Division of Plastic Surgery, University of Western Ontario, London, Ontario, Canada.
J Surg Oncol. 2010 Mar 1;101(3):209-16. doi: 10.1002/jso.21477.
To develop a valid, reliable and responsive, self-administered questionnaire to assess women's satisfaction with breast reconstruction.
Item generation: Three sources for item inventory were utilized: focus groups, expert panel, and literature review.Item reduction: Item impact scores were derived from patients and experts each ranking the importance and frequency of each item. Correlation between patient and expert scores was calculated. The highest impact questions were maintained.
Four focus groups comprising 20 women generated 515 items, 10 experts developed 171 items, and literature review produced 227 items. These 913 potential items were reduced to 183 by combining redundancy. The 183 items underwent formal reduction by assessing importance and frequency of each item. Thirty-two of 40 reconstructed women and 19 of 19 experts responded to the mail-out. Seventy-seven items of the women's top 100 also made the experts' top 100 list. Intraclass correlation between patients and experts was 0.71 [0.62 0.77], indicating "good" but not "excellent" agreement, reinforcing the importance of patient involvement in questionnaire development. Women rated abdominal donor site issues higher than experts, and experts rated breast softness and symmetry higher than women.
A 100-item pilot questionnaire for breast reconstruction satisfaction was developed for psychometric testing.
开发一种有效、可靠且敏感的自我管理问卷，以评估女性对乳房重建的满意度。
项目生成：利用三个来源来获取项目清单：焦点小组、专家小组和文献综述。项目缩减：患者和专家各自对每个项目的重要性和频率进行评分，得出项目影响评分。计算患者和专家评分之间的相关性。保留得分最高的问题。
四个包含 20 名女性的焦点小组生成了 515 个项目，10 名专家开发了 171 个项目，文献综述产生了 227 个项目。这 913 个潜在项目通过组合冗余减少到 183 个。通过评估每个项目的重要性和频率，对 183 个项目进行了正式缩减。40 名接受乳房重建的女性中有 32 名和 19 名专家中的 19 名回复了邮件。女性前 100 名中的 77 个项目也进入了专家的前 100 名列表。患者和专家之间的组内相关系数为 0.71[0.62-0.77]，表明“良好”但不是“优秀”的一致性，这强调了患者参与问卷开发的重要性。女性对腹部供体部位问题的评分高于专家，而专家对乳房柔软度和对称性的评分高于女性。
为心理测量测试开发了一个包含 100 个项目的乳房重建满意度初步调查问卷。
