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审视荷兰儿童健康评估问卷的心理测量学特征:是否有改进空间?

Examining the psychometric characteristics of the Dutch childhood health assessment questionnaire: room for improvement?

作者信息

Takken T, van den Eijkhof F, Hoijtink H, Helders P J M, van der Net J

机构信息

Department of Pediatric Physical Therapy & Exercise Physiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Room KB2.056.0, PO Box 85090, 3508, AB Utrecht, The Netherlands.

出版信息

Rheumatol Int. 2006 Sep;26(11):979-83. doi: 10.1007/s00296-006-0108-5. Epub 2006 Feb 9.

DOI:10.1007/s00296-006-0108-5
PMID:16468046
Abstract

The aim of this study was to examine the psychometric characteristics of the childhood health assessment questionnaire-disability index (CHAQ-DI). Seventy-six patients with juvenile idiopathic arthritis (JIA), age range 4.8-15.8 years, completed a CHAQ questionnaire one or more times. In total, 321 CHAQ questionnaires were available for analysis. Factor analysis and correlation were used to analyse the data. The analysis indicated that 12 items could be removed from the original 30 items of the CHAQ-DI. Also the addition of "aids and assistance" to the overall scoring method of the CHAQ-DI did not contribute to the overall measuring concept of the CHAQ-DI. The psychometric characteristics of the CHAQ-DI could be improved by removing 12 items from the original 30 items. Moreover, a simple scoring method, without the addition of aids and assistance to the total CHAQ-DI improves sensitivity to change of the CHAQ-DI.

摘要

本研究旨在检验儿童健康评估问卷残疾指数(CHAQ-DI)的心理测量特征。76例幼年特发性关节炎(JIA)患者,年龄范围为4.8至15.8岁,完成了一次或多次CHAQ问卷。总共321份CHAQ问卷可供分析。采用因子分析和相关性分析数据。分析表明,CHAQ-DI最初的30项中有12项可以删除。此外,在CHAQ-DI的总体评分方法中增加“辅助器具和协助”对CHAQ-DI的总体测量概念没有贡献。通过从最初的30项中删除12项,可以改善CHAQ-DI的心理测量特征。此外,一种简单的评分方法,即在CHAQ-DI总分中不增加辅助器具和协助,可提高CHAQ-DI对变化的敏感性。

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本文引用的文献

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Revised versions of the Childhood Health Assessment Questionnaire (CHAQ) are more sensitive and suffer less from a ceiling effect.儿童健康评估问卷(CHAQ)的修订版更敏感,天花板效应也更小。
Arthritis Rheum. 2004 Dec 15;51(6):881-9. doi: 10.1002/art.20820.
2
Validity of the childhood health assessment questionnaire is independent of age in juvenile idiopathic arthritis.儿童健康评估问卷的有效性在幼年特发性关节炎中与年龄无关。
Arthritis Rheum. 2004 Aug 15;51(4):519-26. doi: 10.1002/art.20529.
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International research networks in pediatric rheumatology: the PRINTO perspective.
Comparing different revisions of the Childhood Health Assessment Questionnaire to reduce the ceiling effect and improve score distribution: Data from a multi-center European cohort study of children with JIA.比较不同版本的《儿童健康评估问卷》以减少天花板效应并改善评分分布:来自 JIA 患儿多中心欧洲队列研究的数据。
Pediatr Rheumatol Online J. 2010 May 17;8:16. doi: 10.1186/1546-0096-8-16.
4
Evaluating score distributions in the revised Dutch version of the Childhood Health Assessment Questionnaire.评估修订后的荷兰版儿童健康评估问卷中的分数分布。
Pediatr Rheumatol Online J. 2008 Sep 11;6:14. doi: 10.1186/1546-0096-6-14.
儿科风湿病国际研究网络:PRINTO的观点。
Curr Opin Rheumatol. 2004 Sep;16(5):566-70. doi: 10.1097/01.bor.0000130286.54383.ea.
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Relationship between functional ability and physical fitness in juvenile idiopathic arthritis patients.
Scand J Rheumatol. 2003;32(3):174-8. doi: 10.1080/03009740310002524.
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Aquatic fitness training for children with juvenile idiopathic arthritis.针对幼年特发性关节炎患儿的水上健身训练
Rheumatology (Oxford). 2003 Nov;42(11):1408-14. doi: 10.1093/rheumatology/keg386. Epub 2003 Jun 27.
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The Stanford Health Assessment Questionnaire: a review of its history, issues, progress, and documentation.斯坦福健康评估问卷:对其历史、问题、进展及文献记录的综述
J Rheumatol. 2003 Jan;30(1):167-78.
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The Dutch version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ).儿童健康评估问卷(CHAQ)和儿童健康问卷(CHQ)的荷兰语版本。
Clin Exp Rheumatol. 2001 Jul-Aug;19(4 Suppl 23):S111-5.
8
The clinical meaning of functional outcome scores in children with juvenile arthritis.青少年关节炎患儿功能预后评分的临床意义。
Arthritis Rheum. 2001 Aug;44(8):1768-74. doi: 10.1002/1529-0131(200108)44:8<1768::AID-ART312>3.0.CO;2-Q.
9
Validation of the Childhood Health Assessment Questionnaire in the juvenile idiopathic myopathies. Juvenile Dermatomyositis Disease Activity Collaborative Study Group.儿童健康评估问卷在幼年特发性肌病中的效度验证。幼年皮肌炎疾病活动协作研究组。
J Rheumatol. 2001 May;28(5):1106-11.
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Do junvenile idiopathic arthritis patients benefit from an exercise program? A pilot study.青少年特发性关节炎患者能从运动计划中获益吗?一项试点研究。
Arthritis Rheum. 2001 Feb;45(1):81-5. doi: 10.1002/1529-0131(200102)45:1<81::AID-ANR88>3.0.CO;2-I.