Glattes R Christopher, Burton Douglas C, Lai Sue Min, Frasier Elizabeth, Asher Marc A
Department of Orthopedic Surgery, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Spine (Phila Pa 1976). 2007 Jul 15;32(16):1778-84. doi: 10.1097/BRS.0b013e3180dc9bb2.
This is a clinic-based cross-sectional study involving 2 health-related quality-of-life (HRQL) questionnaires.
To compare the score distribution and reliability of the spinal deformity specific Scoliosis Research Society-22r (SRS-22r) questionnaire and the established generic Child Health Questionnaire-CF87 (CHQ-CF87), and to assess the concurrent validity of the SRS-22r using the CHQ-CF87 in an adolescent spine deformity population.
Different questionnaires are commonly thought to be necessary to assess the HRQL of adolescent and adult populations. But since spinal deformities usually begin in the second decade of life, longitudinal follow-up with the same HRQL is desirable. The SRS-22r HRQL has recently been validated for score distribution and internal consistency in a spinal deformity population ranging in age from 7 to 78 years.
The SRS-22r and CHQ-CF87 HRQLs were completed by 70 orthopedic spinal deformity outpatients 8 to 18 years of age, of whom 54 returned mailed retest questionnaires at an average of 24 days later.
The ceiling effect averaged 27% for the SRS-22r and 36% for the CHQ-CF87. Respective values for internal consistency (Cronbach alpha) were 0.81 and 0.82, and for test-retest reproducibility the intraclass correlations (ICC) were 0.73 and 0.61. Concurrent validity was r > or = 0.68 or more for relevant function, pain, and mental health domains. The SRS Self-Image and particularly the Satisfaction/Dissatisfaction with Management domains did not correlate well with any CHQ-CF87 domains (r = 0.50 and 0.30, respectively).
In a spinal deformity population 8 to 18 years of age, the score distribution and reliability, internal consistency, and reproducibility of the SRS-22r were at least as good as the CHQ-CF87. The SRS-22r function, pain, and mental health domains were concurrently valid in comparison to relevant CHQ-CF87 domains, but the SRS-22r self-image and satisfaction/dissatisfaction domains were not, thereby providing health-related quality-of-life information not provided for by the CHQ-CF87.
这是一项基于诊所的横断面研究，涉及两份与健康相关的生活质量（HRQL）问卷。
比较脊柱畸形特异性的脊柱侧弯研究学会-22r（SRS-22r）问卷和已确立的通用儿童健康问卷-CF87（CHQ-CF87）的得分分布及可靠性，并在青少年脊柱畸形人群中使用CHQ-CF87评估SRS-22r的同时效度。
通常认为需要不同的问卷来评估青少年和成人人群的健康相关生活质量。但由于脊柱畸形通常始于生命的第二个十年，因此采用相同的健康相关生活质量进行纵向随访是可取的。SRS-22r健康相关生活质量最近已在年龄范围为7至78岁的脊柱畸形人群中进行了得分分布和内部一致性验证。
70名年龄在8至18岁的脊柱畸形骨科门诊患者完成了SRS-22r和CHQ-CF87健康相关生活质量问卷，其中54人在平均24天后返回了邮寄的重测问卷。
SRS-22r的天花板效应平均为27%，CHQ-CF87为36%。内部一致性（克朗巴赫α系数）分别为0.81和0.82，重测信度的组内相关系数（ICC）分别为0.73和0.61。在相关功能、疼痛和心理健康领域，同时效度的相关系数r≥0.68或更高。SRS自我形象领域，尤其是对治疗的满意度/不满意度领域与任何CHQ-CF87领域的相关性都不佳（分别为r = 0.50和0.30）。
在8至18岁的脊柱畸形人群中，SRS-22r的得分分布、可靠性、内部一致性和重测信度至少与CHQ-CF87相当。与CHQ-CF87的相关领域相比，SRS-22r的功能、疼痛和心理健康领域具有同时效度，但SRS-22r的自我形象和满意度/不满意度领域不具有同时效度，从而提供了CHQ-CF87未提供的健康相关生活质量信息。
