HØKH, Research Centre, Akershus University Hospital, Oslo, Norway.
Acta Paediatr. 2010 Jul;99(7):1054-9. doi: 10.1111/j.1651-2227.2010.01727.x. Epub 2010 Feb 18.
Collecting information on subjective symptoms in children by parental reports or physician's interview is indirect and not suited for prospective data collection over extended time periods.
To examine the reliability of a diary for symptom self-reports by primary school children.
Children aged 7-8 or 11-12 were recruited from primary school and a paediatric outpatient department. A picture-based symptom diary was completed individually. Children were asked about presence of 10 specified subjective symptoms for five time periods covering the previous 24 h. The diary was completed twice for test-retest and answers were compared with semi structured physician's interviews.
Test-retest reliability for reporting a symptom during the previous 24 h gave reliable kappa values of 0.64-0.91. Comparison with physician's interview gave kappas of 0.18-0.68. Requiring correct time of day for each symptom reduced reliability and validity. Kappa values for test-retest and child-physician agreement for the individual symptoms were respectively: sneezing, 0.80 and 0.30; sore throat, 0.89, 0.30; tiredness, 0.88, 0.65; headache, 0.64, 0.66; runny nose, 0.91, 0.68; sore eyes, 0.67, 0.18; cough, 0.73, 0.58; stomach ache, 0.69, 0.45.
Our symptom diary gives reliable self-report data from primary school children. It may be used for prospective symptom monitoring.
通过父母报告或医生访谈来收集儿童主观症状信息是间接的，不适合用于在较长时间内进行前瞻性数据收集。
检验小学生症状自我报告日记的可靠性。
从小学和儿科门诊招募了 7-8 岁或 11-12 岁的儿童。他们单独使用基于图片的症状日记进行填写。儿童被要求在过去 24 小时内的五个时间段内报告 10 种特定的主观症状。该日记进行了两次测试-重测，答案与半结构化医生访谈进行比较。
报告过去 24 小时内症状的测试-重测可靠性给出了可靠的 Kappa 值，范围为 0.64-0.91。与医生访谈的比较得出了 Kappa 值，范围为 0.18-0.68。对于每个症状都要求正确的时间会降低可靠性和有效性。测试-重测和儿童-医生对各个症状的一致性 Kappa 值分别为：打喷嚏，0.80 和 0.30；喉咙痛，0.89，0.30；疲倦，0.88，0.65；头痛，0.64，0.66；流鼻涕，0.91，0.68；眼睛疼痛，0.67，0.18；咳嗽，0.73，0.58；腹痛，0.69，0.45。
我们的症状日记为小学生提供了可靠的自我报告数据。它可用于前瞻性症状监测。
