和哮喘特异性HRQoL的组间比较。